Patient Question:Disease:Brainstem hemorrhage and occupancy Description:Last September I found slight numbness in my foot, and after examination it was a brainstem occupancy. In July of this year, it increased in size and bleeding, d was treated in a local hospital for a month and is now resting at home. Now the numbness is worse than last year, the strength of the left hand and foot is not as strong as before, I can’t walk by myself, but I can stand up by myself holding something, I can also walk slowly for a while, I hope to provide help: I want to ask, how to treat, the cost is about how much The hospital department: Hunan Xiangya Hospital Neurosurgery Beijing Tiantan Hospital Neurosurgery Reply: Please take pictures and upload the examination film, so that the doctor can understand the condition and give Please take photos and upload the examination films so that the doctor can understand the condition and give treatment suggestions. How to upload: You can take a photo of the examination film with a white wall, white light source or hospital light box as the background, and the photo that you can read the small letters on the film after enlargement is qualified. Reply” to complete the upload. Click here to view my clinic hours Patient Question: Dr. Yuan, new information, the patient is 52 years old, has never had high blood pressure, slightly high blood lipids. In July this year, the dizziness and numbness were aggravated, and the current symptoms are numbness in the left hand and foot and the left side of the face, and he cannot walk by himself, he falls to the left and needs to be supported. At present, he can eat and sleep, and his bowels and urine are normal, but his spirit is poor, and he often curses and loses his temper. I would like to hear your opinion on this case. We have not done imaging at the moment because we are considering what to do next even if the nature is determined? What kind of treatment, if any, would be appropriate and what would be the approximate cost? Also what is the approximate percentage of chance and risk each? Rural family Yuan Ge, Department of Neurosurgery, Beijing Tiantan Hospital replied: Spongiform hemangioma is likely to be treated surgically. However, the risk of surgery is high. Click here to view my clinic hours Patient Question: Thanks for Dr. Yuan’s reply If surgery, is the risk mainly from not being able to stop the bleeding at that time? Or are there other sequelae? I’d like to know what kind of surgery I’m going to have, whether it’s open or interventional, which one has a controlled risk, a complete effect, no recurrence, late recurrence or improvement of the current symptoms and basic self-care. In addition, please give an approximate budget range for the cost of the procedure. The patient is my mother, my father has been gone for seven or eight years, so I hope my mother will not get this disease and can live a good life, but in return, as a son, I am very conflicted, I do not know how to choose. For such a condition, should it be palliative and conservative or aggressive surgery? I wish you a happy working life. Response: If surgery is performed, is the risk mainly from the failure to stop the bleeding at that time? Or are there other sequelae? A: The main damage is the brainstem tissue surgery using the kind of way, open Lu or intervention, that one under the risk of control, the effect will be complete point, not recurrence late recurrence or can improve the current symptoms, to achieve basic self-care. In addition, please give an approximate budget range for the cost of surgery. A: Intervention is not suitable, only surgery. The deposit for hospitalization is 80,000. The patient is my mother, my father has been gone for seven or eight years, so I hope that my mother will not be on such a disease, can live a good life, return to her As a son, very conflicted, do not know how to choose. For such a condition, is it palliative and conservative or aggressive surgery? A: Surgery is really risky, so you can only take your own ideas. The compromise is to live with it, and then choose surgery when you can’t live anymore.