Can Severed Nerves from Past Sweating Surgery Be Reconnected?
Hyperhidrosis issues? Is it possible to reconnect the nerves that were severed during a sympathectomy for hyperhidrosis performed over 20 years ago, considering the compensatory sweating and metabolic abnormalities that have developed?
Dr. Lai Zhaokang Reply:
Hello, for hyperhidrosis, if the nerve has already been severed during the surgery, reconnecting it is not something that can be achieved through the endoscopic procedure performed years ago. It may require an open thoracic surgery to perform nerve anastomosis. Furthermore, there...[Read More] Can Severed Nerves from Past Sweating Surgery Be Reconnected?
Understanding the Cost of Neurosurgery for Spinal Cyst Removal
Surgical costs Hello Doctor: I went to the hospital and found out that I have a cyst near the last segment of my lower back spine. Could you please tell me approximately how much the surgery to remove it would cost?
Dr. Lai Zhaokang Reply:
Hello, 1. If it is a cyst, surgery may not be necessary; it depends on the condition, so please discuss it with your physician. 2. If surgical removal is required, it is generally covered by health insurance. However, if you wish to use other materials, it will depend on your con...[Read More] Understanding the Cost of Neurosurgery for Spinal Cyst Removal
Can Cervical Traction Be Safely Performed After MVD Surgery?
Can traction therapy for the cervical spine be performed after MVD (Microvascular Decompression)? Hello Director Zhang, I apologize for the intrusion, but I have a question that only a senior physician can answer. I would appreciate your guidance: Last year, my elder experienced ...
Dr. Zhang Junwei Reply:
No, cervical traction cannot cause Teflon displacement.[Read More] Can Cervical Traction Be Safely Performed After MVD Surgery?
Post-Accident Numbness in Foot: When to Seek Medical Attention?
After the car accident, there is a tingling sensation when pressing on the dorsum of the foot? Hello, Doctor. About five weeks ago, I was involved in an accident while riding a motorcycle and collided with a small car. I have soft tissue injuries and bruising below my left knee. ...
Dr. Zhang Junwei Reply:
If you continue to experience a sensation of a hard object, it is recommended to visit an orthopedic outpatient clinic.[Read More] Post-Accident Numbness in Foot: When to Seek Medical Attention?
Post-Surgery Sleep Issues: Navigating Complex Challenges After Spine Surgery
Postoperative sleep issues become complicated? I underwent spinal surgery for spondylolisthesis on February 25, 2016, and I couldn't sleep during my hospital stay. I had been taking sleeping pills for 10 years, but they no longer worked. After the surgery, my legs became num...
Dr. Zhang Junwei Reply:
Discuss with the primary surgeon or other physicians whether a repeat surgery could improve the current lumbar spine issues![Read More] Post-Surgery Sleep Issues: Navigating Complex Challenges After Spine Surgery
Understanding Brain Tumor Recurrence: Causes and Treatment Options
Brain tumor recurrence I would like to ask the doctor about the conditions under which brain tumors are likely to recur. My friend suddenly fainted in November 2014, and bystanders said it was a seizure; this was the first episode, and he had no prior symptoms. After examination,...
Dr. Zhang Junwei Reply:
To determine the type of brain tumor, whether it is benign or malignant, and the cellular characteristics, is essential for understanding the likelihood of recurrence. Targeted therapies or chemotherapy should not pose issues for the skull.[Read More] Understanding Brain Tumor Recurrence: Causes and Treatment Options
Understanding Fainting and Head Injury Risks in Anemia Patients
Anemia caused fainting and resulted in a head injury? Hello Doctor, I have microcytic anemia, and when I experience anemia, I tend to see everything in white. This was my first time fainting. When I was about to collapse, a passerby helped me, and I lost consciousness. When I cam...
Dr. Zhang Junwei Reply:
It seems there shouldn't be any issues, but if you still experience any discomfort, please schedule an appointment with the neurosurgery clinic.[Read More] Understanding Fainting and Head Injury Risks in Anemia Patients
Understanding Neurological Disorders: A Case Study of Sensory Loss in a Young Girl
Loss of sensation in the body? A 12-year-old girl experienced an unexplained fall down the stairs at the beginning of January this year, initially reporting only back pain. Two hours later, she began to feel numbness in her toes. After being taken to the emergency room, she was d...
Dr. Zhang Junwei Reply:
This case is complex, and Taipei Veterans General Hospital and Chang Gung Memorial Hospital are already the best hospitals in the country. I'm not sure how to proceed with the treatment, I apologize![Read More] Understanding Neurological Disorders: A Case Study of Sensory Loss in a Young Girl
Exploring Hyperthermia Treatment for Recurrent GBM in Elderly Patients
Recurrent brain tumor, hyperthermia treatment? Hello Doctor, my father is 73 years old. In January, he was diagnosed with a brain tumor due to coordination issues. After surgery, it was confirmed to be a Grade IV Glioblastoma Multiforme (GBM). Following the surgery, he underwent ...
Dr. Zhang Junwei Reply:
It is currently unclear how heat therapy affects the human body.[Read More] Exploring Hyperthermia Treatment for Recurrent GBM in Elderly Patients
Risks of Infection with Artificial Skull Implants After Surgery
Risk of Infection After Cranioplasty Hello Doctor: My father suffered a fall that resulted in intracranial hemorrhage and underwent a craniotomy. His original skull was replaced, but due to an infection, he had to undergo a second debridement surgery, so his autologous skull bone...
Dr. Zhang Junwei Reply:
The risk of infection with a prosthetic skull is relatively low. After the procedure, the patient may not regain consciousness immediately, but there shouldn't be a significant difference in outcomes.[Read More] Risks of Infection with Artificial Skull Implants After Surgery
Post-Crash Dizziness: When to Seek Medical Attention After a Fall
Dizziness after a car accident? Hello, after 10 PM on October 12, my friend was riding a scooter with me. To avoid a taxi in front of us, he made a left turn, turning about 270 degrees. It was drizzling, and the road was slippery, causing us to fall off. When I got up, I felt ver...
Dr. Zhang Junwei Reply:
Just go to the hospital![Read More] Post-Crash Dizziness: When to Seek Medical Attention After a Fall
Memory Loss After Head Injury: Which Specialist to Consult?
Head issues Hello, doctor. Three years ago, I slipped and hit the back of my head against a metal pole (with significant force). After that, I didn't notice any unusual symptoms, but over time, I've felt that my memory has been deteriorating. I forget things from one mo...
Dr. Zhang Junwei Reply:
Neurology[Read More] Memory Loss After Head Injury: Which Specialist to Consult?
Understanding Crushed Skull Fractures and Subdural Hematomas: Risks and Recovery
Comminuted skull fracture and epidural hematoma? Hello doctor, my girlfriend was in a car accident and went to the hospital because she was experiencing persistent headaches and nausea. She underwent a CT scan and was initially diagnosed with a concussion. Although she was alert,...
Dr. Zhang Junwei Reply:
Without a computed tomography (CT) scan image, I cannot provide you with an accurate answer![Read More] Understanding Crushed Skull Fractures and Subdural Hematomas: Risks and Recovery
Post-Car Accident Dizziness and Nausea: When to Seek Medical Help
Dizziness and vomiting after a car accident? About a week ago, I was hit by a driver who ran a red light while I was walking on the crosswalk with the green light. At the time, my head was swollen, but since it was a Saturday and there weren't any good hospitals in the area,...
Dr. Zhang Junwei Reply:
Abnormal, please consult a neurosurgeon or an otolaryngologist (suspected inner ear issues causing dizziness).[Read More] Post-Car Accident Dizziness and Nausea: When to Seek Medical Help
Understanding Bumps on the Back of the Head: Causes and Concerns
Occipital bone lump Yesterday, during class, I suddenly felt some pain in the left back of my head. When I touched it, I noticed it was slightly swollen (about 6 to 7 centimeters from my left ear). What could this be?
Dr. Zhang Junwei Reply:
Please schedule an appointment for a neurosurgery outpatient examination![Read More] Understanding Bumps on the Back of the Head: Causes and Concerns
Can't Lift My Neck: Understanding Neurological Issues After a Fall
Inability to lift the neck? A few days ago, I slipped on a wet floor and now I can't lift my head when lying flat.
Dr. Zhang Junwei Reply:
Please schedule an appointment for the neurosurgery outpatient clinic![Read More] Can't Lift My Neck: Understanding Neurological Issues After a Fall
Understanding Torticollis: Treatment Options and Surgical Insights
Torticollis issue I first noticed my torticollis around elementary to middle school. It wasn't a problem when I was younger, but now that I'm in my senior year of high school, I've always wanted to seek treatment but haven't had the courage to do so. I don...
Dr. Lai Zhaokang Reply:
Hello, general torticollis is often due to fibrosis of the neck muscles. If you are under 18 years old, it is recommended to first consult a pediatric surgeon (however, there are few specialists in this field, so you may need to search online for the nearest hospital). If there i...[Read More] Understanding Torticollis: Treatment Options and Surgical Insights
Understanding Post-Surgery Complications of Brain Hemorrhage in Seniors
Cerebral hemorrhage, with postoperative spontaneous bleeding? Father is 60 years old. On September 6, he experienced facial paralysis on one side and drooling. After visiting the emergency department, a CT scan revealed intracranial hemorrhage, and he was admitted to the hospital...
Dr. Zhang Junwei Reply:
1. The impairment of consciousness is due to neurological damage in the brain caused by bleeding, rather than the bleeding itself. 2. The recovery of consciousness after discontinuation of sedatives is related to the severity of the brain injury. 3. Yes.[Read More] Understanding Post-Surgery Complications of Brain Hemorrhage in Seniors
Distinguishing Symptoms of Cervical Spondylosis and Autonomic Dysfunction
How to differentiate sympathetic nervous system symptoms? Hello Doctor: I have been experiencing numbness in my left hand for the past week or two, and I went to see a neurosurgeon. After some tests, I was diagnosed with "cervical spondylosis." However, I found an artic...
Dr. Lai Zhaokang Reply:
Hello, 1. "Cervical spondylosis" can indeed lead to sympathetic nervous system issues. 2. If you are experiencing numbness in your left hand, and if cervical X-rays or MRI show nerve compression, it is likely a cervical spine issue. 3. However, if your symptoms are ...[Read More] Distinguishing Symptoms of Cervical Spondylosis and Autonomic Dysfunction
Understanding Discrepancies Between MRI and EMG Results in Back Pain
MRI examination shows a herniation at L5-S1 without nerve compression, but the electromyography (EMG) results indicate..? Hello Dr. Chang, In May 2014, I was hospitalized due to a persistent high fever. Despite several days of antibiotic treatment, my condition did not improve. ...
Dr. Zhang Junwei Reply:
In clinical practice, it is uncommon to find normal lumbar MRI results while electromyography indicates nerve compression. It seems that the cause of your pain is not entirely clear; why not consider trying high-frequency thermal coagulation therapy again?[Read More] Understanding Discrepancies Between MRI and EMG Results in Back Pain