Female | 43
What's the Prognosis & Treatment for Grade 4 Astrocytoma?
My sister is 43 years old no know co morbids ,suddenly she developed headache and fever for 10 days,we rush to Er and in MRI it was as tumor they resect tumor and did craniotomy now in biopsy they saying grade 4 astrocytoma. What is the prognosis of this as patient is very young and what will be the best options for treatment
Neurosurgeon
Answered on 23rd Sept '24
Grade 4 astrocytomas are aggressive brain cancers. Prognosis varies but typically includes surgery, radiation therapy (RT), and chemotherapy (CT). She should see her team regularly along with other experts if they feel it necessary. New symptoms such as fever, seizures increased headaches or behavioral changes mean that we need an immediate discussion so we may start correctly with the treatment regime too isolated be too. Medical guidance is important in deciding what will work ultimately.
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Questions & Answers on "Neurosurgery Treatment" (44)
Hi . We have a 19 year old girl diagnosed with Nf1 and retroperitoneal huge mass Do you have any cures for this Is there any way to get well completely if not please give us any suggestions to live longer or stop the spread Can we do radiotherapy or chemotherapy or surgery to get out some parts or is there any effective drug ?
Female | 19
NF1 may bring about tumor formation in one's body, just like the one that grew in the abdomen. Regrettably, there is no cure for NF1 at the moment. Treatment options may include the surgery of the mass, chemotherapy, or other medication to relieve symptoms and slow down the formation of the tumor. It is necessary to consult with an oncologist regarding all the alternatives to find the most suitable option for the patient.
Answered on 13th Nov '24
Dr. Gurneet Sawhney
Can I have some brief that whether our brain and skull associated with some circular/ring shaped bones mainly to limbic nd hypothalamus...
Female | 16
The brain is protected by the skull, but there are no specific circular or ring-shaped bones associated with the limbic system and hypothalamus. These regions are part of the brain's structure and function independently within the skull's protection. And the brain's structure consists of various regions and structures that work together to regulate functions such as emotions, memory, and homeostasis, with the protection provided by the skull.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Do my son need shunt surgery
Male | 19
I cannot provide personalized medical advice or diagnose online. If you are concerned about your son's health and whether he needs shunt surgery, consult with a professional pediatrician or a neurosurgeon. Shunt surgery is recommended for individuals with hydrocephalus or other conditions that cause an abnormal accumulation of cerebrospinal fluid (CSF) in the brain, leading to increased pressure and damage to brain tissue.
Answered on 23rd May '24
Dr. Gurneet Sawhney
My little brother is when he was 3 years old, he was hit by a motorbike, due to which he had a big injury in his head, his head was broken by his head. He was in coma a couple of months, but he could not walk, but he could not walk, Now he is 10 years old.but he cannot move.Dear sir tell me how to treat him.
Male | 10
It sounds like he experienced a severe head injury at a young age, resulting in significant impairments. Given the complexity of your brother's situation, it would be best to seek the expertise of specialists such as pediatric neurologists or neurosurgeons,
Answered on 23rd May '24
Dr. Gurneet Sawhney
I am 48 years old and suffering from carpal tunnel from past 6 years. Earlier problem was not so much but now I am feeling numbness in my right hand while writing or doing any particular work. Should I go for surgery? Is there any physiotherapy after surgery and after how long I can do writing work as I am a teacher
Female | 48
You should go for surgery if your symptoms are very severe and make it difficult for you to do your everyday activities. Yes, after surgery, physiotherapy is done for better flexibility and strength. When can you resume writing and other work depends on the type of surgery you had and other things. It is important to listen to your doctor and start writing only after consulting him.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Meri mummy patient hai unki brain tumor Ki sergary hui hai unko abhi urine me control bhi nahi hai or urine bhi bahot bar aata hai Doctor ne unko flodart tablet diya tha but usse kuch effect nahi huva to aap bhi kuch tablet bata sakte hai kya plz abhi mummy gav me rahte hai or unko chalne me bhi thoda problem hai to vo kahi ja nahi pate
Female | 60
It is always best to consult with her doctor to see what's the best course of action is for her. However, medications such as oxybutynin, tolterodine, and solifenacin may be effective in treating urinary incontinence. Additionally, physical therapy and pelvic floor exercises may help improve her walking and bladder control.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Sir, our patient was told by the Drs on the eve of the feast. He suffered a cerebral hemorrhage due to sudden high blood pressure. He was operated on and a drain was inserted. He was intubated for the first 3 days, and reintubated 4 days later. It was informed that our patient reacted to pain but could not wake up because he was unconscious. We watched him react to some reactions, but his doctors say that these reactions are meaningless, for example, when I tickled the bottom of our patient's right foot, I saw that his right toes made small movements and I saw him open his eyes. and I looked from left to right with eye movements and I saw tears flowing from my left eye, I couldn't see this feeling in the left foot. When we wet it with cotton, I saw mouth and lip movements move, I saw movements that were disturbed by thirst, but there was no speech, but the first 10 legs of his body were very swollen and cold. In the last week, keep the body on fire, from the feet to the head, the body temperature is very high. Our patient was operated on the 14th day. Drainage has changed Dear teacher, we need you about the general condition of our patient, can you get back to us, can we share our patient's information?
Erkek | 75
I would suggest to consult with the patient's doctors and nurses directly involved in their care for accurate information and updates regarding their condition and share your concerns directly with them.
Answered on 23rd May '24
Dr. Gurneet Sawhney
What deit should have brain tumor patients to avoid weaknesses and to be come healthy.
Female | 69
Brain tumor patients are advised to maintain a healthy and balanced diet rich in fruits, vegetables, whole grains and lean proteins. Patients should also keep drinking water regularly to prevent dehydration.
Answered on 23rd May '24
Dr. Gurneet Sawhney
FINDINGS: Brain parenchyma and extra-axial compartments: Stable postoperative appearance of prior excision of the right mesial temporal lobe and para hippocampal gyrus, with progressive gliosis and volume loss of remainder right anterior superior temporal lobe and temporal stem. There is increased volume loss and FLAIR hyperintensities of the right fornix. There is no evidence of left mesial temporal signal abnormality or mass effect.
Male | 41
The findings indicate a stable postoperative appearance after the excision of the right mesial temporal lobe and parahippocampal gyrus, but there is progressive gliosis and volume loss in the remaining right anterior superior temporal lobe and temporal stem. Additionally, there is increased volume loss and FLAIR hyperintensities in the right fornix. It is important to consult a neurologist for further evaluation and management of these changes.
Answered on 12th June '24
Dr. Gurneet Sawhney
I am a 46yr old female, experienced hoarseness for more than a year after covid, I did a ct scan which reveals Avidly enhancing extra axial mass just posterior to the pineal gland. Pineal region meningioma vrs pineocytoma.
Female | 46
The CT scan showing a mass near your pineal gland could be a meningioma or a pineocytoma, two tumors that can have similar effects. Both of them may result in headaches and vision problems. A neurosurgeon can help run through the methods, and the main treatment can consist of surgery or other alternatives, as the specific type of tumor requires.
Answered on 25th Nov '24
Dr. Gurneet Sawhney
I have a problem with stuttering speech i have naw 5years my age is 20
Male | 20
Stuttering might occur because of several reasons such as genetic influences, developmental delays, or neurological diseases. One should see a speech therapist or a neurologist for the right diagnosis and treatment. On time response can aid in speech prograce and lessen anxiety related to stuttering.
Answered on 23rd May '24
Dr. Gurneet Sawhney
hi I am thapelo In 2019 something like brick grew in my head my head just changed and during the years it was fading away now there still something remaining in the head I can't describe
Male | 24
You might be experiencing significant head discomfort, which could be due to a growth or lump. Such symptoms can cause concern. It's crucial to consult a doctor who can thoroughly examine you and provide appropriate treatment. Early detection makes treating conditions like cysts, tumors, or infections easier and more effective.
Answered on 31st Aug '24
Dr. Gurneet Sawhney
I got strok recently and my sugar is also high. I am from jaigaon
Male | 52
Stroke care often requires a multidisciplinary approach with a team of specialists to provide comprehensive treatment. Visit your doctor and get a proper course of treatment to avoid future complications.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Subtle acute subarachnoid hemorrhage involving right tentorial leaflet
Female | 60
If you had this condition, it would signify that there has been a tiny amount of blood leaked into the brain lining on the right side. Symptoms might include severe head pain, vomiting, nausea, and stiffness in the neck. Causes can be high blood pressure or an injury to the head such as from a fall or car accident. An aneurysm burst occurs when a weak spot in a blood vessel wall swells like a balloon. Eventually, it bursts, releasing its contents into surrounding tissues, potentially affecting the brain. Often treatment involves being closely watched in the hospital where doctors will also do some tests before deciding what might need doing next. Remember always to follow your neurologist's advice carefully.
Answered on 30th Aug '24
Dr. Gurneet Sawhney
I have an arteriovenous malformation with an arteriovenous fistula in the right foot, below the first metatarsal, which treatment is indicated?
Male | 15
Treatment for arteriovenous malformation with an arteriovenous fistula in the right foot below the first metatarsal depends on the size and location of the malformation, the severity of symptoms, and your overall health. Treatment options may include surgery, embolization, or a combination of both. Consult with a vascular surgeon to determine the best course of treatment.
Answered on 23rd May '24
Dr. Gurneet Sawhney
cist on spin, unable to sit and walk
Male | 29
Based on the symptoms you have presented, the individual might have a cyst in their spine. This condition may make sitting difficult and walking difficult. One must get the condition diagnosed and treated by a neurologist.
Answered on 4th Sept '24
Dr. Gurneet Sawhney
My name is shameer .I have surgery L1 burst .and loss control on bladder and bowel .11 months completed .how gain Bladder regaining power
Male | 23
It is tough to cope with the loss of control over the bladder and bowel. These problems may occur after L1 burst surgery due to injury to the nerves. Symptoms of this include not feeling the need to pee or poop or leaking. The positive news is that you can regain bladder control with pelvic floor exercises and bladder training. Request your doctor or physiotherapist to devise a plan for strengthening those muscles.
Answered on 10th Sept '24
Dr. Gurneet Sawhney
Is Glioblastoma hereditary??
Female | 42
Glioblastoma is generally not considered hereditary. While some cases may be associated with genetic conditions, the majority occur sporadically due to a combination of genetic and environmental factors.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Yesterday 13 July 2024 I received MRI report of my wife who did MRI because feeling pressure on jaw and right side of the head, she also feel drowsiness like she is floating. She doesn't have sever headache but above mentioned symptoms have been common through they day for a month now. It gets worse when she is stressed. The MRI showed she had "large left fronto-temporal arachnoid cyst that measures approx 8.4cm in craniocaudal extent, 5cm from side to side and 5.4 cm in greatest antero-posterior dimension, it's causing hypoplasia of the left fronto-temporal lobes" Very worried about this, is this very serious? When do we know it's serious? What should we do about it? What are the surgery options? Is it better to do surgery or leave it as it is?
Female | 31
The problems your wife has are most likely due to the arachnoid cyst. This is a small, fluid-filled pouch that develops in the brain and may lead to pressure and dizziness. Although very serious, not every arachnoid cyst requires surgery. This issue in the long term may be diminished by consistent monitoring by a neurosurgeon to check for early warning signs. In some cases, the operation is an answer to avoid the worsening of the symptoms or the visible growth of the cyst. The road to recovery can provide the most appropriate therapy options with a neurosurgeon to come up with the best possible solution.
Answered on 28th Aug '24
Dr. Gurneet Sawhney
Hello, This is Edu, I am 30 years. I injured my head even my face has seams like fat. When it started with my head my hair roots were very injured now continuing to half part of my face.
Female | 30
The fat-like stitches you are telling me about could be swollen tissue from the injury. The head injury side effects like irritated hair roots and swelling are the symptoms that would show up after a head injury. At the point of not seeking help for yourself, you put yourself at a higher risk. A doctor can diagnose the problem and pick the best remediation method for you which can be medication, wound care, or surgery.
Answered on 30th Aug '24
Dr. Gurneet Sawhney
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