Patient Question:Disease:Cerebral obstruction, furunculosisDescription:Male, 46 years old, had a sudden cerebral obstruction in Hangzhou on April 19, 2014, unable to stand, unable to walk, numbness of the right limb, poor control of the left limb shaking, tinnitus in the right ear, slurred speech. On the same day, the emergency doctor of xxxxx hospital made a wrong diagnosis, and only after being transferred to zhejiang xxxxx hospital on the 20th was the diagnosis of cerebral obstruction and furunculosis confirmed, but the doctor said that the time for thrombolysis had been missed, and only plaque stabilization and blood activation treatment could be carried out. two weeks later, when preparing for neck stent surgery, bleeding was found in the brain, and then he was asked to be discharged from the hospital to rest at home and wait for the bleeding to be absorbed before surgery. on June 16, he went to the hospital again for examination and said that the bleeding was still not completely The bleeding had not been completely absorbed and could not be operated on yet. Now the patient has returned to Shenzhen, can stand, walking unsteadily and slowly, the right limb is still numb, the left limb is still shaking poorly controlled, dizziness, body imbalance, sweating only on the right side, the left side of the body does not sweat, tinnitus in the right ear, unclear speech. At present, the blood bran is 8.8 fasting and 11.7 after meal, can this condition be operated? How should I treat it? If I go to Peking University Hospital, should I go to neurology or neurosurgery? I am eagerly waiting for your reply! Thank you very much! How can I treat this condition? Can I have surgery? If I go to Peking University Hospital, should I go to neurology or neurosurgery? How can I find you? The hospital department consulted:Hangzhou Zhejiang Province ×××× Hospital Department of Neurology Peking University Shenzhen Hospital Department of Neurosurgery Qi Hui replied: post-infarction bleeding is generally more serious, need to stabilize two or three months to consider surgery Patient Question: Dr. Qi Hello, my husband felt very dizzy and chest tightness yesterday afternoon, has gone to Peking University Hospital neurosurgery hospitalization, hope to continue to get your treatment. He is afraid to move much because he is worried about the blood clot falling down again, and he is still walking unbalanced and unstable after more than two months. Patient Question: Hello, Director Qi! Thank you very much for treating my husband. The surgery was very successful, and his dizziness and tinnitus are now significantly improved, and his mood is much more cheerful. However, we still have some doubts: Does he need to rest for a while before rehabilitation or can he start rehab immediately? Also, is the “regular review” mentioned on the discharge form to be done on Wednesday afternoon or in the inpatient unit? Thank you! Reply from Qi Hui, Department of Neurosurgery, Peking University Shenzhen Hospital: No thanks. The rehabilitation exercises should be done according to your ability, basically, you should not feel tired when you wake up the next day.
The MRI should be reviewed at three months, and the angiogram at six months.
I have an afternoon clinic on Wednesday