Silence is not an option when things are ill done - Lord Alfred Dennings
Brain surgery
source: medline Plus
Brain surgery is a procedure to treat problems in the brain and the surrounding structures.
Description
Before surgery, the hair on part of the scalp is shaved, and the area is cleaned. The doctor makes a surgical cut through the scalp. The location of this cut depends on where the problem in the brain is located.
The surgeon creates a hole in the skull and removes a piece, called a bone flap.
If possible, the surgeon will make a smaller hole and insert a tube with a light and camera on the end. This is called an endoscope. The surgery will be done with tools placed through the endoscope. MRI or CT can help guide the doctor to the proper place in the brain.
During surgery, your surgeon may:
Clip off an aneurysm to prevent blood flow
Remove a tumor or a piece of tumor for a biopsy
Remove abnormal brain tissue
Drain blood or an infection
The bone flap is usually replaced after surgery, using small metal plates, sutures, or wires. The bone flap may not be put back if your surgery involved a tumor or an infection, or if the brain was swollen. (This is called a craniectomy.)
The time it takes for the surgery depends on the problem being treated.
“Subramaniam’s health is improving day by day”, the same standard news from Makkal Osai Tamil daily since November 11th with no specific details.
Subra’s Life in Gods Hand
Monday, November 28, 2011
Two weeks after undergoing two brain operations, Subramaniam is still in coma.
The former MIC deputy president and one of the well-known faces for the Indian Malaysians for the last four decades has not regained consciousness and not responding to external environment till now.
According to medical websites, this condition is termed Persistent Vegetative State (PVS) and could last for years.
Ariel Sharon, the former Israeli Prime Minister, is in PVS since 2006. That is close to six years costing approximately RM 1.3 million per year to keep him alive.
As a public figure and being called Makkal Thalaivar (people’s leader), Makklal has the right to know Subra’s true health state even if that truth is bitter or painful.
Ronald Regan, ABC Peter Jennings, Apple founder Steve Jobs and many other public figures in the west revealed their medical conditions to the public avoiding speculations and rumors. But, that’s not case with Malaysian public figures.
The Tamil daily Makkal Osai is keep telling its readers that Subra is recuperating and has passed the ‘danger zone’.
Subra cossed the Danger Zone ?
makkal osai 271111
Eating mann soru (eating rice on mud or on tiles in this case) for Subra’s recovery. What an idiotic prayer? Need 100 more periyars?
Subra in Coma for 8 days
Sunday, November 20, 2011, 9:54:22 PM - Chances for regaining consciousness is slipping day –by- day for the former MIC deputy president. Today is the 8th day since the brain operation. Subra, who celebrated his birthday recently on 26.10.11 where PM Najib was the chief guest, was admitted to Asunta Hospital on 11.11.11 sometime after 11 PM.
makkal osai 201111
Subramaniam in critical condition
Friday, November 18, 2011, 11:31:31 PM -- Five days passed. Subramaniam, former MIC deputy president, is yet to regain consciousness after the second brain operation performed last Saturday night.
Wednesday, November 16, 2011 – 94 hours passed. Subra is still unconscious.
Tuesday, November 15, 2011, 11:05:33 PM - -Subra is still unconscious and is back on respiratory support.
Monday, November 14, 2011 , 11:23:24 PM -- Subra is still unconscious but breathing on his own. Today’s VIP visitors: Lim Kit Siang, Prof. Ramasamy, Sivanesan, Keyveas.
Sunday, November 13, 2011, 1:08:25 PM
Surgery completed successfully at 12:30 am last night. Subra’s exact condition will be known only after 48 hours of observation.
Meanwhile, Subra’s supporters have arranged a special prayer for his recovery at Klang Sundra Perumal Temple, 7:00 PM, today.
medicinenet.com
Saturday, November 12, 2011, 10:10:14 PM
Subramaniam is currently undergoing brain operation at Pantai Medical Center. Apparently this is a second operation which started at 5:00 PM today.
The former MIC deputy president, who was conscious when he was admitted last night at Assunta Hospital, went into coma and later transferred to Pantai Hospital.
iMOL file photo
Former MIC deputy chief Subra undergoes brain surgery
The Star, Nov 12 2011 -- Former MIC deputy president Datuk S. Subramaniam is in Pantai Medical Centre undergoing a critical brain procedure. (....more)
Bernama News (Tamil)
Former MIC deputy chief Subra undergoes brain surgery
By JOSEPH KAOS Jr
Saturday November 12, 2011 MYT 4:15:28 PM
KUALA LUMPUR: Former MIC deputy president Datuk S. Subramaniam, 67, is in Pantai Medical Centre undergoing a critical brain procedure after suffering a mild cerebral bleed due to high blood pressure.
Subramaniam's sister Sarojini said the first procedure went well and the surgeons had started the second procedure.
Specialists told his family members that the success rate was 95%, she said.
The procedure will take another four to five hours.
A crowd of about 30 - family, friends and MIC leaders are outside the Intensive Care Unit.
Former MIC chief and long-time political rival Datuk Seri S. Samy Vellu, who came at 2.15pm, said he was shocked when he heard the news this morning.
"I hope he gets well soon. We leave it to God. He is a good man. We have known each other for 40yrs. We never quarrelled, although we have had our political differences," he said.
Subramaniam's wife, Christina, 60, is also at the hospital. She is calm. The family has let Sarojini talk to the press.
The former deputy minister has three children - two sons aged 33 and 32 and a 26-year-old daughter.
Bernama
November 12, 2011 19:45 PM
Former MIC Deputy President Subramaniam Undergoes Brain Procedures
KUALA LUMPUR, Nov 12 (Bernama) -- Former MIC deputy president Datuk S. Subramaniam has been warded at the Pantai Medical Centre here Saturday to undergo brain procedures.
His sister, Sarojini, said the veteran politician underwent his first surgery this morning.
It is learnt that Subramaniam, 67, is currently undergoing the next surgery.
Sarojini said Subramaniam went to the Assunta Hospital in Petaling Jaya yesterday by himself, after encountering health problems.
He was transferred to the medical centre this morning.
Also seen at the hospital were former MIC president Datuk Seri S. Samy Vellu, Deputy Minister in the Prime Minister's Department Datuk S. Devamany and Federal Territories and Urban Well-Being Deputy Minister Datuk M. Saravanan.
Subramaniam is a former Segamat member of parliament from 1990 to 2004, and a former deputy minister.
Among the ministries he had served were housing and local government, domestic trade and consumer affairs and agriculture.
-- BERNAMA
Sunday November 13, 2011
Ex-MIC deputy president undergoes brain surgery By JOSEPH KAOS Jr and NURHIDAYAH RAMLI [email protected]
KUALA LUMPUR: Former MIC deputy president Datuk S. Subramaniam (pic) was admitted to Pantai Hospital for a brain procedure after suffering a mild cerebral bleed due to high blood pressure.
The surgery, which began at noon and was completed at about 1.30am today, was performed by four specialists.
Subramaniam's former secretary and friend of 26 years R. Balakrish-nan said the operation went well and Subramaniam would be transferred to the in-tensive care unit soon.
The 67-year-old veteran politician was transferred to the hospital in the morning yesterday after he was admitted to another hospital the previous day.
Subramaniam had just left a function on Friday night when he felt unwell and instructed his driver to send him to hospital.
A crowd of about 30 people including family, friends and MIC leaders kept vigil outside the intensive care unit since 10am.
Subramaniam's wife, Datin Christina Sugan-thi, 60, and the couple's three children two sons aged 33 and 22, and a 26-year-old daughter were also present.
Subramaniam's sister Sarojini said family members believed he was “in good hands”.
“One of the doctors briefed us and said the surgery's success rate is 95%,” she told reporters.
Former MIC president and long-time political rival Datuk Seri S. Samy Vellu, who dropped by at 2.15pm, said he was shocked when he heard the news in the morning.
“I hope he gets well soon. We have known each other for 40 years and never quarrelled, although we have had our political differences,” he said, adding that he rushed to the hospital as soon as he returned from India.
A brain hemorrhage is a type of stroke. It's caused by an artery in the brain bursting and causing localized bleeding in the surrounding tissues. This bleeding kills brain cells.
The Greek root for blood is hemo. Hemorrhage literally means "blood bursting forth. "Brain hemorrhages are also called cerebral hemorrhages, intracranial hemorrhages, or intracerebral hemorrhages. They account for about 13% of strokes. Oscar-winning director of The English Patient Anthony Minghella, President Franklin D. Roosevelt, and actor Richard Burton all died of brain hemorrhages.
What happens during a brain hemorrhage?
When blood from a trauma irritates brain tissues, it causes swelling. This is known as cerebral edema. The pooled blood collects into a mass called a hematoma. These conditions increase pressure on nearby brain tissue, and that reduces vital blood flow and kills brain cells.
Bleeding can occur inside the brain, between the brain and the membranes that cover it, between the layers of the brain's covering or between the skull and the covering of the brain.
What causes bleeding in the brain?
There are several risk factors and causes of brain hemorrhages. The most common include:
Once you see a doctor, he or she can determine which part of the brain is affected based on your symptoms.
Doctors may run a variety of imaging tests, such as a CT scan, which can reveal internal bleeding or blood accumulation, or an MRI. A neurological exam or eye exam, which can show swelling of the optic nerve, may also be performed. Blood tests and a lumbar puncture (spinal tap) may also be needed.
Treatment for bleeding in the brain depends on the location, cause, and extent of the hemorrhage. Surgery may be needed to alleviate swelling and prevent bleeding. Certain medications may also be prescribed. These include painkillers, corticosteroids or diuretics to reduce swelling, and anticonvulsants to control seizures. Blood products or intravenous fluids may be administered if needed.
Can people recover from brain hemorrhages and are there possible complications?
How well a patient responds to a brain hemorrhage depends on the size of the hemorrhage and the amount of swelling.
Some patients recover completely. Possible complications include stroke, loss of brain function, or side effects from medications or treatments. Death is possible, and may quickly occur despite prompt medical treatment.
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