Monitoring for Neurofibroma Recurrence: Key Questions Answered
How to monitor for recurrence of a neuroblastoma? Hello, Dr. Chang. I was hospitalized earlier this year for surgery to remove a neuroma from my elbow. The doctor mentioned that there was a 5% portion that could not be removed due to the risk of nerve damage. During my last outpa...
Dr. Zhang Junwei Reply:
1. Yes. 2. Not the same.[Read More] Monitoring for Neurofibroma Recurrence: Key Questions Answered
Understanding Muscle Weakness and Pain: Which Specialist to Consult?
Weakness in the legs, soreness, and muscle atrophy? Doctor, I have soreness in both buttocks and the outer sides of my calves. My right calf muscle is atrophied, and sometimes I experience tingling in my right foot. My lower back is also sore, and my right leg is two centimeters ...
Dr. Zhang Junwei Reply:
You can first visit the neurosurgery outpatient clinic.[Read More] Understanding Muscle Weakness and Pain: Which Specialist to Consult?
Understanding Head and Mouth Pain: When to Seek Medical Help
Head issues I had a sore on the corner of my mouth from October 9th, and I didn't see a doctor until October 12th. The doctor said I had a painful lump on my lower jaw due to a bacterial and viral infection. I only took medication for a little over a day and then stopped, bu...
Dr. Zhang Junwei Reply:
General Internal Medicine is sufficient.[Read More] Understanding Head and Mouth Pain: When to Seek Medical Help
Which Specialist Should Remove a Nerve Tumor on the Thigh?
If there is a neuroma on the thigh, the appropriate specialty for surgery would be the orthopedic surgery department or possibly the neurosurgery department, depending on the specific characteristics and location of the neuroma? A neurofibroma approximately one centimeter in size...
Dr. Zhang Junwei Reply:
Orthopedic surgery can be performed using traditional surgical methods.[Read More] Which Specialist Should Remove a Nerve Tumor on the Thigh?
Head Injury from Desk Corner: When to Seek Medical Attention?
Head struck against the corner of a table? Hello Doctor: Yesterday, when I woke up to turn off my alarm, I accidentally hit my head against the corner of the desk next to my bed. It was quite a hard hit, and I felt a lot of pain and a bit dizzy at that moment. Later, I noticed a ...
Dr. Zhang Junwei Reply:
If persistent headaches and dizziness occur, it is recommended to consult a neurosurgery outpatient clinic for evaluation.[Read More] Head Injury from Desk Corner: When to Seek Medical Attention?
Head Injury Symptoms: Understanding Skull Fractures and Fever
Skull fracture, fever, and body aches? Hello doctor, two weeks ago I was struck on the head with a wooden stick, and I had several stitches on the back of my head. The CT scan showed a skull fracture. I rested at home for a few days, but today after working half a day, I returned...
Dr. Zhang Junwei Reply:
Headaches and dizziness are related to head trauma, while body aches are not.[Read More] Head Injury Symptoms: Understanding Skull Fractures and Fever
Understanding Thalamic Hemorrhage: Treatment Options and Recovery Insights
73-year-old with intracranial hemorrhage? On November 9th, my father experienced a suspected hemorrhagic stroke due to emotional agitation. Initially, the blood clot was small, but it expanded to about 70% of the scan within three hours. The doctor indicated that the location of ...
Dr. Zhang Junwei Reply:
You are generally correct; thalamic hematomas are rarely surgically removed. The surgery is primarily for the evacuation of the hematoma and hemostasis, and it cannot repair the nerves.[Read More] Understanding Thalamic Hemorrhage: Treatment Options and Recovery Insights
Post-Microdiscectomy Concerns: Support Frame Stability and Pain Recovery
Postoperative Issues After Minimally Invasive Discectomy It has been one and a half months since the surgery. Q1: After minimally invasive surgery, I often wonder if the support frame placed by the doctor will come out. Q2: After the surgery, the doctor mentioned that the sorenes...
Dr. Lai Zhaokang Reply:
Hello, we do not have your detailed medical history, nor have we participated in the surgeries you have previously undergone. Please consult the physician who performed your surgery directly. Wishing you all the best.[Read More] Post-Microdiscectomy Concerns: Support Frame Stability and Pain Recovery
Intermittent Tingling Sensation in the Palm: Causes and Insights
Intermittent tingling sensation in the palm? There is a prickling sensation in the palm, concentrated in the center. It occurs intermittently, lasting about 1 to 2 seconds each time. This has been ongoing for about two days, and while it does not significantly affect reading or w...
Dr. Lai Zhaokang Reply:
Hello: Your condition has been present for about 2 days. You can rest your wrist for a week and apply moderate heat. Please observe the situation. If there is no improvement, there could be several possible conditions, and you will need to see a doctor for an accurate diagnosis. ...[Read More] Intermittent Tingling Sensation in the Palm: Causes and Insights
Persistent Head Pain and Memory Issues After School Injury: What to Do?
Headache, feeling like the head is being crushed? I was hit on the head by a classmate at school, and I've been feeling uncomfortable for over a month. At first, I felt a soft spot at the back of my head, but that sensation went away. However, recently my memory and comprehe...
Dr. Zhang Junwei Reply:
Neurology outpatient examination.[Read More] Persistent Head Pain and Memory Issues After School Injury: What to Do?
Should You See a Doctor After a Head Injury in Basketball?
Head trauma Today, I fell while playing basketball and hit the back of my head. There is a bump on my head with slight bleeding. After the incident, I did not experience nausea or vomiting, nor do I have a headache or dizziness, but my attention is slightly unfocused, and I feel ...
Dr. Zhang Junwei Reply:
Further observation is recommended; if there are persistent headaches and dizziness, then treatment in the neurosurgery outpatient clinic is advised![Read More] Should You See a Doctor After a Head Injury in Basketball?
Understanding Severe Migraines: Symptoms, Diagnosis, and Treatment Options
Severe migraine Doctor, I would like to ask about my condition. A few months ago, I experienced severe headaches for the first time, and when using the computer screen, I couldn't focus my vision. After taking some painkillers and sleeping, I felt better the next day. Howeve...
Dr. Zhang Junwei Reply:
It is usually a migraine. Since the examination has been scheduled, we will wait for the results and then discuss them with the doctor.[Read More] Understanding Severe Migraines: Symptoms, Diagnosis, and Treatment Options
Understanding Tumor Surgery: Concerns About Diagnosis and Treatment Risks
Is it possible that a physician might incise a wound and then not properly manage it, or handle it incorrectly? Several years ago, I had a tumor at the elbow of my left arm, which was diagnosed by a plastic surgeon at A Hospital as a neurofibroma. The doctor advised that I needed...
Dr. Zhang Junwei Reply:
No one can obtain a definitive diagnosis without sending the tumor for pathological examination. I also don't know why the physician is reluctant to perform a simple surgery![Read More] Understanding Tumor Surgery: Concerns About Diagnosis and Treatment Risks
Understanding Nerve Issues After a Car Accident: What to Do Next
Neurological issues from a car accident? On July 18 of this year, I was in a car accident and was unable to put weight on my right leg. When I was taken by ambulance, I felt that the right side of my buttocks was elevated while lying on the stretcher. An X-ray was taken and showe...
Dr. Lai Zhaokang Reply:
Hello, you can consult with the Department of Neurosurgery at Changhua Hospital, with Dr. Lai Chao-Kang, the Director of Spinal Neurosurgery.[Read More] Understanding Nerve Issues After a Car Accident: What to Do Next
Understanding Sciatica: When to Seek Medical Help for Pain Relief
Suspected sciatica? Since May of this year, I have been experiencing pain in my buttocks (spine area) after driving for about two hours. The pain occurs in an area that does not directly contact the seat, and it tends to lessen when I am not sitting. The episodes of pain have bee...
Dr. Zhang Junwei Reply:
Neurosurgery or Orthopedics[Read More] Understanding Sciatica: When to Seek Medical Help for Pain Relief
Numbness in Right Knee and Toes: Unexplained Symptoms After Two Months
Numbness on the surface of the right knee and between the three toes of the right foot, with no identifiable cause! Hello Doctor, I have a question. Without any prior trauma, I woke up one morning to find that the surface of my right knee and the area between the three toes on my...
Dr. Lai Zhaokang Reply:
Hello, 1. Both the X-ray and MRI results are normal. If you still have concerns, you can obtain copies of the images and consult a second physician for their opinion. 2. The nerve conduction study results are currently pending... please be patient while waiting. Wishing you ...[Read More] Numbness in Right Knee and Toes: Unexplained Symptoms After Two Months
Understanding Carpal Tunnel Syndrome: Symptoms, Treatments, and Surgery Options
Carpal Tunnel Syndrome The neurology clinic diagnosed me with carpal tunnel syndrome and treated me with corticosteroids for one week, along with almost daily rehabilitation (including heat therapy, electrical stimulation, and laser therapy). As of my follow-up appointment on Sep...
Dr. Zhang Junwei Reply:
Based on your description, it seems to be carpal tunnel syndrome. If the outpatient examination confirms this, surgery can quickly resolve your issue![Read More] Understanding Carpal Tunnel Syndrome: Symptoms, Treatments, and Surgery Options
Understanding Sciatica from Herniated Discs: Treatment Options and Concerns
Herniated disc causing sciatica? In January of this year, I underwent an MRI at the hospital, which confirmed a herniated disc at the L4-L5 level compressing the nerve root, resulting in abnormal nerve conduction and causing sciatica. Yesterday, I returned for a doctor's eva...
Dr. Lai Zhaokang Reply:
Hello, as you mentioned: MRI confirmed that there is a herniated disc at the L4-L5 level compressing the nerve root. Nerve conduction studies are abnormal, and there is some atrophy in the gluteal region. After a long period of rehabilitation, you feel it has been ineffective. ...[Read More] Understanding Sciatica from Herniated Discs: Treatment Options and Concerns
Post-Surgery Pain Management for L5S1 Disc Herniation: What to Expect
L5-S1 intervertebral disc herniation with spinal fusion surgery? Hello, I underwent surgery on October 13th for the removal of a herniated disc along with internal fixation. The area where I experienced pain prior to the surgery, from my right buttock to the back of my thigh, cur...
Dr. Lai Zhaokang Reply:
Hello, the surgery was not performed by me, and we do not have your pre-operative and post-operative information. Therefore, we are unable to answer your questions. Best wishes, Dr. Lai Chao-Kang, Director of Spine and Nerve at Changhua Hospital.[Read More] Post-Surgery Pain Management for L5S1 Disc Herniation: What to Expect
Assessing and Managing Agitation Symptoms After Brain Hemorrhage
Assessment and Management of Agitation Symptoms in Intracerebral Hemorrhage My father was rear-ended on October 7, resulting in a right parietal bone fracture, as well as traumatic bilateral intracerebral hemorrhage, subdural hematoma, and subarachnoid hemorrhage. During his hosp...
Dr. Zhang Junwei Reply:
After a brain injury, there may sometimes be cognitive function impairments. However, since I cannot see the location of the bleeding or the detailed situation, I kindly ask you to have a neurosurgical evaluation again![Read More] Assessing and Managing Agitation Symptoms After Brain Hemorrhage