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Doctor insights on: Craniotome

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Transsphenoidal surgery or craniotomy for pituitary adenoma?

Transsphenoidal surgery or craniotomy for pituitary adenoma?

First Option: Transsphenoidal approach has become the surgery of choice for pituitary adenomas. ...Read more

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Tension headache or brain aneurysm?

Tension headache or brain aneurysm?

Tension Headache: Brain aneurysms almost never cause symptoms until they leak, or outright rupture. When this occurs, it commonly is "the worse headache" of a person's life. Chronic headaches are almost never from an aneurysm. With the advent of MRI angiography, it is much easier to screen for aneurysms. Consult with your local physician. ...Read more

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Stroke in occipital lobe following cervical spine surgery?

Stroke in occipital lobe following cervical spine surgery?

Vertebral Artery: This can be a consequence of injury to the vertebral artery. This can be from direct manipulation, positioning or spontaneous. Further diagnostic workup can include angiography. ...Read more

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Would a craniotomy cure aphasia?

Would a craniotomy cure aphasia?

Craniotomy and aphas: Craniotomy does not cure aphasia unless it is caused by a mass lesion or tumor. Removel of the tumor may help the aphasia. ...Read more

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I had meningioma res., complications: a sah, hydrocephalus, cerebellar tonsillar herniation, and emergency craniotomy. What's my future hold?

I had meningioma res., complications: a sah, hydrocephalus, cerebellar tonsillar herniation, and emergency craniotomy. What's my future hold?

Possible recovery: There is a very good chance of having a very good recovery. It depends on how much neurological injury was sustained and for how long. It seems that if you are able to type and communicate, that you have a very good chance for a near full recovery. Intense rehabilitation will help you improve tremendously. Without knowing your neurological deficits , it is difficult to say for certain. ...Read more

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Ct head scan results are frontal lobe sulci bilateral prominent. Prominate subarachnold space. Midline lipoma. Anterior interhemispheric fissure promi?

Ct head scan results are frontal lobe sulci bilateral prominent. Prominate subarachnold space. Midline lipoma. Anterior interhemispheric fissure promi?

Atrophy: The midline lipoma probably doesnt warrant any treatment. These are usually incidental findings, but they can be associated with some congenital brain disorders. You basically seem to have less brain in your skull relative to fluid spaces relative to others. Have your doctor review the scan with you. ...Read more

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Frontal lobe epilepsy deja vu?

Frontal lobe epilepsy deja vu?

Distorted memory: Deja vu is a false feeling of familiarity. It occurs when one feels that a situation or location is familiar even though it hasn't been previously experienced. It can be thought of as a brief malfunction of the memory system where the timing of the event gets assigned as if it occurred in the past making it seem like an old memory. It occurs more commonly in temporal lobe epilepsy. ...Read more

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High-grade glioma brain tumor, what to do?

High-grade glioma brain tumor, what to do?

Get best care: The optimal care for a high grade glioma will often be found at a major academic medical center. Treatment is first surgery, to remove the maximum amount of tumor possible, followed by radiation and chemotherapy, often together. All of this also requires good neuroradiology, good neuropathology, good nursing care and supportive care of all types. Don't be shy about asking for second opinions. ...Read more

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Enlarged perivascular space in basal ganglia. Is by any cranial nerves? Double vision, enlarged pupils, trigeminal neuralgia, pulsating tinnitus

Enlarged perivascular space in basal ganglia. Is by any cranial nerves? Double vision, enlarged pupils, trigeminal neuralgia, pulsating tinnitus

Neurologic issues: None of what you describe is normal. I would suggest that you seek the opinion of both the Neurologist and the Neurosurgeon and possibly the Interventional Neuroradiologist. ...Read more

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Are brain tumor headaches constant?

Are brain tumor headaches constant?

Depends.: Brain tumor headaches can be steady but can worsen if there are bleeds or if there is worsening of the flow of the CSF drainage or if the intracranial pressure increases due to growth of tumor. ...Read more

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What is frontal lobe epilepsy?

What is frontal lobe epilepsy?

Frontal lobe seizure: Frontal lobe epilepsy (fle) refers to epilepsy where the seizure focus is located in the frontal lobes. Because the frontal lobes are involved in so many functions the symptoms of fle can be very varied and can include motor, emotional and cognitive symptoms. Fle can also be difficult to diagnose. See http://www.Epilepsy.Com/epilepsy/epilepsy_frontallobe for more information. ...Read more

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Can a frontal lobe seizure imitate a stroke?

Can a frontal lobe seizure imitate a stroke?

Yes...: It is always possible that any insult, mass effect,infection or electrical imbalance that triggers seizures can manifest in a similar way, reason why it is important to get an immediate evaluation when symptoms are suggestive of any serous brain problem. ...Read more

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Are subarachniod cysts in the temporal lobe area related to chiari malformations?

Are subarachniod cysts in the temporal lobe area related to chiari malformations?

No: Subarachnoid cysts are common and are usually asymptomatic. The middle cranial fossa where the temporal lobe sits is a common location for these cysts. Arnold-Chiari malformations involve the posterior cranial fossa, not the middle fossa unless there is secondary hydrocephalus. http://radiopaedia.org/articles/arachnoid-cyst ...Read more

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Frontal lobe epilepsy like deja vu?

Distorted memory: Deja vu is a false feeling of familiarity. It occurs when one feels that a situation or location is familiar even though it hasn't been previously experienced. It can be thought of as a brief malfunction of the memory system where the timing of the event gets assigned as if it occurred in the past making it seem like an old memory. It occurs more commonly in temporal lobe epilepsy. ...Read more

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I have a posterior fossa arachnoid cyst last known 1.7x 1.6x3cm severe headaches, "pressure" in head epilepsy memory loss confusion&others ..related?

I have a posterior fossa arachnoid cyst last known 1.7x 1.6x3cm severe headaches, "pressure" in head epilepsy memory loss confusion&others ..related?

We usually think not: However, there are cases where arachnoid cysts cause symptoms such as headaches and other types of both cognitive, motor, & cognitive problems which get better when the cyst is removed. But that doesn't happen often. Usually, they're benign & have been there since birth. They don't need to be removed unless testing/examination suggests otherwise. If you'd like a 1-1 consult please let me know. ...Read more

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Fracture in skull of 4 month old baby, leakage of CSF into subdural space occipetal region, what to do?

Fracture in skull of 4 month old baby, leakage of CSF into subdural space occipetal region, what to do?

Children's Hospital?: I hope you are at a good children's hospital with a neurosurgical, medical, and social team to manage this serious injury? ...Read more

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