Hydrocephalus, Neurosurgery FAQ - Page 3

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Understanding Hydrocephalus and Drainage Surgery: A Patient's Journey

Hydrocephalus shunt surgery Hello, my father was involved in a car accident while walking at the end of May this year. The accident resulted in intracranial hemorrhage, skull fractures, pneumocephalus, a fracture of the third thoracic vertebra, and suspected damage to the brachia...


Dr. Zhang Junwei Reply:
It is difficult to determine whether surgery is absolutely necessary based solely on your description. However, if surgery is indeed required, considering a lumbar drainage procedure could be an option.

[Read More] Understanding Hydrocephalus and Drainage Surgery: A Patient's Journey


Understanding the Lifespan and Risks of Ventriculoperitoneal Shunt Systems

Dr. Chang, does the ventricular-peritoneal shunt system have a lifespan or can it become damaged? Hello Dr. Chang, my mother is currently 57 years old. At the end of 2015, she underwent surgery for a cerebral hemorrhage at Linkou Chang Gung Memorial Hospital, where a cerebral ane...


Dr. Zhang Junwei Reply:
Basically, the likelihood of damage to the ventricular-peritoneal shunt system is low, but there is a possibility of incorrect pressure or blockage. Please visit the neurosurgery outpatient clinic for a physician evaluation.

[Read More] Understanding the Lifespan and Risks of Ventriculoperitoneal Shunt Systems


Hydrocephalus: To Operate or Not? Understanding Your Options

Surgical Intervention for Hydrocephalus: To Operate or Not? Due to my father's previous fall, he has developed a brain hemorrhage that has now led to hydrocephalus. The doctor mentioned that surgery is an option, but it's not urgent since the fluid accumulation is not s...


Dr. Zhang Junwei Reply:
A physician must not administer treatment, prescribe medication, or provide a diagnosis without personally examining the patient. If there are no obvious neurological abnormalities, it is recommended to observe the patient for a while longer.

[Read More] Hydrocephalus: To Operate or Not? Understanding Your Options


Hydrocephalus Surgery: Understanding Treatment Options and Specialist Expertise

Hydrocephalus Surgery Dear Doctor, my mother had a minor car accident that resulted in a mild intracranial hemorrhage and subarachnoid hemorrhage. After the blood was absorbed, she continued to experience headaches, dizziness, eye fatigue, and some blurriness when looking upward ...


Dr. Zhang Junwei Reply:
If it is confirmed to be hydrocephalus, surgery is necessary. Typically, a ventriculoperitoneal shunt procedure is performed. This drainage surgery is quite simple and is commonly performed by neurosurgeons!

[Read More] Hydrocephalus Surgery: Understanding Treatment Options and Specialist Expertise


Understanding Medulloblastoma Stage IV: A Family's Heartbreaking Journey

Medulloblastoma Stage IV My sister was being treated for a brain tumor at the hospital. After a biopsy, she underwent an emergency surgery for hydrocephalus drainage, and the biopsy revealed a fourth-stage medulloblastoma. The doctors said it was a curable brain tumor, so we held...


Dr. Zhang Junwei Reply:
Based on your description, it could be a respiratory obstruction, but to be honest, I don't know the exact cause. We can only determine what happened on-site.

[Read More] Understanding Medulloblastoma Stage IV: A Family's Heartbreaking Journey


Why Is There Still Hydrocephalus Despite Clear Drainage?

Why is there still water accumulation despite unobstructed drainage? Hello Dr. Lai, my child was diagnosed with hydrocephalus at just over two months old and underwent a third ventriculostomy. Due to poor results, a ventriculoperitoneal shunt was placed when my child turned one y...


Dr. Lai Zhaokang Reply:
Hello: 1. Although a ventriculoperitoneal shunt has been placed and the drainage tube is patent, the drainage system has pressure and flow valves that determine how much cerebrospinal fluid (CSF) is to be drained. Therefore, it may be an issue of coordination between the drainage...

[Read More] Why Is There Still Hydrocephalus Despite Clear Drainage?


Understanding Recovery After Aneurysm Rupture: A Daughter's Concern

Ruptured cerebral aneurysm I would like to ask about my mother. On October 20, 2016, she fell into a coma due to a ruptured cerebral artery, with a Glasgow Coma Scale score of 3 at that time. After surgery and the placement of a drainage tube, she was discharged in January and ha...


Dr. Zhang Junwei Reply:
Brain injuries are very complex. Once a person has experienced a severe coma with a Glasgow Coma Scale score as low as three, to be honest, no one can predict when they will wake up!

[Read More] Understanding Recovery After Aneurysm Rupture: A Daughter's Concern


Does a Ventricular Drain Affect Comfort During Phone Calls or Subway Rides?

Will the ventricular drainage catheter have any impact on the head while using the MRT or talking on the phone? Hello Doctor: My mother is sixty years old. She underwent brain tumor surgery in September 2013 (approximately 9 cm). Afterward, she had a shunt placed due to hydroceph...


Dr. Zhang Junwei Reply:
In theory, there shouldn't be any issues. However, if there are any doubts, you can consult the surgeon to confirm whether there are any abnormalities in the pressure.

[Read More] Does a Ventricular Drain Affect Comfort During Phone Calls or Subway Rides?


Is Waiting the Only Option for My Father's Brain Hemorrhage?

Is there nothing to do but wait for a father with a brain hemorrhage? Hello Doctor, my father was admitted to the emergency room on February 14th due to a cerebral hemorrhage, where a CT scan revealed approximately 20cc of bleeding. He underwent an immediate craniotomy for draina...


Dr. Zhang Junwei Reply:
Based on your description, it seems that there are currently no effective methods available!

[Read More] Is Waiting the Only Option for My Father's Brain Hemorrhage?


Understanding Ventricular Drainage: Risks and Safety Precautions

Abdominal drainage tube My mother has a ventriculoperitoneal shunt (Medtronic Strata) due to hydrocephalus, which was self-funded. The doctors advised that she can live normally but should avoid strong magnetic fields. However, a few months ago, after she used a hairdryer for the...


Dr. Zhang Junwei Reply:
Please return to the original surgical hospital for a follow-up appointment and consult with the physician in detail!

[Read More] Understanding Ventricular Drainage: Risks and Safety Precautions


Understanding Hydrocephalus in Infants: To Shunt or Not to Shunt?

Hydrocephalus in infants Dear Director Zhang, I would like to consult regarding my baby who is currently eight months old. At one month old, due to unknown reasons, there was inflammation and bleeding in the ventricles, which ultimately led to a blockage and the placement of a d...


Dr. Zhang Junwei Reply:
I apologize, pediatric neurosurgery is a very specialized field, and I cannot answer your question. However, I can recommend you to consult Dr. Kuo Meng-Fei at National Taiwan University Hospital, who is an expert in pediatric neurosurgery in Taiwan!

[Read More] Understanding Hydrocephalus in Infants: To Shunt or Not to Shunt?


Post-Drainage Surgery Dizziness: Understanding Neurological Concerns

Regarding dizziness after drainage tube surgery? Hello, doctor. I would like to ask for your advice. My father underwent surgery for an open skull fracture in the right frontal region due to a work-related injury in 2011. He recovered well and was able to manage his daily activit...


Dr. Zhang Junwei Reply:
Hello: The most likely scenario is that the drainage tube pressure is inappropriate. If you initially had an adjustable pressure drainage tube, it is recommended to return to the original surgeon's clinic to adjust the pressure. If it is a fixed pressure type, a repeat surge...

[Read More] Post-Drainage Surgery Dizziness: Understanding Neurological Concerns


Understanding Post-Surgery Complications: Brain Hemorrhage and Hydrocephalus

Spider web mold Dear Dr. Ding, My mother was admitted to the emergency room at the end of September due to severe headaches. After examinations, the hospital diagnosed her with a cerebral hemorrhage and she was immediately taken to surgery. After the operation, the doctor discov...


Dr. Ding Xianwei Reply:
Due to the lack of imaging studies and not having personally participated in the surgery, I am unable to assess your mother's postoperative condition. The description regarding hydrocephalus is unclear; is it communicating hydrocephalus or cerebral edema? The treatment for b...

[Read More] Understanding Post-Surgery Complications: Brain Hemorrhage and Hydrocephalus


Understanding Hydrocephalus After Head Injury: When is Surgery Necessary?

Head trauma Hello Dr. Chang! My mother was in a car accident at the end of July, resulting in a subdural hematoma and cerebral contusion. The attending physician mentioned that the contusion is not significant and can be absorbed naturally with rest. Later, during a follow-up vis...


Dr. Zhang Junwei Reply:
There are two types of hydrocephalus: subdural effusion and true hydrocephalus. They are different conditions. Which type is your mother's issue?

[Read More] Understanding Hydrocephalus After Head Injury: When is Surgery Necessary?


Understanding Hydrocephalus in Elderly Patients: Is There No Treatment?

Hydrocephalus Dr. Ding, I would like to inquire: My father is 86 years old and has been diagnosed with hydrocephalus. However, the doctor mentioned that this is due to age-related brain degeneration causing spaces that lead to fluid accumulation. There is no medication available,...


Dr. Ding Xianwei Reply:
We apologize, but we need a CT scan and the patient's current condition in order to make a judgment. We recommend that you bring the information to our outpatient clinic for further discussion.

[Read More] Understanding Hydrocephalus in Elderly Patients: Is There No Treatment?


Hydrocephalus After Head Injury: Should I Consider Drainage Surgery?

Regarding the issue of hydrocephalus? A few days ago, I hit my head and, due to ongoing dizziness, I went to the hospital for a CT scan. Unexpectedly, it revealed hydrocephalus. Since I had surgery for an acoustic neuroma four years ago, the doctor asked me to show him the pre-op...


Dr. Zhang Yuanyi Reply:
Dear Winnie: Hello, if there is no enlargement of the hydrocephalus compared to the previous imaging and there are no corresponding symptoms, it is generally recommended to observe the situation first. Typically, the drainage catheter is placed subcutaneously and should not signi...

[Read More] Hydrocephalus After Head Injury: Should I Consider Drainage Surgery?


Understanding Brain Growths: Tumors, Cysts, and Hydrocephalus Explained

Hello, how can I assist you? If there are growths in the brain, such as tumors, lesions, cysts, or conditions like hydrocephalus, are they all considered brain tumors, or do they have other names?


Dr. Ding Xianwei Reply:
Your question is unclear and cannot be answered!

[Read More] Understanding Brain Growths: Tumors, Cysts, and Hydrocephalus Explained


Post-Surgery Care for Brain Hemorrhage: Understanding Treatment Options

Post-operative treatment for cerebral hemorrhage? Hello doctor, we are truly helpless and don’t know what else we can do… My father has severe Alzheimer's disease, Parkinson's disease, and hydrocephalus. In January, he experienced severe drowsiness, not eating or drinki...


Dr. Zhang Yuanyi Reply:
Hello: Generally speaking, the prognosis for left hemisphere hemorrhage is poor. If the patient's preoperative condition is not good, they are older, and their level of consciousness is quite low, the prognosis is likely to be unfavorable regardless of whether surgery is per...

[Read More] Post-Surgery Care for Brain Hemorrhage: Understanding Treatment Options


Understanding Post-Traumatic Brain Injury Symptoms After a Motorcycle Accident

Post-traumatic brain injury (TBI) sequelae from a car accident? Hello Doctor: My father was hospitalized due to a motorcycle accident at the end of April, which resulted in a brain injury. He was in a coma with a Glasgow Coma Scale score of 3 and had an intracranial pressure moni...


Dr. Ding Xianwei Reply:
Based on your description, I would like to offer my suggestions. Your father may be experiencing changes in temperament due to frontal lobe damage, which is part of the sequelae of a head injury. Frankly, it is quite remarkable that he has progressed from a Glasgow Coma Scale sco...

[Read More] Understanding Post-Traumatic Brain Injury Symptoms After a Motorcycle Accident


Understanding Post-Surgery Complications from Intracranial Hemorrhage

Intracranial hemorrhage. Postoperative complications? Doctor: Hello! I would like to ask a question. My daughter is 4 years old. She had a car accident in April, resulting in a skull fracture and subdural hematoma in the left frontal region. Three days later, she underwent a cran...


Dr. Ding Xianwei Reply:
It is important to clarify that generally, it is intracranial hemorrhage that leads to sequelae, while complications from the surgery itself are relatively rare. Due to the lack of complete data, potential sequelae are predicted based on experience. Many injuries may not be visib...

[Read More] Understanding Post-Surgery Complications from Intracranial Hemorrhage


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