Understanding Subarachnoid Hemorrhage and Sacral Fractures in Elderly Patients
Caused by a car accident? 1. I would like to ask if a 70-year-old woman who has sustained a subarachnoid hemorrhage and an incomplete fracture of the sacrum due to a minor car accident (where the car lightly touched her and she fell backward) can expect these injuries to heal on ...
Dr. Zhao Shaoqing Reply:
I hope to visit the outpatient clinic for an evaluation of my current condition.[Read More] Understanding Subarachnoid Hemorrhage and Sacral Fractures in Elderly Patients
Can Headphones Cause Indentations on Your Skull? Understanding the Impact
Depression of the skull About a year ago, I noticed a prominent indentation on the right side of my scalp, which has a groove that is higher at the front and back and lower in the middle. When I experience headaches, that area tends to hurt more. I don't recall having this i...
Dr. Zhao Shaoqing Reply:
You can visit the outpatient clinic for medical evaluation.[Read More] Can Headphones Cause Indentations on Your Skull? Understanding the Impact
Post-Discectomy Concerns: Recurring Numbness and Hip Pain Explained
Questions after intervertebral disc decompression? Hello, doctor! About two years ago, I underwent a simple lumbar discectomy, where only the herniated portion of the disc was removed. When I initially reviewed the MRI, the doctor mentioned that the nerve was severely compressed,...
Dr. Lai Zhaokang Reply:
Hello: It is suspected that the likelihood of a protrusion recurrence is high. It is recommended to consult a neurosurgeon for evaluation and to arrange an MRI. Best wishes, Dr. Lai Chao-Kang, Changhua Hospital.[Read More] Post-Discectomy Concerns: Recurring Numbness and Hip Pain Explained
Understanding Intradural Cysts: Risks and Benefits of Minimally Invasive Surgery
Intramedullary cyst of the spine Hello Doctor, my mother previously underwent surgery for a herniated disc, during which screws were placed. Now, it has been found that there is a cyst on the inner side of the vertebrae below the screws, which is pressing on a nerve. The consulti...
Dr. Zhang Junwei Reply:
Without detailed imaging and medical history, it is not possible to provide an answer.[Read More] Understanding Intradural Cysts: Risks and Benefits of Minimally Invasive Surgery
Fainting and Persistent Headache: Should I Worry About a Concussion?
I fainted a couple of days ago, and since that evening, I have been experiencing persistent headaches? Hello Doctor, a couple of days ago, I think I overheated from wearing too many clothes, and on top of that, I injured my hand at work and started bleeding. Initially, I felt sym...
Dr. Zhang Junwei Reply:
Recommendation for outpatient examination at the hospital.[Read More] Fainting and Persistent Headache: Should I Worry About a Concussion?
Understanding Brain Calcification: Causes, Symptoms, and Treatment Options
Cerebral calcification? Today, I went to the emergency room due to a headache and had a CT scan. The doctor mentioned that I might be using my phone too much and that my brain shows some calcification at a young age. What does this mean, and is there a way to treat it?
Dr. Zhang Junwei Reply:
There is no evidence to suggest that brain calcification is related to smartphone use.[Read More] Understanding Brain Calcification: Causes, Symptoms, and Treatment Options
Understanding Cauda Equina Syndrome: Recovery, Surgery, and Treatment Options
Cauda equina syndrome Hello Doctor, I fell from the fourth floor on August 13, resulting in cauda equina syndrome, with compression at vertebrae 7 and 12, as well as a pelvic fracture and bilateral crush fractures of the feet. The doctor initially mentioned a minimally invasive p...
Dr. Lai Zhaokang Reply:
Hello: 1. Cauda equina syndrome is a severe neurological injury. An MRI is needed to assess where the affected segments are and to determine if there are conditions for surgical decompression and spinal reconstruction. 2. If surgery is indicated, it should be performed as earl...[Read More] Understanding Cauda Equina Syndrome: Recovery, Surgery, and Treatment Options
Understanding Left Rib Pain: Possible Causes and Solutions
Left rib pain? Hello doctor, for the past three months, whenever I feel very cold (the kind that gives me goosebumps), I experience sharp pain in the left side of my rib cage, very close to the heart. Everything feels tense, and I'm unsure if it's heart pain, but the pa...
Dr. Lai Zhaokang Reply:
Hello: 1. It is suspected that you have poor blood circulation. When the temperature drops, it can lead to further deterioration of blood circulation, causing your left rib area and chest to feel cold and exhibit symptoms. 2. It is recommended that you first consult a cardiologis...[Read More] Understanding Left Rib Pain: Possible Causes and Solutions
Understanding Numbness in Your Big Toe After Injury: What to Know
Hello, Director Lai? I have recently been experiencing numbness in my right big toe for almost a week. Initially, I thought it was due to riding my road bike while wearing stiff-soled shoes and pulling the straps too tightly. The numbness in my left foot has resolved, but the rig...
Dr. Lai Zhaokang Reply:
Hello, if you have a toe contusion without skin breakage or infection, no skeletal injury, and it does not affect your mobility, it is generally a soft tissue injury. Ice therapy for three days prior to the incident is recommended, and it usually improves within two weeks. During...[Read More] Understanding Numbness in Your Big Toe After Injury: What to Know
Understanding Head Bumps: When to Worry After a Minor Accident
Head mass I had a minor car accident before, and I hit my head, resulting in a large bump. When I went to see a doctor, they mentioned it was bone overgrowth. However, after returning home, I still felt some small blood clots when I touched the area, but they haven't caused ...
Dr. Zhao Shaoqing Reply:
If you are still concerned, you can visit a hospital for a consultation.[Read More] Understanding Head Bumps: When to Worry After a Minor Accident
Head Injury in Elderly: Understanding Risks and Symptoms After a Fall
Elderly person sustained a head injury? Hello, Dr. Chang! I would like to ask you about my father, who is 65 years old. He has a history of chemotherapy, fibrosis in the head and neck region, and chronic low blood pressure. Four days ago, he experienced dizziness and fell from hi...
Dr. Zhang Junwei Reply:
If the elderly person experiences any discomfort or if you have any concerns, please visit a nearby hospital to register for a consultation.[Read More] Head Injury in Elderly: Understanding Risks and Symptoms After a Fall
Managing Head Bumps: Understanding Post-Trauma Symptoms and Care
Head mass Hello, doctor. I was in a minor car accident and hit my head, resulting in a large swelling on the back of my head. At the time, I only had my hair cut, applied medication, and used ice packs. After some time, I noticed a large area that feels both hard and soft. I cons...
Dr. Zhang Junwei Reply:
Return to the neurosurgery outpatient clinic for treatment.[Read More] Managing Head Bumps: Understanding Post-Trauma Symptoms and Care
Understanding Pituitary Tumors: When to See a Neurosurgeon for Vision Issues
Pituitary gland - visual field abnormalities Hello Doctor: In the past few months, I've been experiencing strange vision in my left eye. I visited an ophthalmology clinic, and they said everything was normal. However, at Chang Gung Memorial Hospital's ophthalmology depa...
Dr. Zhang Junwei Reply:
Please directly schedule an appointment with the neurosurgery outpatient clinic.[Read More] Understanding Pituitary Tumors: When to See a Neurosurgeon for Vision Issues
Post-Concussion Symptoms: When to Seek Medical Attention After a Car Accident
I had a concussion from a car accident in April, and now I often feel a tingling sensation in my head? In April, I was involved in a car accident that resulted in a concussion. At that time, I experienced headaches and vomiting, which improved by July. However, recently I have st...
Dr. Zhang Junwei Reply:
You can observe the symptoms first, but if they worsen, seek medical treatment immediately.[Read More] Post-Concussion Symptoms: When to Seek Medical Attention After a Car Accident
Understanding Your Symptoms: When to Consult a Neurosurgeon
Medical consultation Hello, I have been feeling persistently lethargic, primarily starting with a dizzy sensation from the back of my neck. I also experience chest pain, numbness in my big toe, occasional facial twitching (similar to eyelid twitching), frequent tinnitus, stomach ...
Dr. Zhang Junwei Reply:
You can schedule an appointment with the neurology department.[Read More] Understanding Your Symptoms: When to Consult a Neurosurgeon
Exploring Serratiopeptidase for Cervical Radiculopathy Relief
Cervical radiculopathy (starting from February) Regarding the use of serratiopeptidase for cervical radiculopathy, it is important to consult with your physician before starting any new supplement or medication. Serratiopeptidase is an enzyme that may have anti-inflammatory prope...
Dr. Zhang Junwei Reply:
Without a detailed clinical assessment, it is not possible to address medication-related questions.[Read More] Exploring Serratiopeptidase for Cervical Radiculopathy Relief
Understanding Hydrocephalus: What to Do When Vision is Affected
My sister has hydrocephalus and is unable to see? Doctor, my sister has hydrocephalus and her vision is currently at 0.1. She has undergone a drainage surgery, but she still cannot see. What should we do? Thank you.
Dr. Zhang Junwei Reply:
Neurosurgical treatment.[Read More] Understanding Hydrocephalus: What to Do When Vision is Affected
Understanding Cervical Spine Issues and Their Impact on Tinnitus
Cervical spine-related issues Hello, doctor. In very quiet places, I experience tinnitus, and if I bend my head down for too long, it also triggers the tinnitus. Changing my position helps improve the symptoms. Previously, I visited a rehabilitation clinic and had X-rays taken, w...
Dr. Lai Zhaokang Reply:
Hello: It is recommended to postpone cervical traction. Further examination of the cervical spine can be arranged, such as dynamic X-rays of the cervical spine, MRI, or carotid ultrasound. You may consult with a neurosurgeon, neurologist, or rehabilitation specialist. Wishing you...[Read More] Understanding Cervical Spine Issues and Their Impact on Tinnitus
Understanding Cervical Disc Herniation: To Operate or Not?
Cervical intervertebral disc herniation..? Hello Dr. Lai: I visited for arm numbness and pain last November, and it was found that I have a herniated disc at the C5 and C6 vertebrae. At that time, I underwent traction therapy and acupuncture, which helped a bit, but I did not ful...
Dr. Lai Zhaokang Reply:
Hello: Whether to perform surgery for cervical disc herniation compressing the nerves depends on: 1. The urgency of the situation, such as if there is already paralysis or weakness; 2. The effectiveness of conservative treatments, such as medications and physical therapy; if thes...[Read More] Understanding Cervical Disc Herniation: To Operate or Not?
Deciding on Life Support: A Family's Dilemma After Subarachnoid Hemorrhage
Family member suffered a subarachnoid hemorrhage after a car accident and lost consciousness? Hello, doctor. My grandfather suffered a subarachnoid hemorrhage due to a car accident. After the incident, he received emergency care and was intubated, but he has not regained consciou...
Dr. Zhang Junwei Reply:
Based on patient rights, patients can discuss requests for extubation with their physician at any time.[Read More] Deciding on Life Support: A Family's Dilemma After Subarachnoid Hemorrhage