Doctor insights on:
Stroke During Brain Surgery
Size of stroke: The amount of swelling, or edema, around a stroke is related to the volume of tissue infarcted. For a small stroke, swelling shouldn't be a problem. For a major hemispheric stroke, swelling can be life threatening and even sometimes require brain surgery to relieve pressure caused by the swelling. ...Read moreSee 1 more doctor answer
Generally not: It depends on the specific situation, but if the brain has been deprived of oxygen for more than 12 to 14 minutes, the damage is (usually) at least partly irreversible. A relatively new technique called therapeutic hypothermia improves the statistics somewhat, but the outcomes for many patients are still poor. ...Read moreSee 1 more doctor answer
66yr/ m congestive heart failure, stroke, pulmonary embolism, then 2nd massive hemorrhagic stroke, surgery to repair, fell into coma. prognosis?
Depends: In the correct hands, brain aneurysm surgery is less risky than it used to be 20 years ago. Unfortunately, all brain aneurysm surgeries (clipping or coiling) carry a risk for stroke and hence cannot be classified as "safe" surgeries. They are moderate to high risks surgeries depending on the size of the aneurysm and the health of the patient. Ask your doctor for details. ...Read moreSee 3 more doctor answers
Elderly lady had stroke due to blood clot. Has brain swelling. In a coma. Stroke induced. Chances of survival?
Routine risk: More and more dbs units are being surgically implanted into brains of parkinson pts, and if there is need for surgery for another reason, risk should be about similar to pts without the disorder. Main problem in this age group is the presence of medicine for cardiac or stroke prevention which could prolong bleeding if not stopped pre-operatively. ...Read more
No: The x ray radiation in a CT has no measurable or known effect on neural tissues. 1) dose is way too low and 2) nerves are relatively radioresistant since the cells don't reproduce very fast, if at all. There is a theoretical risk of cataracts and cancer years later, but this is incredibly small esp. for a single scan and controversial anyway. ...Read moreSee 1 more doctor answer
Age 23. Coma patient. Diffused axonal injury. Intraventricular hemmorhage. Bleeding in frontal lobe. Chances of survival? Any possible impairment?
Not good : Sorry about this one, but there will be a suboptimal outcome at best. Survival may be issue, talk to your doctors, and perhaps an eeg can guide decisions, but hard to predict outcome of comas. Sounds like a profound traumatic event, and since young and severe, have a family conference with the treatment team, and get all your questions answered. ...Read more
In some cases: It depends on the nature of the injury and specific symptoms. There are certain situations when patching one eye or using special prism glasses may be of benefit as well as other therapeutic techniques. However, it is always best to be evaluated by a specialist to best assess what makes the most clinical sense for each individual. ...Read moreSee 1 more doctor answer
Hope positive result: Fairly high percentage success rate, with at least a 60-75% decrease in seizure frequency, if you possess an appropriate focal lesion in the temporal lobe. You will need to discuss the technical aspects, and risk factors with your surgeons, and hopefully, get all your questions answered. ...Read more
Brain injury oxygen deprivation are there institutions which specialize in brain injuries due to oxygen deprivation after taking oxycoten?
Yes: Sorry to hear about your loved one. There is nothing specific about oxycontin-induced anoxic brain injury; however, there are rehab facilities that do specialize in brain injury. Much can be done to help some patients to regain some of their activities of daily living, however most of this is general to all brain injury. Look for good management of family expectations while maximizing function. ...Read more
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