Understanding Recurrent Hydrocephalus: Long-Term Management and Concerns
The condition of hydrocephalus is recurrent? Hello Doctor: My mother (65 years old) underwent a ventriculoperitoneal shunt surgery for hydrocephalus in June of this year. She has been regularly returning for follow-up appointments to assess her postoperative condition and determi...
Dr. Zhang Junwei Reply:
Theoretically, with the presence of a ventriculoperitoneal shunt, continuous drainage of cerebrospinal fluid can be maintained, significantly reducing the likelihood of developing hydrocephalus again.[Read More] Understanding Recurrent Hydrocephalus: Long-Term Management and Concerns
Managing Lumbar Disc Issues: Pain Relief Strategies for Nerve Symptoms
Lumbar spine issues Hello Doctor, I went for an MRI due to lower back pain and found two herniated discs. Here is the link to the images: (https://drive.google.com/file/d/1lS-KgDRs9jKT1D_toQgb0SpUsl3ep7fV/view?usp=drivesdk). Currently, I am experiencing swelling in the front of m...
Dr. Lai Zhaokang Reply:
Hello: 1. It is recommended to start with conservative treatment, including medication and rehabilitation. If there is no improvement, you may consider lumbar epidural steroid injection or even minimally invasive surgery. You can find more information at the following link: https...[Read More] Managing Lumbar Disc Issues: Pain Relief Strategies for Nerve Symptoms
Understanding Post-Traumatic Symptoms After Head Injury: When to Seek Help
Head trauma-related issues? Hello Doctor: I sustained a brain injury from a car accident (head trauma with right cheek contusion and mild subarachnoid hemorrhage on the left side) and have been resting for about a month. Recently, while preparing to sleep, I've been experien...
Dr. Zhao Shaoqing Reply:
You can visit a neurosurgery clinic.[Read More] Understanding Post-Traumatic Symptoms After Head Injury: When to Seek Help
Understanding Sudden Nerve Pain and Muscle Twitches: Causes and Concerns
Numbness and tingling in the hands and feet, muscle twitching? Eight years ago, I underwent an MRI examination that revealed herniated discs at cervical levels C3-4-5-6, which caused pain in my left shoulder and neck, as well as discomfort in my left arm, skin tingling, and occas...
Dr. Zhang Junwei Reply:
It is possible for the symptoms of a herniated disc to be intermittent and to occur on both sides.[Read More] Understanding Sudden Nerve Pain and Muscle Twitches: Causes and Concerns
Understanding Coma and Surgical Options for Brain Hemorrhage Patients
Cerebral hemorrhage with a hematoma, undergoing drainage surgery, with a Glasgow Coma Scale score of 3? Hello, I apologize for disturbing the doctor during work and rest hours. My younger brother, who is 46 years old and was born in the Year of the Snake, had a family gathering o...
Dr. Zhang Junwei Reply:
Without a detailed neurological examination and computed tomography assessment, it is difficult to provide an accurate answer. However, if the coma scale is indeed 3, the chances of recovery are very low, and even if recovery occurs, there will likely be severe neurological defic...[Read More] Understanding Coma and Surgical Options for Brain Hemorrhage Patients
Hard Bump on Right Back of Head: Causes and Treatment Options
There is a protrusion in the right posterior part of the brain? There is a hard protrusion on the right side of the back of my head that feels like bone. It hurts when I press on it while sleeping, and it feels tight. The entire area feels uncomfortable, similar to a stiff neck, ...
Dr. Zhang Junwei Reply:
Unable to perform a physical examination, cannot make a diagnosis, please schedule an appointment with the neurosurgery outpatient clinic.[Read More] Hard Bump on Right Back of Head: Causes and Treatment Options
Understanding Recovery After a Car Accident: Brain Injury and Medication Concerns
Hello, doctor! I have questions regarding brain injuries caused by car accidents? Hello, Doctor! I sustained a right-sided head injury (with swelling on the right side of my face) due to a car accident, along with mild subarachnoid hemorrhage on the left side and a concussion. Af...
Dr. Zhang Junwei Reply:
1. Not taking medication will not affect recovery. 2. The most important aspect of a concussion is rest; it will naturally recover over time.[Read More] Understanding Recovery After a Car Accident: Brain Injury and Medication Concerns
Understanding Subdural Hematoma Recovery After Motorcycle Accident
Subdural hematoma and cerebellar hemorrhage due to a car accident; the patient was unconscious prior to hospital admission. Craniotomy was performed on October 20. Currently, the patient is at E1M2V? Hello, doctor. My friend's mother had a motorcycle accident in mid-October,...
Dr. Zhao Shaoqing Reply:
Currently, the structure is classified as 4, indicating severe reconstruction with a complex condition requiring hospitalization. You may use the hospitalization as a basis for assessing the imaging CD and inquire about subsequent treatment at the outpatient clinic. The Ministry ...[Read More] Understanding Subdural Hematoma Recovery After Motorcycle Accident
Understanding Herniated Discs: Rehabilitation vs. Surgery Options
Herniated disc Hello Dr. Lai, I went to see an orthopedic doctor due to lower back pain and found out that I have a herniated disc. I would like to ask if rehabilitation can improve my condition, or if surgery is the only option. I'm not sure how to upload images.
Dr. Lai Zhaokang Reply:
Hello: A lumbar disc herniation may not necessarily present with discomfort. If you are already experiencing back pain or nerve pain symptoms, it is advisable to proceed step by step: first, protect your back by avoiding bending and heavy lifting. Use anti-inflammatory and analge...[Read More] Understanding Herniated Discs: Rehabilitation vs. Surgery Options
Post-Disc Surgery: Managing Leg Numbness and Swelling Concerns
Postoperative foot numbness and swelling after herniated disc surgery? Hello Doctor, I would like to consult you regarding my condition. I underwent endoscopic decompression and discectomy surgery on September 26 due to L4-L5 stenosis and L5-S1 herniation. Prior to the surgery, I...
Dr. Lai Zhaokang Reply:
Hello: 1. It is recommended to continue rehabilitation therapy, take B12 and vitamin supplements, undergo acupuncture, apply heat therapy, and engage in self-exercise training for 3-6 months. 2. If budget allows, consider consulting for hyperbaric oxygen therapy. 3. If budget all...[Read More] Post-Disc Surgery: Managing Leg Numbness and Swelling Concerns
Concerns About Neck Injuries in Children from Playful Lifting
Cervical spine issues in children caused by pulling on the head? Hello, doctor. I would like to ask about an adult friend who, while playing with a 10-year-old child, held the sides of the child's head with their hands and lifted it up for 1-2 seconds before putting it down....
Dr. Lai Zhaokang Reply:
Hello: 1. This is indeed a very dangerous action. Please avoid it. 2. Currently, if the child is observed for 2 weeks and shows no signs of altered consciousness or abnormal limb activity, it is likely that no harm has been done. Best wishes to you all. By Dr. Lai Chao-Kang, Neur...[Read More] Concerns About Neck Injuries in Children from Playful Lifting
Understanding Coil Embolization for Brain Aneurysms: Key Questions Answered
Embolization coil Hello, doctor. A relative of mine has been diagnosed with an early-stage cerebral aneurysm. The doctor recommended endovascular coil embolization as a minimally invasive treatment. At the time, the person was too anxious and forgot to ask the doctor some questio...
Dr. Zhang Junwei Reply:
1. Remain in the brain, not to be removed. 2. There are coils available for MRI. 3. Same as above.[Read More] Understanding Coil Embolization for Brain Aneurysms: Key Questions Answered
Understanding Cervical Disc Herniation: Symptoms and Muscle Spasms Explained
Cervical intervertebral disc herniation compression Approximately 8-9 years ago, an MRI examination revealed herniated discs at the C3-4-5-6 levels, which are compressing the nerves and causing symptoms of pain and numbness in the left shoulder, neck, arm, and fingers. After unde...
Dr. Zhang Junwei Reply:
Muscle twitching is not necessarily caused by a herniated disc. Yes, it can indeed switch from one side to the other at times.[Read More] Understanding Cervical Disc Herniation: Symptoms and Muscle Spasms Explained
Understanding Brain Hemorrhage After Falls: A Case Study
Cerebral hemorrhage caused by a fall? Dear Deputy Director, My grandfather is 71 years old and has high blood pressure, but he is physically strong. On November 4th, he slipped on gravel while trying to catch a dog that had run out of the house and collided with a post. While wa...
Dr. Zhang Junwei Reply:
I would like to offer my support, but without detailed CT scan reports and neurological examinations, it is difficult to provide accurate advice and prognosis for the patient. I recommend consulting the original treating physician for further inquiries.[Read More] Understanding Brain Hemorrhage After Falls: A Case Study
Is There a Link Between Herniated Discs and Muscle Twitching?
Is there a relationship between herniated discs and muscle twitching issues? Hello, Director Lai. I have been experiencing abnormal twitching in the muscles of my calves since mid-year, which led me to seek medical attention. I underwent nerve conduction studies (NCS) and electro...
Dr. Lai Zhaokang Reply:
Hello: 1. The relationship should not be significant. 2. The calf muscles are still twitching intermittently, which may indicate other issues, such as electrolyte imbalance, blood circulation, muscle strain, posture, or temperature. Soaking your feet in warm water can help. Discu...[Read More] Is There a Link Between Herniated Discs and Muscle Twitching?
Understanding Cervical and Lumbar Disc Compression Symptoms
Cervical and lumbar spine compression? About 8-9 years ago, I underwent an MRI examination which revealed herniated discs at the C3-4-5-6 levels causing compression. At that time, my main symptoms included numbness and pain in my left arm and fingers, along with occasional tingli...
Dr. Zhang Junwei Reply:
Herniated discs can occur on both sides, and the symptoms may be intermittent.[Read More] Understanding Cervical and Lumbar Disc Compression Symptoms
Understanding Spontaneous Brain Hemorrhage in Teens: Recovery and Risks
Spontaneous intracerebral hemorrhage My child experienced spontaneous intracerebral hemorrhage in high school and has undergone craniotomy. Currently, their condition is stable, but the cause of the bleeding remains unidentified. We have scheduled regular follow-up appointments e...
Dr. Zhang Junwei Reply:
Without detailed medical history and examination reports, it is not possible to provide an answer, as the size and location of the hemorrhage are closely related to the prognosis.[Read More] Understanding Spontaneous Brain Hemorrhage in Teens: Recovery and Risks
Understanding Numbness in the Second Toe: Causes and Treatment Options
Numbness in the second toe? About two months ago, I noticed decreased sensation in the second toe of my right foot. I initially thought it was due to diabetes, but blood tests came back normal. After a month, the sensation in the second toe of my left foot suddenly decreased and ...
Dr. Zhang Junwei Reply:
Symptoms are mild; an MRI can be performed for confirmation. A consultation with a neurosurgery outpatient clinic is recommended.[Read More] Understanding Numbness in the Second Toe: Causes and Treatment Options
Understanding Head Injuries: When to Seek Medical Attention After a Fall
Head injury, with pain at the site of impact? Hello, doctor. On August 26, while playing on a water slide, I may have slid down incorrectly and hit the back of my head against the slide. At that moment, I felt pain, but there were no other obvious discomforts. Later, the impact p...
Dr. Zhang Junwei Reply:
The primary concern with head trauma is intracranial hemorrhage. If there are accompanying symptoms of nausea and vomiting, it is advisable to seek treatment at a neurosurgery outpatient clinic.[Read More] Understanding Head Injuries: When to Seek Medical Attention After a Fall
Head Injury from Baseball: Understanding Eye Symptoms and Recovery
A baseball hit on the top of the head? Three days ago, I was hit on the forehead just above the hairline (toward the right) by a high fly ball. At the moment of impact, the upper half of my right eye's field of vision was normal, while the lower half was completely black and...
Dr. Zhang Junwei Reply:
Head trauma often accompanies headaches and dizziness, but the more concerning issue is intracranial hemorrhage. If dizziness is accompanied by nausea and vomiting, it is advisable to seek treatment at a neurosurgery outpatient clinic.[Read More] Head Injury from Baseball: Understanding Eye Symptoms and Recovery