Understanding Head Injuries: Signs of Intracranial Bleeding
Head injury Yesterday, I hit my head and woke up at home. My friend told me that I rode my bike back, but I don't remember that part. Now my neck is sore, and there is a soft spot on my head when I press it. Could this be intracranial bleeding?
Dr. Zhang Junwei Reply:
It sounds like a concussion rather than an intracranial hemorrhage. I recommend a consultation with a neurosurgery outpatient clinic for evaluation.[Read More] Understanding Head Injuries: Signs of Intracranial Bleeding
Managing Chronic Back Pain: Insights on Degenerative Spine Issues
Sharp pain and tingling in the left posterior mid-back? Hello, Doctor: I am a working professional with a habit of slouching, which often leads to shoulder and neck pain. I regularly receive chiropractic massages for relief, but I have been experiencing sharp and stabbing pain ne...
Dr. Lai Zhaokang Reply:
Hello, it is suspected that there may be a spinal issue. It is recommended to consult a neurosurgeon. An X-ray or MRI assessment is advised. Best wishes. // Neurosurgeon Dr. Lai Chao-Kang[Read More] Managing Chronic Back Pain: Insights on Degenerative Spine Issues
Post-Surgery Nerve Issues: Left Hand Improvement, Right Hand Decline
After cervical cone surgery, the left hand improved while the right hand worsened? Hello Dr. Lai, I would like to ask about my condition. I underwent surgery due to fractures in my sixth and seventh cervical vertebrae. Before the surgery, I experienced numbness and weakness in my...
Dr. Lai Zhaokang Reply:
Hello: 1. You have already undergone surgery by physicians at another hospital, and there have been changes in your symptoms. Your condition is relatively complex, and it cannot be assessed accurately with just a few sentences. 2. It is recommended that the patient bring the orig...[Read More] Post-Surgery Nerve Issues: Left Hand Improvement, Right Hand Decline
Understanding Chronic Buttock Pain: Causes, Treatments, and Expert Insights
Persistent pain in the buttocks that prevents sitting, standing, or lying down? The patient has been experiencing severe pain in the buttocks (especially the right side) while sitting, standing, and lying down for a year. This pain began shortly after undergoing arthroscopic surg...
Dr. Lai Zhaokang Reply:
Hello: 1. If you have already undergone multiple ineffective treatments from other physicians and it is considered a complex case, it is not possible to diagnose and arrange treatment based solely on a few written words. It is recommended to make an appointment and have the patie...[Read More] Understanding Chronic Buttock Pain: Causes, Treatments, and Expert Insights
Understanding Neck Pain When Looking Up: Causes and Concerns
Neck pain when tilting the head upward? Hello doctor, I am 17 years old and recently noticed that I experience pain in the left side of the back of my head when I look up, specifically under the bone. I would like to know what possible issues this could indicate. What is the like...
Dr. Zhang Junwei Reply:
This neck pain issue is unrelated to subarachnoid hemorrhage and is likely just ordinary neck pain. It is recommended to consult a neurosurgery outpatient clinic for examination.[Read More] Understanding Neck Pain When Looking Up: Causes and Concerns
Understanding Nerve Issues in the Cervical Spine After Trauma
Cervical spine nerve issues? I would like to consult a physician. Recently, I had a conflict with a classmate that resulted in being hit. Prior to that, I had also been hit on the back. Each time, the hits were spaced out by one to two seconds, and the pain from the previous hit ...
Dr. Zhang Junwei Reply:
You have described so much, but without a physical examination, it is truly impossible to provide an answer. I recommend that you schedule an appointment with a neurosurgery clinic for an evaluation. If you still have doubts, consider seeking opinions from several different physi...[Read More] Understanding Nerve Issues in the Cervical Spine After Trauma
Understanding Pituitary Tumors: Risks, Surgery, and Recovery Challenges
Pituitary tumor Hello Doctor, my father has a pituitary tumor that is pressing on his optic nerve. An MRI revealed a tumor approximately 2.5 cm in size, and he underwent surgery. The doctor mentioned that the tumor was deeply embedded and surrounded by blood vessels. However, tow...
Dr. Zhang Junwei Reply:
From the description, it is evident that the condition is quite serious; however, I do not have detailed medical information to answer your question. I recommend discussing this with the attending physician.[Read More] Understanding Pituitary Tumors: Risks, Surgery, and Recovery Challenges
Numbness in Left Pinky Toe: Possible Nerve Damage After Long Walk?
The sensation on the outer side of the left little toe has diminished? Previously, I walked for an extended period in one day, and at that time, I only experienced foot pain and soreness. Starting the next day, I noticed that the outer side of my left little toe seemed to have so...
Dr. Lai Zhaokang Reply:
Hello, it is suspected to be peripheral fasciitis or neuritis. It is recommended to apply heat or soak in warm water (be careful not to burn yourself) for one week. If there is no improvement, please consult a neurologist or neurosurgeon. Best wishes. // Neurosurgeon Dr. Lai Chao...[Read More] Numbness in Left Pinky Toe: Possible Nerve Damage After Long Walk?
Post-Surgery Nerve Issues: Understanding Complications After Cervical Disc Replacement
Postoperative issues following cervical disc replacement at C5-C6 and artificial cage placement at C6-C7? Hello, my father is 58 years old. A month ago, he started experiencing numbness and pain in his right arm, hand, and fingers, which has affected his daily life. After a docto...
Dr. Lai Zhaokang Reply:
Hello: 1. After cervical spine surgery, if there are new upper limb symptoms that are not significant, you can observe and follow up in 2-4 weeks. 2. If there is sudden onset of lower back pain and pain in both knees while walking, these are not symptoms related to the cervical s...[Read More] Post-Surgery Nerve Issues: Understanding Complications After Cervical Disc Replacement
Understanding Head Trauma: Risks of Brain Bleeding After Impact
Head trauma Hello, doctor. This afternoon, on November 24th, I was playing around with my classmates and accidentally bumped into the wall behind me. The pain lasted only a few minutes, but at that moment, I noticed a metallic taste of blood in my mouth. I went to the health cent...
Dr. Zhang Junwei Reply:
The probability of a brain hemorrhage is extremely low; typically, brain hemorrhages occur due to incidents such as car accidents or falls.[Read More] Understanding Head Trauma: Risks of Brain Bleeding After Impact
Is It Safe to Exercise After a Head Injury? Expert Insights
Exercise after a head injury? Hello, doctor. Two days ago in the afternoon, I bumped my head while playfully pushing back with a friend. At that moment, my consciousness was normal, but it hurt a bit, so I went to the health center for ice treatment. It seems to have swollen a li...
Dr. Zhang Junwei Reply:
Exercise can increase uncomfortable symptoms. Typically, this is observed for about a week.[Read More] Is It Safe to Exercise After a Head Injury? Expert Insights
Understanding Weakness and Gastrointestinal Bleeding After Brain Tumor Biopsy
Brain tumor biopsy Doctor, I would like to ask about a family member who underwent a biopsy surgery for a brain tumor. The patient has been experiencing persistent weakness and has also developed gastrointestinal bleeding. Could you please explain what might be causing the weakne...
Dr. Zhang Junwei Reply:
Weakness may be due to the brain tumor itself, while gastrointestinal bleeding could be caused by a stress ulcer.[Read More] Understanding Weakness and Gastrointestinal Bleeding After Brain Tumor Biopsy
Head Injury After Basketball: When to Seek Further Medical Evaluation
Fell while playing sports and hit the back of the head? Hello Doctor, I fell while playing basketball on November 28 and hit the back of my head. I sat on the floor for a moment and then got up. There was no bleeding, but I had a swollen bump. After 3 to 4 hours at home, I felt u...
Dr. Lai Zhaokang Reply:
Hello, you have undergone a CT scan which showed no intracranial hemorrhage, indicating that there is generally no immediate life threat. Your symptoms are likely similar to a concussion. Please rest and take care of yourself. Typically, medication treatment in the neurosurgery o...[Read More] Head Injury After Basketball: When to Seek Further Medical Evaluation
Understanding Diminished Responses in Brain Injury Patients
The mother's reactions are becoming increasingly diminished? My mother, who is 58 years old, was diagnosed with breast cancer metastasis to the brain at the end of April this year. On November 13, she fell at home, hitting the left side of her head, resulting in a wound with...
Dr. Zhang Junwei Reply:
Based solely on your description and without seeing the brain CT scan, I cannot answer your question![Read More] Understanding Diminished Responses in Brain Injury Patients
How Often Should You Monitor a Pituitary Tumor Without Medication?
How often should a pituitary tumor be monitored if medication is not being taken? Twelve years ago, I developed hyperprolactinemia due to medication for a peptic ulcer, which led to an MRI revealing a pituitary tumor measuring less than 1 cm. The neurosurgeon who initially examin...
Dr. Zhang Junwei Reply:
It is recommended to follow up every one to three years.[Read More] How Often Should You Monitor a Pituitary Tumor Without Medication?
Understanding Cerebellar AVM: Recovery from Bleeding and Dizziness
Cerebellar arteriovenous malformation (AVM) One day, I suddenly experienced bleeding and was taken to the hospital, where it was determined that I had a hemorrhage due to an arteriovenous malformation (AVM). After surgery on the cerebellum, it has been over 10 days. I can hold on...
Dr. Zhang Junwei Reply:
The cerebellum regulates balance, and injuries to the brain can cause dizziness. The duration of symptoms can vary, and there is no definitive answer to how long they will last.[Read More] Understanding Cerebellar AVM: Recovery from Bleeding and Dizziness
Understanding L5 Vertebral Dislocation: Diagnosis, Treatment, and Liability
L5 vertebral spondylolysis Hello, Dr. Lai! Due to a collision between a child and a motorcycle, the other party was discharged from the emergency department the same day. They returned for follow-up visits twice within two months after the emergency visit, and the diagnosis repor...
Dr. Lai Zhaokang Reply:
Hello: 1. As you have researched, vertebral arch dislocation may have some congenital issues, and combined with postnatal activities such as exercise and heavy lifting, it may worsen. Sudden traumatic injuries can also exacerbate the condition. 2. Unless you can obtain the pa...[Read More] Understanding L5 Vertebral Dislocation: Diagnosis, Treatment, and Liability
Post-Surgery Concerns: Can I Remove Screws After Lumbar Fusion?
Postoperative lumbar spine surgery Hello Doctor: I underwent fusion surgery on my lumbar spine at L4, L5, and S1 in 2015, where 6 screws were implanted. The protruding parts at L4 and L5 were removed, and a spacer was placed at L5-S1. I still feel discomfort post-surgery. I have ...
Dr. Lai Zhaokang Reply:
Hello, 1. If the implanted spacer has fused, the fixation screws may be considered for removal. 2. What you are feeling as a protrusion needs to be evaluated in person. It is advisable to consult an experienced spine neurosurgeon for an examination. 3. Can the spacer displace...[Read More] Post-Surgery Concerns: Can I Remove Screws After Lumbar Fusion?
Understanding the Lockman Decompression System After Disc Surgery
Postoperative Lumbar Decompression System Hello Doctor: Due to long-term heavy lifting, I have a herniated disc at L3/L4 that is compressing the nerve, so I underwent a discectomy. The doctor recommended the installation of a Lockman spinal decompression system (out-of-pocket exp...
Dr. Zhao Shaoqing Reply:
Hello: For professional inquiries, please visit the Neurosurgery outpatient clinic at Changhua Hospital, Ministry of Health and Welfare, for assistance.[Read More] Understanding the Lockman Decompression System After Disc Surgery
Understanding Coma Recovery After Traumatic Brain Injury from Car Accidents
Coma due to traumatic brain injury from a car accident? Hello, Director. My father is 50 years old and was hit by a car running a red light on August 19 this year. He was hospitalized due to excessive blood loss, hypoxia, and shock, with multiple fractures and injuries. After two...
Dr. Zhao Shaoqing Reply:
Hello: 1. The process of hyperbaric oxygen therapy has shown benefits for brain injury patients, and they can be evaluated at our hyperbaric oxygen center. 2. The writing of the diagnosis will depend on the situation; if neurological symptoms remain stable after six months, an as...[Read More] Understanding Coma Recovery After Traumatic Brain Injury from Car Accidents