Frequently Asked Questions – Head and Skull

Frequently Asked Questions - Head and Skull

  • Do you perform surgery for trigeminal neuralgia?

We try to help with a brain operation to the patients with trigeminal neuralgia, who cannot be relieved by drugs and other algology procedures.

  • It is as if I do not have a brain …
  • There is a sensation of pressure on my face, together with dizziness.
  • There is burning and pain in the nerves on the left side of my face.
  • There is buzzing and tingling in my head.
  • I cannot put my head on the pillow every night as everywhere stings; thus, I can’t sleep …
  • There’s burning and numbness behind my head.
  • What is the reason of an occasional difficulty in swallowing and a sudden whitening of the face?
  • I am 20 years old, but I read a sentence two or three times in order to understand it…
  • There is pain, numbness and burning in my tongue and palate.

It would be healthier for these questions to be answered by a neurologist.

  • He had fallen from the stairwell and was said to be normal at the emergency service; but he has contractions, his head is in the clouds, he cannot control himself and occasionally has dizziness…
  • After he’s hit the wall, his head is aching and he has dizziness when on foot. Is there anything urgent?

If these complaints are seen within a few days after the head trauma, your patient should be be evaluated by a neurosurgeon; but if present one week later on, by a neurologist.

  • It has been stated that there is a swelling on the side of the decompressive surgery and a shunt has to be inserted. Can this shunt operation be done together with the replacement of the removed skull?
  • They put my skull bones under my abdomen skin, and now they do not want to replace it.

As you may know, in decompressive surgery for brain edema; part of the skull is removed to make room for the swollen brain. This opening in the skull is later on closed occasionally with the patient’s own bone, and sometimes with an artificial bone. The most appropriate time for this correction will be decided by the neurosurgeon who performs the decompressive surgery. Sometimes shunting may not be necessary when the bone is replaced.

  • I have a bump on the left side of my forehead, should I be afraid?
  • We have a 6-month-old baby; her fontanel is closed early; they recommended surgery before she is 1-year-old.
  • The place where the bones are joined on my baby’s forehead is not flat, but has a convex bulge.
  • My son had a trigonecephaly operation at 3 months, now he is 3 years old but there is no improvement on his forehead.
  • Metal was used for skull bone thickening surgery, and now they are planning to take this thickened area away and put synthetic bone.

When congenital skull deformities are corrected by an experienced pediatric neurosurgeon with an experienced plastic surgeon – especially if the surgery is performed before the child’s first age – the result may be so that no deformity is present. Of course, such an excellent result must not be anticipated after surgery performed after the first year of age. It is better to have surgery performed by a similar team in other diseases that can disrupt the shape of the skull. Artificial bone, bone cement, cadaveric bone, titanium screws and plaques can sometimes be used in these operations, but patient’s own bone is preferred.

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