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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
Stroke treatment methods
For patients who suffer a stroke, it is crucial to immediately transport them to the nearest local hospital. At the emergency room of the local hospital, a cranial CT scan or MRI should be conducted to confirm the presence of a stroke, as well as to determine its exact range and severity. If there is an acute indication for surgery, thrombolytic therapy is recommended. If the optimal time window for thrombolysis has passed, it is advisable to use medications that invigorate the brain, improve blood flow to remove stasis, nourish the nerves, and enhance microcirculation in the brain tissue. This can effectively help improve the conditions of ischemia and hypoxia in the brain nerves. Furthermore, further treatment should be adjusted based on the patient’s condition. During treatment, attention should be paid to the prevention and treatment of various complications or comorbidities, such as pulmonary infections, urinary tract infections, hypoproteinemia, deep vein thrombosis, etc.
Can you survive with 10 milliliters of bleeding in the brainstem?
A brainstem hemorrhage of 10 milliliters is relatively significant; whether the patient can survive depends on specific circumstances. First, it must be determined if the hemorrhage has compressed important neural nuclei, causing apparent respiratory and circulatory dysfunction. If such dysfunction occurs, it could severely threaten the patient's life. Additionally, the patient's level of consciousness and the availability of timely and effective treatment, along with necessary life support, must be considered. For example, if respiratory and circulatory dysfunction arises, it might be appropriate to use vasopressors to maintain blood pressure and ventilators to assist breathing. If effective life support is available, it is often possible to survive the peak period of swelling and preserve life.
The manifestations of pheochromocytoma crisis
For patients with pheochromocytoma, during a crisis, it generally manifests as a sudden increase in the patient's blood pressure, which can rise to above 200-300 mmHg. Additionally, the patient experiences severe headaches and dizziness, severe nausea and vomiting. Some patients may experience significant discomfort and tachycardia, arrhythmias. Some patients also suffer from abdominal or chest pain, labored breathing, and difficulty breathing, and even blurred vision. In severe cases, the excessively high blood pressure can lead to hypertensive cerebral hemorrhage or other unexpected cardiovascular and cerebrovascular diseases. The patient’s vital signs are extremely unstable, often accompanied by multiple organ dysfunction or failure.
Causes of cerebral hemorrhage
There are many causes of cerebral hemorrhage. In most cases, given that patients themselves already have certain underlying diseases, such as hypertension, diabetes, coronary heart disease, and arteriosclerosis, the blood pressure remains high over a long period. This causes the blood vessels to be in a constant state of tension. Over time, the vessels' ability to regulate and contract gradually weakens. When certain triggers occur, such as the patient experiencing fatigue, mental stress, or emotional excitement, the blood pressure temporarily spikes, exceeding the vessels' regulatory capacity, leading to the rupture of the blood vessels and causing cerebral hemorrhage.
Can neuroblastoma be cured?
Neuroblastoma is a malignant tumor that often grows rapidly. In the early stages of the disease, it can easily invade surrounding tissues and nerves, making it very difficult to completely remove the tumor through surgery. In most cases, even after surgical treatment, there is a high tendency for recurrence in children, making it difficult to achieve a clinical cure. For most patients with neuroblastoma, early post-surgical treatment involving high doses of radiotherapy and chemotherapy can effectively reduce the likelihood of tumor recurrence and appropriately prolong the patient’s lifespan. This helps in extending the lifespan and improving the quality of life to some extent, but generally, the final prognosis remains poor.
What is a pituitary tumor?
Pituitary tumors refer to a type of benign tumor that occurs at the site of the pituitary fossa. Generally, they grow relatively slowly. In the early stages of the disease, there are usually no obvious symptoms or signs. Some patients may occasionally feel mild headaches or dizziness, which most can tolerate. As the size of the pituitary tumor gradually increases, it often affects the surrounding critical tissues, nerves, and organs, primarily impacting pituitary function, thereby leading to pituitary hypofunction. This affects the secretion of endocrine hormones in the body, causing abnormal secretion of endocrine hormones, and resulting in a series of symptoms and signs. For example, male patients may experience abnormalities in the secretion of male hormones, leading to difficulties with erection, while female patients are likely to experience menstrual disorders and irregular menstruation.
What should be avoided in the diet for neuroblastoma?
Patients with neuroblastoma should be cautious with their diet and avoid foods that are overly greasy or spicy. It's also advisable to limit or avoid carbohydrate-rich or fried foods and those high in cholesterol. If the patient has allergies, they should avoid seafood products, which contain abundant animal proteins and can trigger allergic reactions, potentially leading to allergic dermatitis or allergic asthma. Additionally, some fruits, such as durian or mango, may also induce allergic reactions, so it is best to consume them sparingly or not at all.
How is cerebral hemorrhage treated?
For patients with cerebral hemorrhage, the first step is to urgently send the patient to the local hospital for medical attention and head CT scans. This primarily determines the current location of the hemorrhage, the severity of the bleeding, including the number of intracerebral hematomas. If there are multiple intracerebral hematomas causing significant mass effect and substantial compression on the surrounding brain tissue, leading to neurological damage, emergency surgical treatment is generally recommended. If the bleeding is minor with no significant mass effect, conservative treatment is advised. Treatment can include hemostasis, brain health promotion, nerve nutrition, acid suppression, and prevention of lung infections, among other approaches.
Can pituitary tumors be cured?
Currently, for the treatment of pituitary tumors, it is generally recommended in clinical practice to opt for a complete resection via a transnasal-transsphenoidal approach. Most patients can achieve good therapeutic outcomes through surgery. The main goals of surgically treating pituitary tumors are to remove the tumor, decompress the visual pathways, and help restore and maintain the function of the pituitary and other neurological functions. Most patients can achieve good therapeutic results after treatment. Additionally, after receiving treatment, patients' original symptoms gradually alleviate or even disappear, and no longer worsen. Therefore, from this perspective, it is recommended that all symptomatic pituitary tumor patients should timely seek medical consultation at local hospitals and receive early treatment.
How to check for neuroblastoma?
For the examination of neuroblastoma, we generally recommend a neurological examination to help determine whether there are any clear positive signs, as well as to inquire about medical history and family history to judge if there are any cases of neuroblastoma among family members. Additionally, detailed laboratory tests, routine blood tests, routine urine tests, and biochemical tests, including tumor-related diagnostics, can help in making assessments. Of course, the most accurate and crucial examinations are CT or MRI scans of the head. If necessary, an enhanced MRI scan of the head can be conducted to further evaluate the location, nature, severity of the tumor, and its relationship with the surrounding neural and vascular tissues, which helps provide a basis for further surgical treatment.