Can Sexual Activity Trigger Aneurysm Rupture After Surgery?
Cerebral aneurysm Three months ago, I underwent surgery for a cerebral aneurysm, followed by an endovascular embolization procedure. I came across discussions online suggesting that engaging in sexual activity could potentially cause the aneurysm to rupture. Is this true? Also, i...
Dr. Zhang Junwei Reply:
The online reference likely pertains to an unaddressed aneurysm. If you have already undergone surgery and had it treated, please discuss it with your surgeon; it should not have any impact![Read More] Can Sexual Activity Trigger Aneurysm Rupture After Surgery?
Understanding Right Leg Tightness and Hand Numbness: Possible Causes and Solutions
There is an abnormal tightness sensation in the right thigh, accompanied by slight numbness in the hand? Hello Dr. Lai, I would like to ask if you could help me with a preliminary diagnosis of my condition. It started around February of last year, and my current symptoms include ...
Dr. Lai Zhaokang Reply:
Hello: 1. The hand <the right hand also feels a bit prone to numbness, particularly the ring and little fingers...> is mainly due to nerve compression in the hand. It may also be caused by cervical spine issues, and a nerve conduction study (NCS) is needed for differentiati...[Read More] Understanding Right Leg Tightness and Hand Numbness: Possible Causes and Solutions
Impact of Skull Base Fractures on Hearing Loss and Balance Issues
Basilar skull fracture causing auditory nerve damage? I would like to ask about my recent car accident that resulted in a skull base fracture causing left ear leakage, as well as subdural and epidural bleeding. After the ear leakage stopped, I noticed persistent tinnitus on the l...
Dr. Zhang Junwei Reply:
For hearing loss, you should consult an otolaryngologist.[Read More] Impact of Skull Base Fractures on Hearing Loss and Balance Issues
Understanding Lumbar Spondylolisthesis and Surgical Options
Spondylolysis with lumbar spondylolisthesis? Hello Doctor, four years ago I visited a physician due to lower back pain, and the doctor diagnosed me with a fracture of the lamina at the fourth and fifth lumbar vertebrae. Recently, during a follow-up visit, the doctor mentioned tha...
Dr. Lai Zhaokang Reply:
Hello: 1. If there is a spondylolysis with accompanying lumbar spondylolisthesis, it will not heal on its own. If you feel your symptoms are manageable, then coexist peacefully with it. However, if your symptoms are bothersome and you want a definitive solution, then consider sur...[Read More] Understanding Lumbar Spondylolisthesis and Surgical Options
Understanding Post-Traumatic Headaches After Intracranial Hemorrhage
#148189 Response - Intracranial Hemorrhage Sequelae #148189 I have previously asked a question and received a doctor's advice: Essentially, there are sequelae, and it's not that one cannot write; it depends on the physician's professional judgment. I would like to ...
Dr. Zhang Junwei Reply:
I'm sorry, I'm in the south![Read More] Understanding Post-Traumatic Headaches After Intracranial Hemorrhage
Understanding Chronic Subdural Hematoma After Car Accidents: Care and Recovery
Traumatic brain hemorrhage from a car accident? My grandfather was in a car accident in Pingtung on April 13 of this year. At the time, he didn't seem to have any serious injuries, only some minor abrasions. The local hospital in Pingtung only examined his external injuries ...
Dr. Zhang Junwei Reply:
Theoretically, as long as the initial neurological impairment is not severe, almost complete recovery is possible. Whether the patient can live independently or requires assistance from others needs to be assessed in detail; it is difficult to answer this question online.[Read More] Understanding Chronic Subdural Hematoma After Car Accidents: Care and Recovery
Understanding Carpal Tunnel Syndrome: Treatment Options and Insights
Radicular syndrome with hand numbness? My mother has been experiencing numbness in her middle and index fingers after prolonged activities such as reviewing documents, washing dishes, brushing her teeth, and combing her hair over the past two years. A doctor diagnosed her with ce...
Dr. Zhang Junwei Reply:
Since the nerve conduction study indicates two underlying issues simultaneously, and there has been no improvement after wrist surgery, cervical spine surgery may need to be considered.[Read More] Understanding Carpal Tunnel Syndrome: Treatment Options and Insights
Understanding Post-Traumatic Head Injuries: Symptoms and Medical Documentation
Post-traumatic intracranial hemorrhage sequelae following a car accident? Hello, doctor. I was in a car accident four months ago, during which I lost consciousness and have no memory of the incident. The diagnosis was: intracranial hemorrhage; cerebral contusion combined with sku...
Dr. Zhang Junwei Reply:
Basically, having sequelae does not mean one cannot write; it depends on the physician's professional judgment.[Read More] Understanding Post-Traumatic Head Injuries: Symptoms and Medical Documentation
Understanding Left Neck Pain: Causes, Diagnosis, and Treatment Options
Left neck pain? Four years ago, I experienced numbness in my left fingers and pain in my arm. After an MRI examination, it was found that there was a herniated disc at the levels of C3-C4, C4-C5, C5-C6, and C6-C7, with the C5-C6 level being more severe. I did not undergo surgery ...
Dr. Zhang Junwei Reply:
X-rays cannot visualize intervertebral discs, let alone nerves. If there is a suspicion of worsening disc herniation with nerve compression, it is best to perform an MRI again.[Read More] Understanding Left Neck Pain: Causes, Diagnosis, and Treatment Options
Essential Considerations for Ventriculoperitoneal Shunt and Anti-Siphon Devices
I would like to inquire about the special considerations regarding the implantation of adjustable ventriculoperitoneal shunts and anti-siphon devices? Hello! I am a social worker serving individuals with disabilities. Recently, one of my clients has an implanted ventriculoperiton...
Dr. Zhang Junwei Reply:
Strong magnetic materials include powerful magnets (not regular magnets) and devices that generate strong magnetic fields, such as medical MRI machines, but do not include mobile phones or computers. However, areas with strong magnetic fields are usually marked, as otherwise, ite...[Read More] Essential Considerations for Ventriculoperitoneal Shunt and Anti-Siphon Devices
Understanding Foot Pain: Causes and Solutions for Neurological Issues
Foot problems Pain on the outer side of the dorsum and sole of the foot (approximately below the ankle) has been noted. Recent health check-ups indicate that I am slightly overweight and have a history of gout, but I have been managing my diet and have not had an attack for a yea...
Dr. Zhang Junwei Reply:
This is likely not a neurological issue; let's consult an orthopedic clinic![Read More] Understanding Foot Pain: Causes and Solutions for Neurological Issues
Post-Craniectomy Care: Essential Tips for Recovery at Home
Craniectomy Due to a ruptured aneurysm, my mother had her skull removed for decompression. She is currently being cared for at home, but the skull has not been replaced. I would like to know what precautions should be taken. Aside from avoiding pressure and impact, can she functi...
Dr. Zhang Junwei Reply:
Yes, that's correct. In the neurosurgery outpatient clinic, it's important to return the skull as soon as possible.[Read More] Post-Craniectomy Care: Essential Tips for Recovery at Home
Understanding Neurological Issues: Exploring Oral Symptoms and MRI Findings
Brain issues Hello Doctor, I have been experiencing some discomfort in my oral cavity for over five months. I have consulted with specialists in oral and maxillofacial surgery, dentistry, otolaryngology, neurology, and rheumatology, but so far, none have been able to provide a co...
Dr. Zhang Junwei Reply:
To be honest, what you said is too complicated, and it's difficult to answer these questions online. I recommend discussing this with a neurosurgery outpatient clinic and a physician.[Read More] Understanding Neurological Issues: Exploring Oral Symptoms and MRI Findings
Understanding Persistent Finger Pain: When to Consult a Neurosurgeon
Finger issues Hello Doctor: My right hand's little finger at the first phalanx (distal phalanx) on the inner side has been experiencing severe pain for over 5-6 years whenever I accidentally press on it. The pain feels like being struck by a hammer, which often causes me to ...
Dr. Zhang Junwei Reply:
It sounds like nerve or tendon inflammation; I recommend a consultation at the neurosurgery outpatient clinic.[Read More] Understanding Persistent Finger Pain: When to Consult a Neurosurgeon
Understanding Postural Numbness: Is It Just Cervical Compression?
Posterior right hemisphere edema? Hello, Dr. Chang. This has happened twice, both times while sleeping in a slouched position on a wooden chair, with the back of my head resting directly against the top of the chair back. Upon waking, I experienced a feeling of swelling and numbn...
Dr. Zhang Junwei Reply:
It sounds like it may be caused by cervical nerve compression; however, it is still recommended to consult a neurosurgery outpatient clinic for an accurate diagnosis.[Read More] Understanding Postural Numbness: Is It Just Cervical Compression?
Understanding Nerve Compression: Diagnosing Back Pain and Muscle Strain
Nerve compression Due to unexplained itching in the right foot and easy fatigue and swelling in the right calf and right buttock, along with pain radiating to the left side of the thigh and groin, I consulted a neurosurgeon. An X-ray revealed that the L4 and L5 intervertebral dis...
Dr. Zhang Junwei Reply:
In theory, a muscle strain should not affect nerve conduction studies. If the cause remains unclear, it is recommended to undergo magnetic resonance imaging (MRI) for further evaluation.[Read More] Understanding Nerve Compression: Diagnosing Back Pain and Muscle Strain
Is Penetrating Bone Screws a Standard Treatment for L5-S1 Issues?
Lumbar vertebral screw penetration? I have a L5-S1 vertebral arch dissociation, but the intervertebral disc is normal, and I have osteoporosis with a T-score of -2.6. After a medical diagnosis, the doctor performed a minimally invasive cortical bone screw fixation at L5-S1. Post-...
Dr. Lai Zhaokang Reply:
Hello: 1. It is true that some physicians may consider the patient's condition or their medical habits, which could lead to the screws penetrating the vertebrae. 2. Your postoperative symptoms may not necessarily be related to the screws penetrating the vertebrae. 3. We have...[Read More] Is Penetrating Bone Screws a Standard Treatment for L5-S1 Issues?
Understanding Spasticity and Pain Management After Neurosurgery
Stiff Person Syndrome Dear Dr. Chang Jun-Wei, I am a patient who has consulted at multiple hospitals and undergone a series of tests including blood biochemistry, 24-hour urine analysis, and peripheral nerve examinations, which included sensory and motor evoked potentials, senso...
Dr. Zhang Junwei Reply:
Your question is too complex to be answered online based solely on the information you provided.[Read More] Understanding Spasticity and Pain Management After Neurosurgery
Experiencing Pain Four Years After Head Injury: Should You See a Doctor?
About four years ago, I had a head injury, and now I experience sharp pain? Hello, doctor. About four years ago, I had a motorcycle accident and hit my head. At that time, the doctor evaluated a CT scan and determined there were no issues. However, in recent days, I have been exp...
Dr. Zhang Junwei Reply:
The issues from four years ago should theoretically not cause headaches now; however, if there is persistent headache, it is still advisable to seek medical evaluation.[Read More] Experiencing Pain Four Years After Head Injury: Should You See a Doctor?
Understanding Prolonged Recovery After Spinal Fusion Surgery: Key Insights
During the follow-up examination, the doctor said that the bone has not yet formed, and I need to continue wearing the brace. It has been almost a year? Due to a grade 4.5 spondylolisthesis, I underwent minimally invasive spinal fusion surgery. I had two surgeries on February 3 a...
Dr. Lai Zhaokang Reply:
Hello: 1. According to what you mentioned: <...it's just been a year, is this normal, doctor?...> Generally, bone healing for young individuals should take about 3 months. However, you have undergone three surgeries. The pathway for the steel nails may have caused stru...[Read More] Understanding Prolonged Recovery After Spinal Fusion Surgery: Key Insights