Neurosurgery Q&A - Page 3

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Understanding Post-Trauma Symptoms: When to See a Specialist

Head injury About two years ago, I had a motorcycle accident and hit my right forehead. I went to the hospital at that time and had a head X-ray, which showed no issues. However, recently I have noticed some swelling in my right eyelid and the area above my eyelid on the forehead...


Dr. Zhang Junwei Reply:
The injury from two years ago is theoretically unlikely to be related to the current swelling. It is recommended to consult a neurosurgery outpatient clinic for examination.

[Read More] Understanding Post-Trauma Symptoms: When to See a Specialist


Managing Head Injuries in Children: Ice or Heat for Swelling?

A child fell down? If a young child accidentally bumps their head while playing and initially cries but is comforted, it is important to monitor them for 72 hours. If there are no symptoms such as vomiting, excessive sleepiness, fainting, and they are eating and drinking normally...


Dr. Zhang Junwei Reply:
Typically, apply ice for the first three days, then switch to warm compresses.

[Read More] Managing Head Injuries in Children: Ice or Heat for Swelling?


Understanding Cervical Spine Issues and Surgical Options: A Patient's Journey

Cervical spinal cord issues and surgery? Hello, Vice Dean. I would like to consult you. I have congenital S-shaped scoliosis, with a lumbar curvature of 90 degrees and significant thoracic curvature. In 2000, I developed a gastric condition that led me to sleep in a raised positi...


Dr. Zhang Junwei Reply:
1. Gastroesophageal reflux should not be related to the cervical spine. 2. Muscle atrophy of the right thumb is a possibility. 3. Without detailed medical history and physical examination, an accurate answer cannot be provided.

[Read More] Understanding Cervical Spine Issues and Surgical Options: A Patient's Journey


Monitoring Intracranial Pressure After Ventriculostomy: Key Insights

How to monitor intracranial pressure after the placement of a ventriculostomy catheter? Hello Doctor: My father is currently in a vegetative state. Before he fell into a complete coma, he was still conscious and able to move his eyes. During that time, it was discovered that he h...


Dr. Zhang Junwei Reply:
To directly measure intracranial pressure, invasive procedures such as lumbar puncture are required. A CT scan can only indirectly detect ventricular enlargement and then infer elevated intracranial pressure.

[Read More] Monitoring Intracranial Pressure After Ventriculostomy: Key Insights


Should You Undergo Surgery for Heavy Legs Due to Nerve Compression?

Heavy sensation in the lower limbs? Since last year, I have been experiencing a heavy sensation in my lower limbs and a swaying feeling while walking. An MRI revealed compression at cervical levels 5, 6, and 7, as well as compression and a herniated disc at lumbar level 5. The ne...


Dr. Lai Zhaokang Reply:
Hello: It is suspected that your unsteady gait is due to cervical spinal cord pathology. If an MRI confirms spinal cord compression and the symptoms are significant, surgery for decompression may be recommended. As for nerve conduction studies, they are later indicators that can ...

[Read More] Should You Undergo Surgery for Heavy Legs Due to Nerve Compression?


Understanding Mid-Back and Peripheral Numbness: Causes and Solutions

Mid-back numbness and peripheral numbness? Hello Doctor, in the past week or two, I have been experiencing a tingling sensation, similar to an electric shock, in the middle right part of my back. This usually occurs when I extend my right arm forward, lean forward, grip something...


Dr. Lai Zhaokang Reply:
Hello: Preliminary assessment suggests that 1. your hand symptoms may be due to nerve compression from the cervical spine or upper limbs. Corresponding nerve examinations can be arranged for evaluation. 2. The back symptoms may be related to thoracic nerve issues, which should al...

[Read More] Understanding Mid-Back and Peripheral Numbness: Causes and Solutions


Risks of Spine Surgery in Patients with VRE Infection

VRE Infection and Spinal Surgery My mother has a compression fracture that is pressing on her spinal nerves, resulting in paralysis of her lower body. She has been hospitalized for over a month. The doctor has recommended a decompression surgery with the placement of bone screws....


Dr. Lai Zhaokang Reply:
Hello: Performing surgery in the presence of an infection increases the risk of wound infection and bacterial dissemination, potentially leading to sepsis. However, if there is nerve compression resulting in lower limb paralysis, surgery may be the only option for improvement. Fr...

[Read More] Risks of Spine Surgery in Patients with VRE Infection


Post-Surgery Recovery Challenges After Lumbar Disc Rupture: Seeking Solutions

Postoperative care after lumbar disc herniation surgery? Dear Doctor, I underwent two surgeries in 2020 for L3-4-5 lumbar spine stabilization with interbody fusion devices. My recovery was good, and three months post-surgery, I returned to delivering food. After nearly a year, ...


Dr. Lai Zhaokang Reply:
Hello: If the damage is severe before surgery, the postoperative recovery may not be ideal. Your condition is more complex. We need to review MRI and other imaging studies to provide you with a clearer assessment and recommendations. You can bring a series of MRIs for a consultat...

[Read More] Post-Surgery Recovery Challenges After Lumbar Disc Rupture: Seeking Solutions


Understanding Head Swelling and Depression After Injury: When to Seek Help

Cranial mass and depression Hello, two months ago I slipped in the bathroom and hit the left side of my head. There is still a lump and a dent, but I only experienced severe pain and dizziness for the first few weeks after the injury. I currently have no discomfort. I would like ...


Dr. Zhang Junwei Reply:
If the depression persists without recovery, it is recommended to visit the neurosurgery outpatient clinic for an examination.

[Read More] Understanding Head Swelling and Depression After Injury: When to Seek Help


Understanding Hypoxia in Neurological Emergencies: A Case Study

Cerebral hypoxia My boyfriend is 43 years old. On the morning of February 17, he suddenly became rigid all over, drooled, and after five minutes, his lips turned purple. When the ambulance arrived about five minutes later, he had no pulse. They used an AED but there was still no ...


Dr. Zhang Junwei Reply:
The probability is extremely low, and even if one wakes up, there are usually severe sequelae such as dementia, physical disabilities, and so on.

[Read More] Understanding Hypoxia in Neurological Emergencies: A Case Study


Understanding Tongue Weakness After Brain Surgery: Causes and Recovery

Half of the tongue is flaccid? Hello, doctor. I underwent a resection surgery for an intracranial hemangioma last November, located in the cerebellum, which was compressing the brainstem and cerebellum. Before the surgery, I experienced symptoms such as hand numbness, left-sided ...


Dr. Zhang Junwei Reply:
Hemangiomas are benign, but they can affect the function of nearby nerves, and the specific functions impacted are related to the location of the hemangioma.

[Read More] Understanding Tongue Weakness After Brain Surgery: Causes and Recovery


Understanding Cervical Spine MRI: Cysts, Compression, and Treatment Options

Cervical spine MRI cyst? Hello Dr. Zhao, I previously experienced upper back pain and numbness in my limbs. I later went to an orthopedic specialist for an X-ray, which revealed cervical spine compression. Subsequently, I visited a neurosurgeon who arranged for a cervical MRI (wi...


Dr. Zhao Shaoqing Reply:
Hello: An MRI is needed for further evaluation in neurosurgery.

[Read More] Understanding Cervical Spine MRI: Cysts, Compression, and Treatment Options


Understanding Subarachnoid Hemorrhage and Low Potassium After Car Accident

Subarachnoid hemorrhage from a car accident? Hello, doctor. My mother is 61 years old and had a car accident on February 4th. She sustained a 7 cm laceration on the left side of her head and multiple abrasions on her body. A CT scan showed subarachnoid hemorrhage, but the emergen...


Dr. Zhang Junwei Reply:
Hypokalemia is usually not related to cerebral hemorrhage; it is likely a renal issue.

[Read More] Understanding Subarachnoid Hemorrhage and Low Potassium After Car Accident


Understanding Sacral Cysts: Symptoms, Diagnosis, and Treatment Options

Sacral cyst? Hello Doctor: I accidentally had pressure applied to my sacral vertebra, which resulted in a slight numbness in my labia (but there is no pain at all). Later, I consulted an orthopedic doctor who mentioned spinal stenosis and attempted to perform a lumbar traction, b...


Dr. Zhang Junwei Reply:
Most spinal cysts do not have an impact; I can only suggest that you consult a neurosurgeon at a medical center for further evaluation.

[Read More] Understanding Sacral Cysts: Symptoms, Diagnosis, and Treatment Options


Understanding Persistent Head Pressure: Causes and Solutions

Feeling a sense of heaviness or pressure in the head? For about two years, I have been experiencing a sensation of discomfort in my head, primarily in the back and on both sides, which feels dull and swollen. I also have difficulty concentrating and occasionally experience mild s...


Dr. Zhang Junwei Reply:
Atypical head symptoms, recommended for evaluation in a neurology outpatient clinic.

[Read More] Understanding Persistent Head Pressure: Causes and Solutions


Head Injury from Door Frame: What to Watch For and Signs of Concern

What should you pay attention to after hitting a door frame? Hello, doctor. Earlier, I accidentally bumped the upper right side of my head against a door frame because I didn't pay attention to its height. My mom saw it and said it was quite a hard hit, but currently, there ...


Dr. Zhang Junwei Reply:
The likelihood of a brain hemorrhage is low, but if there are persistent symptoms such as headache, dizziness, nausea, vomiting, or altered consciousness, it is important to seek medical attention immediately.

[Read More] Head Injury from Door Frame: What to Watch For and Signs of Concern


Understanding Pituitary Tumor Surgery: Insights on Risks and Recovery

Second Surgery for Pituitary Tumor Hello, thank you for your message. I would like to ask about my condition. I have a pituitary adenoma and am about to undergo my second surgery; the first surgery was in 2020. I have consistently attended follow-up appointments, including regula...


Dr. Zhao Shaoqing Reply:
You can visit the outpatient clinic for a detailed evaluation and examination. It is not possible to make a judgment based solely on written descriptions; a thorough explanation can be provided during the outpatient visit.

[Read More] Understanding Pituitary Tumor Surgery: Insights on Risks and Recovery


Understanding Cervical Spine Fractures: Recovery and Treatment Insights

Cervical spine fracture Hello Doctor, my relative was in a car accident two days ago. The vehicle in front made an emergency stop, causing my relative, who was riding a motorcycle, to collide with it due to insufficient braking. They experienced severe pain at the scene and were ...


Dr. Zhang Junwei Reply:
1. The pain is not caused by edema, but by nerve damage; edema can occur during the acute phase of nerve injury. 2. If the limbs are still functional, the risk of subsequent paralysis is low, unless further injury occurs. 3. This depends on the severity of the initial nerve d...

[Read More] Understanding Cervical Spine Fractures: Recovery and Treatment Insights


Understanding Recovery Patterns After Brain Injury: A Patient's Journey

Recovery status after brain injury? Hello, doctor. My mother fell and suffered a subarachnoid hemorrhage about two weeks ago, primarily affecting the left frontal and temporal lobes. At that time, her Glasgow Coma Scale (GCS) score was 5-6. After undergoing craniotomy, her curren...


Dr. Zhang Junwei Reply:
1. Without a CT scan report and a detailed neurological assessment, it is difficult to answer this question. Based solely on your brief description, it is not possible to determine the extent of the patient's injuries. 2. The process of cognitive recovery can indeed exhibi...

[Read More] Understanding Recovery Patterns After Brain Injury: A Patient's Journey


Could It Be a Brain Tumor? Understanding Head Pain Symptoms

Could it be a brain tumor? When I shake my head or nod, I feel a painful sensation inside my head as if something is moving around, but I don’t experience any pain when I'm not doing those movements. The pain is located in the upper back part of my head. Could this be a brai...


Dr. Zhang Junwei Reply:
It does not appear to be a brain tumor; a follow-up at the neurology outpatient clinic is recommended.

[Read More] Could It Be a Brain Tumor? Understanding Head Pain Symptoms




Neurosurgery FAQ

Aneurysm Axillary Hyperhidrosis
Back Back Numbness
Brain Brain Tumor
Car Accident Carpal Tunnel Syndrome
Cerebrovascular Cervical Cone
Cervical Cone Surgery Cervical Spine
Cervical Spine Fracture Cervical Spine Osteophytes
Coccyx Concussion
Cramps Epilepsy
Family Medicine Feet
Finger Numbness Fingers
Foot Numbness Hands
Head Headache
Head Contusion Head Injury
Herniated Disc Hydrocephalus
Hyperhidrosis Intracerebral Hemorrhage
Intracranial Hemorrhage Intracranial Vascular Malformation
Left Foot Numbness Lumbar Spine
Lumbar Spondylolisthesis Medical Consultation
Meningitis Neck
Nerves Numbness In The Soles Of The Feet
Other Palmar Hyperhidrosis
Paresthesia Post-Brain Surgery
Post-Cervical Spine Surgery Post-Discectomy
Posterior Head Postoperative
Post-Spinal Surgery Sciatica
Severe Palmar Hyperhidrosis Shoulder Pain
Skull Spinal Cord Injury
Spine Symptoms After A Car Accident
Thigh Nerve Pain Thumb
Trigeminal Neuralgia Tumor
Which Specialty To See