Subscribe
59
Gao Yi Shen
Neurosurgery
About me
Graduated from Tianjin Medical University with a master's degree in Neurosurgery. Previously worked and studied at large tertiary hospitals in Beijing and Tianjin. Have a deep understanding and awareness of common and prevalent cerebral diseases, particularly skilled in understanding and formulating treatment plans for cerebrovascular diseases.
Proficient in diseases
There is a deep understanding and awareness of common and prevalent cranial diseases, especially skilled in understanding and developing treatment plans for cerebrovascular diseases.
Voices
Does trigeminal neuralgia cause facial swelling?
Patients with trigeminal neuralgia may also experience slight swelling on their face, but it is not very obvious. This is because the nerve also has a special function, which is to provide nourishment. When the facial area innervated by the trigeminal nerve shows abnormal signs, the facial nerves in this area will become affected, leading to malnutrition and eventually causing facial swelling. However, such swelling is usually not very severe. If there are other factors involved, the swelling could become more serious. For instance, it could be due to a gum infection triggering trigeminal neuralgia, or pressure caused by other tumors. Therefore, the best approach is to visit a hospital promptly for relevant examinations to clarify the cause, which is the best for the patient.
Is a grade II cerebral infarction serious?
A second-degree cerebral infarction is a very serious matter that must be given significant attention clinically. Once a cerebral infarction occurs, it indicates very poor vascular quality. If proactive treatment and prevention are not undertaken to prevent further progression, the symptoms of cerebral infarction can worsen and recur frequently. This can cause severe harm not only to the patient but also to their family and society. This is particularly true for patients with severe, long-term bedridden hemiplegia, which further increases the burden on families and society. Therefore, once a cerebral infarction occurs, regardless of the circumstances, it is crucial to complete the necessary examinations and take timely treatment measures to better manage the progression of the condition.
Causes of hydrocephalus
There are many causes of hydrocephalus, and it is important to make specific judgments based on the circumstances. In some infants, congenital hydrocephalus can be caused by intracranial birth injuries, which occur during the birth process and lead to intracranial hemorrhaging. It can also be due to congenital developmental abnormalities, such as anencephaly or spina bifida. In adults, hydrocephalus can be caused by intracranial tumors, such as choroid plexus papillomas, which overproduce cerebrospinal fluid. Others might develop hydrocephalus due to blockages caused by blood clots, such as cerebral hemorrhage or subarachnoid hemorrhage. There are also cases where hydrocephalus can occur alongside chronic conditions like subdural hematoma or epidural hematoma, depending on the specific clinical presentations of the patients.
Symptoms of brainstem hemorrhage
The symptoms of brainstem hemorrhage can vary from mild to severe, depending on the specific presentation of the patient. For instance, in milder cases, symptoms may include simple headaches, dizziness, nausea, and vomiting without other clinical symptoms, which can often be easily distinguished from cervical spondylosis. Therefore, timely clinical examinations are necessary to confirm these conditions, which are generally mild and usually do not threaten life. However, symptoms might gradually worsen, manifesting as numbness in the limbs and speech impairments, among others. Some individuals may experience seizures, characterized by convulsions of the limbs, frothing at the mouth, etc. If the hemorrhage becomes more severe, it can compress more brainstem neurons, leading to coma, lethargy, and potentially severe outcomes like dilated pupils, and sudden cessation of breathing and circulation.
Is neuroblastoma hereditary?
Neuroblastoma has a partial genetic predisposition, but current research has not definitively determined the extent or probability of its heritability. For modern neuroblastoma, its origin is primarily associated with genetic mutations or chromosomal changes. Factors such as smoking, drinking, and drug use by the mother during pregnancy can severely harm the fetus and potentially lead to the development of neuroblastoma. Sometimes, excessive radiation or the misuse of certain drugs can also cause neuroblastoma. Therefore, while there is a certain genetic tendency for neuroblastoma, it is not the main factor.
How long does it take for a brainstem hemorrhage clot to be absorbed?
In general, the absorption time for a brainstem hemorrhage clot is around two to three weeks. During this period, several phases must be passed, with the two main ones being the rebleeding phase and the brain swelling phase. Rebleeding often occurs within three days after the initial bleeding. If not treated promptly during this time, it can easily lead to further brainstem hemorrhage, increasing the size of the clot and hindering the later absorption process. The second phase is the peak of brain swelling and vasospasm. During this phase, certain substances released during the absorption of blood vessels and clots can cause swelling and spasms of the surrounding tissues. If this phase is also safely navigated, then subsequent absorption tends to be relatively quicker. However, complete absorption generally requires at least two to three weeks.
Is calcification of neuroblastoma good?
In clinical practice, although calcification is a relatively favorable phenomenon, the overall condition of neuroblastoma does not change significantly because of it. Therefore, it is still not a good sign. For neuroblastoma, whether calcification occurs or not, it remains a form of tumor. Only through early surgical treatment can the problem be fundamentally resolved, otherwise, there is a tendency for recurrence and metastasis to occur later on. Moreover, it is important to note that regardless of whether the tumor calcifies, its nature does not change. Only fundamental treatment can bring better hope, so calcification does not lead to very good outcomes.
How many milliliters of brainstem hemorrhage are fatal?
Brainstem hemorrhage does not have a specific volume that can be fatal; the brainstem is the central hub for respiration and circulation in the human body, including the medulla, midbrain, and pons. For the pons and midbrain, a hemorrhage of five milliliters can be fatal. For the medulla, which is very narrow and densely packed with neural tissue, even one milliliter of bleeding can suddenly cause the patient's respiration and circulation to stop. Therefore, even one milliliter of brainstem hemorrhage is an immeasurable loss, and brainstem hemorrhages should be classified as critically severe. Immediate hospitalization and treatment are crucial to achieve a relatively better prognosis.
How much does a pituitary tumor grow in a year?
At present, in clinical practice, there is no evidence to show how much a pituitary tumor can grow in a year, because the specific pathological nature of pituitary tumors varies, the overall health status of an individual differs, as well as whether a corresponding disease mechanism has developed, and whether regular treatment has been administered. These factors definitely influence the pituitary tumor. For some benign or non-functioning pituitary tumors, the growth is very slow after certain treatments, and they will not recur or grow after surgical intervention. However, sometimes, malignant pituitary tumors can grow very quickly within a year, significantly affecting the surrounding nerve tissues due to compression. Therefore, it is crucial to have regular follow-ups or seek early treatment if a pituitary tumor is present, as this is the best approach to treatment.
How long should one rest for a concussion?
Concussions generally require about one to two weeks of rest, depending mainly on the specific symptoms of the patient. If the symptoms are relatively mild and the injury was not particularly severe, then about a week of rest is usually sufficient for returning to normal work and study. In some cases, if the concussion was relatively severe at the time of injury and subsequent complications or sequelae occur, then the rest period may need to be appropriately extended, possibly to about a month, depending on the patient's specific symptoms. In the vast majority of cases, resting for two weeks is generally sufficient for returning to normal work and study without involving any special issues. As long as medical advice is followed and treatment is correctly administered, many concussions can heal completely.