Considerations for Air Travel After Acute Brain Hemorrhage: A Patient's Guide
Returning to Taiwan by plane? I would like to inquire about a patient who experienced an acute intracerebral hemorrhage abroad. Currently, the patient has no sensation in the left hand, and the left leg has progressed from no sensation to slight awareness. Since the incident, the...
Dr. Zhang Junwei Reply:
Such issues are too complex to be addressed solely based on the limited information you provided. To avoid giving you incorrect answers, I recommend that you bring your medical records and consult a physician in the neurosurgery outpatient clinic in person.[Read More] Considerations for Air Travel After Acute Brain Hemorrhage: A Patient's Guide
Understanding Jaw Muscle Pain: Causes and Concerns for Patients
Pain upon palpation of the muscles surrounding the mandible? Hello, Doctor: I would like to ask about a pain I experience near the muscles around my lower jaw on both sides, which feels like a bruise when pressed. (There is no pain when I open my mouth, only when I apply pressure...
Dr. Lai Zhaokang Reply:
Hello: Based on your description, there is no pain when opening your mouth wide, but there is pain when pressure is applied. The dental X-ray did not show any abnormalities, and there is no inflammation or pain in the teeth or gums. 1. It is suspected that this may be due to in...[Read More] Understanding Jaw Muscle Pain: Causes and Concerns for Patients
Do I Need Surgery for My Herniated Cervical Disc? Expert Insights
Do I need surgery to replace my cervical intervertebral disc due to a herniated disc? Hello Doctor, I am a patient with hypotonic cerebral palsy. Last March, I suffered a fall that resulted in herniated discs at cervical levels 4 to 6. Initially, I experienced increased difficult...
Dr. Zhang Junwei Reply:
Your question is too complex. Certain conditions require imaging studies and a personal physical examination to provide an answer. It is recommended to consult a neurosurgery outpatient clinic for evaluation.[Read More] Do I Need Surgery for My Herniated Cervical Disc? Expert Insights
Post-Surgery Nasal Leakage After Brain Surgery: Causes and Recovery
Cerebrospinal fluid rhinorrhea after brain surgery? Hello Doctor: After a year following brain surgery due to a car accident, I am experiencing cerebrospinal fluid (CSF) leakage from my nose. Will the surgical site heal completely? Is there a possibility of recurrence in the futu...
Dr. Zhang Junwei Reply:
Nasal discharge can vary in different situations; if it does not resolve naturally within a week, surgical treatment is recommended.[Read More] Post-Surgery Nasal Leakage After Brain Surgery: Causes and Recovery
Can I Get a Medical Certificate for Head Injury After an Accident?
Can I go to the hospital for a diagnosis certificate after a head injury? I'm sorry, I would like to ask Dr. Chang. My mother was in a car accident last November, where she hit her head and lost consciousness. At that time, her Glasgow Coma Scale score was 8, indicating seve...
Dr. Zhang Junwei Reply:
You can ask the physician who originally treated you to issue a medical certificate. Whether the sequelae can recover depends on the patient's clinical condition.[Read More] Can I Get a Medical Certificate for Head Injury After an Accident?
Numbness Around Right Toe: When to Seek Neurological Care?
Numbness around the toes of the right foot? Hello Doctor: A few days ago, I accidentally kicked a door with my right foot while walking. At that moment, I experienced significant pain in my toe. The next morning, I noticed that my right toe and the surrounding area began to feel ...
Dr. Lai Zhaokang Reply:
Hello: It is likely a plantar fascia strain. I recommend trying heat therapy and applying anti-inflammatory ointment. Observe for two weeks. If there is no improvement, seek further medical attention. Best wishes. // Neurosurgery Dr. Lai Chao-Kang[Read More] Numbness Around Right Toe: When to Seek Neurological Care?
How Long Should I Monitor After a Forehead Injury from a Falling Branch?
Hit by a falling branch? Hello, doctor. Yesterday, while I was walking and waiting for the traffic light, I was hit on the forehead by a falling branch. At the time, my forehead was red and swollen, but I didn't have any other issues. After sleeping for a night, I feel mostl...
Dr. Zhang Junwei Reply:
If there is not much happening within three days, it is usually considered fine.[Read More] How Long Should I Monitor After a Forehead Injury from a Falling Branch?
Post-Discectomy Sciatica: Understanding Pain and Recovery Challenges
Post-operative nerve pain from the groin to the right leg, resulting in inability to walk? Hello Doctor: I am currently 49 years old. On August 21, 2020, I underwent surgery at a hospital in Taoyuan. The surgical procedures included: lumbar interbody fusion with posterior fusion ...
Dr. Lai Zhaokang Reply:
Hello: Although you have worked hard to write a lot, I need more information for assessment and reasoning. Since I cannot see the patient or the imaging in person, I can only suggest that if the original surgeon is unable to improve your symptoms and you have other thoughts regar...[Read More] Post-Discectomy Sciatica: Understanding Pain and Recovery Challenges
Post-Surgery Complications After Lumbar Spondylolisthesis: A Patient's Experience
Postoperative Issues After Spinal Spondylolisthesis Surgery Three years ago, I underwent surgery on my lumbar spine at the L4-L5 levels. Currently, I need to wear compression stockings for support in order to walk. I also frequently experience urinary incontinence and require med...
Dr. Lai Zhaokang Reply:
Hello: Although you have worked hard to write a lot, I need more information for evaluation and reasoning. Since I cannot see the patient or the imaging directly, I can only suggest that you return for a follow-up appointment with the original surgeon to discuss your concerns. If...[Read More] Post-Surgery Complications After Lumbar Spondylolisthesis: A Patient's Experience
Can Neurosurgery Help Improve Brain Function in Severe Coronary Blockage?
Severe coronary artery obstruction affecting the brain: Can it be improved through neurosurgical intervention? Hello doctor, my grandfather has severe blockage in all three major arteries and is currently managing his condition with medication. He often feels a bit sluggish in th...
Dr. Zhang Junwei Reply:
It may be caused by carotid artery stenosis, and you should consult a neurologist rather than a neurosurgeon.[Read More] Can Neurosurgery Help Improve Brain Function in Severe Coronary Blockage?
Understanding Cervical Spine Pain: Causes and When to Seek Help
Cervical spine pain Hello, doctor. I've been experiencing significant pain at a specific point near my seventh cervical vertebra for the past couple of days. I would like to ask what might be the cause (could it be due to posture, etc.)? Do I need to seek medical attention? ...
Dr. Zhang Junwei Reply:
Pain points are often caused by muscle inflammation.[Read More] Understanding Cervical Spine Pain: Causes and When to Seek Help
Head Injury Concerns for Dialysis Patients: What You Need to Know
Mother hit her head? Hello Doctor: My mother (52 years old) accidentally bumped her head against the edge of the range hood in the kitchen this morning (the edge is not sharp). She felt pain at the moment (which lasted for about one to two minutes) but there was no external injur...
Dr. Zhang Junwei Reply:
The incidence of chronic subdural hematoma is low, and it cannot be prevented in advance; observation is required for one month.[Read More] Head Injury Concerns for Dialysis Patients: What You Need to Know
Understanding Sciatic Nerve Injury: Recovery Chances and Insights
Sciatic nerve injury I would like to inquire about a situation where, in July, I suffered a stab wound to the sciatic nerve, resulting in numbness in the sole of my foot, inability to move my toes normally, and weakness in my calf and thigh muscles, which are beginning to atrophy...
Dr. Zhang Junwei Reply:
Without objective examination reports, it is not possible to provide an answer.[Read More] Understanding Sciatic Nerve Injury: Recovery Chances and Insights
Understanding Head Injuries: Symptoms, Risks, and When to Seek Help
Hit on the back of the head? 1. On September 24th at midnight, I was struck on the right occipital region by an umbrella pole. At the moment of impact, I was conscious and felt pain, and I experienced slight dizziness. There is mild redness on the surface of the right occipital a...
Dr. Zhang Junwei Reply:
If headaches and dizziness worsen after a concussion, it is recommended to consult a neurosurgery outpatient clinic for evaluation.[Read More] Understanding Head Injuries: Symptoms, Risks, and When to Seek Help
Understanding Delayed Intracranial Hemorrhage After Head Trauma
The right occipital region was hit? 1. Sorry, Dr. Chang, it's me again. How long after a head injury does delayed intracranial hemorrhage typically occur, and how long should we observe to confirm that it is not present? 2. What magnitude of impact force can cause delayed ...
Dr. Zhang Junwei Reply:
Typically, if bleeding has not occurred within three days, the chance of delayed bleeding is very low. Usually, the likelihood is higher in cases of car accidents or falls from heights.[Read More] Understanding Delayed Intracranial Hemorrhage After Head Trauma
Understanding Disc Herniation and Cyst Formation at the S2 Level
Herniated disc and a cyst located at the sacral S2 level? Hello doctor, I have been experiencing deep pain in my right buttock and halfway down my thigh, especially when I go from slouching to standing up straight. Physical therapy doesn't seem to have much effect, and this ...
Dr. Zhang Junwei Reply:
Blisters cannot be drained with a needle. It is recommended to bring your MRI to a neurosurgery outpatient clinic for consultation with a physician. An online consultation cannot perform a physical examination.[Read More] Understanding Disc Herniation and Cyst Formation at the S2 Level
Persistent Head Pain After Wall Impact: What You Need to Know
Head injury with pain lasting for several days after hitting a wall? Hello Doctor: Last Wednesday, I accidentally bumped into a corner of the wall at home. At the time, there was no bleeding, but a large bump formed, and it has been throbbing and painful for almost a week now. I ...
Dr. Zhang Junwei Reply:
It is recommended to visit the neurosurgery outpatient clinic for an examination.[Read More] Persistent Head Pain After Wall Impact: What You Need to Know
Understanding Dizziness and Nausea: Insights on AVMs and Neurological Concerns
Dizziness and nausea? 1. How can one distinguish projectile vomiting? 2. Is arteriovenous malformation of the brain a rare disease? 3. What is the probability of developing a brain arteriovenous malformation? 4. What is the cost of a brain MRI? 5. If someone has a brain a...
Dr. Lai Zhaokang Reply:
Hello: If the physician deems it appropriate, an MRI of the brain can be applied for under the National Health Insurance. If you are concerned about having related conditions, it is advisable to consult a nearby neurologist or neurosurgeon for evaluation. Regarding your other que...[Read More] Understanding Dizziness and Nausea: Insights on AVMs and Neurological Concerns
Navigating Hydrocephalus Treatment Options: Drainage vs. Shunt Surgery
Hydrocephalus Consultation My mother, who is 50 years old, has been diagnosed with hydrocephalus. One hospital suggested performing a lumbar puncture to drain fluid first, followed by a shunt placement, arguing that the pathway from the brain to the lumbar spine is obstructed, ma...
Dr. Zhang Junwei Reply:
Patients have different conditions, and the management approaches vary accordingly. It is advisable to visit a medical center or consult multiple hospitals.[Read More] Navigating Hydrocephalus Treatment Options: Drainage vs. Shunt Surgery
Understanding Multiple Sclerosis: Managing Anxiety and Health Concerns
About Multiple Sclerosis? Hello, Doctor. A couple of months ago, I was worried about having Sjögren's syndrome due to dry mouth and dry throat, and after a few days of finger and toe pain, I became even more anxious and consulted a rheumatologist. The result was that everyth...
Dr. Lai Zhaokang Reply:
I recommend that you consult a neurologist and arrange for relevant examinations to confirm whether it is the condition you are concerned about. If it is not, focus on living your life without attributing symptoms to yourself. Your future is long, so concentrate on your studies a...[Read More] Understanding Multiple Sclerosis: Managing Anxiety and Health Concerns