Understanding Post-Concussion Syndrome: Persistent Dizziness After Injury
Post-concussion syndrome and sequelae with dizziness symptoms lasting for 3 months? Hello, doctor. I was in a car accident on April 18, and I did not experience any loss of consciousness at the time. I was able to answer all the questions from the medical staff. However, after un...
Dr. Zhang Junwei Reply:
Head trauma can also cause vestibular dizziness. It is recommended that you visit an otolaryngologist for an examination.[Read More] Understanding Post-Concussion Syndrome: Persistent Dizziness After Injury
Understanding Concussions: Symptoms, Diagnosis, and Psychological Impact
The condition is uncertain whether it is a concussion or a psychological issue? On July 10th, around 9 AM, a foreign worker was operating a crane with a set of four small metal hooks attached, slightly larger than an adult's finger. The hooks tended to stop at head height, a...
Dr. Zhang Junwei Reply:
If there is persistent dizziness, headache, and nausea after a head injury, it indicates a concussion.[Read More] Understanding Concussions: Symptoms, Diagnosis, and Psychological Impact
Head Injury at Home: Understanding Symptoms and When to Seek Help
Hit on the top of the head? On July 24th, Wednesday, at 7:49 PM, I bumped my head against the ceiling while standing on my tiptoes on the second floor of my duplex home due to the low ceiling height. At that moment, I asked my family to check, and there was only slight redness on...
Dr. Zhao Shaoqing Reply:
You can visit the outpatient clinic for examination and evaluation.[Read More] Head Injury at Home: Understanding Symptoms and When to Seek Help
Post-Spinal Surgery: Why Can't My Dad Move His Ankles and Toes?
Inability to move the ankle and toes following spinal surgery? Hello Doctor: My father underwent minimally invasive surgery for lumbar spondylolisthesis at levels L3, L4, and L5 on June 13, where screws were placed. However, since the surgery, he has been unable to move his legs,...
Dr. Lai Zhaokang Reply:
Hello: 1. The symptoms may suggest involvement of the L4 and L5 nerve roots, resembling a temporary malfunction, possibly due to nerve edema or adaptation issues to a new environment. 2. It is recommended to consult with the original surgeon regarding the need for further examina...[Read More] Post-Spinal Surgery: Why Can't My Dad Move His Ankles and Toes?
Understanding Stroke Caused by Brain Hemorrhage: A Patient's Journey
Stroke caused by cerebral hemorrhage? Hello Dr. Chang, on July 2nd, my father fell in the bathroom. At that time, he was speaking unclearly and expressed that he could not move his left side. We immediately called an ambulance, and the initial assessment was a cerebral hemorrhage...
Dr. Zhang Junwei Reply:
In the acute phase of a cerebral hemorrhage, aside from standard treatment, there are not many good recommendations, as severe brain injury may result in the patient not regaining consciousness.[Read More] Understanding Stroke Caused by Brain Hemorrhage: A Patient's Journey
Navigating Disability Claims for Multiple Health Issues: A Guide
Please consult regarding the application for disability due to multiple conditions such as scoliosis, temporomandibular joint disorder (TMJ), and psychological issues, along with related recommendations? # Medical History Summary Scoliosis: 58 degrees, unable to sit or stand for...
Dr. Lai Zhaokang Reply:
Hello: Based on your description, 1. It may be possible to assess the applicability of the "Disability Assessment Form," specifically Category I or Category VII. However, it is necessary to have a fixed long-term follow-up for a certain period before a specialist physic...[Read More] Navigating Disability Claims for Multiple Health Issues: A Guide
Post-Operative Issues After Lumbar Fusion Surgery: Common Symptoms and Solutions
Lumbar L345 fusion surgery, postoperative issues? Hello, Dr. Lai. I underwent a lumbar spinal fusion surgery at the L3-L5 levels on April 17. Monthly X-ray follow-ups have shown good recovery, but starting from the fifth week, I have been experiencing some soreness (not pain) on ...
Dr. Lai Zhaokang Reply:
Hello: 1. Some patients may experience discomfort within 2-4 weeks post-surgery. 2. Others may have delayed symptoms that appear 4-5 weeks later. 3. Initially, take medication, apply heat, and undergo rehabilitation. If there is no improvement, please consult the surgeon who perf...[Read More] Post-Operative Issues After Lumbar Fusion Surgery: Common Symptoms and Solutions
Post-Operative Issues After Lumbar Fusion Surgery: Common Symptoms and Solutions
Lumbosacral fusion surgery at the L3-L5 levels, postoperative complications? Hello, Dr. Lai. I underwent a lumbar spinal fusion surgery at the L3-L5 levels on April 17th. Monthly X-ray follow-ups have shown good recovery, but starting from the fifth week, I have been experiencing...
Dr. Lai Zhaokang Reply:
Hello: 1. Some patients may experience discomfort within 2-4 weeks post-surgery. 2. Others may have delayed symptoms that appear 4-5 weeks later. 3. Initially, take medication, apply heat, and undergo rehabilitation. If there is no improvement, please consult the surgeon who perf...[Read More] Post-Operative Issues After Lumbar Fusion Surgery: Common Symptoms and Solutions
Can a Removed Skull Bone Be Replaced by Another Hospital's Doctor?
Can the skull that was preserved in the hospital's freezer after a stroke be reattached by a doctor from a different hospital? Dear Deputy Director Zhang, My family member underwent a craniotomy due to a stroke, and the skull was removed and preserved in the hospital's...
Dr. Zhang Junwei Reply:
In theory, it is possible; however, since the skull is stored in a -80°C ultra-low temperature freezer, ensuring that the storage temperature remains unchanged during transfer to another hospital is crucial. This is to prevent an increased risk of infection, as the receiving phys...[Read More] Can a Removed Skull Bone Be Replaced by Another Hospital's Doctor?
Unilateral Sweating: Understanding Right Arm Hyperhidrosis in Heat
Walking under the sun, only the right forearm is sweating while the left forearm is not? Recently, due to the hot weather, I've noticed that after walking in the sun for a while, I sweat easily from my chest, back, and armpits. However, I've observed that only my right ...
Dr. Zhang Junwei Reply:
Palmar hyperhidrosis and sympathetic nervous system abnormalities. Neurosurgery.[Read More] Unilateral Sweating: Understanding Right Arm Hyperhidrosis in Heat
Understanding Post-Subarachnoid Hemorrhage Symptoms: Dizziness and Tinnitus
Subarachnoid hemorrhage Hello Dr. Zhao, I would like to ask you a question. I often experience dizziness and tinnitus; could this be related to the sequelae of subarachnoid hemorrhage? Thank you.
Dr. Zhao Shaoqing Reply:
You can go to the outpatient clinic for a detailed examination.[Read More] Understanding Post-Subarachnoid Hemorrhage Symptoms: Dizziness and Tinnitus
Understanding Disc Herniation: Symptoms, Treatment, and MRI Insights
Herniated disc I would like to consult Dr. Lai regarding my condition. I have cervical spine compression at levels C4, C5, and C6 affecting the spinal cord, and a ruptured intervertebral disc at the lumbar spine L5-S1. I underwent an anterior cervical discectomy on February 22. P...
Dr. Lai Zhaokang Reply:
Hello: 1. If there is severe preoperative compression of the cervical spinal cord that has already caused damage, some patients may experience abnormal sensations postoperatively and may require medication in conjunction with rehabilitation therapy. 2. It is also occasionally obs...[Read More] Understanding Disc Herniation: Symptoms, Treatment, and MRI Insights
Understanding a Movable Lump on the Back of Your Neck: What to Do?
I felt a lump on the back of my neck? Recently, I noticed a large, movable lump on the back of my neck when I looked up. It is not attached to the skin, and I cannot feel it when I look down. It is completely painless, but I am a bit worried about what it could be (the location i...
Dr. Zhang Junwei Reply:
General surgery, plastic surgery, and neurosurgery are all acceptable.[Read More] Understanding a Movable Lump on the Back of Your Neck: What to Do?
Understanding Blurry Vision: Possible Causes and When to Seek Help
Blurred vision I would like to inquire about blurred vision. I can see clearly up close, but my distance vision is blurry. This phenomenon occurred about a month ago, and after resting my eyes, it improved. Recently, I have experienced blurred vision in one eye. An ophthalmologic...
Dr. Zhang Junwei Reply:
Blurred vision is mostly related to eye issues. If there are any concerns, it is advisable to consult a neurologist.[Read More] Understanding Blurry Vision: Possible Causes and When to Seek Help
Is It Safe to Fly After Intracranial Aneurysm Surgery?
Is it safe to fly after surgery for an intracranial vascular malformation? Dear Dr. Chang, My family member underwent clipping surgery for an intracranial aneurysm three years ago and has been in stable condition during follow-up visits. They have not flown on an airplane during...
Dr. Zhang Junwei Reply:
Theoretically, it shouldn't be a concern. However, if you are worried, it is advisable to consult the original surgeon for clarification.[Read More] Is It Safe to Fly After Intracranial Aneurysm Surgery?
Should You Monitor Mild Head Injuries After a Fall? Expert Insights
Hello, Dr. Chang. I fell on May 23rd, landing on my back. Should I monitor this type of injury? Although 37 years old is not considered elderly, it is still middle-aged. On May 21, while taking a shower, I accidentally bumped the top left of my head against the metal shower head....
Dr. Zhang Junwei Reply:
Based on your description, it seems to be just symptoms of a head injury, and the likelihood of delayed bleeding is low. The key point is that if there is persistent headache or dizziness, and the symptoms worsen, it is advisable to seek medical attention promptly.[Read More] Should You Monitor Mild Head Injuries After a Fall? Expert Insights
From Neurological Emergency to Terminal Colon Cancer: A Patient's Journey
Admitted to neurosurgery, but diagnosed with terminal colorectal cancer? Hello, Doctor. I was admitted to Hospital A's emergency department due to dizziness and a fall, and examinations revealed bleeding in my brain. I was hospitalized in the neurosurgery department at Hospi...
Dr. Zhao Shaoqing Reply:
Hello: Since the above is a textual description of medical actions, it is difficult to make a judgment. You may need to consult a doctor from Kaohsiung Medical University for clarification. If it's inconvenient, you can also visit Changhua Hospital for treatment and bring th...[Read More] From Neurological Emergency to Terminal Colon Cancer: A Patient's Journey
Head Injuries in Seniors: When to Seek Medical Attention After a Fall
Elderly individuals falling and sustaining head injuries? My father is in his 70s and has Parkinson's disease. Yesterday, while sitting in a supportive chair, he leaned forward and hit his forehead on the ground, resulting in a wound and he mentioned that his neck feels comp...
Dr. Zhao Shaoqing Reply:
It would be reassuring to visit a neurosurgery clinic for an examination.[Read More] Head Injuries in Seniors: When to Seek Medical Attention After a Fall
Can Nerve Repair Improve Vocal Cord Paralysis After Trauma?
Reinnervation of the recurrent laryngeal nerve in vocal cord paralysis? Hello Doctor, last March I was involved in a car accident and required an emergency tracheostomy. Two days later, the physician decided to reposition the tracheostomy due to concerns about its initial placeme...
Dr. Lai Zhaokang Reply:
Hello: 1. This field belongs to otolaryngology, and currently, most treatments can only target non-closure of the vocal cords through injection of fillers, such as hyaluronic acid or others. 2. There are few reports, both domestically and internationally, regarding the reconstruc...[Read More] Can Nerve Repair Improve Vocal Cord Paralysis After Trauma?
Understanding Subarachnoid Hemorrhage: A Patient's Journey and Recovery
Subarachnoid hemorrhage My husband experienced a sudden headache last year and fainted in front of the emergency room. The emergency diagnosis was subarachnoid hemorrhage, and I signed the critical condition notice. He was hospitalized for a week to manage hypertension (which he ...
Dr. Zhang Junwei Reply:
If angiography has been performed and no vascular abnormalities are found, then the only option is to monitor the situation.[Read More] Understanding Subarachnoid Hemorrhage: A Patient's Journey and Recovery