Understanding Lumbar Spondylolisthesis: Latest Minimally Invasive Treatments
Spinal instability due to spondylolisthesis? Hello, Director Lai. I am an RA. MRI shows L4-5 spondylolisthesis with spinal instability, herniated disc compressing the nerve, and narrowing of the intervertebral space. Symptoms include lumbar pain, right lower limb neuropathic pain...
Dr. Lai Zhaokang Reply:
Hello: 1. The OLIF procedure you mentioned is relatively novel, and its advantages are generally as you described. However, it should be noted that OLIF accesses the spine from the anterolateral approach and employs an indirect decompression technique, which means it may not ac...[Read More] Understanding Lumbar Spondylolisthesis: Latest Minimally Invasive Treatments
Can Skull Preservation Lead to Infection from Own Acne Bacteria?
Can the skull preservation be infected by its own acne bacteria? Last month, my spouse underwent a craniotomy for the excision of an arteriovenous malformation, and the skull bone was temporarily stored for over a month. During the second surgery these past few days, we inquired ...
Dr. Zhao Shaoqing Reply:
Hello: There is a possibility of infection associated with the skull, whether it is removed, replaced, or retained in any state. The original skull will be carefully evaluated by the physician to determine if it has been infected and whether it is appropriate to retrieve it. If i...[Read More] Can Skull Preservation Lead to Infection from Own Acne Bacteria?
Understanding Post-Surgery Pain: Insights on Spine Surgery Recovery
Spinal surgery Hello Doctor: My father has been experiencing pain and numbness in his legs, which radiates from his lower back to the soles of his feet. He was diagnosed at the hospital with degeneration of the fourth and fifth lumbar vertebrae, causing nerve compression. He subs...
Dr. Lai Zhaokang Reply:
Hello: Based on your description, high-frequency thermal coagulation therapy can be considered; however, the patient needs to come in for an evaluation. Additionally, it is recommended to bring recent MRI and X-ray images from the original hospital, copied onto a disc. Best wishe...[Read More] Understanding Post-Surgery Pain: Insights on Spine Surgery Recovery
Understanding Spine Surgery: Managing Pain and Recovery Challenges
Spinal surgery Hello Doctor: My father has been experiencing pain and numbness in his legs, which radiates from his lower back down to the soles of his feet. After being diagnosed at the hospital, it was determined that the degeneration of the fourth and fifth lumbar vertebrae wa...
Dr. Lai Zhaokang Reply:
Hello: Based on your description, high-frequency thermal coagulation therapy can be considered; however, the patient needs to come to the clinic for an evaluation. Additionally, it is recommended to bring recent MRI and X-ray images from the original hospital, copied onto a disc....[Read More] Understanding Spine Surgery: Managing Pain and Recovery Challenges
Understanding Post-Surgery Spine Issues: When to Seek Medical Advice
Nail problems Hello, I would like to ask about my condition. Three years ago, I had a herniated disc at lumbar vertebrae L1 and L2, and upon the doctor's recommendation, I had dynamic screws installed at thoracic vertebra 15 and lumbar vertebrae L1 and L2. Recently, I have n...
Dr. Zhang Junwei Reply:
Without detailed medical history and physical examination, it is not possible to provide an answer.[Read More] Understanding Post-Surgery Spine Issues: When to Seek Medical Advice
Is It Normal to Experience Mild Swelling and Pain After a Head Injury?
Head trauma On April 9, a car accident resulted in a contusion to the left forehead without a concussion. After the swelling subsided, there is still a slight lump on the forehead with occasional sharp pain (without touching). Is this condition normal after more than a month?
Dr. Zhao Shaoqing Reply:
You can visit the outpatient clinic for consultation.[Read More] Is It Normal to Experience Mild Swelling and Pain After a Head Injury?
Exploring Treatment Options for IDH-Mutant Glioma: A Patient's Guide
Is Dymista suitable for me? Hello Doctor: Below is my recent biopsy report. I was diagnosed with a grade II oligodendroglioma 18 years ago, and I have undergone surgery and radiation therapy. This time, the tumor has grown in the brainstem area, compressing the brainstem, and no ...
Dr. Zhang Junwei Reply:
I am not a brain tumor specialist; I recommend consulting a brain tumor specialist for an outpatient evaluation.[Read More] Exploring Treatment Options for IDH-Mutant Glioma: A Patient's Guide
Managing Chronic Subdural Hematoma in an 85-Year-Old: Surgical Risks and Alternatives
An 85-year-old woman with chronic subdural hematoma? Dear Director Zhang, I apologize for troubling you. My mother-in-law has been suffering from dementia for a long time and is unable to express her pain. She fell in her backyard on April 23. The symptoms observed that day wer...
Dr. Zhang Junwei Reply:
Chronic subdural hematoma has a certain probability of worsening (the likelihood varies from person to person). Aside from surgical intervention, there are no other effective treatment options. Observation to see if it resolves spontaneously is also possible, but the likelihood o...[Read More] Managing Chronic Subdural Hematoma in an 85-Year-Old: Surgical Risks and Alternatives
Understanding Brain Edema and Spinal Surgery: A Patient's Dilemma
Cerebral edema and spinal surgery? Hello: Eight months ago, a neurosurgeon told my mother that she had cerebral edema and needed surgery. At that time, my mother (80 years old) showed no symptoms, so we did not take it seriously. Now she is walking unsteadily and appears to be be...
Dr. Zhang Junwei Reply:
Without a complete physical assessment, this question cannot be answered.[Read More] Understanding Brain Edema and Spinal Surgery: A Patient's Dilemma
Understanding MRI Results: Concerns About Pituitary Gland Changes
Brain MRI report Due to a high prolactin level of 54, I underwent an MRI, which reported "No definite brain mass including the sella region. Upward bulging appearance of the pituitary gland probably indicates some hypertrophy or physiological change." This second senten...
Dr. Zhang Junwei Reply:
The report has indicated that it is a physiological change, which is normal.[Read More] Understanding MRI Results: Concerns About Pituitary Gland Changes
Traumatic Intracranial Hemorrhage: Treatment and Long-Term Effects
Treatment and Sequelae of Traumatic Intracranial Hemorrhage Hello Doctor: The patient was involved in a car accident in Pingtung on April 28 and was required to be transferred to a hospital in the city with a neurosurgery department due to their residence in a mountainous area. T...
Dr. Zhang Junwei Reply:
Due to uncertainty about the extent of the injury, I cannot explain the current condition. I can only advise that if you are unable to care for yourself, please seek assistance and return to the neurosurgery outpatient clinic as soon as possible.[Read More] Traumatic Intracranial Hemorrhage: Treatment and Long-Term Effects
Understanding Concussion Diagnosis and Medical Certificates After Head Injuries
Diagnosis Certificate Content Hello, doctor. My mother was in a car accident recently, resulting in a 5 cm laceration on her head that has been treated. During the emergency visit, the emergency physician clearly stated that she had a concussion, but the diagnosis certificate doe...
Dr. Zhang Junwei Reply:
A concussion has a specific definition, and not every head impact is classified as a concussion. The duration of recovery from a concussion varies depending on the symptoms, and there is no fixed recovery period.[Read More] Understanding Concussion Diagnosis and Medical Certificates After Head Injuries
Impact of Skull Depression on Child's Cognitive and Behavioral Development
Cranial depression Hello, my son had a head injury when he was four months old, resulting in a depression on the left back of his head. He is now seven years old, and the depression has become more pronounced, but he reports no pain when pressed. Could this depression negatively ...
Dr. Zhang Junwei Reply:
Theoretically, it should not happen, but a consultation with a neurosurgery outpatient clinic is still recommended.[Read More] Impact of Skull Depression on Child's Cognitive and Behavioral Development
Can Brain Tumors Cause Pressure in the Nasal Cavity?
Can a brain tumor compress the nasal cavity? Since October 2021, I have been experiencing a feeling of pressure and tightness in the right nasal cavity (without pain). I have consulted with an otolaryngologist and a dentist to rule out issues such as nasopharyngeal cancer or dent...
Dr. Zhang Junwei Reply:
Under normal circumstances, brain tumors do not compress the nasal cavity.[Read More] Can Brain Tumors Cause Pressure in the Nasal Cavity?
Understanding Rehabilitation Duration After Chronic Subdural Hematoma Surgery
The rehabilitation time after surgery for chronic subdural hematoma can vary depending on the individual patient's condition, the extent of the surgery, and any underlying health issues. Generally, patients may require several weeks to a few months of rehabilitation to regai...
Dr. Zhao Shaoqing Reply:
Hello: Whether chronic subdural hematoma requires rehabilitation treatment should primarily depend on clinical symptoms. You may consult your rehabilitation physician for an evaluation and discussion. Wishing you a speedy recovery. The Ministry of Health and Welfare Changhua Hosp...[Read More] Understanding Rehabilitation Duration After Chronic Subdural Hematoma Surgery
Understanding Post-Surgery Symptoms: Nerve Issues After Thoracic Surgery
Thoracic spine issues Hello, doctor! I had surgery last June for thoracic spinal stenosis that was compressing my nerves, but nearly a year after the surgery, I still experience persistent numbness in my legs. I later returned for follow-up visits and had an MRI to assess the com...
Dr. Zhang Junwei Reply:
Very likely.[Read More] Understanding Post-Surgery Symptoms: Nerve Issues After Thoracic Surgery
Optimal Timing for Hydrocephalus Surgery: What You Need to Know
Hydrocephalus: Hello doctor, I would like to ask about the optimal timing for surgery in cases of hydrocephalus. I have seen information suggesting that it should be addressed as soon as possible, but due to the need to arrange for hospitalization, it has been three weeks and my ...
Dr. Zhang Junwei Reply:
There are varying degrees of water accumulation, but it is still recommended to address it as soon as possible.[Read More] Optimal Timing for Hydrocephalus Surgery: What You Need to Know
Post-Surgery Nerve Pain: Understanding Scar Tissue Impact and Treatment Options
Surgical excision of the area behind the knee? Doctor, I have been experiencing numbness and pain in my calf for a year after surgery! During this time, I have undergone rehabilitation and received medication injections, but there has been no significant improvement. Recently, I ...
Dr. Lai Zhaokang Reply:
Hello: I recommend that you consult with a pain specialist or a neurosurgeon to arrange for a series of tests such as nerve conduction studies and electromyography. After that, an assessment can be made regarding the possibility of further treatments, such as pain nerve block pro...[Read More] Post-Surgery Nerve Pain: Understanding Scar Tissue Impact and Treatment Options
Post-Surgery Complications: Persistent Pain and Numbness After Spinal Surgery
Postoperative condition not improved after posterior ligament surgery? Hello Doctor: I underwent surgery due to calcification of the posterior longitudinal ligament in my cervical spine, specifically at the C3-4-5 levels, where an artificial disc was placed at the C4 level. It ha...
Dr. Lai Zhaokang Reply:
Hello: I am not the doctor who performed your original surgery. I would like to help you, but your description is too brief for a professional assessment. I recommend that you first consult with the surgeon who performed your initial procedure. If you do not receive the explanati...[Read More] Post-Surgery Complications: Persistent Pain and Numbness After Spinal Surgery
Navigating the Challenges of Neurological Care: A Patient's Journey
A long journey to seek medical care? Dear Dr. Lai, As previously mentioned (<a href="https://adoctor.tw/article/177636">#177636</a>), the patient's mother wishes to transfer to a nearby hospital for medication due to safety concerns. However, the patie...
Dr. Lai Zhaokang Reply:
Hello: A trusting relationship between doctors and patients is essential. Your convenience and peace of mind are the most important. It is a great decision that you have been seeing the same doctor at the children's hospital for many years. Wishing you all the best with Dr. ...[Read More] Navigating the Challenges of Neurological Care: A Patient's Journey