Post-Surgery Memory Confusion: Understanding Behavioral Changes After Hydrocephalus Surgery
After the surgery for hydrocephalus, there is confusion and a constant desire to go home? Hello Dr. Lai, My father suffered a head injury due to a work accident in late October last year, resulting in a skull fracture, intracranial hemorrhage, subarachnoid hemorrhage, and fronta...
Dr. Lai Zhaokang Reply:
Hello: I would like to answer your question directly, but your records indicate that the surgeries were performed at other hospitals, so I cannot provide you with a definitive answer. Wishing you all the best.[Read More] Post-Surgery Memory Confusion: Understanding Behavioral Changes After Hydrocephalus Surgery
Post-Surgery Pain After Lumbar Spondylolisthesis: Causes and Solutions
Postoperative pain after lumbar spondylolisthesis surgery? Hello Dr. Lai, I have been experiencing numbness in both legs after standing for a long time or walking for about 5 minutes (without pain), followed by weakness and loss of control over my movements. After an MRI diagnosi...
Dr. Lai Zhaokang Reply:
Hello: Since this is not my surgical patient and there are no images available, I cannot provide a definitive response. However, since you have concerns and are unable to improve with the original physician, I recommend that you personally seek a consultation with another expert ...[Read More] Post-Surgery Pain After Lumbar Spondylolisthesis: Causes and Solutions
Understanding L5-S1 Disc Herniation: Why Symptoms Can Improve Over Time
Lumbar disc herniation at the L5-S1 level? I have been doing strength training for nearly a year. At the beginning of October, after playing basketball one night, I felt fine, but the next day I couldn't even sit; I could only lie down without symptoms. Initially, I thought ...
Dr. Lai Zhaokang Reply:
Hello: Both you and the physician agree. The physician suggested surgery because there is confirmed nerve compression. You feel that your symptoms have improved and you do not have symptoms of leg numbness or muscle atrophy, so you do not want to undergo surgery. You are likely t...[Read More] Understanding L5-S1 Disc Herniation: Why Symptoms Can Improve Over Time
Can You Fly with a Permanent Ventriculoperitoneal Shunt?
Ventriculoperitoneal shunt Hello Dr. Chang, I apologize for bothering you. I previously asked about the possibility of flying with a permanent drainage catheter. My friend has a self-funded ventriculoperitoneal shunt. Can they fly with this type of device? Thank you.
Dr. Zhang Junwei Reply:
It is usually acceptable.[Read More] Can You Fly with a Permanent Ventriculoperitoneal Shunt?
Head Injury from Closet: When to Seek Medical Attention?
Hit head on the wardrobe? Hello Dr. Chang, I bumped the side of my head near the left crown against the edge of a wardrobe last night with some force. At the time, I only felt scalp pain and did not experience any dizziness. However, today I occasionally feel a bit lightheaded an...
Dr. Zhang Junwei Reply:
It can be observed, and if there are any subsequent discomforts, please schedule an appointment with the neurosurgery outpatient clinic.[Read More] Head Injury from Closet: When to Seek Medical Attention?
Understanding Stroke Causes: Are They Exclusively CNS Disorders?
Causes of Stroke Is a stroke always classified as a disorder of the central nervous system? Are there other potential causes, or is it 100% a problem related to the central nervous system?
Dr. Zhang Junwei Reply:
The brain is part of the central nervous system, so a stroke in the brain is certainly a central nervous system disorder![Read More] Understanding Stroke Causes: Are They Exclusively CNS Disorders?
Head Injury Concerns: Do I Need to Worry About Brain Bleeding?
Head issues Hello doctor, I accidentally hit my head while taking the bus last Sunday. Since it was a long trip, I only applied ice about an hour later. At the moment of impact, I felt pain briefly but had no other sensations. Over the past few days, I've occasionally felt a...
Dr. Zhang Junwei Reply:
The likelihood of bleeding is very low.[Read More] Head Injury Concerns: Do I Need to Worry About Brain Bleeding?
Understanding Brain Tumors: A Case Study of Severe Complications
The brain tumor has affected the brainstem? (My mom has diabetes) My mom went to the emergency room at midnight due to a headache. A CT scan revealed a 7 cm tumor at the front of her brain. An MRI was performed, and she was admitted to the hospital at 6 PM the same day. During he...
Dr. Zhang Junwei Reply:
Without seeing the brain CT scan and the actual medical history, I cannot provide you with an accurate answer, but it does not seem optimistic.[Read More] Understanding Brain Tumors: A Case Study of Severe Complications
Is It Normal to Have Bruising After Sciatica Acupuncture Treatment?
Sciatica has reflexes? Sciatica: After receiving acupuncture treatment for the left leg and lower back, I noticed bruising on the left breast a few days later. Is this normal?
Dr. Lai Zhaokang Reply:
Hello: There is a bruise on the left breast. Theoretically, it is unrelated to acupuncture treatment on the left foot and lower back, and it is also not related to sciatica. It is recommended to consult a breast surgeon. Best wishes to you. // Neurosurgeon Dr. Lai Chao-Kang[Read More] Is It Normal to Have Bruising After Sciatica Acupuncture Treatment?
Understanding Shoulder and Neck Pain Radiating to Arm Discomfort
Shoulder and neck pain radiating to the arm? I have been experiencing shoulder and neck pain for several years. A few years ago, an X-ray showed that my cervical vertebrae at the C5 level are curved, along with degenerative arthritis. I was prescribed medication and advised to ta...
Dr. Lai Zhaokang Reply:
Hello, you have cervical nerve compression, which is causing nerve pain. It is recommended to consult a neurosurgeon. Best wishes to you. // Dr. Lai Chao-Kang, Chief of Spine Neurosurgery, Changhua Hospital.[Read More] Understanding Shoulder and Neck Pain Radiating to Arm Discomfort
Understanding Skull Fractures: Pain, Healing, and Recovery Time
I would like to inquire about skull fractures? Hello, Doctor. I have a few questions I would like to ask you: Q1: In the case of a closed depressed skull fracture (located at the central top of the head), is it common for the affected area to always be accompanied by significan...
Dr. Lai Zhaokang Reply:
Hello: A1. In the case of traumatic closed depressed skull fractures, there may not be obvious symptoms. A2. If the depressed fracture is less than 1 cm and there are no significant symptoms, conservative treatment and observation for three months may be sufficient. A3. If the de...[Read More] Understanding Skull Fractures: Pain, Healing, and Recovery Time
Essential Care Tips for Patients with Permanent Ventricular Drainage
Precautions for Ventricular Drainage Catheter in the Brain: Hello Dr. Chang, my friend had a car accident three years ago, which resulted in a brain injury that prevented the absorption of cerebrospinal fluid. During the process, they experienced meningitis and cerebral edema. Tw...
Dr. Zhang Junwei Reply:
1. No, there isn't. 2. It depends on the type of drainage tube you have installed.[Read More] Essential Care Tips for Patients with Permanent Ventricular Drainage
Understanding Memory Issues After Head Trauma: A Caregiver's Guide
My father keeps wanting to take a shower? Hello, doctor. My father fell from a height on October 25, resulting in a head injury. After diagnosis, he was found to have intracranial hemorrhage, skull fractures, and a subdural hematoma. He was sent to the hospital for a CT scan, whi...
Dr. Zhang Junwei Reply:
Severe brain injury can lead to dementia.[Read More] Understanding Memory Issues After Head Trauma: A Caregiver's Guide
Choosing the Best Surgery for Hydrocephalus: Spinal vs. Brain Drainage
Which surgical method is more effective for hydrocephalus? Hello doctor, my mother has been diagnosed with hydrocephalus at the age of 69. After evaluations from two doctors, one suggested that spinal drainage carries minimal risk, while the other recommended brain drainage. When...
Dr. Lai Zhaokang Reply:
Hello: 1. Ventriculoperitoneal (VP) shunt is the standard procedure, and the vast majority of hydrocephalus cases worldwide undergo this surgery. However, patients may have concerns due to the direct puncture of the brain to implant the catheter. 2. Lumbar-peritoneal (LP) shun...[Read More] Choosing the Best Surgery for Hydrocephalus: Spinal vs. Brain Drainage
Understanding Memory Loss After a Motorcycle Accident: Is It Concussion?
Amnesia due to a car accident? On December 2, 2017, I had a motorcycle accident and I can't clearly remember what happened at that time. The possible cause of the accident might be slipping due to the rain, which led to a fall. I realized I had an accident because there was ...
Dr. Lai Zhaokang Reply:
Hello: In cases of head trauma, the most important factors to assess in the first three days are whether there is any loss of consciousness, limb weakness, fatigue, seizures, or epilepsy, as these may indicate the risk of intracranial hemorrhage. However, if none of these symptom...[Read More] Understanding Memory Loss After a Motorcycle Accident: Is It Concussion?
Understanding Hemorrhagic Stroke: A Father's Journey Through Emergency Care
Dad has a hemorrhagic stroke? Hello Doctor, my father (51 years old, in good health, with a history of hypertension) fainted on the evening of November 22nd around 8:30 PM. After fainting, he was unconscious and was urgently taken to the hospital. The doctor performed the first C...
Dr. Zhang Junwei Reply:
This issue is complex and not suitable for online response without complete medical history information.[Read More] Understanding Hemorrhagic Stroke: A Father's Journey Through Emergency Care
Understanding the Long-Term Effects of Childhood Head Injuries
Head issues Hello, when I was a child, I hit my head against a hard object, resulting in a slight indentation about the size of a ten-dollar coin near the center of my scalp. The indentation is noticeable to the touch, and it can also be seen when I press down on my hair. There h...
Dr. Zhang Junwei Reply:
Basically, no.[Read More] Understanding the Long-Term Effects of Childhood Head Injuries
Post-Surgery Recovery: Riding Motorcycles and Rehabilitation Tips
Epidural nerve adhesion release surgery Hello, doctor. Due to compression at the L4-L5-S1 vertebrae, I have been experiencing pain radiating to my calves and have undergone rehabilitation for 2-3 years. Recently, I had a nerve adhesion surgery that has alleviated the pain. I woul...
Dr. Lai Zhaokang Reply:
Hello: When riding a bike, do not exceed half an hour to one hour, and pay attention to riding safety. In theory, you can do rehabilitation with heat therapy and stretching exercises. However, it is recommended that you consult the physician who performed the surgery. Best wishes...[Read More] Post-Surgery Recovery: Riding Motorcycles and Rehabilitation Tips
Understanding Left Lower Back Numbness: Causes and When to Seek Help
Numbness in the lower left back? Hello Dr. Lai: I have very little physical activity. Last week, after walking for 2 hours, I felt quite tired, and afterward, while sitting down, I experienced a tingling sensation in my lower left back that lasted for about 30 seconds before disa...
Dr. Lai Zhaokang Reply:
Hello, it is suspected to be a lumbar spine issue. It is recommended to consult a neurosurgeon, rehabilitation specialist, or orthopedic doctor. Best wishes. // Neurosurgeon Dr. Lai Chao-Kang.[Read More] Understanding Left Lower Back Numbness: Causes and When to Seek Help
Understanding Muscle Tightness and Recovery After Spine Surgery
Feeling muscle tightness? When I lift my legs, I feel tightness in the muscles behind my knees, and my calves are swollen. When lying down, I experience twitching sensations in my buttocks and legs. There are also sounds when I rotate my hip joints, knees, and ankles. Doctor, can...
Dr. Zhang Junwei Reply:
Neurological symptoms generally do not involve a sensation of muscle tightness.[Read More] Understanding Muscle Tightness and Recovery After Spine Surgery