Understanding Vascular Malformations: When to Seek Medical Help
Hairy cell vascular lesions Hello, I am a rare disease patient. I underwent two cerebral vascular reconstruction surgeries 13.4 years ago. There are still issues in the lower right part of my brain, but my doctor does not recommend further surgery. I also have a chronic asthma co...
Dr. Zhang Junwei Reply:
It is recommended to first consult a pulmonologist to properly treat asthma.[Read More] Understanding Vascular Malformations: When to Seek Medical Help
Understanding Water-Cooled Radiofrequency Ablation for Chronic Back Pain
Water-cooled radiofrequency ablation for lower back pain? Hello Doctor: My mother fell at the end of August last year and was diagnosed with a compression fracture of the first lumbar vertebra. She underwent a cryoablation procedure immediately, and on the same day post-surgery, ...
Dr. Lai Zhaokang Reply:
Hello: 1. Water-cooled radiofrequency ablation is primarily used for treating lumbar disc herniation, but it can also be applied in pain nerve block procedures. 2. Low-temperature bone cement is injected into vertebral fractures to accelerate the stabilization of the fracture. Bo...[Read More] Understanding Water-Cooled Radiofrequency Ablation for Chronic Back Pain
Understanding Temporary Vision Loss After Concussion in Children
A concussion can cause temporary vision impairment in one eye? Hello, a 4-year-old child has sustained a concussion due to a head injury. A CT scan of the brain showed no bleeding, and an ophthalmologist confirmed that there are no issues with the optic nerve or retina. However, ...
Dr. Zhang Junwei Reply:
If there is no improvement, it is recommended to consult a neurosurgeon, as there may be an injury to the optic nerve, and an MRI may be necessary.[Read More] Understanding Temporary Vision Loss After Concussion in Children
Understanding Post-Concussion Symptoms: When to Seek Medical Attention
Post-concussion syndrome? Hello, doctor. On January 2, 2019, I was involved in a motorcycle accident where I collided with another vehicle, causing me to be thrown off and hit my head. I don't remember whether my knee, buttocks, or head was the first point of impact. I did n...
Dr. Zhang Junwei Reply:
It is important to monitor whether the current symptoms worsen or persist without improvement. Generally, such symptoms tend to improve with adequate rest. If there is no improvement, a consultation with a neurosurgery outpatient clinic should be scheduled for further evaluation ...[Read More] Understanding Post-Concussion Symptoms: When to Seek Medical Attention
How Long Should a Young Adult Rest After a Mild Concussion?
A Grade 1 concussion typically requires a recovery period of about 7 to 10 days? Hello, Dr. Chang. May I ask: For a young person in their twenties or thirties who has sustained a Grade I concussion from a car accident, how long do general physicians typically recommend for rest?
Dr. Zhang Junwei Reply:
There are no specific grades for concussions; it is generally recommended to rest for one week.[Read More] How Long Should a Young Adult Rest After a Mild Concussion?
Understanding Sudden Calf Tremors: Normal Reflex or Nerve Issue?
There is frequent intense shaking in the lower leg for about 2 seconds, occurring only once every morning? In recent weeks, I have been experiencing a warm sensation in my feet while under the covers, but after waking up from sleep, my feet stretch out and the area below my calve...
Dr. Lai Zhaokang Reply:
Hello, if it has been ongoing for more than two weeks, you should see a neurologist or a neurosurgeon. Best wishes. // Neurosurgery, Dr. Lai Chao-Kang.[Read More] Understanding Sudden Calf Tremors: Normal Reflex or Nerve Issue?
Post-Surgery Complications of Acoustic Neuroma and AV Malformation Removal
Neurofibroma with arteriovenous malformation? My husband underwent a craniotomy for a left-sided vestibular schwannoma on January 15. During the surgery, the surgeon discovered an arteriovenous malformation beneath the dura mater, which was also removed. The surgery lasted approx...
Dr. Zhang Junwei Reply:
Because I am unclear about the situation during the surgery, various circumstances can occur during a craniotomy. The fact that eight bags of blood were transfused indicates a significant amount of blood loss, which may have led to ischemia and hypoxia in some brain tissue, poten...[Read More] Post-Surgery Complications of Acoustic Neuroma and AV Malformation Removal
Understanding Thigh Nerve Compression: Treatment Options and Relief Strategies
Treatment options for femoral nerve compression? Hello Doctor, my mother has been experiencing a sensation of pressure and tingling in the groin area of her right thigh at night for the past four years. She often wakes up in the middle of the night feeling numb and needs to stand...
Dr. Lai Zhaokang Reply:
Hello, There is often a feeling of pressure and a crawling sensation in the groin area, and I frequently wake up with numbness in the middle of the night. 1. It could be due to neuropathic groin pain. 2. It may also be caused by compression of the lumbar nerves. However, a scan...[Read More] Understanding Thigh Nerve Compression: Treatment Options and Relief Strategies
Managing Hyperhidrosis: Exploring Anticholinergic Medications and Alternatives
Hyperhidrosis (Excessive Sweating) Hello, Doctor! 1. I have been experiencing palmar and plantar hyperhidrosis for a long time. Currently, I am managing my hand sweating with iontophoresis, but it seems to have compensated with sweating all over my body and feet. I have tried t...
Dr. Lai Zhaokang Reply:
Hello: If you cannot coexist peacefully with hand sweating, you may consider trying medication short-term if you can accept the side effects. After that, reassess and decide whether to pursue long-term management. Wishing you well, Neurosurgeon Dr. Lai Chao-Kang. 1. Glycopyrrola...[Read More] Managing Hyperhidrosis: Exploring Anticholinergic Medications and Alternatives
Understanding Thumb Joint Pain: Causes and Specialist Recommendations
Hand issues Hello, doctor. Since last night, I've been experiencing a sharp pain in the joint of my left thumb whenever it comes into contact with cold water, but there is no pain with warm water. The painful area is only at the inner joint of the thumb, and there is not muc...
Dr. Lai Zhaokang Reply:
Hello: Inflammation of the fascia and tendons within the joint, as well as neuritis, may occur. If your finger movement is normal, it is recommended to apply heat and observe for 1-2 weeks. If there is no improvement, seek medical attention. You may consult a neurosurgeon, Dr. La...[Read More] Understanding Thumb Joint Pain: Causes and Specialist Recommendations
Understanding Chest and Abdominal Tightness: When to Seek Medical Help
The chest and abdomen feel like they are being constricted by a rope? Hello Doctor: 1. In early September, I experienced a sensation of being bound by a rope under my left rib cage (upper left abdomen), which later spread to the right side, and I began to feel a constricting se...
Dr. Lai Zhaokang Reply:
Hello: It is suspected to be a spinal nerve issue. It is recommended to consult a neurosurgeon. Best wishes to you. // Neurosurgeon Dr. Lai Chao-Kang[Read More] Understanding Chest and Abdominal Tightness: When to Seek Medical Help
Understanding Skull Indentations: When to Seek Medical Attention for Head Injuries
Depressed skull or cranial depression? Yesterday, my son's classmates were playing tag and ran through damaged playground equipment. A hanging metal rod rebounded and struck my ten-year-old son's head. Although there are no visible external injuries or swelling, there s...
Dr. Zhang Junwei Reply:
Neurological surgery outpatient visit.[Read More] Understanding Skull Indentations: When to Seek Medical Attention for Head Injuries
Understanding Sudden Thumb Inability: Causes and Care Tips
The thumb suddenly cannot be straightened? Hello Doctor: A few nights ago, I suddenly noticed that I couldn't consciously straighten the joint of my right thumb near the palm, nor could I bring it together with my index finger. However, there was no pain at all! After gettin...
Dr. Zhang Junwei Reply:
It is rare; it is recommended to directly visit a neurology outpatient clinic for a physical examination to confirm.[Read More] Understanding Sudden Thumb Inability: Causes and Care Tips
Understanding Extracranial Aneurysms: Risks and Treatment Options
Extracranial aneurysm Hello Dr. Chang: Recently, an elder in my family underwent a vascular imaging examination and was found to have two extracranial aneurysms, each measuring 0.5 cm. Since they are extracranial, is it generally the case that no treatment is required? If an extr...
Dr. Zhang Junwei Reply:
Cerebral aneurysms generally do not cause immediate effects on brain tissue when they rupture, so they typically do not require intervention. However, the management may depend on the location and size of the aneurysm, so it is advisable to discuss this with your neurosurgeon or ...[Read More] Understanding Extracranial Aneurysms: Risks and Treatment Options
Minimally Invasive Surgery for Lumbar Spondylolisthesis: Treatment Options Explored
After undergoing two spinal surgeries, if you experience a slippage of the L4-L5 vertebrae seven years later, what treatment options are suitable for minimally invasive surgery? Hello Doctor: My mother underwent spinal surgery years ago due to complications from a car accident, a...
Dr. Lai Zhaokang Reply:
Hello: 1. There is a slippage at the L4-L5 vertebrae with a fracture. Additionally, there have been two spinal surgeries, and the screws have been removed. Without support, the lumbar region is definitely more unstable and uncomfortable. 2. If you have tried medications and rehab...[Read More] Minimally Invasive Surgery for Lumbar Spondylolisthesis: Treatment Options Explored
Sinusitis or Eye Pressure? Navigating Chronic Pain and Diagnosis
Sinusitis or ocular pressure? Hello, Doctor. The patient has been experiencing pressure and dull pain in the upper part of the eyeball and between the eyebrows, along with eye fatigue and a desire to rest. They have undergone MRI of the brain by a neurologist multiple times, but ...
Dr. Zhang Junwei Reply:
If you have already consulted with neurology and ENT specialists without finding any issues, it is advisable to consider a consultation with a neurosurgery clinic.[Read More] Sinusitis or Eye Pressure? Navigating Chronic Pain and Diagnosis
Is Surgery the Right Choice for Your Herniated Disc?
Is surgery suitable for a herniated disc? Hello, Director. I have undergone several imaging examinations as follows: 1. After performing deep squats on July 15, 2018, I was unable to stand the next day. Whenever I stood up, I felt significant discomfort in my right posterior hi...
Dr. Lai Zhaokang Reply:
Hello: 1. I have reviewed your imaging, and there is indeed nerve compression. If you are young and have already tried conservative rehabilitation treatment without satisfactory results, you may consider minimally invasive surgery to directly relieve the pressure on the nerve. ...[Read More] Is Surgery the Right Choice for Your Herniated Disc?
Understanding Intracranial Hemorrhage: Treatment and Prognosis After Trauma
Intracranial hemorrhage My husband fell down the stairs on the night of October 13 and suffered a significant impact. There were no obvious external injuries to the head, but he bled profusely from his ears. He was taken to Linkou Chang Gung Memorial Hospital and was already in a...
Dr. Zhang Junwei Reply:
Without a complete medical history and assessment, it is not possible to provide an accurate response. I apologize![Read More] Understanding Intracranial Hemorrhage: Treatment and Prognosis After Trauma
Understanding Cervical Spine Surgery and Autonomic Nervous System Disorders
Cervical spine surgery (autonomic nervous system dysfunction) Last year, I fell from an aluminum ladder and injured my cervical spine, which led to back pain, headaches, dizziness, tinnitus, insomnia, blurred vision, palpitations, chest tightness, nausea, vomiting, memory loss, a...
Dr. Zhang Junwei Reply:
Without a complete medical history, patient history, and neurological examination, it is difficult to provide an accurate answer. I apologize![Read More] Understanding Cervical Spine Surgery and Autonomic Nervous System Disorders
Understanding Intracranial Hemorrhage: What to Expect After Surgery
Intracranial hemorrhage Doctor, I would like to ask about my mother who had a car accident and suffered from intracranial hemorrhage. After the surgery, her brain did not show any signs of contraction, and her pupils remain dilated. The attending physician mentioned that the pupi...
Dr. Zhang Junwei Reply:
Without a complete medical history, patient history, and neurological examination, it is difficult to provide an accurate answer. I apologize![Read More] Understanding Intracranial Hemorrhage: What to Expect After Surgery