Exploring Advanced Treatments for Brain Tumors: Balancing Aggressive and Conservative Approaches
Brain tumor Hello doctor, I previously underwent some treatments for my brain, including radiation therapy and stereotactic radiosurgery, totaling approximately 12,000 units, which has reached saturation. After surgery to remove the tumor, most of it was necrotic. A portion that ...
Dr. Chen Changmu Reply:
Hello, the radiation therapy and surgery have been completed. It is currently recommended to continue regular follow-ups to monitor the changes in the tumor, and then discuss the next steps with your physician.[Read More] Exploring Advanced Treatments for Brain Tumors: Balancing Aggressive and Conservative Approaches
Pros and Cons of Sitting vs. Lying Position in Neurosurgery
What are the advantages and disadvantages of using sitting and supine positions in neurosurgical procedures? What are the advantages and disadvantages of using sitting and supine positions in neurosurgical procedures?
Dr. Chen Changmu Reply:
I don't quite understand the question you are asking. If it pertains to the surgical position, it is determined by the area of the body being operated on. For example, in cases of lumbar disc herniation, the prone position is used, while for frontal lobe tumors, the supine p...[Read More] Pros and Cons of Sitting vs. Lying Position in Neurosurgery
Understanding Ependymoma: Treatment Options and Potential Outcomes
Ependymoma What is an ependymoma? Is surgery always necessary? What potential complications can arise, and what is the best approach for management? Thank you.
Dr. Xiao Furen Reply:
Tumors can grow in the brain or the spinal cord. Generally, ependymomas are treated with surgery followed by radiation therapy.[Read More] Understanding Ependymoma: Treatment Options and Potential Outcomes
Seeking Help for Post-Surgery Neurological Issues: A Call for Assistance
Emergency Assistance (Forwarded by the Department of Health) My wife, Li Mi, underwent a 9 cm meningioma surgery on March 14, 2003, at Cathay General Hospital, performed by neurosurgeon Dr. Huang Jinshan. Since then, she has been unable to sleep normally and requires a combinatio...
Dr. Ding Xianwei Reply:
Hello: It is recommended that you return to Dr. Huang Jinshan's outpatient clinic for further evaluation and treatment. Additionally, if the brain tumor is benign, you will not be able to apply for major illness benefits. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery, Taoyuan ...[Read More] Seeking Help for Post-Surgery Neurological Issues: A Call for Assistance
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
Understanding Headaches During Pregnancy: Prolactin and Health Concerns
Headache issues? Hello Doctor: I am currently 15 weeks pregnant. I have previously been diagnosed with hyperprolactinemia and thalassemia. Recently, I have been experiencing pain on the right side of my scalp for the past two days, and I have had unexplained nosebleeds 3-4 times....
Dr. Chen Changmu Reply:
A prolactin level of 41.8 is not considered very high, and regular monitoring is sufficient. As for the unexplained nosebleeds, it is recommended to see an otolaryngologist for evaluation.[Read More] Understanding Headaches During Pregnancy: Prolactin and Health Concerns
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 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
Understanding Prolactin Levels: When to See a Specialist for Treatment
Prolactin Hello doctor, I have been experiencing irregular menstruation for about eight years, starting when I was in high school. I thought it was due to academic stress, as I suddenly gained 10 kilograms in the middle of one month (which I have not been able to lose despite eat...
Dr. Hong Xuyi Reply:
Hello: In response to your question, it seems you have been troubled by irregular menstrual cycles and weight issues for some time. Many hormonal interactions can affect menstrual performance, such as elevated prolactin levels, polycystic ovary syndrome (PCOS), and luteal phase d...[Read More] Understanding Prolactin Levels: When to See a Specialist for Treatment
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 Neurogenic Tumors: Causes, Treatment, and Prevention
Neurogenic tumors Hello Dr. Hong, I would like to ask how neurogenic tumors are formed. I have a growth approximately 6 cm above the elbow on my right arm. Initially, it was small, and nine years ago, I consulted a doctor who said it was a lipoma and advised me not to worry abo...
Dr. Hong Xuyi Reply:
Hello: In response to your question, the cause of neurogenic tumors is unknown. Nerve compression should be addressed as soon as possible. The surgery in this case is not as you described, where a slight mistake could result in the loss of function of the entire hand; therefore, ...[Read More] Understanding Neurogenic Tumors: Causes, Treatment, and Prevention
Understanding Gemma Tumors: Insights and Concerns from Neurosurgery
Could you please specify your question, so I can assist you better? What is a meningioma? I was hospitalized at Chi Mei Hospital for 12 days at the end of March due to a colon ulcer. During my stay, I frequently experienced headaches and consulted a doctor who arranged for a CT s...
Dr. Hong Xuyi Reply:
Hello: In response to your question, please discuss directly with your physician at the neurosurgery outpatient clinic, or confirm the name of the tumor you mentioned for better clarification.[Read More] Understanding Gemma Tumors: Insights and Concerns from Neurosurgery
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 Dizziness: Is It a Sign of Brain Tumor?
The relationship between dizziness and brain tumors? This week, I initially experienced palpitations and a sensation of shortness of breath. Later, I began to feel dizzy, with occasional headaches and overall weakness. During the palpitations, I sometimes felt a bit nauseous. I h...
Dr. Hong Xuyi Reply:
Hello: In response to your inquiry: Your symptoms are all non-specific. It is recommended that you first consult with a family physician for a differential diagnosis.[Read More] Understanding Dizziness: Is It a Sign of Brain Tumor?