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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
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.
Are pituitary tumors prone to recurrence?
Pituitary tumors in the brain are benign tumors that grow slowly. When the tumor size is relatively small, there are generally no clear symptoms or signs, and most patients can work, live, and study like normal people. It is recommended to treat pituitary tumors with surgical methods. Most pituitary tumors are benign. If they can be completely removed through microscopic surgery, or through the transnasal transsphenoidal approach, minimally invasive surgery can achieve ideal treatment results and generally will not recur. However, for individual patients with pituitary tumors, if the tumor is malignant, it may easily adhere to surrounding tissues in the early stages, making it difficult to completely remove surgically, thus it is prone to recurrence.
Does trigeminal neuralgia cause facial swelling?
For patients with trigeminal neuralgia, when they frequently experience bouts of pain, most do not have significant facial swelling. The pain typically occurs distinctly in the areas distributed by the trigeminal nerve roots, often starting and stopping suddenly, and each episode may last from a few seconds to several minutes. Due to repeated pain, facial muscle atrophy may occur, but generally, there is no swelling of the face. For treating trigeminal neuralgia, surgery is commonly used. Microvascular decompression surgery is often recommended to help improve symptoms and can even achieve a clinical cure.
How to relieve trigeminal neuralgia pain
For patients with trigeminal neuralgia, to achieve pain relief, initially, one can treat the disease by taking medication. Simultaneously, it is also appropriate to combine some physical therapies such as massage, tuina, physiotherapy, acupuncture, and electrotherapy. Acupuncture, in particular, helps significantly in relieving pain and improving symptoms. Moreover, to achieve a complete cure, it is advisable to opt for surgical methods. Clinically, it is generally recommended to choose microvascular decompression surgery for treatment. Most patients with trigeminal neuralgia can achieve desirable outcomes after undergoing surgery. Additionally, patients with trigeminal neuralgia should be careful with their diet and avoid overly greasy, spicy, and irritating foods. (Please use medications under the guidance of a doctor.)
How to administer first aid for brainstem hemorrhage
For patients with brainstem hemorrhage, once signs of brainstem hemorrhage are detected, the patient should be sent to the local hospital immediately for an emergency head CT scan to help determine the location and severity of the hemorrhage. Due to its special location, brainstem hemorrhage is often difficult to treat surgically in most cases. Once brainstem hemorrhage occurs, the patient should first be transferred to the intensive care unit for close monitoring of vital signs. At the same time, administer medications to stop bleeding, enhance brain function, nourish nerves, promote dehydration, and reduce intracranial pressure, while carefully observing changes in the patient's condition. During treatment, strictly prevent and treat various comorbidities or complications. (Please use medications under the guidance of a professional physician and do not self-medicate.)
Brainstem hemorrhage is what?
There are many causes of brainstem hemorrhage, and clinically, it is mostly considered to be caused by hypertensive cerebral hemorrhage. Patients have a history of hypertension and have not received regular and effective antihypertensive treatment, leading to suboptimal blood pressure control. Excessively high blood pressure often results in the weakening or even disappearance of the patient's own vascular regulatory functions. Under certain triggering factors, such as fatigue, exhaustion, mental stress, or overly intense emotions, the blood pressure within the vessels may exceed their own regulatory capabilities, making bleeding more likely. If the bleeding occurs in the brainstem, it manifests as a brainstem hemorrhage. In some patients, brainstem hemorrhages are caused by conditions like cavernous angiomas, aneurysms, or arteriovenous malformations.
Concussions are classified into several types.
Concussions are usually categorized into several levels based on the severity of their clinical symptoms. Generally, the higher the level, the more pronounced the symptoms in patients. They can generally be divided into five levels. Patients with a level one concussion may experience mild consciousness disturbances, but these are short-lived and generally do not leave noticeable residual effects. Patients with a level two concussion might experience slight headaches and dizziness, accompanied by vertigo. Patients with a level three concussion show evident retrograde amnesia. Patients with a level four concussion experience mild disturbances in consciousness, manifesting as states of drowsiness, stupor, or coma. Patients with a level five concussion present with clear clinical symptoms, characterized by recurrent headaches, dizziness, nausea, and vomiting.
How long does it take for the fever to subside after a brainstem hemorrhage?
For patients with brainstem hemorrhage, it is common to develop high fever after the bleeding, where the body temperature often exceeds 38.5℃. There are many reasons for the occurrence of high fever. It can be considered that the presence of an intracerebral hematoma compresses the hypothalamic temperature set point, causing abnormalities in the set point function and leading to central fever, with temperatures often reaching 39℃ or even higher than 40℃. At this time, the use of antipyretic drugs alone generally has poor therapeutic effect. It often requires the effective absorption of the intracerebral hematoma for the body temperature to gradually return to normal. Another situation, considering the occurrence of pulmonary infection, it is necessary to promptly provide patients with antibiotics for effective treatment. When the pulmonary infection is effectively controlled, the body temperature will also gradually decrease.
Manifestations of Hydrocephalus
For hydrocephalus, it often manifests as noticeable enlargement of the ventricular system. Additionally, patients experience symptoms of increased intracranial pressure such as headaches, dizziness, nausea, and dry heaves. Severe hydrocephalus can lead to significant increases in intracranial pressure, with patients suffering from severe headaches, dizziness, and even accompanied by papilledema, decreased vision, visual field defects, and optic atrophy. Furthermore, patients with hydrocephalus may exhibit significant cognitive dysfunction, characterized by reduced intelligence levels, diminished learning ability, computational skills, and memory loss. The physical motor functions of patients also gradually decline, presenting as unstable walking, a propensity to fall, and even possibly accompanied by urinary and fecal incontinence.