Neurosurgery Treatment
59 questions answered by doctors & treatment decisions assisted by team clinicspots.
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Female | 31
Is large left fronto-temporal arachnoid cyst serious?
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?
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 28th Aug '24
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.
Male | 63
Glioblastoma Grade IV Discovery
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
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 13th Aug '24
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.
Male | 39
Understanding Calcified Lesion in Right Lobe
What is calcified lesion in the right lobe?
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 26th July '24
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.
Male | 41
Do I have stable postoperative brain findings?
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.
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 12th June '24
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.
Female | 45
Am I at risk with increased carotid ultrasound levels?
How accurate is carotid ultrasound? Says: moderate to severe increase at the level of the Bilateral CCA and ECA and the level of ICA artery. What does this mean? Dr said to do MRA to confirm
Dr. Babita Goel
General Physician
Answered on 24th May '24
If in a carotid ultrasound, there is a significant increase in certain arteries, it could mean a blockage and crippling at that location. These blockages have consequences, including slow blood flow to the brain and, as a result, dizziness, fainting, or even stroke. The patient is to undergo an MRI and more precise information about the diseases will be obtained by this technology. Through MRA, the doctor can determine what to do next and suggest medications, lifestyle modifications, or surgery to loosen the veins and make them as healthy as possible. It's important not to do anything reckless but to listen to every word of advice that your cardiologist gives you and follow it to the letter so that you don't have compromised health matters.
Female | 52
What's the Best Treatment for Grade 4 Glioblastoma?
dear doctor my mother has an inoperable grade 4 glioblastoma diagnosed in february 2024. Her tumor measures 7.4x4.6x3.4 cm. she is undergoing radiotherapy and is taking chemotherapy tablets called themodal could you please give your specialist opinion?
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 23rd May '24
Glioblastoma is an aggressive form of brain cancer, which is not feasible for us to deal with. The disease may result in symptoms viz. severe headaches, nausea, and changes in the body's functioning. Conventional methods in the stream of treatment rather than the mainstay are therapies using radiation and chemotherapy drugs of oral forms like tablets for chemotherapy. Both approaches of treatment are prevalent to slow down the growth of the cancer and manage symptoms. Keeping the neurosurgeons instructions in mind and monitoring her condition at regular intervals is the only way to achieve a favorable outcome.
Male | 19
Do my son need shunt surgery
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 23rd May '24
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.
Female | 40
What is the treatment for my mother's multiple sclerosis?
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 ?
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 23rd May '24
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.
Male | 20
How can stuttering be effectively treated?
I have a problem with stuttering speech i have naw 5years my age is 20
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 23rd May '24
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.
Male | 12
Brain TB: Surgery Necessary for Treatment?
Kya brain tb ka operation karna jaruri hai
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 23rd May '24
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..
Female | 40
What Causes Hemifacial Spasm on the Right Side of the Face?
Hemifacial spasm with right side of face.
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 23rd May '24
Hemifacial spasm is a disease characterized by involuntary twitching of muscles on one side’s face. This may be due to nerve injury or irritation. you should vsist a neurologist to know options of diagnosis and treatment.
Female | 4
Can Absent Epilepsy in a 4-Year-Old Be Cured?
My daughter is 4 year old. From last one month she is been suffering from absent epilepsy. Can it be curable?
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 23rd May '24
Yes, Absent epilepsy is curable. Anti-epileptic drugs are helpful. EEG tests can be used to diagnose absence epilepsy. In most children, seizures can be controlled through medication. Early treatment is essential. Medicate as directed by the doctor.
Female | 69
What Diet Can Help Brain Tumor Patients Avoid Weaknesses and Become Healthier?
What deit should have brain tumor patients to avoid weaknesses and to be come healthy.
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 23rd May '24
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.
Female | 43
unresponsive for days after seizure
Is it normal to remain unresponsive for days after seizure?
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 23rd May '24
post-seizure drowsiness is common and being unresponsive for days is unusual and needs medical attention immediately.
Male | 53
can a seizure cause paralysis
Can a seizure cause paralysis?
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 23rd May '24
Yes seizure can temporarily lead to paralysis
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