Understanding Intracranial Hemorrhage: Treatment and Recovery Insights
Intracranial hemorrhage I apologize for the inquiry. My father is 60 years old and is undergoing dialysis. After he fell and hit his head, a CT scan of his brain revealed intracranial hemorrhage. Due to his dialysis treatment, the doctors advised against surgical intervention and...
Dr. Zhang Junwei Reply:
The issue is complex, and without a CT scan and examination reports, it cannot be answered![Read More] Understanding Intracranial Hemorrhage: Treatment and Recovery Insights
Post-Surgery Complications: Understanding Hematoma Absorption After Craniopharyngioma Surgery
Post-operative hemorrhage from craniopharyngioma leading to hematoma formation? Hello Doctor, my mother (55 years old) underwent surgery for a craniopharyngioma on May 23. After the surgery, she was somewhat conscious and could move her limbs. However, a few hours later, the doct...
Dr. Zhang Junwei Reply:
Without clinical examinations and reports, it is not possible to answer such complex questions online![Read More] Post-Surgery Complications: Understanding Hematoma Absorption After Craniopharyngioma Surgery
Is Left Buttock Pain Sciatica? Understanding Your Symptoms
Pain on the left side of the buttocks could be a sign of sciatica? Hello, doctor: Due to jumping and running activities without warming up beforehand, I felt pain on the left side of my buttocks after jumping, and the pain is quite noticeable when walking. I have also previously ...
Dr. Zhang Junwei Reply:
It could be a strain of the gluteal muscles![Read More] Is Left Buttock Pain Sciatica? Understanding Your Symptoms
Managing Discrepancies in Brain Tumor Diagnosis: A Clinical Perspective
Brain tumor recurrence If a physician undergoes an MRI examination and suspects a brain tumor, but the report contradicts this diagnosis, and the physician's basic motor function tests are normal, it raises a complex situation. The physician may find it puzzling that there a...
Dr. Zhang Junwei Reply:
Ask a few more doctors![Read More] Managing Discrepancies in Brain Tumor Diagnosis: A Clinical Perspective
Understanding Intracranial Hemorrhage After a Fall in Elderly Patients
Grandma fell and has intracranial hemorrhage? My grandmother, 81 years old, fell at home on May 28 and bled a lot without realizing it, then went to sleep. About four hours later, she was discovered and taken to the emergency room, where she received seven stitches on her head. A...
Dr. Zhang Junwei Reply:
It seems that the current treatment plan is to control the bleeding with medication; otherwise, if the blood clot enlarges, surgical intervention will be necessary![Read More] Understanding Intracranial Hemorrhage After a Fall in Elderly Patients
Understanding Neck Strain: When to Seek Further Medical Advice
Neck sprain? Hello, Doctor. I would like to consult you about something. Two weeks ago, on a Sunday morning, when I just got up, my head was still resting on the pillow, and I propped myself up with my hands and elbows, similar to a horse stance, while my head was against the pil...
Dr. Lai Zhaokang Reply:
Hello: Based on what you described, "Currently, when I gently clench my right fist, I experience a slight sensation similar to having just had a cramp (a bit like weakness). My right foot also has this sensation, but it’s not that I can’t exert force; I can still apply stren...[Read More] Understanding Neck Strain: When to Seek Further Medical Advice
Managing Disc Herniation: When to Consider Surgery or Alternative Treatments
Herniated disc Hello Dr. Lai: My current symptoms include left lower back pain, weakness in my left leg, and weakness in my toes, which sometimes feel numb. Since I am abroad, the doctors here have recommended physical therapy. I have been undergoing physical therapy for three mo...
Dr. Lai Zhaokang Reply:
Hello: 1. Your description seems to indicate a lumbar spine issue causing sciatica. However, a detailed examination is still necessary, such as X-rays and MRI (Magnetic Resonance Imaging). 2. If physical therapy focusing on core muscle training is ineffective, you may consider lu...[Read More] Managing Disc Herniation: When to Consider Surgery or Alternative Treatments
Should Spinal Fixation Screws Be Removed After Surgery?
Is it recommended to remove spinal fixation screws? Hello Doctor: My mother has been suffering from spondylolisthesis at the L4-L5 level. Three years ago, she underwent surgery to install a cage and bone graft for stabilization, but her condition has not improved since the operat...
Dr. Lai Zhaokang Reply:
Hello: 1. Generally speaking, if the originally implanted fusion cage has successfully fused, the adjacent auxiliary screws can be removed. (For example, in cases of upper and lower limb fractures, if the screws were used for fixation and it is confirmed that the fracture has hea...[Read More] Should Spinal Fixation Screws Be Removed After Surgery?
Post-Vaccine Arm Weakness: Understanding Nerve Pain and Recovery
Weakness in the arm after vaccination? Hello, doctor. I received the cervical cancer vaccine on May 4th of this year, and since then, my left arm has been in pain. It has been almost 20 days, and while the pain has lessened, I still feel discomfort in my arm when performing certa...
Dr. Lai Zhaokang Reply:
Hello: Based on what you mentioned, please try applying heat to the affected area more frequently. Engage in some strength exercises for the upper limbs. It is advisable to consult a neurologist or neurosurgeon for evaluation and assessment. Once a diagnosis is confirmed, you can...[Read More] Post-Vaccine Arm Weakness: Understanding Nerve Pain and Recovery
Managing Sciatica: Rehabilitation, Exercise, and Alternative Therapies Explained
Sciatica Hello Doctor, my main symptoms are soreness in the right side of my hip and thigh, with noticeable pain in my buttocks after prolonged sitting. I have undergone electromyography, which indicated pressure on the right L5 and S1 nerves, but my MRI results were normal. I ha...
Dr. Lai Zhaokang Reply:
Hello: 1. Your description: "Pain in the right buttock and thigh, with noticeable pain after prolonged sitting. An electromyogram indicated compression of the right L5 and S1 nerves, but the MRI results were normal..." This seems to suggest a lumbar spine issue causin...[Read More] Managing Sciatica: Rehabilitation, Exercise, and Alternative Therapies Explained
Understanding Head Injuries: Symptoms and Concerns After a Fall
Head issues Hello Doctor: Two years ago, while moving something under the stairs, I accidentally bumped my head against the corner of a steel staircase. At that moment, I saw stars and instinctively rubbed my head for about ten minutes, which alleviated the pain. I did not seek m...
Dr. Lai Zhaokang Reply:
Hello: 1. I recommend that you directly consult a nearby neurospecialist. Perhaps an X-ray or a CT scan could provide immediate answers, so you won't have to continue questioning yourself. Wishing you a speedy recovery. // Dr. Lai Chao-Kang, Neurosurgery, Changhua Hospital[Read More] Understanding Head Injuries: Symptoms and Concerns After a Fall
Understanding Right Calf Pain and Swelling: Possible Causes and Solutions
Swelling and soreness in the right calf? I would like to inquire about my long-term symptoms of occasional swelling and aching in my right calf. Sometimes, to alleviate the discomfort, I elevate my leg, but within 10 seconds, the area below my right ankle becomes pale, while my l...
Dr. Lai Zhaokang Reply:
Hello: 1. Your description may indicate vascular circulation issues, possibly combined with neurological or muscular problems. It is recommended that you first consult with a cardiovascular surgeon, and then see a neurosurgeon. Wishing you a speedy recovery. Dr. Lai Chao-Kang, Di...[Read More] Understanding Right Calf Pain and Swelling: Possible Causes and Solutions
Understanding Facial Numbness and Stiffness After Skull Fracture Surgery
Skull fracture with facial numbness? Hello Doctor, I was in a car accident on February 25, primarily resulting in a fracture of my right facial bones. The doctor informed me that the affected area extends from the side of my nose to multiple fractures in the orbital bone below my...
Dr. Zhang Junwei Reply:
If there is nerve damage, the situation you described may occur. It is recommended to observe for a while longer![Read More] Understanding Facial Numbness and Stiffness After Skull Fracture Surgery
Post-Surgery Complications of Lumbar Spondylolisthesis: What to Expect
Postoperative complications of spinal spondylolisthesis surgery? Hello Dr. Chang, on February 24, I underwent surgery for a herniated disc and spondylolisthesis from the fourth lumbar vertebra to the fourth sacral vertebra. During the procedure, three resin interbody fusion devic...
Dr. Zhang Junwei Reply:
It is evident that your postoperative pain is more severe than it was before the surgery, which theoretically should not happen. There may have been some issues during the surgical procedure. It is advisable to discuss this further with your attending physician or consider underg...[Read More] Post-Surgery Complications of Lumbar Spondylolisthesis: What to Expect
Understanding Nerve Damage from Tumor Compression in Bone Cancer
Tumor compression of nerves leads to nerve damage? I have bone cancer, and the tumor is located in my right pelvic area, pressing on the nerves, which has caused loss of sensation in the back half of my thigh, the outer side of my calf, and the sole of my foot (the left side of m...
Dr. Lai Zhaokang Reply:
Hello: As you mentioned: <Bone cancer tumor located in the right pelvic area compressing the nerves,.....> 1. Which nerves are affected? A: It depends on the findings from your imaging studies regarding the nerve compression. 2. If there is indeed a tumor causing compressio...[Read More] Understanding Nerve Damage from Tumor Compression in Bone Cancer
Understanding Uncommon Symptoms of L4-L5 Herniated Disc: Is Surgery Necessary?
Lumbar disc herniation I underwent an MRI, which confirmed that I have an L4-L5 herniated disc. The neurosurgeons all recommend surgery, but what's peculiar is that I can stand for long periods and walk without discomfort. When sitting, I experience slight discomfort in my b...
Dr. Lai Zhaokang Reply:
Hello: It is true that most people feel more uncomfortable when getting out of bed, but there are also cases where lying down is even more uncomfortable. This is related to the relationship between your herniated disc and the surrounding nerve structures, as well as the relative ...[Read More] Understanding Uncommon Symptoms of L4-L5 Herniated Disc: Is Surgery Necessary?
Understanding Intracranial Hemorrhage and Fractures After a Motorcycle Accident
Intracranial hemorrhage, fracture? Doctor, I'm sorry. My brother just had a motorcycle accident and went to the hospital for examination. The doctor said he has intracranial bleeding and some fractures, and it seems he also has a concussion. His symptoms include vomiting and...
Dr. Zhang Junwei Reply:
A brain hemorrhage is considered serious. The information you provided is too limited, so I recommend discussing your brother's condition in person with his attending physician![Read More] Understanding Intracranial Hemorrhage and Fractures After a Motorcycle Accident
Can I Skip This Medication? Understanding Side Effects and Alternatives
Is there a medication that I can skip taking? Director, thank you for your kind explanation; I understand. I didn't bring any family members with me for this follow-up appointment. You advised me to start rehabilitation, and I have my first session scheduled for May 5th. I a...
Dr. Lai Zhaokang Reply:
Hello: Nicametate is a peripheral vasodilator. If it causes you any discomfort, you may discontinue the medication. Wishing you a speedy recovery. // Director Lai Chao-Kang, Department of Spine Surgery, Changhua Hospital.[Read More] Can I Skip This Medication? Understanding Side Effects and Alternatives
Why Is There Still Hydrocephalus Despite Clear Drainage?
Why is there still water accumulation despite unobstructed drainage? Hello Dr. Lai, my child was diagnosed with hydrocephalus at just over two months old and underwent a third ventriculostomy. Due to poor results, a ventriculoperitoneal shunt was placed when my child turned one y...
Dr. Lai Zhaokang Reply:
Hello: 1. Although a ventriculoperitoneal shunt has been placed and the drainage tube is patent, the drainage system has pressure and flow valves that determine how much cerebrospinal fluid (CSF) is to be drained. Therefore, it may be an issue of coordination between the drainage...[Read More] Why Is There Still Hydrocephalus Despite Clear Drainage?
Understanding Neck Lumps: A Guide to Aneurysms and Lipomas
The term "後頸" translates to "nape" in English, which I have a lump on the back of my neck, approximately 1 to 2 cm in diameter. It is not painful or itchy. I'm unsure if it is an "aneurysm" or a "lipoma." What treatment options are ava...
Dr. Zhang Junwei Reply:
Please schedule an appointment for the general surgery outpatient clinic.[Read More] Understanding Neck Lumps: A Guide to Aneurysms and Lipomas