Subscribe
35
Jiang Fang Shuai
Neurosurgery
About me
Loudi Central Hospital, Department of Neurosurgery, attending physician, has been engaged in clinical work in the field of neurosurgery for many years, with rich clinical experience in the diagnosis and treatment of neurosurgical diseases.
Proficient in diseases
Specializes in acute epidural hematoma, subdural hematoma, intracerebral hematoma, traumatic subarachnoid hemorrhage. Cerebrovascular diseases mainly include cerebral infarction, cerebral hemorrhage, cerebral aneurysm and other common diseases.
Voices
How is glioma graded?
According to the characteristics of pathology, gliomas are divided into grades one to four. Grade one is a low-grade malignancy, more benign tumor, accounting for about 5%, with a relatively high probability of successful surgical outcomes. Grade two accounts for about 35%, and after comprehensive treatment including surgery, the survival rate can reach five to ten years, or even longer. Grade three usually develops from grade two, with relatively poor prognosis, and the average survival period is about two years. Grade four, the most malignant glioma, also known as glioblastoma, accounts for about 30%-40%, with an average survival period of less than one year, and very poor outcomes.
Late-stage symptoms of glioma
The continuous growth of gliomas or the occurrence of tumor stroke hemorrhages can lead to very high intracranial pressure in patients in the late stages. This results in severe headaches with persistent attacks, accompanied by nausea and vomiting. Projectile vomiting is a typical manifestation of increased intracranial pressure. Patients may experience changes in consciousness, such as drowsiness, stupor, and coma. As the condition progresses to brain herniation, patients can fall into a deep coma, with either bilateral or unilateral pupil dilation and loss of light reflex. Vital signs become unstable, ultimately leading to death due to heart and respiratory arrest caused by the brain herniation.
What is cerebral hemorrhage?
The term "cerebral hemorrhage" usually refers to bleeding caused by non-traumatic rupture of brain blood vessels. The causes include hypertension, arteriosclerosis, amyloid angiopathy, and vascular malformations, among others, often occurring during excessive fatigue, emotional excitement, or strenuous defecation. Clinically, it has a high rate of self-harm, and most survivors suffer from varying degrees of brain dysfunction. Additionally, some cases of cerebral hemorrhage are caused by trauma; the treatment principles and prognosis for these patients are similar to those for non-traumatic cerebral hemorrhages.
Can brainstem hemorrhage be cured?
Brainstem hemorrhage is a very dangerous disease with poor prognosis and high mortality rate. Although the brainstem is very small, it contains almost all vital neurological functions. Once hemorrhage occurs, it can cause severe neurological dysfunction, and even lead to the patient's death due to cessation of heartbeat and breathing in a short period. So, can brainstem hemorrhage be cured? It mainly depends on the location of the hemorrhage, the amount of bleeding, and the clinical symptoms. Patients with less bleeding, hemorrhages closer to the upper end of the brainstem, and milder clinical symptoms have a better chance of recovery. However, those with more extensive bleeding, hemorrhages closer to the lower end of the brainstem, and more severe clinical symptoms have a lesser likelihood of recovery.
Is a brainstem hemorrhage serious?
Brainstem hemorrhage is a type of cerebral hemorrhage, occurring within the brainstem, which is the central hub of human life. Thus, once a brainstem hemorrhage occurs, the condition becomes extremely complicated and severe, with very high mortality and disability rates. Clinically, brainstem hemorrhages of less than three milliliters have a mortality rate close to 70%. Those exceeding five milliliters have a mortality rate close to 90%, and hemorrhages over ten milliliters are invariably fatal. In recent years, there has been an increasing trend in brainstem hemorrhages, affecting younger populations. This is mainly due to high work stress, uncontrolled diet, lack of exercise, and notably, a lack of awareness and attention to hypertension among young people, which ultimately leads to brainstem hemorrhage. Brainstem hemorrhage is a very dangerous disease.