Brain, Neurosurgery FAQ - Page 24

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Understanding Hydrocephalus: Key Information and Insights

Hydrocephalus-related information? Dr. Chiu: Please email me the relevant information regarding hydrocephalus. Your assistance with this would be greatly appreciated. BEST REGARDS, W.T. Lin


Dr. Qiu Yushu Reply:
Hello: Here is the information regarding hydrocephalus. (I apologize for not being able to attach images of the ventricular changes before and after surgery at this time.) **Hydrocephalus** What is hydrocephalus? Hydrocephalus, commonly known as water on the brain, is one of ...

[Read More] Understanding Hydrocephalus: Key Information and Insights


Minimally Invasive Brain Tumor Surgery: Navigating New Techniques

Surgery Hello, doctor. I am a brain tumor patient. After undergoing gamma knife treatment, I experienced a worsening of my condition. The intensity-modulated radiation therapy was also ineffective, and I continue to have fluid accumulation. The physician has now suggested surgery...


Dr. Qiu Yushu Reply:
Hello: Navigation system microsurgery still requires craniotomy, allowing for precise spatial localization of brain tumors while protecting normal brain tissue, making the surgery more precise.

[Read More] Minimally Invasive Brain Tumor Surgery: Navigating New Techniques


Concerns About Head Injuries and Spine Pain: What to Know

Could you please provide the content you would like me to translate? Hello, doctor. I would like to ask you two questions. The first one is about my boyfriend, who is the same age as me, 16 years old. He accidentally hit the back of his head against a hard wall. A few seconds aft...


Dr. Chen Changmu Reply:
Thank you for your question. Both cerebral hemorrhage and concussion can present with symptoms such as vomiting and headaches, and in severe cases, there may be altered consciousness. If dizziness persists for one or two days, it is generally advisable to monitor the situation, b...

[Read More] Concerns About Head Injuries and Spine Pain: What to Know


Understanding Cerebrospinal Fluid Leaks: Risks and Treatment Options

Cerebrospinal fluid rhinorrhea Dr. Chen: I would like to ask if the condition of cerebrospinal fluid (CSF) rhinorrhea can lead to death due to the gradual loss of cerebrospinal fluid. Recently, I have noticed that my complexion has been poor, with some darkening. Additionally, if...


Dr. Chen Changmu Reply:
Thank you for the question. The body continuously produces cerebrospinal fluid (CSF) daily, so one would not die from the loss of CSF; the symptoms are primarily caused by changes in intracranial pressure. The skull fracture associated with CSF rhinorrhea is located at the base o...

[Read More] Understanding Cerebrospinal Fluid Leaks: Risks and Treatment Options


Understanding Progress in Severe Brain Injury Recovery: A Patient's Journey

Cerebral contusion My father has been in bed for nearly four months due to a severe brain injury. He has a tracheostomy and is still undergoing suctioning. The doctors' assessments so far have not been very optimistic, as the extent of his brain injury is significant and con...


Dr. Ding Xianwei Reply:
Hello: Since I couldn't see it in person, it's difficult to assess. If your father can understand your instructions, the rehabilitation process is likely to be more successful. If you would like further information, please feel free to bring the imaging studies to my cl...

[Read More] Understanding Progress in Severe Brain Injury Recovery: A Patient's Journey


Understanding Coma Scores: Insights into Severe Brain Injury Recovery

Traumatic brain injury (TBI) My father has been lying in bed for almost four months due to a severe traumatic brain injury. The extent of the brain damage is significant, and the doctors currently assess that he may never be able to get out of bed. I would like to ask about his G...


Dr. Ding Xianwei Reply:
Hello: Since I was unable to see it in person, it is difficult to assess. If your father can understand your instructions, the rehabilitation work will likely be more successful. If you would like further information, feel free to bring the films to my clinic, and we can have a g...

[Read More] Understanding Coma Scores: Insights into Severe Brain Injury Recovery


Understanding Post-Surgery Recovery in Neurosurgery: Key Questions Answered

ICH Hello Dr. Chen: My classmate was involved in a motorcycle accident on February 9, 2004, where he sustained significant head trauma and bleeding from both ears. He was rushed to the hospital, where the doctors performed an emergency craniotomy on the left side of his brain, fo...


Dr. Ding Xianwei Reply:
Hello Miss Yu-Chen: I do not have outpatient services in Taipei. If it is inconvenient for you to come to Taoyuan, you can visit Dr. Huang Jun-Yi at the Neurosurgery Department of Taipei Veterans General Hospital. Wishing you and your family peace, health, and happiness.

[Read More] Understanding Post-Surgery Recovery in Neurosurgery: Key Questions Answered


Understanding Skull Deformities: When to Seek a Second Opinion in Neurosurgery

Cranial atrophy and depression? The doctor suggested that the issue with the brain tumor may have improved, leading to bone depression, and recommended that I consult the original surgeon for an examination. I really want to go back and ask that doctor, but... his response made m...


Dr. Chen Changmu Reply:
Hello Ms. Huang: Cranial reshaping surgery is a method to address skull depressions, but it also carries risks. This procedure is typically recommended only when symptoms are very pronounced or there is a strong desire for aesthetic improvement. Symptoms such as dizziness, headac...

[Read More] Understanding Skull Deformities: When to Seek a Second Opinion in Neurosurgery


Understanding Skull Deformities After Trauma: Causes and Medical Insights

Cranial atrophy and depression? After a car accident, due to intracranial hemorrhage, the skull was removed and placed in the hospital for six months before being reattached. A year after the reattachment, it led to skull atrophy and depression. What could be the cause of this? I...


Dr. Chen Changmu Reply:
It is possible that the original issue with the brain tumor has improved, leading to bone depression. It is recommended to consult the original surgeon for an evaluation.

[Read More] Understanding Skull Deformities After Trauma: Causes and Medical Insights


Understanding Malignant Germ Cell Tumors: Prognosis and Recurrence Risks

Brain tumor Recently, I went for an examination due to a missed menstrual cycle and discovered abnormal pituitary function. Further tests diagnosed a pituitary adenoma, but after surgery, the specimen was found to be a malignant germ cell tumor. Question: What is the relevant i...


Dr. Chen Changmu Reply:
Hello, Xiao Jun: Germinoma is a type of germ cell tumor, accounting for approximately 7.40% of cases, and it commonly occurs in individuals aged 14-15 years. The primary affected areas are: (1) the sellar region, particularly around the optic chiasm, where the most common symptom...

[Read More] Understanding Malignant Germ Cell Tumors: Prognosis and Recurrence Risks


Understanding High Prolactin Tumors: Impacts on Health and Relationships

Prolactin-secreting tumor My wife discovered a tumor about five years ago after her menstrual period did not return and her breast milk did not subside following childbirth. After taking medication, she experienced various discomforts, including headaches and nausea. Approximatel...


Dr. Chen Changmu Reply:
Your wife's issues may still be related to a brain tumor, or it could be due to insufficient hormone secretion from the pituitary gland, or possibly a recurrence of the tumor leading to excessive prolactin secretion. In any case, it is advisable to encourage her to return to...

[Read More] Understanding High Prolactin Tumors: Impacts on Health and Relationships


Exploring Treatment Options for Intracranial Lipomas: Beyond Surgery

Intracranial lipoma Hello, recently a family member underwent a health check and was found to have an intracranial lipoma. Over the past year, they have experienced symptoms such as dizziness and headaches, which have become severe enough to require a week-long hospitalization. T...


Dr. Chen Changmu Reply:
Intracranial lipomas are relatively rare benign tumors, and the decision to perform surgery depends on the severity of the symptoms and their location. If the tumor is superficial and not located in critical functional areas, it can generally be safely removed. However, if it is ...

[Read More] Exploring Treatment Options for Intracranial Lipomas: Beyond Surgery


Understanding Brain Tumors: Surgery Success Rates and Risks

Brain tumor Dear Doctor, My father is 53 years old and has been diagnosed with a brain tumor for nearly a year. Since the diagnosis, the tumor has not grown, but the cerebral edema has worsened. His symptoms primarily include headaches, pulsatile tinnitus, tinnitus, unsteady gai...


Dr. Shao Guoning Reply:
Hello: In response to your question, meningiomas are, in very rare cases, benign tumors. In other words, they do not metastasize, and as long as they are completely surgically removed, they will not recur. Although meningiomas grow slowly, the brain is encased in the skull, leavi...

[Read More] Understanding Brain Tumors: Surgery Success Rates and Risks


Understanding Interventional Treatments for Brain Aneurysms: Recovery Insights

Interventional therapy Dr. Ding, my mother suddenly suffered a cerebral hemorrhage while traveling in mainland China on December 8. She was diagnosed with a hemorrhage due to a cerebral artery aneurysm. After undergoing minimally invasive interventional surgery, she regained cons...


Dr. Ding Xianwei Reply:
Hello! Generally speaking, the risk of infection occurring during emergency surgery is higher. If an aneurysm is involved, the infection is not easily controlled and can currently only be managed with antibiotics. We must wait for the fever to subside before discussing recovery. ...

[Read More] Understanding Interventional Treatments for Brain Aneurysms: Recovery Insights


Understanding Scalp Pain: When to See a Neurologist or Dermatologist

Brain issues Hello… In the past two to three weeks, I have experienced pain when lightly pressing on my scalp while washing my hair (specifically on the top of my head). I would like to know if this is related to the scalp or if it could be a brain issue. A few months ago, I also...


Dr. Hong Xuyi Reply:
Hello: In response to your question, your issue may be related to inflammation of the hair follicles on the scalp. It is advisable to consult a dermatologist. The symptoms of headache typically do not involve tenderness; tenderness usually indicates a scalp issue.

[Read More] Understanding Scalp Pain: When to See a Neurologist or Dermatologist


Understanding Intracranial Hemorrhage: Recovery and Care Insights

Intracranial hemorrhage Hello Dr. Shao: My friend had a motorcycle accident on December 4, 2003, resulting in an intracranial hemorrhage (ICH). He underwent a craniotomy the next day, and a piece of his skull was preserved in cold storage. He had an endotracheal tube and a nasoga...


Dr. Shao Guoning Reply:
Hello: In response to your question, I appreciate your deep concern for this patient. It is rare for someone other than close relatives to observe so attentively, and I am truly touched. (1) He has a traumatic brain hemorrhage and has undergone a right craniectomy due to injury...

[Read More] Understanding Intracranial Hemorrhage: Recovery and Care Insights


Understanding Ventricular Tumors: Recovery Challenges and Rehabilitation Insights

Ventricular tumor Hello Doctor, I would like to ask you a question. My girlfriend underwent surgery to remove a ventricular tumor at Linkou Chang Gung Memorial Hospital in July, and it has been four months since then. In the first two months, her recovery was quite good, but in...


Dr. Qiu Yushu Reply:
Hello: Ventricular tumors are generally benign; however, because they are located within the ventricles, they can easily lead to hydrocephalus. Therefore, a ventriculoperitoneal shunt is required. The ventricular drainage catheter often experiences functional issues (such as bloc...

[Read More] Understanding Ventricular Tumors: Recovery Challenges and Rehabilitation Insights


Head Injury from Domestic Violence: When to See a Neurosurgeon?

Head injury? Hello, doctor: My girlfriend was injured on her head by her father after drinking (domestic violence). As a result, there is a dent in her skull, and she is experiencing pain, dizziness, and some nausea. Should I take her to see a neurosurgeon or a neurologist? Thank...


Dr. Hong Xuyi Reply:
Hello: In response to your question, she must see a neurosurgeon immediately and arrange for a cranial X-ray or a brain CT scan.

[Read More] Head Injury from Domestic Violence: When to See a Neurosurgeon?


Post-Surgery Care and Considerations for Ventricular Drainage Catheters

Ventricular drainage catheter Hello: My girlfriend has recently undergone surgery for a ventricular tumor, and the doctor mentioned the need for a ventricular drainage catheter. I would like to ask: 1. What precautions should be taken after the placement of the ventricular draina...


Dr. Qiu Yushu Reply:
Hello: After surgery for ventricular tumors, some patients may experience hydrocephalus, which may necessitate a ventriculoperitoneal shunt procedure. Postoperatively, there are no special precautions required in daily life; however, it is important to monitor the drainage tube f...

[Read More] Post-Surgery Care and Considerations for Ventricular Drainage Catheters


Gas Poisoning: Concerns About Brain Damage After Exposure

Gas poisoning? The gas stove was accidentally turned off, and I didn't realize it until half an hour later when I noticed a strong gas smell throughout the entire house. I quickly turned it off, and it took about half an hour for the smell to dissipate. Besides feeling short...


Dr. Hong Xuyi Reply:
Hello: In response to your question, the main component of gas is aliphatic hydrocarbons, which are non-toxic, colorless, odorless, and tasteless (the odor of gas is intentionally added for safety purposes, typically a foul-smelling compound like hydrogen sulfide). Therefore, unl...

[Read More] Gas Poisoning: Concerns About Brain Damage After Exposure


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