Neurosurgery Q&A - Page 48

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Is It Safe to Return to School After a Head Injury?

Is it appropriate to attend classes after being discharged from a head injury? Is it appropriate to attend classes after being discharged from a head injury?


Dr. Lai Zhaokang Reply:
Hello: We need to assess your injury condition. Please consult with your original neurosurgeon from your hospitalization for further details. Wishing you well. // Dr. Lai Chao-Kang, Neurosurgery, Changhua Hospital

[Read More] Is It Safe to Return to School After a Head Injury?


Deciding on Acoustic Neuroma Surgery: Expert Opinions and Patient Dilemma

Deciding on surgery for a vestibular schwannoma is challenging? I have consulted four hospitals and four neurosurgeons regarding my condition. I currently have poorly controlled diabetes and an acoustic neuroma approximately 2 cm in size, which only slightly touches the brainstem...


Dr. Zhang Junwei Reply:
A 2 cm neuroma can actually be treated with a gamma knife!

[Read More] Deciding on Acoustic Neuroma Surgery: Expert Opinions and Patient Dilemma


Do Seizures After a Car Accident Always Follow the Incident?

Seizures occurred at the time of the car accident? Will there definitely be epilepsy after a car accident if seizures occur at the time of the accident?


Dr. Zhang Junwei Reply:
Not necessarily.

[Read More] Do Seizures After a Car Accident Always Follow the Incident?


Do Head Impacts Cause Brain Cell Death and Memory Loss?

After a concussion, do brain cells die? Hello, doctor. Here's the situation: one night, when I sat up in bed, I bumped into the wooden support beam between the upper and lower bunk. The force and speed with which I sat up were normal, so it wasn't too light or too heavy...


Dr. Zhang Junwei Reply:
No, you're overthinking it!

[Read More] Do Head Impacts Cause Brain Cell Death and Memory Loss?


Post-Surgery Recovery: Managing Pain and Exercise After Lumbar Disc Surgery

Herniated disc Hello Dr. Lai, I weigh 73 kg and am 175 cm tall. Two months ago, I underwent traditional surgery for a lumbar disc herniation at the L4-L5 level and had a dynamic stabilizer implanted. The pressure on my left leg has resolved, and the incision has healed well. I ha...


Dr. Lai Zhaokang Reply:
Hello: Your description is very thoughtful. However, please discuss these details with your original surgeon during your follow-up appointment. Wishing you all the best.

[Read More] Post-Surgery Recovery: Managing Pain and Exercise After Lumbar Disc Surgery


Understanding Lumbar Cysts: Symptoms, Surgery, and Recovery Insights

Lumbar cyst? Last July, an MRI revealed a cyst in my lumbar spine. At that time, the doctor did not indicate any specific issues, only stating that it was congenital. Recently, I have been experiencing a dull ache on the left side, and since last year, I have had pain in the top ...


Dr. Lai Zhaokang Reply:
Hello: 1. Your symptoms: <..Recently, there has been a sensation of soreness on the left side, and since last year, after sitting for a long time, I experience pain in the left foot when I stand up, which improves after walking for a while...> This may not necessarily be ca...

[Read More] Understanding Lumbar Cysts: Symptoms, Surgery, and Recovery Insights


Understanding Autonomic Nervous System Disorders: Symptoms and Solutions

Autonomic nervous system dysfunction can cause persistent numbness in the limbs and scalp? At the beginning of January, while working at my computer, I suddenly experienced a sharp pain in my heart, followed by numbness in my limbs. If I didn't get up and move around, I felt...


Dr. Lai Zhaokang Reply:
Hello: You may consider further evaluation of the brain and cervical spinal cord. Wishing you well.

[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions


Post-Car Accident Headaches: When to Seek Medical Attention?

Headache one month after a car accident? About mid-December last year, I was involved in a motorcycle accident. I didn't get thrown off; I just fell down with the motorcycle while wearing a helmet. I was a passenger and managed to get up after the fall. I didn't go to t...


Dr. Zhang Junwei Reply:
If the headache persists, it is recommended to consult a neurosurgery outpatient clinic for evaluation.

[Read More] Post-Car Accident Headaches: When to Seek Medical Attention?


Understanding Occasional Pain in the Left Back of the Head: Causes and When to See a Doctor

Intermittent sharp pain in the left posterior part of the head? I recently traveled to South Korea and experienced a frostbite sensation in my left nostril (the right nostril was unaffected). After returning, I felt a burning and nerve pain in my left nostril, which extended to t...


Dr. Zhang Junwei Reply:
If the pain persists, it is recommended to consult a neurosurgery outpatient clinic for evaluation.

[Read More] Understanding Occasional Pain in the Left Back of the Head: Causes and When to See a Doctor


Unexplained Right Leg Numbness in a 70-Year-Old: Seeking Answers

My father is 70 years old and experiences numbness in his right foot, but various tests have not revealed any underlying cause? Dear Doctor, My father is 70 years old and has been experiencing gradual numbness in his right foot for about two years (the left foot has not shown an...


Dr. Lai Zhaokang Reply:
Hello: 1. It is recommended to further evaluate whether it is a cerebrovascular accident (stroke) or a condition affecting the upper cervical and thoracic spinal cord nerves. Consider if there is room for further treatment. Best wishes. // Dr. Lai Chao-Kang, Department of Neurosu...

[Read More] Unexplained Right Leg Numbness in a 70-Year-Old: Seeking Answers


Managing Lumbar Compression Fractures: Tips for Comfort and Mobility

Compression injury of the fifth lumbar vertebra. Discomfort from prolonged sitting, tightness in the knees, and susceptibility to lower back pain? Hello, Doctor. Two months ago, I sustained a compression injury to my fifth lumbar vertebra due to a sports injury. After two months ...


Dr. Lai Zhaokang Reply:
Hello: 1. You have had a lumbar spine injury, which likely has some residual effects that may cause discomfort. It’s a matter of how much you can tolerate. If you wish to improve further, you can consult a spine neurosurgeon to evaluate whether you are a candidate for surgery, re...

[Read More] Managing Lumbar Compression Fractures: Tips for Comfort and Mobility


Can X-rays Diagnose Herniated Discs? Understanding Back Pain and Symptoms

After the X-ray, it is uncertain whether there is a herniated disc? Two years ago, after intense exercise, I felt significant discomfort in my left lower back, making it difficult to stand for long periods. After an X-ray, the doctor advised me to undergo physical therapy for my ...


Dr. Lai Zhaokang Reply:
Hello, 1. Your symptoms suggest that you may have a herniated lumbar disc compressing the sciatic nerve. 2. X-rays can help to infer whether there is a herniated lumbar disc, but confirmation should primarily be done through MRI (Magnetic Resonance Imaging). I recommend consul...

[Read More] Can X-rays Diagnose Herniated Discs? Understanding Back Pain and Symptoms


Understanding Potential Aftereffects of Sports Injuries: When to Seek Help

I fell while playing ball, landing on my lower back first? Hello, doctor. Recently, while playing basketball, I lost my balance while going for a rebound and fell directly onto my lower back, landing on my buttocks near the spine. I had an X-ray done the same day, and the bones w...


Dr. Lai Zhaokang Reply:
Hello: Based on what you described, there may be some facial twitching. Additionally, you experience persistent dry heaving and a lack of appetite upon waking up. Pressing on the back of your neck on the affected side also induces nausea. You also had a headache two days ago... I...

[Read More] Understanding Potential Aftereffects of Sports Injuries: When to Seek Help


Should Seniors on Anticoagulants See a Doctor After a Head Injury?

Elderly individuals who are on long-term anticoagulant therapy may experience a fall and sustain a head injury? Grandfather has undergone heart valve surgery and has been on anticoagulants for 20 years. He fell while working in the mountains and hit the back of his head, resultin...


Dr. Zhang Junwei Reply:
Please schedule an appointment with the neurosurgery department!

[Read More] Should Seniors on Anticoagulants See a Doctor After a Head Injury?


Post-Car Accident Dizziness: Understanding Recurring Symptoms

Dizziness recurrence after a car accident? I was in a car accident over a month ago. When I was taken to the hospital, I had a scan done, and it appeared that my head was not injured. However, I still felt dizzy, so I went to see a doctor. I took medication for a while and then r...


Dr. Zhang Junwei Reply:
Related.

[Read More] Post-Car Accident Dizziness: Understanding Recurring Symptoms


Managing Hyperhidrosis: Tips for Teens Dealing with Excessive Sweating

Hyperhidrosis issues? I have been experiencing sweaty hands and feet since the third or fourth grade, and it has continued into high school. Regardless of the weather, I sweat excessively, and it has become increasingly severe over the past few months. My hands sweat so much that...


Dr. Zhang Junwei Reply:
This issue is not within my specialty; I recommend consulting a thoracic surgeon.

[Read More] Managing Hyperhidrosis: Tips for Teens Dealing with Excessive Sweating


Does Spinal Surgery Affect Walking Stability After Six Months?

Does spinal surgery involving the insertion of metal implants affect walking later on? Hello doctor, I had surgery six months ago, but I wasn't involved in a car accident that affected my legs. However, I am currently experiencing instability while walking. I have also been ...


Dr. Lai Zhaokang Reply:
Hello: Is your injury related to the L1 vertebra? If it's just a bone injury, it should heal within six months. However, if there is damage to the spinal cord or nerves, it may take longer. Please discuss this with your original surgeon! Wishing you the best.

[Read More] Does Spinal Surgery Affect Walking Stability After Six Months?


Understanding Visual Disturbances After Intracranial Hemorrhage

Visual sequelae Recently, a family member experienced intracranial hemorrhage due to an accident. In addition to symptoms of dizziness and headache, they also have visual discomfort in the right eye and difficulty seeing at a distance. The impact occurred at the lower right poste...


Dr. Lai Zhaokang Reply:
Hello: According to what you mentioned, "the ophthalmologist said there are no structural neurological issues..." Based on medical principles: "Visual conduction pathway: visual field → retina → optic nerve → optic chiasm → optic tract → lateral geniculate nucleus ...

[Read More] Understanding Visual Disturbances After Intracranial Hemorrhage


Understanding Post-Surgery Coma Scores and ICP Monitoring in Neurosurgery

Intracranial pressure monitor Dear Doctor: After a brain tumor surgery, is it true that the Glasgow Coma Scale (GCS) score is always 3 immediately post-operation? Additionally, is it mandatory to place an intracranial pressure (ICP) monitor after the surgery?


Dr. Zhang Junwei Reply:
Regardless of the type of surgery, immediately after general anesthesia, the level of consciousness is typically at 3. It is not always necessary to place an intracranial pressure monitor.

[Read More] Understanding Post-Surgery Coma Scores and ICP Monitoring in Neurosurgery


Understanding Temple Pain: When to Seek Medical Attention

Temporalis pain A few days ago, I accidentally hit my temple against a hard hat. After that, I experienced a headache and nausea. Although it improved after a few hours, I've been feeling pain in my temple for the past few days. Should I see a doctor, or will it heal on its ...


Dr. Zhang Junwei Reply:
If it hasn't improved by today, you should schedule an appointment with the neurosurgery outpatient clinic!

[Read More] Understanding Temple Pain: When to Seek Medical Attention




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