Male | 68
What is the next step after subdural hematoma surgery?
My father suffered right subdural hematoma, and underwent surgery on 11/12/24 but on the repeat scan of 16/12/24, there was still residual hematoma, so what should be the further management. His bp stays high, in the range of 170-180 systolic, but diastolic is in normal range. Now he has left sided loss of power but he can move all limbs, gcs is 15/15, no vomiting or headache.
Neurosurgeon
Answered on 20th Dec '24
Nice to know that your father is fully awake and GCS is intact at 15. A remaining hematoma can sometimes need extra checkups. His high blood pressure is dangerous and the doctors should address it as it has an impact on the recovery. The weakness in the left side of the body is probably due to the intermitted functioning of the hematoma in the brain. You must get advice from his neurologist for personalized management, which will cover such measures as controlling blood pressure, monitoring his symptoms carefully, or seeking additional intervention for a hematoma.
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Questions & Answers on "Neurosurgery Treatment" (46)
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
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
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
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
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
My mother multiple scoleris un balance body mind demage spine damage treatment is continue but no a good response please tell me treatment kya ha is ka ?
Female | 40
Multiple sclerosis affects everyone differently. I suggest you to get a second opinion from a neurologist who specializes in MS. They can provide a treatment plan tailored to your mother's specific needs. It's important to continue any ongoing treatment while seeking additional medical advice.
Answered on 23rd May '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
Skull problem next steps
Male | 28
You may experience headaches, dizziness, or blurry vision as symptoms. One of the possible reasons might be getting hit in the head. To check if it's normal or not inside, it's okay to have an X-ray. It's better to consult a neurologist for a better opinion.
Answered on 26th Nov '24
Dr. Gurneet Sawhney
What is calcified lesion in the right lobe?
Male | 39
A calcified lesion in the right lobe usually means there is a hard, calcium deposit in that area, often seen in the liver or lung. This can be due to old infections, inflammation, or other conditions. It's best to visit a specialist, like a hepatologist for liver issues or a pulmonologist for lung issues, to get proper evaluation and treatment.
Answered on 26th July '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
Tubular lession in rif means
Male | 30
There is an issue in the lower part of your right lung, which could be causing coughing, chest pain, and difficulty breathing. The cause may be an infection, inflammation, or possibly a tumor. Treatment options vary, ranging from antibiotics and anti-inflammatory medications to surgery, depending on the underlying cause. While it's a common health concern, it still requires medical attention.
Answered on 5th Sept '24
Dr. Gurneet Sawhney
My father suffered right subdural hematoma, and underwent surgery on 11/12/24 but on the repeat scan of 16/12/24, there was still residual hematoma, so what should be the further management. His bp stays high, in the range of 170-180 systolic, but diastolic is in normal range. Now he has left sided loss of power but he can move all limbs, gcs is 15/15, no vomiting or headache.
Male | 68
Nice to know that your father is fully awake and GCS is intact at 15. A remaining hematoma can sometimes need extra checkups. His high blood pressure is dangerous and the doctors should address it as it has an impact on the recovery. The weakness in the left side of the body is probably due to the intermitted functioning of the hematoma in the brain. You must get advice from his neurologist for personalized management, which will cover such measures as controlling blood pressure, monitoring his symptoms carefully, or seeking additional intervention for a hematoma.
Answered on 20th Dec '24
Dr. Gurneet Sawhney
Kya brain tb ka operation karna jaruri hai
Male | 12
SurGERY is not always neceSSARY for BRAIN TB treatMENT.. It depends on the severity, location, and response to medication.. DOCTORS may recommend surGERY to drain fluid buildup, remove a damaged portion, or relieve pressure.. However, medication is the first line of defense and often effective.. SURGERY carries risks and should be done only when required.. Always follow the doctor's adVICE and take medication as preSCRIBED..
Answered on 23rd May '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
Can a seizure cause paralysis?
Male | 53
Yes seizure can temporarily lead to paralysis
Answered on 23rd May '24
Dr. Gurneet Sawhney
Hello Doctor, My self Hitram Sarma I am 63 years old men . Now I am going to explain my problem from the very first time . On 12th August 2023 suddenly i had a Jerky in my left hand then I went to our local hospital and Doctor told me that I have is ischemic stroke . Then they treat it through thrombosis. Everything is fine only my hand jerky is not developed . Slowly slowly the jerky got increase and I admitted another hospital for 3 times. Lots of medicine I am taking after that jerky comes down in a day 2 times, but suddenly I felt some weakness in my left leg. I can't walk properly then again I visited the hospital lots of MRI done but Everything is normal . Then On 13th Feb I did one brain MRI & MRA and doppler , EEG test Everything normal. After that on 19th Feb I felt more weakness thn I came to doctor they suggest me to take an brain CT and one EEG . The report detect one large size mass is there. They inform me to do the surgery immediately, the On 24th Feb my surgery done and biopsy also done but the bed things is that biopsy report positive Glioblastoma grade IV . I am speechless, how can it possible. Why it's not detect on previous MRI & MRA , EEG and Brain CT also? I want a good advice from you all please help me
Male | 63
You've faced major challenges. A glioblastoma, a grade IV brain tumor, causes jerky movements, weakness, and walking difficulty. Sometimes they grow rapidly, making early detection tricky. Surgery aims to remove most of the tumor. Then radiation and chemotherapy followed. Discuss treatment options thoroughly with your neurologist. Stay resilient during this difficult time.
Answered on 13th Aug '24
Dr. Gurneet Sawhney
Sir, My father has recently loss his memory and we meet with local d.r in Pakistan and they advise to take MRI contrast, In result of MRI found brain tumor but some one told for surgery and some get suggestion for avoid, Please guide us for better treatment. Ameer Jan Pakistan
Male | 65
Forgetfulness is one of the symptoms of a severe health problem. The MRI revealed a tumor on the brain in this case. Brain tumor warning signs may include memory difficulties, headaches, and vision changes. A positive result is possible through surgery to remove the tumor and thereby eliminate the symptoms. Consult a neurologist about the risks and benefits of making the right decision for your father's health.
Answered on 13th Sept '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
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
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