Neurosurgery Treatment
57 questions answered by doctors & treatment decisions assisted by team clinicspots.
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Female | 19
Can surgery or therapy cure retroperitoneal NF1 mass?
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 ?
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 24th Oct '24
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.
Female | 46
Could my hoarseness be due to Pineal region tumor?
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.
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 1st Oct '24
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.
Female | 59
Effective Brain Tumor Treatment for Improved Quality of Life
Hi, my mother was operated with the diagnosis of brain tumor about 15 years ago, she was very good at first, she did not lose any speech and movement ability, but now, unfortunately, she cannot speak fully and her movement ability has dropped very much. We have taken her to many doctors in Turkey and every doctor says that these are normal because her age is advanced and that it is normal and that it will get worse and worse and that she will lose her ability to move and speak (her age is 59), sometimes she has seizures. What can we do about this, what can we do to have a better standard of living? What kind of treatment method do you apply and how much is your fee respects!!!
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 26th Sept '24
Your mom might face long-term effects from her brain tumor surgery, including declines in speech and movement as the tumor affects different brain areas. These issues may worsen with age, and seizures are also common. To improve her quality of life, consult a neurologist or brain tumor specialist. They can recommend treatments like seizure medications, physical therapy, and speech therapy. Regular check-ups will help monitor progress and adjust her treatment plan as needed.
महिला | 28
Why do I need to take medicines after childhood surgery?
मस्तिक के पीछे छोटा सा गाव है जिसका बचपन में ऑपरेशन हुआ था जिसके बाद दौरेआने लगे दवाइयां चलती रहती है मेरी
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 25th Sept '24
Your seizures are related to past brain surgery. It's good that you're taking medication regularly to manage them. However, it's important to visit a neurologist for regular check-ups. They can review your treatment and ensure that you're on the right medication.
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
Dr. Gurneet Sawhney
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.
Male | 65
Should I opt for brain tumor surgery or avoid it?
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
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 13th Sept '24
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.
Male | 23
How can I regain bladder control after L1 surgery?
My name is shameer .I have surgery L1 burst .and loss control on bladder and bowel .11 months completed .how gain Bladder regaining power
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 10th Sept '24
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.
Female | 70
Could hepatic encephalopathy cause permanent personality changes post-recovery?
my grandmother went into a coma caused by hepatic encephalopathy. she was completely fine until her hands started trembling and she started vomiting one morning. there were no symptoms before that. she does have liver cirrhosis. she was taken to a hospital approximately 12 hours after this happened and placed into an ICU with a ventilator. she regained consciousness in about 24 hours, after the ammonia had been flushed out from the brain and the chest. she was in critical condition, but has been recovering well. now off the ventilator she does have noticeable personality changes yet good memory. this to me is extremely scary. she also seems less aware of the environment and takes longer to answer. could these affects be temporary or permanent?
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 9th Sept '24
Hepatic encephalopathy, which is the cause of her coma, can result in some temporary changes in personality and slow thinking. This is because the liver is not functioning properly and the toxins are building up in the brain. However, these effects might be lessened with treatment and time.
Male | 30
Tubular Lesion in Rif: Causes and Treatment
Tubular lession in rif means
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 5th Sept '24
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.
Male | 29
How to Cope with Inability to Sit and Walk?
cist on spin, unable to sit and walk
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 4th Sept '24
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.
Male | 24
I feel like something is growing in my head, what to do?
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
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 31st Aug '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.
Female | 30
Can head injury cause damaged hair roots and facial scars?
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.
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 30th Aug '24
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.
Female | 60
Am I Experiencing Right Tentorial Subarachnoid Hemorrhage?
Subtle acute subarachnoid hemorrhage involving right tentorial leaflet
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 30th Aug '24
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.
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.