Is Cingulate Gyrus Ablation a Viable Treatment for Severe OCD?
I would like to ask if cingulate gyrus ablation for treating severe obsessive-compulsive disorder is currently very complicated? Hello Doctor: I am a severe patient suffering from obsessive-compulsive disorder (OCD) and anxiety disorder, and I have been on psychiatric medication ...
Dr. Zhang Junwei Reply:
I apologize, but this is not my area of specialization, and I am unable to answer your question.[Read More] Is Cingulate Gyrus Ablation a Viable Treatment for Severe OCD?
Stem Cell Therapy for Stroke Recovery: Current Options in Taiwan
Stroke-related paralysis and stem cells Hello, doctor. My father had a hemorrhagic stroke three months ago, and recently he has been unable to move his left hand and foot. I have seen recent reports about stem cell therapy significantly improving outcomes for stroke patients. I w...
Dr. Zhang Junwei Reply:
It seems to be the China Medical University Hospital![Read More] Stem Cell Therapy for Stroke Recovery: Current Options in Taiwan
Understanding Shoulder and Neck Stiffness: When to See a Specialist
Symptoms of shoulder and neck stiffness? Hello Doctor, I have been experiencing sharp pain in my shoulder for several years. Later, I developed numbness in a patch of skin, and my neck became stiff and slightly swollen. The side of my face and my eyes feel weak. I initially thoug...
Dr. Zhang Junwei Reply:
Yes, please consult neurosurgery.[Read More] Understanding Shoulder and Neck Stiffness: When to See a Specialist
Post-Surgery Challenges: Managing Weakness, Appetite Loss, and Fatigue After Brain Tumor Removal
After brain tumor surgery, there are symptoms of mental fatigue, loss of appetite, and weakness? Hello Doctor: My mother is fifty-seven years old and has a 4 cm brain tumor in her left hemisphere. She underwent surgery on July 27, and the procedure successfully removed the tumor....
Dr. Zhang Junwei Reply:
Your question is difficult to answer without information on the location of the brain tumor, the preoperative condition, and the details of the surgery. It's challenging to provide a response without this information![Read More] Post-Surgery Challenges: Managing Weakness, Appetite Loss, and Fatigue After Brain Tumor Removal
Understanding Unilateral Leg Weakness: Causes and Connections
Unilateral leg weakness? When experiencing diarrhea, my left leg becomes weak and sore. After the diarrhea resolves, it improves. After having diarrhea more than twice, sometimes both legs feel weak and sore. During menstruation, I also feel weakness and soreness in my left leg w...
Dr. Zhang Junwei Reply:
Please visit the neurosurgery outpatient clinic for an examination![Read More] Understanding Unilateral Leg Weakness: Causes and Connections
Post-Surgery Concerns After Disc Herniation: What to Expect
Postoperative Issues Following Disc Rupture Surgery Hello Doctor, I had foot pain for two months, during which I continued rehabilitation with slight improvement. After that, I underwent an MRI, and the doctor said I had a herniated disc and advised me to have surgery, warning th...
Dr. Zhang Junwei Reply:
1. Not necessarily. 2. Unlikely. 3. If there is improvement after surgery, mild foot pain can be considered normal. 4. No.[Read More] Post-Surgery Concerns After Disc Herniation: What to Expect
Post-Car Accident Amnesia: When to Seek Medical Attention?
Transient amnesia following a car accident? On July 12, I was involved in a motorcycle accident where my head hit the ground (I was wearing a helmet). I lost consciousness for a few seconds but quickly got back up. When I regained consciousness, I had no memory of the accident, b...
Dr. Zhang Junwei Reply:
For a concussion, please schedule an appointment with the neurosurgery outpatient clinic. A CT scan is covered by health insurance, but it must meet the criteria for CT imaging indications.[Read More] Post-Car Accident Amnesia: When to Seek Medical Attention?
Head Injury from Wall Impact: What to Watch For and Potential Risks
Head struck against the wall? Hello doctor, I was playing with my sister and accidentally hit my head against the wall when I tilted my head back. It was quite loud, and my sister heard it too. Initially, I felt the pain from the impact, but after about fifteen minutes, the pain ...
Dr. Zhang Junwei Reply:
It shouldn't be.[Read More] Head Injury from Wall Impact: What to Watch For and Potential Risks
Understanding Post-Concussion Symptoms: Dizziness and Headaches Explained
Dizziness and headache in the back of the head? Last year, I accidentally bumped the back of my head when a classmate hit my forehead. I went to the hospital for an emergency visit that day, and I only experienced dizziness and headaches at the time. The doctor diagnosed me with ...
Dr. Zhang Junwei Reply:
It should not be related to last year's injury; please schedule an appointment with the neurology clinic.[Read More] Understanding Post-Concussion Symptoms: Dizziness and Headaches Explained
Post-Operative Recovery Insights After Endoscopic Disc Surgery
Postoperative care following endoscopic spinal disc surgery? Hello, after the Dragon Boat Festival this year, I experienced severe pain and swelling in my hip and thigh. An MRI revealed a herniated disc at the L5-S1 level, which was compressing the nerve. I underwent endoscopic d...
Dr. Lai Zhaokang Reply:
Hello, since you have completed the surgery at Youmin Hospital, you should consult the original surgeon regarding the postoperative issues. Wishing you a speedy recovery![Read More] Post-Operative Recovery Insights After Endoscopic Disc Surgery
Understanding Disc Herniation: Addressing Weakness and Numbness in Legs
I would like to inquire about issues related to herniated discs and leg weakness? A few years ago, I experienced back numbness and went to a large hospital where I was diagnosed with a herniated disc. The doctor advised me to be cautious during daily activities and to undergo reh...
Dr. Lai Zhaokang Reply:
Hello, you may be experiencing issues related to lumbar spine and sciatica, but it could also be other problems. It is advisable to seek a personal evaluation from a neurosurgeon. Wishing you a speedy recovery. // Dr. Lai Chao-Kang, Director of Spine Neurosurgery, Changhua Hospit...[Read More] Understanding Disc Herniation: Addressing Weakness and Numbness in Legs
Understanding Neck Pain and Numbness: When to See a Specialist
Numbness and tingling in the neck? Hello Dr. Lai, I have intermittent tingling and numbness in the left side of my neck, behind my ear, and at the back of my head. Sometimes my neck feels stiff and numb, but it tends to be less numb when I lie down. Could these symptoms be relate...
Dr. Lai Zhaokang Reply:
Hello, it could be a cervical spine issue or another problem. It is advisable to seek medical attention. Wishing you a speedy recovery. // Dr. Lai Chao-Kang, Chief of Spine Neurosurgery, Changhua Hospital.[Read More] Understanding Neck Pain and Numbness: When to See a Specialist
How to Assess Past Spinal Injuries: Tests to Alleviate Your Concerns
What tests can I undergo to alleviate my concerns about a previous spinal injury? Hello, Doctor. I have a question I would like to ask you. Many years ago, when I was a child (I don't remember the exact time, perhaps around ten years ago), I was standing on a chair, and the ...
Dr. Lai Zhaokang Reply:
Hello, to assess the situation, you can start with a basic X-ray. However, for advanced evaluation, an MRI (Magnetic Resonance Imaging) may be necessary, although it might not meet the criteria for insurance coverage. Every injury leaves a trace, but after so many years, it shoul...[Read More] How to Assess Past Spinal Injuries: Tests to Alleviate Your Concerns
Understanding Sacral Fractures: Recovery Time and Related Back Pain
Sacral fracture It has been almost three months since I fell while walking up the stairs in April, and I still haven't recovered. Sitting for long periods or lying down is very uncomfortable. The area of the sacral fracture is quite painful, and recently my lumbar spine has ...
Dr. Lai Zhaokang Reply:
Hello, your condition requires an outpatient evaluation. It's not possible to provide recommendations in just a few sentences. Changhua Hospital cares about you. // Dr. Lai Chao-Kang, Director of Spine Neurosurgery.[Read More] Understanding Sacral Fractures: Recovery Time and Related Back Pain
Understanding Pain After Vertebral Compression Fracture Treatment
Vertebral compression fracture The mother underwent vertebroplasty two weeks ago, and her discomfort has improved during this time. However, today she started experiencing pain again while turning over. It is unclear what might be causing this. She has been wearing a brace day an...
Dr. Lai Zhaokang Reply:
Hello, if you are experiencing significant pain that has not improved, it is recommended to return to the hospital early for evaluation by your original treating physician. Changhua Hospital cares about you. // Neurosurgery Dr. Lai Chao-Kang[Read More] Understanding Pain After Vertebral Compression Fracture Treatment
Persistent Dizziness After Head Injury: When to See a Neurosurgeon?
Persistent dizziness after a head injury? Hello Dr. Lai, I sustained a head injury while playing basketball at the beginning of April when I went for a rebound. Initially, I did not experience any discomfort, but the next day when I woke up, I started to feel dizzy and nauseous, ...
Dr. Lai Zhaokang Reply:
Hello, head injuries should prioritize seeing a neurosurgeon for more comprehensive treatment. Your symptoms resemble post-concussion syndrome and may also be associated with inner ear balance issues. It is recommended to consult both a neurosurgeon and an otolaryngologist at Cha...[Read More] Persistent Dizziness After Head Injury: When to See a Neurosurgeon?
Head Injury at Work: Understanding Dizziness and Potential Risks
Head injury at work? Yesterday, while I was working, I accidentally bumped my head against the wall, but it wasn't a very hard impact. There was no external injury, but this afternoon I suddenly felt dizzy. I took a nap, but it didn't improve much. Coincidentally, I am ...
Dr. Lai Zhaokang Reply:
Hello, your condition may involve other variables, so I cannot provide a direct answer. I recommend seeing a neurosurgeon for evaluation. Changhua Hospital cares about you. // Neurosurgery Dr. Lai Chao-Kang.[Read More] Head Injury at Work: Understanding Dizziness and Potential Risks
Understanding Arachnoid Cysts: Concerns and Management for Patients
Arachnoid cyst Hello! I have a 4 x 2.5 x 2.9 cm arachnoid cyst in my left hemisphere. The neurosurgeon said many people have them, that it's not a disease, it won't enlarge, and that surgery is not necessary. However, I am somewhat worried since it is located in the bra...
Dr. Zhang Junwei Reply:
Yes, arachnoid cysts are common and typically do not require treatment![Read More] Understanding Arachnoid Cysts: Concerns and Management for Patients
Understanding Post-Surgery Recovery: What to Expect After Neurological Trauma
Will the current condition improve after the surgery? Dr. Chang, I am really worried about my brother's condition. He is three years old and had a fever that led to polio; he could still walk with crutches. On the morning of the sixth day of the Lunar New Year, he was going ...
Dr. Zhang Junwei Reply:
The situation is complex, and without clinical examinations and CT scan images, it is really difficult to answer your question. I recommend consulting at an outpatient clinic![Read More] Understanding Post-Surgery Recovery: What to Expect After Neurological Trauma
Post-Surgery Recovery: Understanding Speech Loss and Memory Issues After Brain Injury
In Malaysia, a patient suffered a fall that injured the back of the head. After surgery, the patient is able to move but is unable to speak? Hello, doctor. I have a friend who is 77 years old. He fell and injured the back of his head in Malaysia on July 2nd and is still in the in...
Dr. Zhang Junwei Reply:
Yes, the above are common after brain injury surgery![Read More] Post-Surgery Recovery: Understanding Speech Loss and Memory Issues After Brain Injury