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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
Causes of Neuroblastoma
Currently, there is no definitive conclusion about the specific causes of neuroblastoma, but most scholars believe that the occurrence of neuroblastoma is the result of congenital genetic factors combined with acquired factors. For patients with neuroblastoma, there is often a family history of genetic diseases showing a familial clustering tendency. In addition, poor living environments and habits, including exposure to radioactive contamination or prolonged exposure to electromagnetic radiation, may also contribute to the development of neuroblastoma.
Pheochromocytoma clinical manifestations
Pheochromocytoma typically presents with severe hypertension, with blood pressure even reaching above 200/140 mmHg, accompanied by significant discomfort, such as profuse sweating, chest pain, obvious difficulty in breathing, chest tightness, shortness of breath, and other clinical manifestations. Moreover, if not treated timely and effectively, it can even lead to a hypertensive crisis. It also poses a severe threat to the patient’s heart, kidneys, liver, and brain tissues. Some patients might develop cerebrovascular diseases due to very high blood pressure, such as hypertensive cerebral hemorrhage, which can threaten the patient's life.
Is hydrocephalus easy to treat?
Hydrocephalus is relatively easy to treat. Before treatment, it is advised to first perform a cranial CT scan or MRI on the patient to determine the type and severity of the hydrocephalus, and based on whether the patient currently shows significant clinical symptoms, decide if surgical treatment is necessary. Additionally, a cranial CT or MRI can help identify the cause of the hydrocephalus, such as whether there is an intracranial space-occupying lesion or if the cerebral fluid circulation pathway is obstructed for other reasons, leading to hydrocephalus. If treatment is deemed necessary, it is generally recommended to opt for ventriculo-peritoneal shunt surgery for the patient. Most patients can achieve good results after the surgical treatment.
Is glioma malignant?
Glioblastoma is a type of malignant tumor, which generally grows at a fast pace. In the early stages of the disease, the glioma often adheres to the surrounding tissues, posing significant challenges for future complete surgical removal. At the same time, extensive cerebral edema occurs around the glioma. If prolonged, this can lead to a serious increase in intracranial pressure, manifesting as repeated headaches, dizziness, nausea, and vomiting in the patient. Over time, this condition may also lead to optic nerve atrophy, resulting in decreased vision and visual field defects. Diagnosis generally benefits from cranial CT or MRI scans, but definitive diagnosis still requires surgical removal of the tumor. A small amount of tumor tissue is typically retained for pathological biopsy.
How to avoid neuroblastoma
To avoid neuroblastoma, it is recommended to develop good living habits in daily life, including maintaining over 30 minutes of aerobic exercise each day to keep physically healthy. Additionally, it is advisable to consume more fruits rich in vitamin C, which contain abundant vitamins that can effectively serve as antioxidants. Keeping good sleep habits, going to bed early and waking up early, avoiding staying up late and long durations of using mobile phones or computers to minimize excessive exposure to electromagnetic radiation. In daily life, one should also learn self-protection, avoid contact with carcinogenic chemicals, and avoid excessive exposure to radioactive pollution. All these measures can effectively prevent the condition.
Causes of Glioma
Currently, there is no consensus on the specific causes of brain gliomas. Most scholars believe they result from a combination of congenital genetic factors and acquired factors. In the case of congenital factors, by tracing the medical history of patients with gliomas, it can be found that there is a tendency for a higher concentration of glioma cases among family members. Acquired factors are mostly seen in severe cranial trauma, extensive gliocyte proliferation, or due to unhealthy lifestyle habits, exposure to carcinogenic chemicals, or long-term damage from highly polluted radiation, which may easily trigger the development of gliomas.
Pheochromocytoma secretes what?
Pheochromocytoma typically refers to tumors that originate from chromaffin tissue of the neural crest, and more often the tumors arise from sympathetic or parasympathetic ganglia, primarily secreting catecholamines. Many patients, due to long-term secretion of catecholamines, experience significant hypertension; severe cases may lead to hypertensive crises and cause serious damage to the heart, brain, and kidneys, or even life-threatening conditions due to severe hypertension. In most cases, if diagnosed and treated early, satisfactory treatment results can often be achieved. Those with pheochromocytoma should visit local hospitals in a timely manner for early diagnosis and treatment.
What are the symptoms of glioma?
Patients with gliomas often exhibit a range of symptoms including significant headaches, dizziness, nausea, and vomiting. As the tumor grows, it typically leads to an evident increase in intracranial pressure. Besides the original symptoms, some patients may also experience marked declines in vision, visual field deficits, and papilledema. The growth of the tumor inevitably compresses surrounding tissues, nerves, and blood vessels, leading to a variety of symptoms of neurological damage, such as noticeable hemiplegia, aphasia, and even abnormal sensations in one side of the body, characterized by numbness, pain, and a pins-and-needles sensation.
Key Points in Nursing Care for Patients with Brainstem Hemorrhage
For patients with brainstem hemorrhage, due to the special location of the bleeding which affects crucial neural functions, these patients often need to be transferred to the intensive care unit (ICU) for examination and treatment. In the ICU, close observation of changes in the patient's condition is essential, along with monitoring vital signs including blood pressure, respiration, heart rate, and blood oxygen saturation. Nursing care should focus on the patient's pupils, consciousness, and limb activity. It is necessary to manage and stabilize the patient’s blood pressure, blood sugar, and blood lipids through medication, regularly draw blood, and analyze the patient’s biochemical system to prevent severe water and electrolyte disturbances.
Pheochromocytoma Test Items
For pheochromocytoma, the usual tests include routine blood tests, routine urine tests, and biochemical examinations. Specific tests mainly involve collecting blood and urine catecholamine metabolites to help diagnose the condition. Furthermore, further localization diagnostics are conducted on the patient via abdominal ultrasound, as well as CT or MRI scans, to determine the specific location of the pheochromocytoma growth. Further examinations are conducted in preparation for subsequent surgery, with treatment generally recommended to be surgical. During treatment, antihypertensive drugs are used in conjunction to control blood pressure and maintain stability of the condition.