Head Injuries: MRI Options and Health Insurance Coverage in Taiwan

Examination

I often experience dizziness due to frequent head impacts, so I would like to undergo an examination.
I am concerned about potential brain damage, but I understand that CT scans involve radiation.
Therefore, I would like to know if MRI is available and if it is covered by health insurance.
Where can I find the equipment and seek consultation? Given my frequent head injuries, is there a significant impact on my cognitive function?

p p, 10~19 year old female. Ask Date: 2001/05/12

Dr. Ye Boshou reply Neurology

1.
Head trauma may present with symptoms; it is recommended to first visit a neurology outpatient clinic for evaluation and treatment.
If necessary, tests such as electroencephalography (EEG), computed tomography (CT), and magnetic resonance imaging (MRI) may be performed.
These procedures are covered by health insurance, but they must be arranged after a physician's diagnosis.

2.
If there is no damage to brain cells, there should be no impact on IQ.

Reply Date: 2001/05/12

More Info

When it comes to head injuries and the potential need for imaging studies like MRI (Magnetic Resonance Imaging), there are several important factors to consider, especially regarding health insurance coverage and the implications of repeated head trauma.

Firstly, if you are experiencing frequent head impacts and symptoms such as dizziness, it is crucial to consult a neurologist or a healthcare professional. They can evaluate your symptoms and determine whether imaging studies are necessary. In Taiwan, the National Health Insurance (NHI) does cover MRI scans, but they are typically only approved when there is a clear medical indication. This means that a physician must assess your condition and decide if an MRI is warranted based on your symptoms and medical history.

MRI is a preferred imaging modality for evaluating soft tissue structures, including the brain, because it does not use ionizing radiation, unlike CT (Computed Tomography) scans. This is particularly important for individuals who have had multiple head injuries, as minimizing exposure to radiation is a valid concern. If you are worried about the potential effects of radiation from CT scans, discussing the option of MRI with your doctor is a good idea. They can help you weigh the benefits and risks of each imaging technique based on your specific situation.

As for where to get an MRI, most hospitals and specialized imaging centers in Taiwan are equipped with MRI machines. You can inquire at local hospitals or clinics to find out where you can get the scan done. It’s advisable to check if the facility accepts NHI coverage, as this can vary.

Regarding your concern about the impact of repeated head injuries on your cognitive function, it is important to note that while minor head trauma may not lead to significant long-term effects, repeated concussions or significant head injuries can potentially have cumulative effects on brain health. Studies have shown that multiple head injuries can lead to conditions such as Chronic Traumatic Encephalopathy (CTE), which can affect cognitive function, mood, and behavior. However, if your brain cells are intact and there is no significant structural damage, your IQ should not be adversely affected.

In summary, if you are experiencing symptoms related to head injuries, it is essential to seek medical advice. A neurologist can provide a thorough evaluation and recommend appropriate imaging studies, such as MRI, if necessary. The NHI in Taiwan does cover MRI scans under certain conditions, so discussing this with your healthcare provider will help clarify your options. Remember, taking proactive steps regarding your health is crucial, especially when it comes to head injuries.

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