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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
Which department should I go to for pheochromocytoma?
When pheochromocytoma occurs, it is generally recommended to visit the endocrinology department of a local hospital. Pheochromocytoma refers to tumors originating from the neuroectoderm, specifically chromaffin tissue. These tumors usually secrete catecholamines and can be classified into various types based on their origin. Patients typically exhibit a pronounced hypermetabolic state, such as malignant hypertension or hyperglycemia, and some suffer significant damage to the heart, kidneys, liver, and brain tissue due to malignant hypertension. For instance, this can lead to heart failure or hypertensive cerebral hemorrhage, severely threatening the patient's life. Treatment typically involves surgical intervention.
Is a high fever serious with brainstem hemorrhage?
For patients with brainstem hemorrhage who develop a high fever, it is first necessary to consider that the hemorrhage has affected vital central nervous system functions, leading to central fever. In such cases, the fever typically exceeds 38.5 degrees Celsius, and may even reach high fevers of 39 to 40 degrees Celsius, which are difficult to reduce with ordinary antipyretic drugs. Additionally, some patients with brainstem hemorrhage may also have concurrent lung infections, which can lead to recurrent high fevers exceeding 38.5 degrees Celsius. In such situations, it is advisable to perform a blood test for routine blood work. Furthermore, it is also important to monitor for any local inflammation, auscultate the lungs, and determine if the lung sounds are coarser or if there are any dry or wet rales in both lungs.
Pheochromocytoma blood pressure how much
For patients with pheochromocytoma, they often present with a hypermetabolic state, elevated blood pressure, even reaching above 200 mmHg, along with significant hypertension and hyperglycemia. Patients may experience headaches, dizziness, nausea, vomiting, profuse sweating, and even chest pain and labored breathing. When such symptoms occur, it is important to promptly take the patient to a local hospital for medical attention. Appropriate tests should be conducted to help confirm the diagnosis and determine the specific location of the pheochromocytoma. Treatment typically involves surgical intervention, but it is essential to manage blood pressure with appropriate antihypertensive drugs before, during, and after treatment.
What tests are used for pheochromocytoma?
For pheochromocytoma, it is usual to perform both qualitative and localization diagnoses. The qualitative diagnosis is generally based on the measurement of catecholamines and their metabolites in the patient's blood and urine. Localization diagnosis is more commonly determined through methods such as CT scans, MRI, and ultrasound to pinpoint the specific location of the pheochromocytoma, facilitating surgical treatment. Most patients achieve satisfactory results from surgery. Additionally, treatment may include the use of antihypertensive drugs. With combined treatment, most patients can achieve satisfactory results. It is recommended to seek treatment at a well-known tertiary hospital locally.
How is a pituitary tumor caused?
At present, there is no definitive conclusion on how pituitary tumors are formed and further developed. Clinically, it is mostly believed to be the result of a combination of congenital genetic factors and adverse environmental factors acquired later in life. For patients with pituitary tumors, they are often seen in some special familial genetic diseases. In the family medical history, a tendency for a higher accumulation of family members can be observed. Additionally, some pituitary tumor patients are also found in clear familial genetic endocrine diseases. Moreover, patients who are overworked, fatigued, under stress, and experience endocrine hormone disorders are also affected. Exposure to radioactive contamination and chemical carcinogens can also potentially lead to pituitary tumors.
How to exercise balance after brainstem hemorrhage?
For patients with brainstem hemorrhage who exhibit significant limb motor dysfunction and reduced sense of balance, it is recommended to seek treatment at a well-known local tertiary hospital. Experienced rehabilitation therapists should assess the current condition and develop an individualized rehabilitation exercise plan based on the patient's condition. Gradually, they should begin exercise training, including training for limb balance capabilities. Patients who actively and effectively engage in exercise therapy often achieve good therapeutic effects, with gradual restoration of balance and strengthening of limb motor function, achieving relatively satisfactory treatment outcomes.
How to rehabilitate from brainstem hemorrhage?
For patients with brainstem hemorrhage, it is often recommended during the acute phase to treat them with medications for hemostasis, brain enhancement, nerve nutrition, dehydration to reduce intracranial pressure, and inhibition of gastric acid. It is also important to actively treat complications and comorbidities caused by the brainstem hemorrhage. For these patients, when the condition is stable, appropriate rehabilitation exercises should be carried out. For patients with hemiplegia or aphasia, rehabilitation exercises can be done on the affected limbs, and speech rehabilitation training can help improve current conditions of hemiplegia and aphasia. Additionally, for these patients, active and passive massage of the limbs should be initiated early to prevent muscle atrophy and joint stiffness.
Hydrocephalus should be treated in the neurology department.
If you have hydrocephalus, it is recommended to visit the neurosurgery department at your local hospital and ask a neurosurgeon to assess your current condition. It is generally advised that patients undergo a cranial CT scan or MRI to determine the extent and severity of the hydrocephalus and to choose the appropriate treatment method. For static hydrocephalus, most patients do not exhibit clear clinical symptoms and generally do not require special treatment, regular monitoring is sufficient. For progressive hydrocephalus, surgical treatment is often necessary, and it is generally recommended that patients undergo ventriculoperitoneal shunt surgery. With surgical treatment, most patients can achieve satisfactory results.
The difference between pituitary tumors and pituitary adenomas
The difference between a pituitary tumor and a pituitary adenoma mainly lies in the extent of the affected tissue involved. Generally, pituitary tumors may have a broader range than pituitary adenomas, meaning that pituitary tumors include pituitary adenomas. Normally, a pituitary adenoma specifically refers to tumors occurring in the anterior lobe of the pituitary gland, as this lobe primarily consists of glandular tissue. Meanwhile, the posterior lobe of the pituitary is mainly neurohypophysis. Therefore, tumors typically referred to as pituitary adenomas occur in the anterior lobe. If a tumor is in the posterior lobe, it cannot be called a pituitary adenoma, but it still falls under the category of pituitary tumors.
Dietary Precautions for Brainstem Hemorrhage
For patients with brainstem hemorrhage, attention should be given to their diet. During the acute phase, it is advisable to choose a liquid diet, as most patients with brainstem hemorrhage often have severe swallowing dysfunction. Failing to choose a liquid diet can lead to aspiration, which in turn causes aspiration pneumonia. Furthermore, patients should avoid certain foods for a short period, particularly greasy or spicy foods, as most patients experience significant reductions in digestive function during the acute phase. If dietary intake is not carefully managed, patients often experience significant abdominal pain and diarrhea. Once the patient's condition stabilizes, it is appropriate to include fresh vegetables and fruits in their diet.