Neurosurgery Q&A - Page 58

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Understanding Coma Levels and Recovery Potential After Brain Aneurysm

Coma scale score of 5 or 6? Hello, Doctor. I would like to ask about my mother, who suffered a ruptured intracranial aneurysm on March 7. The doctors mentioned that there is significant hypoxia in the left hemisphere of her brain. Currently, she has a nasogastric tube and a trach...


Dr. Zhang Junwei Reply:
A coma scale score of 5-6 indicates that awakening is quite difficult. Alternating between an ice pack and medication can be used to reduce fever.

[Read More] Understanding Coma Levels and Recovery Potential After Brain Aneurysm


Post-Car Accident: Understanding Concussion Symptoms and Recovery Options

Car accident resulting in a forehead impact? Hello, I was involved in a car accident on February 19, where I collided and rotated 90 degrees, causing me to be thrown approximately the height of a car before landing. My helmet flew off just before I hit the ground, landing on my l...


Dr. Zhang Junwei Reply:
Basically, a CT scan is detailed enough; if there are still doubts, an MRI can be performed!

[Read More] Post-Car Accident: Understanding Concussion Symptoms and Recovery Options


Can a Fall Cause Headaches Without Head Injury? Understanding the Connection

What are the main causes of headaches after a fall? I slipped and fell hard on my buttocks while working at a restaurant. After seeking medical attention and getting an X-ray, there were no abnormalities. However, on my way home, I started experiencing a severe headache. Can a fa...


Dr. Zhang Junwei Reply:
If you have hit your head, it may cause a headache. Please visit the neurosurgery outpatient clinic for an examination.

[Read More] Can a Fall Cause Headaches Without Head Injury? Understanding the Connection


Post-Accident Facial Discomfort: When to Seek Medical Help?

Facial discomfort after a car accident? In late November 2015, I was involved in a car accident and sustained minor facial injuries. The diagnosis indicated a zygomatic bone fracture, but the doctor mentioned that the bone was only cracked. My face swelled up, but after applying ...


Dr. Zhang Junwei Reply:
Orthopedic Surgery

[Read More] Post-Accident Facial Discomfort: When to Seek Medical Help?


Head Injury at Home: What to Watch For After a Bump

Hit on the top of the head? I accidentally bumped my head against the ceiling while bending down to close a window at home. It felt quite forceful when I lifted my head, and although I instinctively pressed on the painful spot (which I remember not being very painful), I soon rea...


Dr. Zhang Junwei Reply:
If you experience headaches, dizziness, nausea, or vomiting, please visit the neurosurgery outpatient clinic for an examination.

[Read More] Head Injury at Home: What to Watch For After a Bump


Understanding L1-L2 Disc Herniation and Surgical Options for Nerve Compression

Herniated discs at the L1 and L2 levels are compressing the nerves? Hello, Doctor: I am 45 years old. I started experiencing pain near the left sciatic area in April 2015. Initially, I thought it was a sports injury causing a muscle strain. After about two months of treatment wit...


Dr. Lai Zhaokang Reply:
Hello, based on your description, it seems you have lumbar nerve compression. Since L1-L2 is a higher level nerve, there are potential risks associated with surgery, and it is recommended that you have an experienced neurosurgeon perform the procedure. Regarding your description ...

[Read More] Understanding L1-L2 Disc Herniation and Surgical Options for Nerve Compression


Understanding Neck Pain: Symptoms and Treatment Options

Is it a cervical spine issue? Hello! I have a sensation of post-nasal drip in the right side of my neck, including behind my right ear, the buccal area of my molars, and my throat. My right ear feels congested (similar to the sensation experienced at high altitudes, which eases w...


Dr. Zhang Junwei Reply:
Please see an otolaryngologist or a neurologist for examination.

[Read More] Understanding Neck Pain: Symptoms and Treatment Options


Managing Persistent Hiccups in an Elderly Patient After Brain Surgery

An 83-year-old man experienced a brain hemorrhage due to a fall and has been experiencing hiccups for the past 13 days while eating? Hello, an elderly patient fell on a rainy day and was taken to the hospital for emergency surgery. There was a 150cc hemorrhage in the left hemisph...


Dr. Zhang Junwei Reply:
Medication treatment, such as Primperan or Wintermin.

[Read More] Managing Persistent Hiccups in an Elderly Patient After Brain Surgery


Understanding Spinal Cord Injury and Its Impact on Sexual Function

Issues related to spinal cord injury? Hello, doctor. I have some questions to ask you. After the Lunar New Year this year, I found that I couldn't achieve an erection while watching adult films, so I sought consultation from a urologist. During the New Year period, I moved h...


Dr. Zhang Junwei Reply:
My answer is also: If there is a problem with the spine, it will not only result in sexual dysfunction but may also be accompanied by symptoms such as limb numbness and urinary or fecal incontinence. Please consult a urologist for evaluation first.

[Read More] Understanding Spinal Cord Injury and Its Impact on Sexual Function


Understanding Post-Surgery Pain: Is It Sciatica or Something Else?

The area around the incision from my previous lumbar spine surgery is painful again? Hello Doctor, I had surgery in June 2011 at a hospital in the northern region, where they implanted a cage and screws at the L5-S1 intervertebral disc. Although I often experience soreness, for t...


Dr. Lai Zhaokang Reply:
Hello, based on your description, these symptoms resemble sciatica. It would be advisable to further investigate the lumbar spine or other components of the nervous system. Wishing you a speedy recovery. Dr. Lai Chao-Kang, Chief of the Spine and Nerve Surgery Department, Changhua...

[Read More] Understanding Post-Surgery Pain: Is It Sciatica or Something Else?


Understanding Calf Pain: Causes and Treatment Options for Seniors

Calf pain Hello Dr. Lai: My mother-in-law often experiences pain in her calves, which worsens when she walks, requiring her to take breaks before she can continue. As a result, she cannot walk far. During these episodes, the doctor has only prescribed painkillers without determin...


Dr. Lai Zhaokang Reply:
Hello, based on your description, this symptom is referred to as "intermittent claudication." It is generally classified into vascular and neurogenic types. If vascular causes are ruled out, it may be neurogenic intermittent claudication, which is commonly associated wi...

[Read More] Understanding Calf Pain: Causes and Treatment Options for Seniors


Head Injury: Dizziness, High Eye Pressure, and When to Seek Help

Head injury, dizziness, and elevated intraocular pressure? Hello, doctor. A couple of days ago, I fell while traveling and hit the back of my head. At that moment, I experienced tinnitus and dizziness. The next day, I started to feel a headache that feels like nerve pain, along w...


Dr. Zhang Junwei Reply:
If symptoms persist and do not improve with rest, it is recommended to seek medical treatment.

[Read More] Head Injury: Dizziness, High Eye Pressure, and When to Seek Help


Understanding Herniated Discs: Symptoms, Diagnosis, and Treatment Options

Herniated disc Hello Doctor: I have been experiencing intermittent pain for over a year now, with symptoms being more pronounced during the colder winter months. The only external factor I can think of is that I have been doing weight training at the gym and abdominal exercises a...


Dr. Zhang Junwei Reply:
It appears to be symptoms of lumbar disc herniation compressing the nerves. An MRI can be performed, and it is covered by health insurance, so there is no out-of-pocket expense. However, the physician will assess the severity of the condition based on clinical symptoms to determi...

[Read More] Understanding Herniated Discs: Symptoms, Diagnosis, and Treatment Options


Head Injury from Classmate: Symptoms and Recovery Insights

Hit on the temple by a classmate? Yesterday during physical education class, while sitting on the ground waiting for the exam, a classmate accidentally hit my temple with their knee while trying to save the ball. It still hurts when I touch it, and I feel very fatigued easily. So...


Dr. Zhang Junwei Reply:
It will improve, but it takes time. Please get plenty of rest.

[Read More] Head Injury from Classmate: Symptoms and Recovery Insights


Post-Stair Fall: Weakness in Left Hand After Stroke - What to Do?

Just fell down the stairs and have weakness in my hand? The patient has a history of a left-sided stroke and right leg amputation. A few days ago, while climbing stairs, they accidentally fell from the second floor to the first floor, resulting in slight swelling on the outside o...


Dr. Zhang Junwei Reply:
Problems with the cervical nerves can also cause weakness in the hands; please consult a neurosurgeon.

[Read More] Post-Stair Fall: Weakness in Left Hand After Stroke - What to Do?


Does a Ventricular Drain Affect Comfort During Phone Calls or Subway Rides?

Will the ventricular drainage catheter have any impact on the head while using the MRT or talking on the phone? Hello Doctor: My mother is sixty years old. She underwent brain tumor surgery in September 2013 (approximately 9 cm). Afterward, she had a shunt placed due to hydroceph...


Dr. Zhang Junwei Reply:
In theory, there shouldn't be any issues. However, if there are any doubts, you can consult the surgeon to confirm whether there are any abnormalities in the pressure.

[Read More] Does a Ventricular Drain Affect Comfort During Phone Calls or Subway Rides?


Understanding Post-Intracranial Hemorrhage Symptoms and Rehabilitation

Intracranial hemorrhage sequelae Hello Dr. Zhang! My mother had a motorcycle accident in June two years ago, resulting in a head injury to the right occipital lobe with intracranial hemorrhage. She did not require surgery as the blood clot was absorbed naturally. Her Glasgow Coma...


Dr. Zhang Junwei Reply:
The issue is somewhat complex, and each physician has a different explanation. This means that even the doctors are unsure how to explain it; they can only say it is a consequence of brain injury.

[Read More] Understanding Post-Intracranial Hemorrhage Symptoms and Rehabilitation


Should You Seek Medical Attention After a Head Injury?

Head injury? Hello, doctor. On March 17th, I hit the back of my head against a concrete beam around 11 PM, and I felt a headache at that time. On March 18th, between 10:30 and 11 PM, I started to feel pain in the back of my head. On March 19th, I occasionally felt some discomfort...


Dr. Zhang Junwei Reply:
It seems that medical attention is not currently necessary, but if symptoms worsen or if there is nausea and vomiting, you should seek medical care.

[Read More] Should You Seek Medical Attention After a Head Injury?


Recovering from a Car Accident: Overcoming Limping After a Month of Bed Rest

Car accident foot pain? My friend was in a car accident and was in a coma for a month. Now that he has woken up and has been discharged from the hospital for a while, I want to ask about his walking. Since he didn't walk for such a long time, he now has a slight limp even th...


Dr. Zhang Junwei Reply:
It's time to actively engage in rehabilitation!

[Read More] Recovering from a Car Accident: Overcoming Limping After a Month of Bed Rest


Understanding Head Numbness: MRI Concerns with Metal Implants

Numbness in the head? Hello doctor, I have been troubled by headaches and a feeling of heaviness in my head. Recently, I often experience a tingling sensation in a specific area of my head (I can't tell if it's on the scalp or inside the skull). I have seen a doctor, bu...


Dr. Zhang Junwei Reply:
None.

[Read More] Understanding Head Numbness: MRI Concerns with Metal Implants




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
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