Exploring Nerve Repair Options for Vocal Cord Paralysis After Trauma
Nerve repair issues Hello Doctor, last March I was sent to the emergency room due to a car accident and required an emergency tracheostomy. Two days later, the physician decided to reposition the tracheostomy because the initial placement was deemed suboptimal. This may have caus...
Dr. Zhang Junwei Reply:
I apologize, but regarding this issue, I am currently not familiar with the relevant research and cannot provide an answer. I recommend consulting a neurosurgery or otolaryngology department at a medical center.[Read More] Exploring Nerve Repair Options for Vocal Cord Paralysis After Trauma
Long-Term Effects of Head Trauma: Understanding Post-Concussion Symptoms
Post-concussion syndrome? Hello, Doctor! I would like to ask about my mother's condition. Five years ago, she was driving and hit the left side of her head against the car window. At the time, there was no bleeding, but there was swelling, and she applied ice. She experience...
Dr. Lai Zhaokang Reply:
Hello: In theory, it is rare to have such long-lasting sequelae (five years), but it is still possible. If you are concerned, take her to the hospital to see a neurosurgeon for evaluation. Wishing you all the best. By Dr. Lai Chao-Kang, Neurosurgery.[Read More] Long-Term Effects of Head Trauma: Understanding Post-Concussion Symptoms
Understanding Eyelid Twitching: Is It a Sign of Tumor Recurrence?
Eyelid twitching? Dear Doctor, my mother underwent surgery a few years ago to remove a brain tumor, but the doctors informed us that the tumor could recur. Recently, her lower eyelid has been twitching. If the tumor does indeed recur, will a second surgery be as successful as the...
Dr. Zhang Junwei Reply:
It depends on the condition of the brain tumor.[Read More] Understanding Eyelid Twitching: Is It a Sign of Tumor Recurrence?
Understanding Quadriceps Cramps: Causes and Solutions for Active Cyclists and Runners
Quadriceps muscle cramp Hello, doctor. I take personal days off and often ride my road bike up Yangmingshan, Erziping, or similar places in the evenings. I have also participated in several half marathons, so I consider myself to be quite active in sports. This exercise habit has...
Dr. Lai Zhaokang Reply:
Hello: Cramps while cycling uphill or running are quite common. The possible common causes are: 1. Dehydration and electrolyte loss due to sweating 2. Increased body temperature and lower limb muscle temperature after exercise 3. Increased oxygen consumption by muscles leading to...[Read More] Understanding Quadriceps Cramps: Causes and Solutions for Active Cyclists and Runners
Post-Operative Consultation for L5-S1 Fusion Surgery Complications
Postoperative Consultation for L5-S1 Surgery Hello Dr. Lai, I previously underwent an anterior spinal fusion surgery due to grade II spondylolisthesis at the L5-S1 level. (Before the surgery, I experienced persistent pain on the left side, while the right side had no symptoms.)...
Dr. Lai Zhaokang Reply:
Hello: 1. Indeed, some individuals may experience symptoms on the opposite side after a dislocation is reduced, which could be due to temporary discomfort in the new environment following the renovation of an old house. 2. It would be advisable to discuss this further with the or...[Read More] Post-Operative Consultation for L5-S1 Fusion Surgery Complications
Pain in the Second Joint of the Left Middle Finger: Possible Causes and Solutions
Pain in the second joint of the left middle finger? Hello doctor, I can make a fist and extend my left hand, but I always experience pain when I try to grip or pinch something with force. What could be the problem?
Dr. Zhao Shaoqing Reply:
You can go to the outpatient clinic for evaluation and examination.[Read More] Pain in the Second Joint of the Left Middle Finger: Possible Causes and Solutions
Understanding Sudden Double Vision and Increased Eye Pressure: A Guide for Families
Sudden onset of double vision accompanied by an increase in flashes to 200 degrees? Hello Dr. Chang Jun-Wei, I would like to ask you a question. My father is 60 years old and about 1-2 weeks ago, he suddenly experienced double vision while driving during the day. The next day, he...
Dr. Zhang Junwei Reply:
Since the MRI has already been scheduled, we will wait for the examination results. There are too many differential diagnoses to detail individually.[Read More] Understanding Sudden Double Vision and Increased Eye Pressure: A Guide for Families
Post-Car Accident Symptoms: Understanding Dizziness and Head Trauma
Symptoms after a car accident? Hello doctor, I had a car accident at the end of October last year that resulted in a right-sided head injury (swelling on the right side of my face), along with mild subarachnoid hemorrhage on the left side and a concussion. I was recovering well a...
Dr. Zhang Junwei Reply:
Theoretically, the head trauma from last October is unrelated to the current headaches and dizziness occurring six months later. As for the underlying issue, it will depend on whether the symptoms persist and the results of further examinations.[Read More] Post-Car Accident Symptoms: Understanding Dizziness and Head Trauma
Can MRA Detect Hydrocephalus After Shunt Removal?
Can an MRA detect hydrocephalus? Hello, Doctor. I was diagnosed with hydrocephalus when I was 9 years old, and later had a shunt placed for drainage. Four years ago, the shunt was removed because I was frequently uncomfortable and my doctor determined that there would be no recur...
Dr. Zhang Junwei Reply:
MRA primarily examines blood vessels, but it is a brain scan, and it can also reveal the presence of hydrocephalus.[Read More] Can MRA Detect Hydrocephalus After Shunt Removal?
Can a Billiard Ball Attack Cause Mild Traumatic Brain Injury?
Hit by a billiard ball? Last week, I was attacked with a cue ball, and afterward, I experienced headaches and memory loss. I am currently suspected of having a mild traumatic brain injury. I would like to know if an attack with a cue ball could potentially cause this, especially ...
Dr. Zhao Shaoqing Reply:
You can go to the outpatient clinic for evaluation and examination.[Read More] Can a Billiard Ball Attack Cause Mild Traumatic Brain Injury?
Understanding Neck Issues: Symptoms and Relief for Cervical Disc Problems
Neck issues Hello Doctor, I have a slight protrusion of the cervical intervertebral discs at C3-C4-C5-C6 (as seen on MRI), so I underwent cervical traction (vertical). Initially, I had no pain in my shoulders or neck. However, during the first traction session (50 kg), after pull...
Dr. Lai Zhaokang Reply:
Hello: 1. It is speculated that after cervical traction, the junction between the occiput, anterior mandible, and cervical spine has been stretched. 2. If this movement causes discomfort, you can discuss with your rehabilitation physician whether to postpone it. Applying heat to ...[Read More] Understanding Neck Issues: Symptoms and Relief for Cervical Disc Problems
Consulting Neurosurgeons: Bringing Your CT Scan for Skull Deformity Evaluation
Cranial-related issues? Hello Doctor, I apologize for asking again. I am the patient who consulted you a few days ago regarding cranial deformities. I would like to know if I can bring my own CT scans to Kaohsiung for your evaluation?
Dr. Zhang Junwei Reply:
I do not have experience in craniofacial surgery, so I recommend consulting a physician at a medical center.[Read More] Consulting Neurosurgeons: Bringing Your CT Scan for Skull Deformity Evaluation
Understanding Traumatic Brain Injury: Recovery and Treatment Insights
Traumatic brain injury from a car accident? Hello Doctor Zhang, my sister was in a car accident and suffered a brain hemorrhage. The doctors placed an intracranial monitor during surgery. In the ICU, her right leg has been moving uncontrollably, and it continues to do so even aft...
Dr. Zhang Junwei Reply:
It is unclear whether the involuntary movements of your right foot are due to epilepsy or another condition. Whether or not surgery is needed for the head will depend on the progression of the subsequent medical condition.[Read More] Understanding Traumatic Brain Injury: Recovery and Treatment Insights
Post-Accident Memory Loss and Headaches: Understanding Brain Injuries
Headache after amnesia due to a car accident? Hello Dr. Chang, my father (62 years old) was in a car accident on January 3rd. His reaction was slow at the time, and he was unable to answer my mother’s questions about how the accident happened over the phone. When we arrived at th...
Dr. Zhang Junwei Reply:
1. Yes, it is a concussion. 2. Chronic subdural hematoma cannot be predicted in advance; we can only respond to it as it arises.[Read More] Post-Accident Memory Loss and Headaches: Understanding Brain Injuries
Understanding Head Injuries: Risks of Intracranial Bleeding in Young Adults
Head injury Hello, Doctor. Today, while I was reading and preparing to take a nap, I accidentally bumped my head against the wall. At that moment, I only felt pain and did not experience loss of consciousness, dizziness, or blurred vision. I accidentally rubbed the impact area bu...
Dr. Zhang Junwei Reply:
1. Extremely low possibility. 2. Extremely low possibility.[Read More] Understanding Head Injuries: Risks of Intracranial Bleeding in Young Adults
Understanding Shoulder Discomfort: Possible Causes and Insights
Shoulder pain Hello, Deputy Director. I would like to ask for your advice. Recently, I have been experiencing a sensation of soreness and tightness around my shoulders, shoulder blades, lower back, and ribs (on both sides and front to back). It's not exactly pain, but rather...
Dr. Zhang Junwei Reply:
Muscle strains and chronic inflammation are more common.[Read More] Understanding Shoulder Discomfort: Possible Causes and Insights
Exploring Surgical Options for Unusual Skull Shape and Thickness
The shape of the skull is abnormal at birth, featuring two prominent angles? Since birth, my head has been shaped like a square television. The bones on the top and sides of my skull feel particularly thick. I had a CT scan done at my own expense, and the doctor confirmed that my...
Dr. Zhang Junwei Reply:
I haven't encountered this issue either; I recommend seeking assistance at a medical center's neurosurgery outpatient clinic.[Read More] Exploring Surgical Options for Unusual Skull Shape and Thickness
Post-Bicycle Accident: Understanding Concussion Symptoms and Recovery
Bicycle accident resulting in a concussion? Hello, doctor. Two weeks ago, I fell off my bicycle and landed on my back, remaining conscious. I experienced a concussion, and I lost memory of events before and after the fall. When I took a bite of dinner that evening, I immediately ...
Dr. Zhao Shaoqing Reply:
You can return for a follow-up appointment to discuss further treatment.[Read More] Post-Bicycle Accident: Understanding Concussion Symptoms and Recovery
Understanding the Connection Between Neck Issues and Gastrointestinal Disorders
Please provide more context or specific information regarding the neck for further assistance? Hello, Deputy Director. Thank you for your response. However, why do some online medical articles suggest a connection between stomach issues and the cervical spine? I had a relapse in ...
Dr. Zhang Junwei Reply:
A small portion of the cervical spine may affect the autonomic nervous system, which is related to the gastrointestinal system.[Read More] Understanding the Connection Between Neck Issues and Gastrointestinal Disorders
Should You Get Checked After a Basketball Hits Your Head?
Hit on the top of the head? This morning around 9:20, I was hit on the top of my head by a basketball. It hurt a little at the moment, but the pain went away after a minute or two. I haven't experienced any other symptoms since then. Do I need to get checked?
Dr. Zhang Junwei Reply:
If there are no further symptoms, no follow-up examinations are necessary.[Read More] Should You Get Checked After a Basketball Hits Your Head?