Urgent Concerns: Family's Struggle with Father's Neurological Condition
A family member's inquiry about a patient with an urgent medical condition? Dear Dr. Ding, I am a family member of a patient. My surname is Lai, and I live in Miaoli. I would like to ask some questions regarding my father's condition. Two weeks ago, my father fell at h...
Dr. Ding Xianwei Reply:
Due to the lack of clarity in your description, it would be helpful if you could bring all imaging data, a list of medications previously taken, and a summary of the medical case directly to my clinic. This would assist in making further decisions. Since the information is incomp...[Read More] Urgent Concerns: Family's Struggle with Father's Neurological Condition
Are Brain Tumors and Hydrocephalus the Same? Key Insights and Concerns
Is a brain tumor the same as a brain cyst? Hello Doctor: During my last visit to the Pingtung Christian Hospital, the doctor mentioned that I have a brain cyst. Is this a type of brain tumor? He also suggested that I need surgery to remove it. Is surgery absolutely necessary? How...
Dr. Xie Bojun Reply:
Dear Mr. Yang, Due to the absence of imaging studies (CT scan and MRI), we are unable to interpret the results and provide further recommendations. Please bring the imaging examinations to the outpatient clinic for a discussion regarding your condition. Changhua Hospital care...[Read More] Are Brain Tumors and Hydrocephalus the Same? Key Insights and Concerns
Understanding the Rigid State of Vegetative Patients: Causes and Treatments
The state of a vegetative patient with rigidity? Dear Dr. Chang, Two years ago, my father fell from the roof, resulting in a frontal lobe injury. After surgery, his consciousness improved (although his physical condition was poor, he kept complaining about stomach pain and wanti...
Dr. Zhang Junwei Reply:
Hello Jay: Patients with severe brain injuries may experience spasticity due to damage to the brain and brainstem. Additionally, as you mentioned, hydrocephalus could also lead to this condition. In terms of treatment, it is generally important to first assess whether there are a...[Read More] Understanding the Rigid State of Vegetative Patients: Causes and Treatments
Is 1 cm Hydrocephalus Serious? When Is Surgery Necessary?
Is 1 centimeter of hydrocephalus serious? Is surgery necessary? Hello Dr. Chang, My baby experienced an unexplained intracranial hemorrhage at 3 and a half months old (without any trauma or vigorous shaking). A CT scan was performed on the day of the hemorrhage, and the hospital...
Dr. Zhang Yuanyi Reply:
Dear Ken, Hello, it is unclear whether the hydrocephalus you mentioned refers to communicating hydrocephalus or chronic subdural hematoma. Generally, if there is a significant amount of blood clot, it typically takes more than a month to be absorbed. The resolution of hydrocepha...[Read More] Is 1 cm Hydrocephalus Serious? When Is Surgery Necessary?
Do All Brain Hemorrhages Require Surgery? Risks and Alternatives Explained
Surgical intervention for cerebral hemorrhage? Hello, doctor: Is surgery always necessary for hemorrhage in the lateral ventricles and the fourth ventricle? Is the risk of surgery significant? Are there other methods for treatment?
Dr. Zhang Yuanyi Reply:
Hello, if there is associated hydrocephalus or a low level of consciousness, surgery is usually required. Generally, brain surgery carries risks; however, if a drainage procedure is performed for hydrocephalus, the risks are considered lower compared to other types of brain surge...[Read More] Do All Brain Hemorrhages Require Surgery? Risks and Alternatives Explained
Alternative Treatments for Meningioma Surgery Complications: Hydrocephalus Insights
After surgery for a meningioma, if hydrocephalus occurs, are there other treatment options available? Hello, my mother is 67 years old and started experiencing urinary incontinence, facial drooping, unsteady walking leading to frequent falls, and difficulty swallowing liquids sin...
Dr. Ding Xianwei Reply:
I sincerely apologize, but without knowing the exact location of the meningioma and the overall condition, I am unable to provide much advice regarding your mother's treatment. Generally speaking, surgery is the best option for brain tumors when feasible. However, for certai...[Read More] Alternative Treatments for Meningioma Surgery Complications: Hydrocephalus Insights
Understanding Hydrocephalus Surgery: Options and Risks Explained
Surgical Methods for Hydrocephalus Hello Dr. Chang! My father is 70 years old and was previously paralyzed in bed due to a stroke. He currently has hydrocephalus (which existed before the stroke but was untreated due to the stroke) and is experiencing seizures. He is taking antic...
Dr. Zhang Yuanyi Reply:
Hello, Miss Chun-Ying. It is commonly said that hydrocephalus can occur in two situations: one is ventricular enlargement leading to hydrocephalus, and the other is subdural hematoma. The surgical approach for the former involves the placement of a ventriculoperitoneal shunt, wit...[Read More] Understanding Hydrocephalus Surgery: Options and Risks Explained
Understanding Subarachnoid Hemorrhage: Causes and Risks of Complications
Subarachnoid hemorrhage Hello, I would like to ask about subarachnoid hemorrhage, for example: what causes subarachnoid hemorrhage? Is it caused by trauma or is it a complication of a disease? Also, what is the likelihood of subarachnoid hemorrhage leading to hydrocephalus? Thank...
Dr. Zhang Yuanyi Reply:
Dear Ms. Chen, 1. Conditions such as brain infections, brain tumors, vascular diseases (including arteriovenous malformations and aneurysms), head trauma, hematological disorders, or post-emergency situations can all potentially lead to subarachnoid hemorrhage. 2. Approximately...[Read More] Understanding Subarachnoid Hemorrhage: Causes and Risks of Complications
Understanding the Impact of Hypertension on Brain Hemorrhage Recovery
Hypertension Hello, doctor. A 45-year-old male with hypertension has suffered a cerebral hemorrhage and has undergone two drainages. His Glasgow Coma Scale score has improved from 5 to 8, but he has undergone a tracheostomy, so there is no score for the verbal response. Currently...
Dr. Zhang Yuanyi Reply:
I apologize, but I am unsure about the term "腦椎體" (which may refer to the "thalamus" or "brainstem" depending on the context) due to translation issues. The ventricles in a CT scan appear black under normal conditions, indicating no abnormalities. Ge...[Read More] Understanding the Impact of Hypertension on Brain Hemorrhage Recovery
Understanding Hydrocephalus: Recovery, Treatment Options, and Prognosis
About hydrocephalus? Dear Doctor, My uncle underwent a minor surgery where a programmable valve was implanted in his brain. It has been less than two months, and his condition seems to have shown no progress; he still appears to have low energy. He developed hydrocephalus due t...
Dr. Qiu Yushu Reply:
Hello: As you mentioned, I am not aware of his detailed medical condition. It is best to visit the outpatient clinic for an examination to understand his condition and arrange for further tests. Best wishes. Dr. Yu-Shu Chiu[Read More] Understanding Hydrocephalus: Recovery, Treatment Options, and Prognosis
Understanding Hydrocephalus: Risks and Alternatives to Surgery
Hydrocephalus My father is unable to walk due to hydrocephalus and underwent a ventriculostomy in the hospital. He tends to be drowsy when sitting but feels better when lying down. A CT scan revealed that the central part of his brain appears dry. The doctor mentioned that the ce...
Dr. Qiu Yushu Reply:
Hello: There are three types of ventricular drainage catheters, and there is a possibility of over-drainage occurring. Patients may experience dizziness and vomiting. If a CT scan reveals this phenomenon, the usual management is to switch to another type of drainage catheter. Thi...[Read More] Understanding Hydrocephalus: Risks and Alternatives to Surgery
Understanding Post-Surgery Symptoms: Hydrocephalus in Elderly Patients
Hydrocephalus Hello: My father is 68 years old (he has diabetes) and recently underwent a CT scan which revealed hydrocephalus. He had surgery on March 4, and his condition was stable post-operation, although he experienced some dizziness. However, on March 14, the dizziness wors...
Dr. Ding Xianwei Reply:
Hello: For hydrocephalus, we utilize drainage surgery to alleviate symptoms. There are many reasons for postoperative dizziness. It is recommended that you return for a follow-up consultation with your father's attending physician. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery...[Read More] Understanding Post-Surgery Symptoms: Hydrocephalus in Elderly Patients
Post-Operative Overdrainage in Ventriculoperitoneal Shunt Surgery
Is there a risk of excessive drainage after ventricular-peritoneal shunt surgery? Hello Doctor: My father underwent a ventriculoperitoneal shunt surgery at National Taiwan University Hospital over a year ago due to a diagnosis of hydrocephalus. Recently, he exhibited symptoms sim...
Dr. Qiu Yushu Reply:
Hello: There is a possibility of excessive drainage with ventricular-peritoneal shunting (though it is rare). It is advisable to replace it with a drainage device that has a different (higher) pressure setting (there are three types of external drainage device pressures). It is b...[Read More] Post-Operative Overdrainage in Ventriculoperitoneal Shunt Surgery
Why Does the Brain Develop Indentations After Surgery for Head Injuries?
Why does the brain become sunken after surgery for a brain injury? Hello Doctor, my grandmother (76 years old) had a car accident four months ago, resulting in a traumatic brain injury. The doctors diagnosed her with intracranial hemorrhage, and she underwent two brain surgeries....
Dr. Ding Xianwei Reply:
Hello: It may be the reservoir of the drainage tube, but since I cannot see it in person, I am unable to provide an answer. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Why Does the Brain Develop Indentations After Surgery for Head Injuries?
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
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 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
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
Understanding Brain Edema: Causes, Symptoms, and Treatment Options
Cerebral edema Cerebral edema is a condition characterized by the accumulation of excess fluid in the brain, leading to increased intracranial pressure. It can be caused by various factors, including traumatic brain injury, stroke, infections, tumors, or metabolic imbalances. Sym...
Dr. Qiu Yushu Reply:
Cerebral edema refers to the swelling of brain tissue that leads to increased intracranial pressure, resulting in symptoms such as headache and vomiting; in severe cases, it can cause coma and pose a life-threatening risk. There are many causes, including brain tumors, brain absc...[Read More] Understanding Brain Edema: Causes, Symptoms, and Treatment Options
Understanding Hydrocephalus: Symptoms, Causes, and Treatment Options
Hydrocephalus is a medical condition characterized by an accumulation of cerebrospinal fluid (CSF) within the ventricles of the brain. This buildup can lead to increased intracranial pressure, which may cause various neurological symptoms. There are two main types of hydrocepha...
Dr. Xu Xianda Reply:
Hello: Please email us your address, and we will send you information related to hydrocephalus. You can email it to [email protected], signed by Hsinchu Hospital, Department of Surgery.[Read More] Understanding Hydrocephalus: Symptoms, Causes, and Treatment Options