Doctor insights on:
Burr Hole Complications
Could u please explain the complications of burr hole evacuation... Whether there is any relation with neck stability in children..?
Unrelated: A burr hole is a hole drilled through the bone of the skull. This will allow the neurosurgeon to insert needles or catheters or fiber optic instruments in order to take out or evacuate something abnormal. The hole left will be able to be felt even when all else has healed. There is no association that i know of with neck stability problems. ...Read more
Depends: If everything is healed up and there have been no neurological sequelae, it should be fine. If the neurological status has returned to normal and there are no problems with wound healing and there are no problems with seizures, it is not uncommon for people to travel. Obviously, they should travel with friends/family who are available to help.Probably shouldn't drive until released by neurosurgeon. ...Read more
Not necessarily: Hopefully this has been decided by your parents before it is necessary . That is what a will is for. Parents usually choose the child who they feel should be in charge and that may or may not be the oldest. Being firstborn doesn't rest that responsibility on one just by virtue of birth order...Unless you are an only child. ...Read more
Subdural hematoma: I assume you have the bur hole as the subdural hematoma was treated? If your follow up CT scan was negative for hematoma then you are cleared. If there is still a hematoma causing pressure on the brain then you need to speak to the neurosurgeon that did the procedure about further treatment. ...Read more
As above : This is better answered by u physician who is aware of u physical condition. ...Read more
Do parents whose child died and have donated the organs get to keep the body for burial or cremation?
Yes: This will be arranged at the time of organ donation. ...Read more
I fell and hit my head on cement and ended up with a subdural heamatoma i had to have burr hole surgery to fix itis it likely to return been over a yr?
Unlikely : In a young person who is otherwise healthy and who is not on anticoagulants, it is unlikely for the subdural hematoma to return. If it has been over a year and there have not been any new symptoms (headache, nausea/vomiting, weakness) and if the post-operative scan does not have residual, it is very unlikely. However, if there are future head injuries, you are at the same risk as anyone else. ...Read more
How long does it take for a large subdural hematoma to be reabsorbed? I had burr hole evacuation two weeks ago and am being monitored.
2-4 weeks: Usually 2-4 weeks. Usually, i order a ct about 4 weeks afterwards to confirm that it has resolved. Good luck. ...Read more
Can my untreated teeth be detrimental to my health? I have over $8000 worth of work to get done. With $0 i'm afraid my health will start deteriorating i'm only 25 years old. Should i start making my burial arrangements?
Or are there any dentists that do
Yes, detrimental: See if there is a dental school near you . The treatment is much less expensive -- what you save in money, you pay in time. It takes longer for treatment. You also might find a clinic at a hospital that has a teaching program for postdoctoral dental training. (gpr or aegd). Good luck -- no burial yet ! ...Read more
What are the different routes taken in inserting a vp shunt? Does the tip of catheter go in through the "u" scar or at another entrance (burr hole)?
Depends: The largest scar, such as u-shape one is where the surgeon inserts the shunt valve under the scalp. If the valve is designed to accept the ventricle tube (reaching into the water chamber) at the bottom side of it, the same incision has everything under it. If the valve has in-line shape, the ventricle tube might travel to different site over the skull then enter brain through a burr hole. ...Read more
Is it normal to experience anxiety after having a subdural heamatoma?I had burr hole surgery to fix it and my ears ring a lot now is this normal?
Effects may vary: A subdural hematoma is a serious issue. So anxiety, depression, and other cognitive effects can develop both as a result of the original injury that caused the sdh and/or the resulting surgery. If you haven't seen a doctor about these symptoms, i'd recommend doing so and soon. Sdh and post-treatment is not a small matter. ...Read more
I had burr-hole surgery for a subdural hematoma in 2004. I've had a good recovery except for persistent upper-body weakness. Is this outcome normal?
My brother in law died this morning Cancer patient. but Died of Pneumonia. Can we delay burial one day till tomorrow afternoon. Until all family gather?dr say he was on chemo and burial Asap should be
Wait for family : Tomorrow counts as ASAP. It will be better for the family and closure for all. I can not imagine a medical reason to say you cannot wait ...Read more
Man-made head holes: Burr holes are holes bored through your skull & are drilled if your brain is swelling. There's not much extra room in the cranium. Swollen brains will ooze through the hole at the base of your skull leading to the spinal cord. This is called herniation, a process immediately preceding death. Burr holes are used to relieve swollen brain pressure (high intracranial pressure) & can be lifesaving. ...Read more
Yes: Symptomatic chronic (>30 days) subdural hematomas are often evacuated with two burr holes. Acute (. ...Read more
My wife has suffered a TBI and had op burr holes to remove clots and pressure . struggling to go to toilet. On keppra, (levetiracetam) solpadol & cyclazine. Plz advis?
Provide more info: Please specify what advice you're really looking for? Recovery from TBI that resulted in hemorrhagic brain injury is a long road..sometimes months, sometimes years, and sometimes things simply don't go back to the way they were. If you'd like to provide more clinical information by way of an INBOX CONSULTATION or virtual consult contact at: www.healthtap.com/drsaghafi Key Code: PDXFNR ...Read more
Does the dent from burr holes after brain surgery ever go away? What about from bone flap reattachment? Do scars ever disappear completely?
Nope: Depending on your age burr hole cavities may nearly completey fill in and may not be noticeable but will never completely go away. The same can be said for scars as depending on your age and genetics the scar may become very small but no matter who you are they never become exactly like the tissue prior to injury. ...Read more
Currently being considered for coblation nucleoplasty trial (cervical). Contained herniation. I'm in early 20's. Possible long term complications?
Coblation: Understand, these treatments are low (not zero) risk, but for what purpose? Contained herniation means that there is no pressure on the nerves, and the disc is simply not in a "normal" location within the disc space. Study? Fine. These haven't worked except temporarily in the lumbar spine. I would be pessimistic. Maximize mckenzie pt. Not heat/us/tens as they are useless. If no other option, fine. ...Read more
Organ damage: GD is treatable if diagnosed early and enzyme replacement started. Specific enzyme deficiency cause organs damage due to abnormal accumulation of unrecycled compounds called glycolipids. The spleen, liver, bones, bone marrow, skin, lungs and growth/dev , and in some subclass of GD, the CNS are affected. Increased risk of malignancy. Manifestations and severity vary. Consult with a geneticist pls. ...Read more
Vomit/Diarrhea: Usually food borne illnesses cause vomiting or diarrhea, but it really depends on the infection type. Food borne illnesses can be caused by bacteria, parasites, some viruses, and toxins produced by bacteria and molds. The symptoms will be a little different with each one. Some ca be deadly other just unpleasant. ...Read more
Usually nothing :
Allergic conjunctivitis due to environmental allergies like dander or pollen generally causes symptoms but no serious consequences. However, there is a condition called keratoconjunctivitis which can cause some damage. This is not commonly seen in typical allergic conjunctivitis.
Another unusual situation is vernal conjunctivitis. I suspect the answer is nothing. ...Read more
Injury: The worst complications with an iud deal with injury and/or infection. Uterine injury (perforation) at insertion can lead to bleeding, pain, or intra-abdominal placement. Infections can occur which can lead to scarring or abcess formation. More common are iud expulsions which can go unnoticed & lead to unintended pregnancy. Overall, they are very safe & provide excellent birth control. Take care. ...Read more
Yes: Prenatal diagnosis of fetal conditions has both pros and cons - one con is that prenatal diagnosis is never 100% and can cause undue stress on parents during the remainder of the gestation. A desire to obtain prenatal diagnosis should only be done after careful thought about how you & your significant other will respond to the news and what you will do with the information. ...Read more
MicroAlb/Cr ratio: Is commonly obtained in diabetics to assess for end-organ involvement. 30.79 is borderline high. It could be indicative of end-organ damage to the kidneys, but could also be a false positive depending on the setting urine specimen was obtained. It should be measured once more in a few months to help better understand its prognostic significance. No need to perform this test in healthy individuals. ...Read more
Yes: Serious complications of vsd repair are very uncommon. They include bleeding, infection, and brain injury. There is also a small risk of damage to the conduction system of the heart that would require a permanent pacemaker. The risk of dying from the procedure is exceedingly low, but not zero. ...Read more
Kids are tougher!: Pain in children seems to be less intense than in adults--perhaps one of the reasons I am a pediatrician! children's tonsils generally have less scarring, making the removal less tedious. Also, the blood supply and healing tendency in children can be more responsive. But mostly, a child's tonsils tend to be smaller than adult tonsils--hence less scarring= less complication. ...Read more
Uterine Rupture: The most common complications are a failed vbac & need for vaginal bypass (c-section). The most serious are uterine dehiscence (separation of the uterine scar) or rupture. This can lead to catastrophic results with hemorrhage, emergency surgery, hysterectomy, and fetal loss. Major point - please vbac in a hospital where your OB can keep you safe and have access to immediate surgery if needed. ...Read more