Managing Hydrocephalus After Prolonged Coma: Surgical Options Explored
Is it necessary to address hydrocephalus in a patient who has been in a coma for over six months following a car accident? In late November last year, the patient was involved in a car accident, suffering a head injury from a rear-end collision, resulting in a coma and dilated pu...
Dr. Zhang Junwei Reply:
Due to the lack of detailed medical history, it is not possible to determine whether it would be beneficial for the patient's recovery, as I am concerned about providing you with incorrect information.[Read More] Managing Hydrocephalus After Prolonged Coma: Surgical Options Explored
Understanding Cervical Osteophytes: Recovery and Rehabilitation Insights
Cervical osteophytes Hello Doctor, I would like to ask you about my mother who is 64 years old. She underwent cervical spine surgery for bone spurs ten years ago. Last year, she fell and started experiencing numbness and pain in her fingers again. It was later discovered that the...
Dr. Lai Zhaokang Reply:
Hello, you just had surgery a month ago. It is recommended to follow up with your original surgeon for further examination. Wishing you well. // Dr. Lai Chao-Kang, Neurosurgery[Read More] Understanding Cervical Osteophytes: Recovery and Rehabilitation Insights
Concerns About Uneven Skull: When to See a Neurologist or Orthopedic Specialist?
Head issues? Hello Dr. Zhao, if there is a suspected bone issue in the head (approximately on the sides of the frontal bone, with a feeling of irregularities upon palpation), and it is not painful, I am a bit concerned because my friends and family do not have this condition. I a...
Dr. Zhao Shaoqing Reply:
Hello: You can visit our neurosurgery department for a direct assessment. The Ministry of Health and Welfare Changhua Hospital is concerned about you.[Read More] Concerns About Uneven Skull: When to See a Neurologist or Orthopedic Specialist?
Concerns About Uneven Skull: When to See a Neurologist or Orthopedic Specialist?
Head issues Hello Dr. Zhao, if there is a suspected bone issue in the head (approximately on the sides of the frontal bone, with a feeling of irregularities upon palpation), and it is not painful, I am concerned because my friends and family do not have this condition. I am unsur...
Dr. Zhao Shaoqing Reply:
Hello: You can visit our neurosurgery department for a direct assessment. The Ministry of Health and Welfare Changhua Hospital cares about you.[Read More] Concerns About Uneven Skull: When to See a Neurologist or Orthopedic Specialist?
Post-Operative Symptoms After Brain Tumor Surgery: What to Expect
Symptoms After Craniotomy for Brain Tumor Hello, Doctor. I have a tumor about 3 centimeters in size in my cerebellum. I underwent craniotomy in early March this year, and the result was benign. It has been a month and a half since the surgery, and I still feel dizzy, especially w...
Dr. Zhang Junwei Reply:
Dizziness is a common phenomenon after cerebellar surgery. If you experience any unusual discomfort such as nausea or vomiting, you can return to the outpatient clinic for an examination at any time, and you do not have to wait for your scheduled follow-up appointment.[Read More] Post-Operative Symptoms After Brain Tumor Surgery: What to Expect
Is Brain Hemorrhage Due to Congenital or Acquired Vascular Malformation?
Cerebral hemorrhage Hello Doctor: I have a friend who has been diagnosed with arteriovenous malformation (AVM) accompanied by intracerebral hemorrhage. Is this condition congenital or acquired? Thank you.
Dr. Zhang Junwei Reply:
Congenital.[Read More] Is Brain Hemorrhage Due to Congenital or Acquired Vascular Malformation?
Uncontrollable Head Shaking and Facial Twitches: Understanding Neurological Symptoms
Involuntary head shaking, eye twitching, and eyebrow twitching? Hello Doctor, my father (56 years old) who recovered from lymphoma four years ago has been experiencing these symptoms for a while, but they have recently worsened. 1. Symptoms: involuntary head shaking (mostly side ...
Dr. Zhang Junwei Reply:
It is recommended to schedule a neurology outpatient examination.[Read More] Uncontrollable Head Shaking and Facial Twitches: Understanding Neurological Symptoms
Understanding Post-Surgery Pain: Symptoms After Lumbar Spine Surgery
Spondylolisthesis of the L4-L5 and L5-S1 vertebrae? Doctor, I underwent minimally invasive surgery on March 31, and it has been four weeks since then. I frequently experience sharp pain and occasional burning sensations in the sole and toes of my right foot. At night, the pain of...
Dr. Lai Zhaokang Reply:
Hello, for discomfort issues after surgery, it is strongly recommended to follow up with the original surgeon. Best wishes to you. // Dr. Lai Chao-Kang, Department of Neurosurgery, Changhua Hospital.[Read More] Understanding Post-Surgery Pain: Symptoms After Lumbar Spine Surgery
How to Apply for Disability Assessment After Spinal Injury from Accident
Disability assessment In July 2019, due to a car accident, I sustained a compression fracture of the 11th thoracic vertebra with spinal cord injury, fractures of the 5th, 6th, and 7th ribs on the left side with pneumothorax, and a pelvic fracture. Subsequently, I underwent surger...
Dr. Lai Zhaokang Reply:
Hello, please return to the original surgical hospital. May I ask about the original surgeon? (You can try calling to inquire with the nursing staff during the surgeon's clinic hours.) Best wishes // Changhua Hospital, Department of Neurosurgery, Dr. Lai Chao-Kang.[Read More] How to Apply for Disability Assessment After Spinal Injury from Accident
Understanding Concussion Syndrome: Causes, Diagnosis, and Objectivity in Assessment
Regarding post-concussion syndrome? Excuse me, may I ask if a concussion syndrome only occurs when there is trauma to the head, or are there other causes as well? Additionally, what are the criteria for diagnosing concussion syndrome? If a car accident victim insists on experienc...
Dr. Zhao Shaoqing Reply:
Hello: A concussion is defined as a change in mental status due to an injury that may or may not involve loss of consciousness. If there is a clinical history of head trauma with symptoms such as headache, it can be classified as concussion syndrome. This may result from a blow t...[Read More] Understanding Concussion Syndrome: Causes, Diagnosis, and Objectivity in Assessment
Post-Surgery Pain Management After Lumbosacral Dissociation Surgery
Postoperative care after vertebral arch dislocation surgery? After previously falling on my butt due to an unstable chair, I have been experiencing soreness and pain in my legs, which is more pronounced when sitting. The discomfort is felt in my thighs, calves, and the joints in ...
Dr. Lai Zhaokang Reply:
Hello, as you mentioned: "Last month, I had surgery with steel pins and bone grafting..." For discomfort issues after surgery, it is strongly recommended to follow up with the original surgeon. If there is no improvement post-surgery and you still have concerns, please ...[Read More] Post-Surgery Pain Management After Lumbosacral Dissociation Surgery
Could It Be Osteomyelitis? Understanding Symptoms and Diagnosis
Inquire about the possibility of osteomyelitis? Hello, doctor. My family member (female, approximately 60 years old) is currently experiencing cervical spine pain and underwent an X-ray examination. Within the past 1-2 months, the cervical vertebrae from C5 to C7 have progressed ...
Dr. Zhang Junwei Reply:
Based solely on the above tests, it is truly difficult to answer your question. I recommend discussing this further with your physician during your outpatient visit, or seeking a second opinion from another doctor.[Read More] Could It Be Osteomyelitis? Understanding Symptoms and Diagnosis
Understanding Neuropathy: Seeking Answers for Unresolved Pain
Neuropathy Hello, doctor. A year ago, I suddenly started experiencing numbness in my little finger, along with heat and pain in my palm, and unusual pain in my chest and back. I have visited various hospitals and undergone numerous tests, including X-rays, MRIs, ultrasounds, and ...
Dr. Zhang Junwei Reply:
It is advisable to seek diagnoses and treatment from different neurologists or neurosurgeons at various hospitals or medical centers, as your issue is complex and cannot be accurately addressed online.[Read More] Understanding Neuropathy: Seeking Answers for Unresolved Pain
Recovery Options for Infraorbital Nerve Injury After Fracture
Infraorbital nerve numbness? Hello doctor, two years ago I suffered an orbital floor fracture due to an accident, which has resulted in numbness of the infraorbital nerve. The symptoms include a tingling sensation from below the injured eye extending to the same side's upper...
Dr. Zhang Junwei Reply:
If nerve damage has not recovered after two years, it is usually unlikely to heal completely. Currently, the only available treatment is vitamin B complex.[Read More] Recovery Options for Infraorbital Nerve Injury After Fracture
Managing Persistent Dizziness After Concussion in Seniors
Dizziness after a concussion? My mother, who is 70 years old, fell and injured the back of her head before the Lunar New Year this year, resulting in a laceration that required three stitches. A CT scan and X-ray revealed that there was no injury or bleeding in the skull or brain...
Dr. Zhang Junwei Reply:
Typically, a concussion should not cause dizziness for such an extended period. It is recommended to consult an otolaryngologist to check for inner ear imbalance or Meniere's disease.[Read More] Managing Persistent Dizziness After Concussion in Seniors
Understanding Concussions and Post-Concussion Syndrome: Key Insights
Concussion and Post-Concussion Syndrome Excuse me, I would like to ask the physician if a concussion can still occur even if it has not been diagnosed. If the diagnosis report only states "concussion syndrome" without specifying the causative factors (such as head traum...
Dr. Zhang Junwei Reply:
I am not sure what concerns the physician issuing the diagnosis has, but post-concussion syndrome refers to the presence of concussion symptoms without having sustained an actual concussion.[Read More] Understanding Concussions and Post-Concussion Syndrome: Key Insights
Understanding Concussion Symptoms and When to Seek Neurological Care
Concussion status On the afternoon of the 25th, while I was out, I collapsed at a convenience store. According to witnesses, I hit my head, but I regained consciousness after about three minutes during my first fainting episode. I was initially alert, but then fainted again and t...
Dr. Zhao Shaoqing Reply:
Hello: The occurrence of fainting may be a manifestation of epilepsy. If the EEG results are inconclusive, you may consider consulting a neurosurgeon. It is advisable to undergo relevant examinations, including a CT scan, for further evaluation. The Changhua Hospital of the Minis...[Read More] Understanding Concussion Symptoms and When to Seek Neurological Care
Understanding Cervical Disc Herniation: Symptoms and Urgent Care Tips
Cervical spine issues Hello, in February of this year, an MRI revealed a protrusion of the C5 and C6 intervertebral discs, with a broad central protrusion. However, there is still space for cerebrospinal fluid to flow when viewed from the side. After evaluation, the neurosurgeon ...
Dr. Lai Zhaokang Reply:
Hello: 1. If I suddenly woke up in the morning and found my right hand resting on my head, completely numb for over a minute, and it gradually returned to normal after I moved it down... it is possible that your right hand was compressed by your head for too long while you were s...[Read More] Understanding Cervical Disc Herniation: Symptoms and Urgent Care Tips
Could Ventriculoperitoneal Shunt Surgery Cause Hernia in Children?
Is it possible for a programmable ventriculoperitoneal shunt system to cause a hernia? Hello, doctor! My daughter is 4 years old and has achondroplasia. She underwent a drainage surgery at the end of December last year, but in the following months, signs of a femoral hernia were ...
Dr. Lai Zhaokang Reply:
Hello: If it is an inguinal hernia, it should not be related to ventricular-peritoneal shunt drainage. Best wishes. // Neurosurgeon Dr. Lai Chao-Kang[Read More] Could Ventriculoperitoneal Shunt Surgery Cause Hernia in Children?
Post-Surgery Leg Cramps: Understanding Causes and Solutions After Disc Surgery
Post-operative muscle cramps in the right leg following a herniated disc surgery? Hello Doctor: My father is 73 years old. After undergoing surgery for a herniated disc last month, he has been experiencing intermittent cramps and spasms in his right leg about two weeks post-opera...
Dr. Lai Zhaokang Reply:
Hello: If you are unable to improve with the treatment from your original surgeon, you may consider obtaining pre-operative MRI copies and consulting with another neurosurgeon. Wishing you the best. // Neurosurgeon Dr. Lai Chao-Kang[Read More] Post-Surgery Leg Cramps: Understanding Causes and Solutions After Disc Surgery