Should My Elderly Father Undergo Skull Reconstruction After Head Injury?
Intracranial hemorrhage due to a car accident? On April 22 at 10:00 AM, my father was involved in a car accident. That afternoon, he experienced intracranial hemorrhage exceeding 30% of blood volume, necessitating an emergency surgery that evening to relieve intracranial pressure...
Dr. Zhao Shaoqing Reply:
Hello; after a physician assesses that the brain condition is relatively stable, it is generally recommended to reattach and secure the skull defect. Besides improving the aesthetic appearance after cranial reconstruction and protecting the extremely delicate brain tissue, it als...[Read More] Should My Elderly Father Undergo Skull Reconstruction After Head Injury?
Post-Spinal Surgery: Understanding Right Leg Pain and Recovery Challenges
Post-operative pain in the right leg after spinal surgery? Hello Doctor: I am consulting on behalf of my mother. She underwent surgery on July 26 for spondylolisthesis at levels L2, L3, and L4. Before the surgery, she experienced significant pain in her left leg and lower back, w...
Dr. Lai Zhaokang Reply:
Hello: You have right-sided sciatica. Please consult with your original surgeon, as it may be due to inflammation combined with blood or blood clots causing irritation, or it could be due to other reasons. If medication treatment is ineffective and X-ray results are normal, pleas...[Read More] Post-Spinal Surgery: Understanding Right Leg Pain and Recovery Challenges
Understanding Foot Pain and Numbness: Could a Herniated Disc Be the Cause?
Only experiencing numbness in the soles of the feet and a tingling sensation in the lower limbs? Hello, doctor. Since November 2021, I have experienced sudden pain and numbness in the left sole of my foot while playing basketball. After a month, the right foot also started to fee...
Dr. Lai Zhaokang Reply:
Hello: Cervical spinal cord lesions presenting solely with foot symptoms are rare, but they can occur. It is recommended that if you 1. experience severe and intolerable symptoms, or 2. have significant neural compression evident on MRI that can explain your condition, you may co...[Read More] Understanding Foot Pain and Numbness: Could a Herniated Disc Be the Cause?
Chronic Neck and Shoulder Pain: Seeking Answers for Lasting Relief
Daily Disturbances I have been experiencing persistent pain from my neck to my shoulders, and sometimes it even extends to my fingers, causing numbness. Recently, this pain has spread to my deltoid area. When I press on the side of my cervical spine and then release, I feel a str...
Dr. Lai Zhaokang Reply:
Hello: It is suspected to be cervical spine degeneration, commonly cervical disc herniation, which compresses the nerves. It is recommended to consult a neurosurgeon and undergo X-rays, or even an MRI, to assess the condition. Best wishes from Dr. Lai Chao-Kang, Director of the S...[Read More] Chronic Neck and Shoulder Pain: Seeking Answers for Lasting Relief
Understanding Foot Pain and Numbness: Is Cervical Disc Herniation the Cause?
Only experiencing numbness in the soles of the feet and a tingling sensation in the lower limbs? Hello Doctor. Since November 2021, I have experienced sudden pain and numbness in the left sole of my foot while playing basketball. After a month, the right foot also began to feel s...
Dr. Lai Zhaokang Reply:
Hello: Cervical spinal cord lesions presenting solely with foot symptoms are rare, but they can occur. It is recommended that if you 1. experience severe and intolerable symptoms, and 2. MRI imaging shows significant neural compression that can explain your condition, you may con...[Read More] Understanding Foot Pain and Numbness: Is Cervical Disc Herniation the Cause?
Post-Surgery Numbness and Weakness in Feet: Causes and Solutions
Post-spinal surgery symptoms include leg numbness, weakness, and muscle tightness? Hello, Director Zhang! I am a patient with rheumatoid arthritis who underwent spinal surgery on July 11 for spondylolisthesis and spinal instability. The procedure involved a spinal fusion with scr...
Dr. Zhang Junwei Reply:
Without detailed physical examination and imaging reports, it is not possible to determine the patient's condition progression and prognosis. Please consult the original surgeon.[Read More] Post-Surgery Numbness and Weakness in Feet: Causes and Solutions
Understanding Recovery from Subdural Hemorrhage in Elderly Patients
An 81-year-old patient has experienced a hemorrhage in the superficial area of the right hemisphere of the brain? Hello Doctor: My mother was sent to the emergency room on July 22 due to excessive drowsiness. A CT scan revealed bleeding in the posterior superficial area of the ri...
Dr. Zhao Shaoqing Reply:
Hello: The human brain is an extremely intricate organ. Most injuries cause damage at the moment of bleeding. If the patient responds to family members' calls and the amount of bleeding is not significant, some physicians may advocate for conservative treatment. Generally, b...[Read More] Understanding Recovery from Subdural Hemorrhage in Elderly Patients
Understanding Recovery from Subdural Hemorrhage in Elderly Patients
An 81-year-old patient has experienced a hemorrhage in the superficial area of the right hemisphere of the brain? Hello Doctor: My mother was sent to the emergency room on July 22 after falling into a deep sleep. A CT scan revealed bleeding in the posterior superficial area of th...
Dr. Zhao Shaoqing Reply:
Hello: The human brain is an extremely intricate organ. Most injuries cause damage at the moment of bleeding. If the patient responds to family calls and the amount of bleeding is not significant, some physicians may advocate for conservative treatment. Generally, bleeding will g...[Read More] Understanding Recovery from Subdural Hemorrhage in Elderly Patients
Understanding Eye Discomfort: When to See a Neurologist or Ophthalmologist
I have been feeling that my right eye is not fully open for a long time? Hello, doctor. For the past three months, I have been experiencing a sensation where my right eye does not fully open upon waking up (it feels like it only opens about 80-90%). This results in my left eye ap...
Dr. Zhang Junwei Reply:
You can schedule an appointment with either the neurosurgery or neurology department.[Read More] Understanding Eye Discomfort: When to See a Neurologist or Ophthalmologist
Post-Car Accident: Understanding Tingling in Hands and Feet
After the car accident, there is a tingling sensation in the arms and legs? A family member was in a car accident and is experiencing a tingling sensation in their arms and legs, but their grip strength is normal. An X-ray of the hand was taken and no issues were found. Initially...
Dr. Zhang Junwei Reply:
You can schedule an appointment at the neurosurgery outpatient clinic.[Read More] Post-Car Accident: Understanding Tingling in Hands and Feet
Post-Surgery Symptoms After Brain Tumor Removal: Causes and Recovery
Postoperative symptoms after brain tumor surgery? Hello, doctor. After undergoing brain tumor resection surgery last June, I have been experiencing persistent symptoms of tinnitus and facial numbness. Could this be due to nerve damage during the surgery, or is it a problem relate...
Dr. Zhang Junwei Reply:
Without detailed imaging and neurological examination, it is not possible to make a determination or provide an answer.[Read More] Post-Surgery Symptoms After Brain Tumor Removal: Causes and Recovery
Can Patients with Previous Spinal Surgery Safely Perform Stretching Exercises?
Can I perform lumbar stretching rehabilitation after having undergone lumbar spine surgery? Hello doctor, my father had surgery on his lumbar spine several years ago and had bone screws placed. Now he is experiencing numbness in both legs. He consulted an orthopedic doctor who me...
Dr. Zhang Junwei Reply:
It is generally not recommended; you may consult a rehabilitation physician for further advice.[Read More] Can Patients with Previous Spinal Surgery Safely Perform Stretching Exercises?
Understanding Recovery from Right Brain Hemorrhage in an 80-Year-Old
Cerebral hemorrhage in the superficial region of the right hemisphere in an 80-year-old patient? Hello, Doctor: My mother had a 60cc hemorrhage in the right cerebral hemisphere on July 23, 2022. It has not affected her motor strength, but she has been sleeping a lot. She responds...
Dr. Zhang Junwei Reply:
1. Typically, it can be fully absorbed within a month. 2. Since we are unaware of the patient's current condition, please consult the original attending physician. 3. It is possible.[Read More] Understanding Recovery from Right Brain Hemorrhage in an 80-Year-Old
Post-Surgery Arm Pain After Cervical Disc Replacement: What to Do?
Postoperative arm pain after cervical spine surgery? After undergoing C5-C6 and C6-C7 disc replacement surgery (artificial disc replacement) last December, the original numbness symptoms have resolved, but there is persistent soreness in the left arm, particularly in the upper ar...
Dr. Lai Zhaokang Reply:
Hello: Please consult the original surgeon to determine if rehabilitation or pain management treatment is necessary. Best wishes, Dr. Lai Chao-Kang, Neurosurgery.[Read More] Post-Surgery Arm Pain After Cervical Disc Replacement: What to Do?
Neck Pain and Tinnitus: Understanding Their Connection and Treatment Options
Cervical spine issues I currently have chest pain and tinnitus in my left ear. I consulted a cardiologist who performed tests and confirmed that my heart is fine. I also visited an otolaryngologist regarding the tinnitus, and they found no issues. However, both problems persist w...
Dr. Lai Zhaokang Reply:
Hello: Please consult with a <Neurosurgery> specialist to evaluate whether it is cervical-related chest pain. Best wishes, Dr. Lai Chao-Kang, Neurosurgeon.[Read More] Neck Pain and Tinnitus: Understanding Their Connection and Treatment Options
Managing Sciatica During Pregnancy: Understanding Disc Herniation Risks
Herniated disc compressing nerves at 18 weeks of pregnancy? Hello Doctor, I am currently 18 weeks pregnant and experiencing severe pain when walking or sitting. I have sharp, shooting pain and numbness from my left hip down to my calf, and I am limping with a misaligned posture d...
Dr. Lai Zhaokang Reply:
Hello: If you suddenly experience weakness and soreness in your thigh and knee, this symptom may indicate a more serious condition. Since lumbar spine surgery requires X-rays, there is a risk of fetal radiation exposure. Generally, expectant mothers are encouraged to endure the d...[Read More] Managing Sciatica During Pregnancy: Understanding Disc Herniation Risks
Post-Head Injury: Persistent Swelling and Worsening Dizziness Concerns
After a head injury, the swelling has not subsided and dizziness has worsened? Hello Doctor: My mother (63 years old) slipped and fell in the bathroom a week ago, hitting the back left side of her head (no external injury but with noticeable swelling). She immediately went to the...
Dr. Zhang Junwei Reply:
It is recommended to return to the neurosurgery outpatient clinic for an examination.[Read More] Post-Head Injury: Persistent Swelling and Worsening Dizziness Concerns
Understanding Hydrocephalus: Treatment Options for Severe Cases in Elderly Patients
Hydrocephalus, resulting in complete body paralysis and loss of consciousness? My mother is 84 years old. In early May of this year, she underwent surgery for a brain hemorrhage at Shin Kong Hospital. After being discharged, she had a urinary catheter in place, was conscious, and...
Dr. Zhang Junwei Reply:
Without a detailed physical examination and imaging reports, it is not possible to answer such questions online. It is recommended to consult a neurosurgery outpatient clinic for evaluation.[Read More] Understanding Hydrocephalus: Treatment Options for Severe Cases in Elderly Patients
Blurred Vision After Brain Hemorrhage: Recovery and Treatment Options
Blurred vision due to cerebral hemorrhage? Hello Doctor, I would like to ask about my family member who has experienced slight bleeding in the brain due to a car accident. It has been a month since the accident, and there have been no dizziness symptoms, but the blurred vision ha...
Dr. Zhao Shaoqing Reply:
Hello: It is recommended to visit an ophthalmologist for a detailed examination to check for any damage to the optic nerve. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Blurred Vision After Brain Hemorrhage: Recovery and Treatment Options
Understanding Post-Surgery Foot Numbness: Nerve or Vascular Issues?
Craniopharyngioma I recently had surgery and have been discharged from the hospital. I've noticed that the soles of my feet feel numb quite frequently, which has been happening for a long time and is affecting my sleep. Could this be a neurological issue or a vascular proble...
Dr. Zhang Junwei Reply:
It is possible.[Read More] Understanding Post-Surgery Foot Numbness: Nerve or Vascular Issues?