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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
Trigeminal neuralgia symptoms
Regarding the symptoms of trigeminal neuralgia, there is a very typical symptom, which is the issue of trigger points. A trigger point is a specific spot on the face, which varies for each person. Once this spot is touched, it immediately triggers the pain of trigeminal neuralgia. The nature of trigeminal neuralgia pain is often like cutting or stabbing pain, and the duration varies. If the condition is mild, the initial attack may only last a few seconds, but if the condition gradually worsens without significant improvement, the pain can even last for several minutes. This pain significantly impacts patients, sometimes triggering pain during activities such as brushing teeth, rinsing the mouth, or chewing hard food. Early treatment is essential to mitigate this pain.
Can people with cerebral infarction drink alcohol?
Patients with cerebral infarction should not drink alcohol. Although alcohol can have certain effects in promoting blood circulation and removing blood stasis, the specific content of alcohol and its degree, as well as each person's tolerance, vary. While in some cases, certain components can promote blood circulation, this does not mean it always activates blood circulation. In fact, excessive promotion of blood circulation at times can even lead to cerebral hemorrhage and other changes in medical conditions, posing even greater risks to patients. Another point is that drinking alcohol can cause excitement, which may lead to increased blood pressure. If there are plaques or other impurities in the arteries, they might dislodge and lead to further exacerbation of cerebral infarction. Therefore, it is also advised not to drink alcohol for these reasons.
Can fetal hydrocephalus be kept?
Whether fetal hydrocephalus should result in termination must be determined based on a specific analysis of the particular medical condition at that time. Fetal hydrocephalus is merely a manifestation of an illness. It is essential to understand the root cause of the hydrocephalus to make a clear decision regarding the options available. If the hydrocephalus is combined with cranial malformations or abnormalities in the cerebral gyri and sulci or other congenital development defects, in general, such conditions are not survivable even into adulthood. There is no possibility of survival, and even if surgery is performed later, it cannot provide an effective treatment. However, in cases where conditions such as spina bifida occur, with active surgical intervention, these can have a very positive prognosis. Therefore, it is crucial to clearly identify the specific medical condition at the time to determine the most appropriate course of action.
Trigeminal neuralgia?
Trigeminal neuralgia is not uncommon in clinical settings; pain can often occur due to compression by blood vessels or tumor tissues. In addition, infections that irritate the trigeminal nerve can also cause pain. Therefore, it is essential to make assessments based on the specific conditions. In clinical practice, the initial treatment for trigeminal neuralgia typically involves oral medications. If there is no significant improvement with oral medications, further comprehensive examinations are necessary. Treatment options may include sphenopalatine ganglion block technique, microvascular decompression surgery, and craniotomy tumor removal surgery, among other measures. Thus, for trigeminal neuralgia, there are various treatment options available that can potentially provide significant relief. (The use of medications should be under the guidance of a doctor)
What should I do if spina bifida causes fecal incontinence?
Patients with spina bifida who experience fecal incontinence are in a relatively severe condition. In such cases, it is best to actively pursue surgical treatment to prevent further progression of the condition. This includes suturing the dura mater of the corresponding spinal defect, repositioning the spinal cord, and appropriately repairing the bone structure, all of which are very important. Additionally, it may be possible to partially restore bowel function, but complete recovery is not guaranteed. If there is no significant improvement later on, a colostomy might be considered. This involves creating an opening in the abdominal wall, forming a stoma, and using an artificial method for bowel movement. This can help reduce contamination and restore some bowel function.
Trigeminal neuralgia
Trigeminal neuralgia is very common in clinical practice and its pain is relatively severe. Most cases exhibit a cutting-like or electric shock-like pain, and sometimes burning pain can also occur. The pain process is often very painful, but once the nature of the pain disappears, there are basically no obvious clinical symptoms during the intermission period. Therefore, in practical work and learning, it is essential to avoid triggering trigeminal neuralgia, such as by reducing exposure to cold and hunger, and minimizing chewing hard foods, all of which can reduce the occurrence of trigeminal neuralgia. However, the most important point is that if trigeminal neuralgia persists, it is crucial to visit a hospital for appropriate diagnosis and treatment in order to achieve a relatively good therapeutic effect and reduce the patient's suffering.
Will trigeminal neuralgia cause facial swelling?
Trigeminal neuralgia, if very severe, can also cause facial swelling. This is because the muscle tissue in the human body has a neurotrophic function, meaning that its nerves do not only play a controlling role but also have a nutritive function. If the pain from the trigeminal neuralgia is continuously severe, this can lead to the loss of the nutritive function, and over time it might cause muscle edema. Therefore, in such cases, it is crucial to promptly determine any changes in the condition and proceed with the necessary examinations and treatments early on to reduce problems of facial swelling caused by severe trigeminal neuralgia pain later. This often appears in the later stages and indicates that the condition has become relatively severe, requiring timely treatment.
The chances of regaining consciousness after brainstem hemorrhage
The probability of awakening from brainstem hemorrhage is generally only about 30%-45%, which is relatively low. This is because the brainstem is the most important center for circulation and respiration in the human body, as well as the awakening center. Awakening can be divided into two stages: the first stage is being able to eat, drink, and defecate independently; the second stage is being able to communicate normally with others. However, patients with brainstem hemorrhage, due to severe damage, may not even reach the first stage, meaning they may not even survive, and reaching the second stage is even more difficult. Therefore, it is essential to clearly understand the specific circumstances at the time, as awakening is generally a very unlikely event.
How long do you have to stay in the ICU for a brainstem hemorrhage?
The length of stay in the ICU for brainstem hemorrhage depends entirely on the patient's specific condition. Generally, as long as the patient's breathing is stable and they can breathe on their own, and all other vital signs are relatively stable, they can be transferred out of the ICU. However, this depends on the patient's condition at the time. Many patients are admitted to the ICU typically due to poor breathing and lack of autonomous respiration. If a ventilator is used and the results improve, they may then be transferred out. Some may be out in a week, while others may need one to two months. It is also crucial to determine whether they have developed ventilator-associated pneumonia, lower limb venous thrombosis, or other more severe clinical manifestations, so decisions should be made based on these conditions for accuracy.
Brainstem hemorrhage blood pressure control range
The range of blood pressure control for brainstem hemorrhage must be specifically judged based on the current medical condition at the time. Generally speaking, it is optimal to maintain the systolic blood pressure between 110-120 mmHg. This can both ensure normal cerebral blood supply and reduce the risk of recurrent cerebral hemorrhage due to high blood pressure. However, each patient's baseline blood pressure is different, and many patients have a baseline systolic pressure higher than 180 mmHg. In such cases, it might be appropriate to adjust the target slightly higher, for instance around 130 mmHg. It is recognized that no one’s blood pressure can be perfectly consistent, so a certain degree of fluctuation is acceptable. Unless there are long-lasting high values, in which case, control within a certain range might be needed.