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Chen Yu Fei
Neurosurgery
About me
With 11 years of experience in the medical field, I am dedicated to the field of surgery, working to relieve patients' suffering.
Proficient in diseases
Specializes in the treatment of cranial injuries, hypertensive intracerebral hemorrhage, various cranial tumors, and the diagnosis and treatment of cerebrovascular diseases.
Voices
Pituitary tumor complications
For patients with pituitary tumors, it is common to see certain complications, especially post-surgery, such as hematoma in the sellar region, life-threatening nasal hemorrhage, pseudoaneurysm rupture bleeding, cerebrospinal fluid rhinorrhea, meningitis, reduced pituitary function, diabetes insipidus, as well as associated issues with fluid, electrolyte imbalance, and acid-base imbalance. Some patients may also experience rare complications like eye muscle paralysis and nasal septum perforation. Therefore, for patients with pituitary tumors, it is crucial to closely monitor any changes in their condition after surgery. If any abnormalities are found, a prompt re-examination with a head CT should be conducted to observe changes and provide appropriate treatment.
Symptoms of Concussion
Concussion is generally characterized by a clear history of head trauma, with transient consciousness disorders following the injury, usually lasting less than 30 minutes. It is often seen in falls from heights, car accidents, or injuries caused by accidental hits from others. After regaining consciousness, patients with concussions may experience headaches, dizziness, nausea, and vomiting. Some patients may have difficulty recalling the incident clearly, which is clinically referred to as retrograde amnesia. When these symptoms appear, a concussion is likely, and the patient should be immediately hospitalized for treatment; a head CT or MRI should be performed to help rule out the possibility of other intracranial organic diseases.
What foods should be avoided with trigeminal neuralgia?
If you suffer from trigeminal neuralgia, you need to be cautious about your diet. Try to avoid greasy, spicy, and stimulating foods, as well as foods that are too cold or too hot, as these can easily trigger trigeminal neuralgia. Also, it is best to limit or avoid carbohydrates, foods rich in cholesterol, and fried foods. For patients with high blood pressure, diabetes, or hyperlipidemia, it is advisable to choose a low-salt, low-fat diet and avoid foods rich in sugar or salt. Otherwise, it may lead to increased blood pressure, blood sugar, and blood lipids. If patients have allergic reactions or are prone to allergies, they should avoid seafood, which contains rich animal proteins and can easily trigger allergic reactions.
Mild concussion symptoms
For patients with mild concussion, they often experience temporary loss of consciousness after suffering from violent blows, car accidents, falls from heights, and other accidental injuries, generally lasting no longer than 30 minutes. When patients regain consciousness, they may feel headaches, dizziness, nausea, vomiting, and have difficulty accurately recalling the incident, often referred to as retrograde amnesia. For such patients, cranial CT or MRI scans often show no significant positive signs, and it is suggested that no special treatment is necessary. Instead, patients should focus on rest, avoid overworking and exhaustion, and reduce excessive mental stimulation. The symptoms of most patients will gradually alleviate or even disappear within about two weeks.
Can hydrocephalus be drained?
For patients with hydrocephalus, surgery is generally recommended. A common surgical option is the ventriculo-peritoneal shunt procedure, where a drain tube is placed in the patient's ventricular system. Through this surgery, excess cerebrospinal fluid is drained from the ventricular system to the patient's abdominal cavity, achieving a new balance. Most patients who undergo surgery achieve desirable outcomes, with initial symptoms and physical signs likely improving gradually. Over time, the patient's ventricular system may reduce in size, and may even return to normal. Therefore, for most patients with hydrocephalus, the surgical outcome is quite certain, and it is advised to opt for surgery at an early stage.
Rehabilitation of sequelae of brainstem hemorrhage
For patients with brainstem hemorrhage, there may be certain sequelae, such as obvious motor dysfunction of the limbs, like hemiplegia on one side. Additionally, some patients may also lose speech functions, manifested as motor aphasia or mixed aphasia. Most patients are likely to experience a decline in memory and have difficulty swallowing, often accompanied by coughing when drinking water. For these patients, post-recovery rehabilitation treatment becomes particularly crucial. During the recovery phase, effective rehabilitation exercises should be provided for the sequelae, such as rehabilitation exercises for motor functions of the affected limbs and speech function exercises.
Management of Pheochromocytoma Crisis
When a pheochromocytoma crisis occurs, the patient often first shows significant elevations in blood pressure, usually characterized by a rise in systolic pressure, which can exceed 200mmHg or even 300mmHg. Immediate administration of antihypertensive drugs for symptomatic treatment is necessary. Additionally, the patient may exhibit a clear hypermetabolic state, with profuse sweating, limb convulsions, and even consciousness disorders. At this point, the patient should be immediately transferred to the intensive care unit for close observation of any changes in their condition, and effective monitoring of vital signs should be conducted. Furthermore, patients should receive cardiac monitoring, blood oxygen saturation monitoring, and can be given intravenous infusions of sodium nitroprusside to rapidly reduce blood pressure. Meanwhile, ongoing observation of the patient’s condition and appropriate replenishment of blood volume are needed. (Please administer medication under the guidance of a professional physician and do not medicate blindly.)
How to relieve trigeminal neuralgia
For patients with trigeminal neuralgia, there are many methods to achieve pain relief. For example, in the early stages of the disease, treatment can be administered through oral medication. Taking appropriate medications can effectively relieve pain and also reduce the frequency and occurrence of trigeminal neuralgia attacks. At the same time, some physical therapies such as massage, tuina, physiotherapy, acupuncture, and electrotherapy can significantly alleviate the pain. Of course, to achieve complete cure, surgical methods are recommended for treatment. We generally advise patients to undergo microvascular decompression surgery, through which the vast majority of patients can achieve good therapeutic effects.
Recovery of consciousness from brainstem hemorrhage takes several days.
For patients with brainstem hemorrhage, how many days it takes to regain consciousness depends on the location of the bleeding and the amount of bleeding. If the amount of bleeding is small, the patient's consciousness often gradually awakens within 24 to 48 hours. There may be short-term language impairments, manifesting as unclear speech, difficulty speaking, articulation disorders, and accompanied by significant swallowing difficulties, indicated by choking on water, but this will gradually improve over time. If the bleeding is substantial, it often leads to the patient being in a coma for a long time, and may even enter a vegetative state for an extended period, unable to regain autonomous consciousness.
How is trigeminal neuralgia diagnosed?
The diagnosis of trigeminal neuralgia is mainly based on the patient's clinical symptoms. It is mostly characterized by transient pain around the bilateral nasal root and corners of the mouth. There are generally no obvious prodromal symptoms before an attack; the pain occurs suddenly and stops suddenly. The nature of the pain is quite sharp, resembling knife-like cuts or a burning stabbing sensation. There are generally no significant signs before an onset, and the duration of an attack varies, lasting from a few seconds to several seconds, and even up to one or two minutes. Most patients experience sudden attacks and sudden cessation. Additionally, recurrent attacks can lead to severe adverse symptoms in patients and may even cause psychosomatic illnesses.