Is Glycerol Administration a Standard Treatment for High Blood Pressure Aneurysm?
In cases of hypertension with aneurysm rupture and elevated intracranial pressure, administering glycerol to reduce intracranial pressure is part of the standard treatment protocol? 1. At 1:00 PM, the patient experienced a ruptured aneurysm with intracranial hemorrhage, as shown ...
Dr. Zhang Junwei Reply:
Administering glycerol can reduce intracranial pressure in patients with brain edema and is considered standard treatment.[Read More] Is Glycerol Administration a Standard Treatment for High Blood Pressure Aneurysm?
Managing Arteriovenous Malformations: Patient Transfer and Medication Queries
Arteriovenous malformation (AVM) Hello Dr. Lai, I am the grandson of one of your former patients. About 12 years ago, my grandparent underwent surgery for an arteriovenous malformation at Children's Hospital. After stopping medication, they experienced seizures, so they have...
Dr. Lai Zhaokang Reply:
Hello: 1. The medication you mentioned, Keppra, is available at Changhua Hospital as well, so you can pick it up nearby if you wish. 2. Please prepare the following documents from the original hospital: the <discharge summary> from the year of your surgery and the <diagn...[Read More] Managing Arteriovenous Malformations: Patient Transfer and Medication Queries
Post-Surgery Scoliosis: Understanding Recovery Chances and Symptoms
Postoperative scoliosis? Hello, Dr. Lai. Brief summary of the condition: The patient has undergone two surgeries on the spine at the 2nd and 3rd vertebrae. The first surgery involved the installation of bone screws, but the attempt to install screws on the other side was unsucces...
Dr. Lai Zhaokang Reply:
Hello: According to your description: <..the current curvature of the scoliosis is quite severe, approximately 40 degrees...> This curvature angle is significant and there is still room for treatment. However, I recommend that you bring recent X-rays and MRI scans for a per...[Read More] Post-Surgery Scoliosis: Understanding Recovery Chances and Symptoms
How Long Does Subdural Hematoma Take to Liquefy After Injury?
How long does it take for a hematoma from a subdural hemorrhage to liquefy? My father is 79 years old. On July 6th, he was hit by a car while riding his motorcycle and was pinned under his own motorcycle. Fortunately, he was wearing a helmet and was conscious at the scene, suffer...
Dr. Zhao Shaoqing Reply:
Hello: Generally, a hematoma from a subdural hemorrhage will liquefy and be absorbed in about three weeks, after which a follow-up CT scan can be performed in the outpatient clinic for evaluation.[Read More] How Long Does Subdural Hematoma Take to Liquefy After Injury?
How Does Cerebellar Hydrocephalus Affect the Brain?
What should be done about hydrocephalus? Will cerebellar hydrocephalus affect the brain? Previously, there was a brain surgery and a spinal drainage catheter was placed for 5 months.
Dr. Zhang Junwei Reply:
The placement of a drainage catheter for hydrocephalus is reliable; for more in-depth questions, please consult a neurosurgery outpatient clinic for detailed answers.[Read More] How Does Cerebellar Hydrocephalus Affect the Brain?
Post-Surgery Concerns: Can Ventriculoperitoneal Shunt Cause Cerebrospinal Fluid Leakage?
Ventriculoperitoneal shunt surgery I would like to ask the doctor about an issue related to a car accident I had in March of this year, which resulted in intracranial hemorrhage. I underwent a ventriculoperitoneal shunt surgery, but since the surgery, I have been yawning frequent...
Dr. Zhang Junwei Reply:
Drainage surgery is not indicated, but there may be a possibility of cerebrospinal fluid leakage due to previous trauma. Please schedule an appointment with the neurosurgery clinic.[Read More] Post-Surgery Concerns: Can Ventriculoperitoneal Shunt Cause Cerebrospinal Fluid Leakage?
Understanding Lumbar Spine Fractures and Severe Injury Claims
Lumbar spine issues A burst fracture of the second lumbar vertebra with spinal cord injury resulting in paralysis of both lower limbs is considered a severe injury. It is also possible to apply for a major disability card in this case.
Dr. Lai Zhaokang Reply:
Hello: Paralysis of both lower limbs is considered serious. However, whether it qualifies as a "severe injury" or for "application for major illness" requires returning to the original hospital for consultation with the attending physician and reviewing the me...[Read More] Understanding Lumbar Spine Fractures and Severe Injury Claims
Post-Biopsy Pain and Numbness: Understanding Nerve Injury and Recovery
Severe pain at the surgical site and intense numbness after the biopsy procedure? My father is 64 years old and has a long history of smoking, betel nut chewing, and alcohol consumption. Recently, he discovered a long protrusion in the left groin area. After going to the hospital...
Dr. Zhang Junwei Reply:
You should ask the surgeon whether any nerves were damaged during the biopsy, as the extent of the injury varies and the treatment will differ accordingly.[Read More] Post-Biopsy Pain and Numbness: Understanding Nerve Injury and Recovery
Foot Injury: Nerve Damage and Tingling in Toes Explained
A puncture wound on the sole of the foot has resulted in numbness in the toes? I would like to ask the doctor about a large glass injury on the sole of my foot, approximately 2 centimeters long horizontally, with stitches. The wound extends upward towards the third and fourth toe...
Dr. Zhang Junwei Reply:
It is not necessarily a case of optic nerve injury; a visit to the clinic for examination is needed to determine the answer.[Read More] Foot Injury: Nerve Damage and Tingling in Toes Explained
Understanding Head Injuries: Recovery and Risks After a Fall
Head injury Hello, Doctor: My husband is 33 years old. On September 24, he accidentally fell from a height of 1 meter at work and lost consciousness. While being transported to the hospital, he regained consciousness and called me to inform me that he was being taken to the hospi...
Dr. Zhang Junwei Reply:
It doesn't sound too serious; just take plenty of rest and return for regular check-ups.[Read More] Understanding Head Injuries: Recovery and Risks After a Fall
Post-Craniectomy Complications: Understanding Cognitive Recovery Potential
Post-craniotomy sequelae Hello Dr. Chang, my mother has a long history of mental illness and has been continuously taking psychiatric medications such as Seroquel and other antidepressants and anxiolytics. Since mid-last year, she has frequently reported experiencing double visio...
Dr. Zhang Junwei Reply:
It is difficult to provide an answer to such questions without detailed imaging examination data and surgical records.[Read More] Post-Craniectomy Complications: Understanding Cognitive Recovery Potential
Understanding Leg Pain and Numbness After Overexertion: A Guide
Excessive exercise can lead to foot pain and numbness? My father started experiencing foot pain three months ago after moving over twenty bags of cement from the first floor to the fourth floor while renovating our home. Since he is not very familiar with medical issues, he didn&...
Dr. Lai Zhaokang Reply:
Hello: It may be neuropathic pain. If you are concerned, it is recommended to consult a neurosurgeon for further evaluation. Wishing you a speedy recovery. // Dr. Lai Chao-Kang, Neurosurgery, Changhua Hospital[Read More] Understanding Leg Pain and Numbness After Overexertion: A Guide
Managing Sleep Issues with Herniated Discs: Treatment Options Explored
Herniated disc, sleep issues? Hello Doctor, I previously asked about the article <a href="https://adoctor.tw/article/173564">#173564</a>. Currently, my condition regarding conservative treatment for herniated discs has improved, and I am now able to fall asl...
Dr. Lai Zhaokang Reply:
Hello: If you feel that conservative treatment is improving your condition, you can continue with it. Taking an additional dose of medication before bedtime can help ensure that the effects last throughout your sleep period, improving your sleep quality. It is also important to m...[Read More] Managing Sleep Issues with Herniated Discs: Treatment Options Explored
Understanding Head Injuries: Signs of Concussion and Bleeding Risks
Head trauma Hello doctor, three days ago I fell off my bike and landed on my side. At the time, it happened so suddenly that I don't remember the force of the impact on my head, but I did feel a bit dizzy. After being taken to the emergency room, the dizziness subsided and m...
Dr. Zhao Shaoqing Reply:
Delayed intracranial hemorrhage caused by head trauma is more likely to occur within the first three days, while the likelihood decreases after three days. However, symptoms of a concussion may persist for up to a month. Therefore, medication can be taken to manage symptoms, and ...[Read More] Understanding Head Injuries: Signs of Concussion and Bleeding Risks
Understanding Temporal Veins: Symptoms and Possible Conditions
The veins from the temples to the forehead? I would like to inquire about a noticeable crack in the temple area that is quite prominent, but there has been no external trauma. There is also a visible vein extending to the forehead, which becomes swollen when I lower my head, appe...
Dr. Zhang Junwei Reply:
It should be the venous vessels and their grooves. If there are any issues, you can visit the neurosurgery outpatient clinic for an examination.[Read More] Understanding Temporal Veins: Symptoms and Possible Conditions
Can Non-Surgical Treatment Cure Lumbar Spondylolisthesis?
Lumbar spondylolisthesis treatment options? Hello Doctor, I have a condition of lumbar spondylolisthesis, which I believe is currently at grade one (based on my own assessment). Whenever I experience pain, I can only take anti-inflammatory medication and muscle relaxants. I would...
Dr. Zhang Junwei Reply:
Lumbar spondylolisthesis is not easily curable, but conservative treatment can help alleviate back pain.[Read More] Can Non-Surgical Treatment Cure Lumbar Spondylolisthesis?
Post-Craniectomy Skull Deformity: When to Seek Urgent Care?
Abnormalities of the cranial vault after craniotomy? After the craniotomy on November 17, 2020, the recovery has been relatively good, but recently I have noticed some deformation of the skull, with noticeable irregularities at the surgical incision site. Should I seek an urgent ...
Dr. Zhang Junwei Reply:
If there is no redness, swelling, heat, or pain, you may return for a follow-up appointment regularly.[Read More] Post-Craniectomy Skull Deformity: When to Seek Urgent Care?
Post-Trauma Intracranial Hemorrhage: Overcoming Limb Disabilities
Post-traumatic intracranial hemorrhage leading to limb impairment? In March of this year, I suffered a severe car accident that resulted in a right-sided skull fracture and intracranial hemorrhage. After surgery, I regained consciousness and underwent debridement approximately 3-...
Dr. Zhang Junwei Reply:
I'm not familiar with this technique, so I may need to consult other physicians.[Read More] Post-Trauma Intracranial Hemorrhage: Overcoming Limb Disabilities
Understanding Numbness in the Forearm: When to Seek Medical Help
Numbness in the skin of the forearm? Hello, doctor. About one to two days ago, I noticed that a part of my forearm feels numb. It doesn't hurt, but the sensation in that area of my forearm is tingling, as if the tactile sensitivity has decreased in that specific part. What c...
Dr. Lai Zhaokang Reply:
Hello, it may be a peripheral nerve issue. You can try applying heat and adjusting the position of your elbow and wrist. If you're concerned, you may want to consult a neurologist or a neurosurgeon. Best wishes, Dr. Lai Chao-Kang, Neurosurgeon.[Read More] Understanding Numbness in the Forearm: When to Seek Medical Help
Understanding Brainstem Hemorrhage: Causes, Treatments, and Recovery
Brainstem hemorrhage Hello Doctor: My husband is 52 years old. He worked a night shift on September 15 and woke up around 5:00 PM, complaining of dizziness. He has been feeling dizzy for three days, with slight numbness in his hands and feet. On September 17, he saw a doctor who ...
Dr. Zhang Junwei Reply:
1. Typically involves radiation therapy. 2. Usually provides relief. 3. There is a possibility.[Read More] Understanding Brainstem Hemorrhage: Causes, Treatments, and Recovery