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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
Can bleeding in the brainstem be saved?
The causes of brainstem hemorrhage can mainly be divided into three categories, The first category is caused by hypertensive factors, which are often the most common cause. The second category is caused by vascular diseases, among which cavernous hemangiomas and arteriovenous fistulas are most common. The third category includes relatively rare diseases, which should not be overlooked in clinical practice, such as tumoral factors. For these, specific examinations must be conducted to accurately determine the cause of the bleeding. Whether treatment is possible depends on the specific circumstances at the time. If the amount of bleeding is relatively small and the area affected is not a critical functional zone, such as the medulla, there is still a possibility of treatment later on. Active surgical and medical treatments can lead to healing later on. However, if the brainstem hemorrhage has already caused cessation of breathing and circulation, generally, there is no need for treatment as such conditions often lead to respiratory and circulatory failure, resulting in death.
concussion symptoms
The symptoms of a concussion must be judged according to the situation. Different types of individuals may exhibit various clinical symptoms, and not all symptoms described in textbooks will necessarily appear. Many will experience dizziness, headache, vomiting, nausea, and other related clinical symptoms; some may experience transient epileptic seizures, limb numbness and weakness, or speech impairments; some individuals might also experience retrograde amnesia, meaning they forget the events that occurred at the time of the injury; and some may enter a state of coma, lasting more than five minutes but less than half an hour. Therefore, these are all symptoms of a concussion, but not everyone will experience them, and some may also have additional symptoms, which should be assessed based on the situation at the time.
Can someone who has had a cerebral infarction eat eggs?
Patients with cerebral infarction can eat eggs. In clinical practice, many people believe that eggs, especially egg yolks, contain very high cholesterol, which can easily lead to hyperlipidemia. However, this does not specifically cause hyperlipidemia. Eating one egg a day generally does not have a severe impact on the human body. After all, the human body is constantly active and consumes nutrients. Eating an egg will not particularly affect the body but will supplement many proteins and other essential substances. Therefore, it is best to eat eggs. However, if there are other symptoms present, such as difficulty swallowing, coughing while eating, or a comatose state, then eggs should not be consumed. It is crucial to make judgments based on the situation.
What causes brainstem hemorrhage?
In clinical practice, the main factor causing brainstem hemorrhage is hypertension. Some secondary factors include diabetes, hyperlipidemia, smoking, drinking, and other unhealthy lifestyle habits. These factors combined can more easily lead to brainstem hemorrhage. Among them, hypertension has the most significant impact. Continuous rise or fluctuation of blood pressure can easily cause vascular fluctuations, especially damaging the inner lining of the vessels and leading to arteriosclerosis. The brainstem is supplied by the basilar artery, and the pontine arteries branch vertically from the brainstem. When blood pressure rises, it seldom reduces the impact on the vessels and can directly cause the vessels to rupture, resulting in bleeding in the brainstem, which is the primary cause. Therefore, it is crucial to strictly control blood pressure in patients with brainstem hemorrhage to reduce the likelihood of recurrence later.
Precursor warnings of brainstem hemorrhage
The warning signs of brainstem hemorrhage must be analyzed according to the situation. Clinically, many people have induced brainstem hemorrhage due to straining during defecation or becoming emotionally agitated during arguments. It is quite common for someone to suddenly collapse and become unconscious after an argument, which is likely indicative of a brainstem hemorrhage. Additionally, one may experience severe headaches without any obvious triggers, along with numbness or weakness in the limbs and speech impairments. Furthermore, signs of coma often appear. If a patient's coma is accompanied by pinpoint pupils, it is crucial to get them to a hospital for appropriate examinations immediately, as this is very likely a precursor to brainstem hemorrhage.
Precursors of concussion
Concussions generally do not have precursors, as they occur immediately after the brain is injured and certain clinical symptoms manifest. There is no concept of a precursor with concussions. The clinical symptoms of a concussion primarily appear after a trauma and include headaches, dizziness, nausea, vomiting, retrograde amnesia, and brief periods of unconsciousness. These symptoms must all be present to classify as related to a concussion. If symptoms are present and a head CT scan shows no significant bleeding, a concussion can generally be diagnosed. Therefore, there is no such thing as precursors, only related clinical manifestations.
Can brainstem hemorrhage be cured?
Whether brainstem hemorrhage can be cured must be determined based on clinical symptoms, laboratory tests, and patient examination. Generally speaking, if the symptoms of brainstem hemorrhage are relatively mild, such as headache, dizziness, without the occurrence of limb weakness, hemiplegia, epilepsy, etc., it is generally curable in the later stages without significant residual effects. However, in actual life, some cases of brainstem hemorrhage can be severe, even causing disturbances in consciousness, coma; or leading to abnormal breathing and heart rate, causing death. Therefore, it must be judged based on the situation at the time.
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.