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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
How is pheochromocytoma diagnosed?
For patients with pheochromocytoma, comprehensive examinations are necessary for diagnosis. For instance, measuring catecholamines and their metabolites in blood or urine can help determine if there is a noticeable increase in catecholamine levels. Furthermore, adrenal CT scans can be used to assess the condition, where in many cases, significant occupying lesions can be detected through adrenal CT scans. In addition, other related tests also hold diagnostic value and significance, such as magnetic resonance imaging, ultrasound, and related nuclear scanning tests, which can assist in qualitative and locational diagnosis.
Should people with trigeminal neuralgia avoid certain foods?
Patients with trigeminal neuralgia need to be cautious about their diet. In daily life, try to avoid oily, spicy, and irritating foods, as these types of foods may trigger an attack of trigeminal neuralgia or make the existing attacks more frequent, thereby causing great pain to the patient. It is recommended to choose a light diet in daily life, low in salt and fat, especially for patients with high blood pressure or diabetes, who need to be more cautious. It may be beneficial to appropriately include some fresh vegetables and fruits in the diet, and it is also suggested to supplement with some multivitamin drugs, which might enhance the effects. If trigeminal neuralgia attacks frequently, it is still recommended to visit a local hospital in a timely manner and consider undergoing microvascular decompression surgery for treatment.
Which hospital is good for trigeminal neuralgia?
For trigeminal neuralgia, it is generally recommended that patients seek medical advice from a prominent tertiary hospital early in the onset and consult a neurosurgeon to assess their condition. Once diagnosed with trigeminal neuralgia, initial treatment can often start with oral medication, which can relieve pain to a certain extent for most patients. However, medication alone rarely cures the condition completely. Clinically, it is typically recommended that patients undergo microvascular decompression surgery, which has satisfying therapeutic outcomes for most patients, gradually alleviating, or even eliminating, the symptoms of trigeminal neuralgia pain. Therefore, for such patients, early diagnosis and treatment are advised.
Symptoms of cerebral hemorrhage
For patients with cerebral hemorrhage, the specific symptoms that appear depend on the location and amount of the bleed. For example, if the bleeding is in an important area for motor function, such as bilateral bleeding in the basal ganglia region, it often leads to contralateral hemiplegia in the patient, and is likely to be accompanied by abnormal sensations in the affected limbs. Additionally, if the bleeding is located in the language function area, the patient may exhibit impaired language functions, such as speech disorders, slurred speech, and difficulty speaking. Furthermore, conditions such as anomia, motor aphasia, or mixed aphasia may also occur.
Is neuroblastoma a cancer?
Neuroblastoma is a highly malignant tumor, one of the most malignant among neuroepithelial tumors, and thus can be considered as cancer from this perspective. Typically, its tumor biology growth pattern is that of a malignant tumor, often growing rapidly. In the early stages of the disease, it tends to adhere closely to surrounding tissues, making it difficult for surgery to be completely successful. In addition, during treatment, it can be observed that the tumor cells are highly invasive to surrounding tissues. This often leads to significant brain edema, resulting in compression of important surrounding blood vessels and nerves, causing functional damage. The tumor can also spread through the bloodstream, making it difficult to completely remove surgically, or to miss the optimal time for surgical treatment, resulting in a poor prognosis.
Is a pituitary tumor easy to treat?
Currently, the treatment technology for pituitary tumors is relatively mature. For early-stage pituitary microadenomas that are only a few millimeters in size, and where vision and visual fields are not yet affected, a definite diagnosis can be made. Under the surgical microscope, complete removal surgery is achievable, and it is possible to preserve the normal function of the pituitary gland. As surgical experience continues to increase, not only can tumors within the sella be removed, but even large adenomas or giant pituitary adenomas growing above the sella can be safely excised. Therefore, for patients with pituitary tumors, it is advisable to choose to visit a local hospital as early as possible and opt for a complete removal of the pituitary tumor through a transnasal transsphenoidal approach.
Is brainstem hemorrhage painful?
Brainstem hemorrhage is relatively painful, and most patients with brainstem hemorrhage will exhibit severe headaches and dizziness. The nature of the pain is intense, resembling a cutting pain that is hard to tolerate. However, when the amount of bleeding is large, it can quickly cause damage to important nerve nuclei in the brainstem, and even affect the central nervous system responsible for consciousness, leading to the patient falling into a stupor or coma. In such cases, the patient may not feel pain, but for those who are conscious, severe headaches and dizziness, accompanied by a strong sense of vertigo, especially noticeable when changing positions, often occur.
Stroke treatment methods
For patients who suffer a stroke, it is crucial to immediately transport them to the nearest local hospital. At the emergency room of the local hospital, a cranial CT scan or MRI should be conducted to confirm the presence of a stroke, as well as to determine its exact range and severity. If there is an acute indication for surgery, thrombolytic therapy is recommended. If the optimal time window for thrombolysis has passed, it is advisable to use medications that invigorate the brain, improve blood flow to remove stasis, nourish the nerves, and enhance microcirculation in the brain tissue. This can effectively help improve the conditions of ischemia and hypoxia in the brain nerves. Furthermore, further treatment should be adjusted based on the patient’s condition. During treatment, attention should be paid to the prevention and treatment of various complications or comorbidities, such as pulmonary infections, urinary tract infections, hypoproteinemia, deep vein thrombosis, etc.
Can you survive with 10 milliliters of bleeding in the brainstem?
A brainstem hemorrhage of 10 milliliters is relatively significant; whether the patient can survive depends on specific circumstances. First, it must be determined if the hemorrhage has compressed important neural nuclei, causing apparent respiratory and circulatory dysfunction. If such dysfunction occurs, it could severely threaten the patient's life. Additionally, the patient's level of consciousness and the availability of timely and effective treatment, along with necessary life support, must be considered. For example, if respiratory and circulatory dysfunction arises, it might be appropriate to use vasopressors to maintain blood pressure and ventilators to assist breathing. If effective life support is available, it is often possible to survive the peak period of swelling and preserve life.
The manifestations of pheochromocytoma crisis
For patients with pheochromocytoma, during a crisis, it generally manifests as a sudden increase in the patient's blood pressure, which can rise to above 200-300 mmHg. Additionally, the patient experiences severe headaches and dizziness, severe nausea and vomiting. Some patients may experience significant discomfort and tachycardia, arrhythmias. Some patients also suffer from abdominal or chest pain, labored breathing, and difficulty breathing, and even blurred vision. In severe cases, the excessively high blood pressure can lead to hypertensive cerebral hemorrhage or other unexpected cardiovascular and cerebrovascular diseases. The patient’s vital signs are extremely unstable, often accompanied by multiple organ dysfunction or failure.