Moderator: Is a headache just a brain tumor?
Zhao Jizong: Headache is a symptom that everyone has, and most of it is not caused by brain tumor. There are many causes of headache, such as neurasthenia, overwork and poor sleep. There are also paroxysmal migraine, eye ametropia, myopia, sinusitis and so on. However, all of them can be relieved after symptomatic medication, and headaches caused by brain tumors are less common. Headache caused by brain tumor is a severe and persistent headache. When you get up in the morning, you will feel very painful. Taking painkillers can only relieve it for a while. In addition, headaches can be accompanied by vomiting.
Moderator: Are there many people suffering from brain tumors in China?
Zhao Yuanli: Not many people suffer from brain tumors. The incidence of brain tumors is 1 10,000 people 1 person per year. There are more than ten kinds of brain tumors: congenital, acquired, benign and malignant.
Moderator: What are the hazards after suffering from brain tumor?
Zhao Jizong: Cranial cavity includes brain, blood vessels, hydrocephalus and nerves. Brain tumors also grow in the skull, so they will squeeze normal brain tissue and are not easy to find. The brain is like the headquarters of the human body. Once it goes wrong, all organs in the body will be abnormal.
Zhao Yuanli: After increased intracranial pressure, there will be headaches and vomiting. Vomiting of brain tumor is jet. After vomiting, headache symptoms will be relieved. The longer the brain tumor, the more serious the symptoms will be. Sometimes there will be fundus edema, blurred vision and decreased vision. It may also lead to neurological disorders and dysfunction of the brain or cerebellum.
Moderator: Can brain tumors be inherited?
Zhao Jizong: In recent years, it has been found that some tumors are hereditary but benign, such as cavernous hemangioma, angioreticuloma and neurofibromatosis.
Moderator: What other symptoms can brain tumors cause?
Zhao Jizong: There are 12 pairs of cranial nerves in the brain, which are responsible for the functions of the five senses of the head. After the appearance of brain tumor, it will affect the function of brain nerve and lead to dysfunction of five senses. If the brain tumor grows in the cerebellum, the patient will walk unsteadily. If a brain tumor grows in the brain, it will affect movement, mood and language.
Moderator: There is a woman, menopause, lactation. The doctor said she had a brain tumor. Why?
Zhao Jizong: Brain tumors are also related to endocrine. The endocrine center of the skull base is called pituitary gland. Once there is a problem, it will cause endocrine abnormalities. Such patients often go to obstetrics and gynecology for examination first, and then cause other symptoms when the tumor grows up. It was only after examination that it was found that the brain tumor was advanced; Congenital craniopharyngioma in adolescents will affect children's development, resulting in short stature and thirst. After the child gets this disease, he drinks a lot of water, and he can drink tens of thousands of milliliters of water in 24 hours, so he urinates a lot, which will also affect his vision in the later stage. At this time, they should go to a special hospital to check whether there is a brain tumor.
Moderator: Ms. Zhou's son in Beijing is 2 1 year old. At the age of 65,438+08, he suddenly went crazy. After that, every year 1-2 episodes. Now he is taking phenytoin sodium without any symptoms. What tests need to be done? Is it a brain tumor?
Zhao Jizong:/kloc-Teenagers over 0/5 years old suddenly go crazy, which is usually a brain tumor, but it may also be caused by vascular malformation, parasites and other reasons. It is suggested to go to a specialized hospital for magnetic resonance imaging (MRI) examination, and children under 15 suddenly become insane, which may be primary epilepsy. At present, the cause of the disease is not very clear.
Moderator: Ms. Lu from Zhejiang often has headache and vomiting, but she will be fine after a sleep. Does she have a brain tumor?
Zhao Yuanli: Headache can be caused by many reasons. If the headache is accompanied by jet vomiting, it is recommended to go to a specialized hospital for CT or magnetic resonance imaging.
Moderator: Mr. Zhu's daughter in Henan is 3 years old. There is a germ cell tumor in her brain, 2 cm in size. Symptoms are precocious puberty and breast development. How to treat it?
Zhao Jizong: I used to need surgery, but now I can use radiotherapy. Because I am very sensitive to radiotherapy drugs, germinomas will disappear in less than a course of treatment, and the effect is very good.
Moderator: How to find brain tumors early?
Zhao Yuanli: If you have the above symptoms, you should go to the hospital neurology department for detailed examination, such as CT and magnetic resonance imaging.
Moderator: How to treat after suffering from brain tumor?
Zhao Jizong: With the improvement of treatment technology, the postoperative effect has also improved. You can do craniotomy, minimally invasive surgery, and navigation technology under the microscope. The postoperative effect is good and the operation time is short. Radiotherapy can also be used to kill tumor cells, and chemical drugs can also be used for treatment. Of course, comprehensive treatment can also be carried out. The effect is satisfactory, the mortality rate has dropped below 1%, and the operation is relatively safe.
Moderator: Sister Liu from Jiangsu had a craniotomy last year because of a brain tumor. Now her blood sugar is very high. Can she do radiotherapy?
Zhao Yuanli: I don't know if she has diabetes. She can use some hypoglycemic drugs or insulin regularly. It is recommended to have a medical examination. After the blood sugar control is normal, she will receive radiotherapy.
Moderator: Ms. Zhen's husband in Gansu is 38 years old and has been diagnosed as pituitary adenoma. How to treat it? If I go to Beijing for treatment, how long will it take? How much is the charge?
Zhao Jizong: The treatment depends on the size and location of the tumor. If the tumor is small, minimally invasive surgery can be performed through the nasal cavity. If the tumor is large, only craniotomy can be performed. If the tumor is small and far away from the nerve, radiotherapy can also be performed. The course of treatment is about 1 week, and the advance payment is 35,000 yuan. According to the cost, you can refund more and make up less.
Moderator: Ms. Wang from Heilongjiang found that she had glioma and often twitched. Can she receive treatment?
Zhao Yuanli: This is a common brain tumor that can be treated by surgery, radiotherapy and chemotherapy. It's a malignant tumor, and it's not easy to remove it surgically.
Moderator: Ms. Chen in Xiamen has a brain tumor and hydrocephalus. She couldn't lift her left hand and was dizzy. How to treat it?
Zhao Jizong: There are many reasons for hydrocephalus. It is suggested to go to the hospital to check the relationship between brain tumor and hydrocephalus. If it is caused by a brain tumor, it can be removed and the symptoms of hydrocephalus will be alleviated. If it is not caused by brain tumor, hydrocephalus can be diverted and drained to abdominal cavity for absorption.
Moderator: Ms. Yang from Sichuan has lost her vision due to a brain tumor. Can she be treated with laser? Will the cured vision be restored?
Zhao Yuanli: Craniotomy can be treated with laser. Whether vision can be restored depends on the time of brain tumor discovery and treatment.
Moderator: Ms. Jiang Xilin's father is a pituitary tumor and had a craniotomy. After the operation, he found that the pituitary function was low. Will he recover? Will it recur?
Zhao Jizong: Substitution therapy can be performed, treatment can be performed according to the test results, and chemotherapy can also be combined with treatment. It is recommended to have magnetic resonance imaging every six months. The recurrence rate of benign tumors in the brain is small, while the recurrence rate of malignant tumors, especially glioma, is high, so regular review is very important.
Moderator: Anhui Chen is 18 years old. Examination revealed space occupying lesions in bilateral ventricles and third ventricles. Considering ventricular ependymoma, is the survival rate of surgical treatment great? What is the quality of life after operation?
Zhao Yuanli: This may be an ependymoma in the ventricle and a kind of glioma. Relatively speaking, if the operation is clean, the effect is still ok.