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Concerns About Self-Harm and Potential Brain Injury: What to Know

I'm sorry, but I cannot assist with that? Hello Doctor: My boyfriend, who is the same age as me and in high school, has been struggling with depression. He often engages in self-harming behaviors and has made attempts at suicide. During arguments, he frequently clenches his ...


Dr. Chen Changmu reply Neurosurgery
Hello Nini: Hitting the head with your hand does not typically cause intracranial hemorrhage. However, if there are symptoms such as nausea, vomiting, or altered consciousness, it is important to seek medical attention promptly. Currently, attention should be given to the suicida...

[Read More] Concerns About Self-Harm and Potential Brain Injury: What to Know


Post-Accident Head Injury: Understanding Symptoms and Follow-Up Care

Head trauma from a car accident! Hello Doctor: My father, born in 1989, had a motorcycle accident two days ago, resulting in a laceration at the right hairline, which was sutured in the emergency department. However, he is exhibiting the following symptoms: 1. Since the day of th...


Dr. Chen Changmu reply Neurosurgery
Hello Fifi: The symptoms mentioned, including transient amnesia, are part of the post-concussion syndrome. If no blood clots are found on the CT scan, recovery will occur on its own after rest.

[Read More] Post-Accident Head Injury: Understanding Symptoms and Follow-Up Care


Can Hand Sweating Lead to Foot Sweating? Insights on Treatment Options

Is hand sweating and foot sweating occurring simultaneously? Hello Dr. Chen: I have been troubled by the issue of sweaty hands and feet for a long time, and I also have problems with underarm sweating. Usually, when I experience sweaty hands, it is accompanied by sweaty feet. In ...


Dr. Chen Changmu reply Neurosurgery
Sunflower: Sympathetic nerve surgery can improve hand sweating by 100%, but it only provides a 50% improvement for foot sweating.

[Read More] Can Hand Sweating Lead to Foot Sweating? Insights on Treatment Options


Exploring Advanced Treatments for Brain Tumors: Balancing Aggressive and Conservative Approaches

Brain tumor Hello doctor, I previously underwent some treatments for my brain, including radiation therapy and stereotactic radiosurgery, totaling approximately 12,000 units, which has reached saturation. After surgery to remove the tumor, most of it was necrotic. A portion that ...


Dr. Chen Changmu reply Neurosurgery
Hello, the radiation therapy and surgery have been completed. It is currently recommended to continue regular follow-ups to monitor the changes in the tumor, and then discuss the next steps with your physician.

[Read More] Exploring Advanced Treatments for Brain Tumors: Balancing Aggressive and Conservative Approaches


Understanding Hemifacial Spasm: Treatment Options and Expert Advice

Hemifacial spasm Hello Doctor, I would like to ask you about my seventh cranial nerve being affected, which has led to hemifacial paralysis. After receiving Botox injections, the effect lasted only two weeks. A doctor at Chang Gung Memorial Hospital suggested surgery, but also ...


Dr. Chen Changmu reply Neurosurgery
Hello Kay: The best method for treating seventh cranial nerve paralysis is currently surgery. It is recommended to consult with the neurosurgery department at National Taiwan University Hospital.

[Read More] Understanding Hemifacial Spasm: Treatment Options and Expert Advice


Understanding Recurring Hand Sweating After Surgery: What to Do?

Recently, my hands have started sweating again..? Hello, doctor... I had surgery for palmar hyperhidrosis four years ago. Initially, it was very successful; I didn't experience any hand sweating or compensatory sweating issues. However, over time, I've started to sweat ...


Dr. Chen Changmu reply Neurosurgery
Hello, currently there is no effective solution for compensatory hyperhidrosis that occurs after hand sweating surgery. Additionally, hand sweating surgery is not related to breast development.

[Read More] Understanding Recurring Hand Sweating After Surgery: What to Do?


Understanding Head Surgery: Fixing Skull Defects with Plates and Screws

The process of performing surgery on the head? Could you please tell me where I can find information on how to secure a steel plate or artificial bone with screws or wires after a skull injury that resulted in a hole in the skull?


Dr. Chen Changmu reply Neurosurgery
Hello Xiaohong: Generally, skull defects are fixed using steel plates or bone cement. If you need more information, you can search online or consult a medical professional.

[Read More] Understanding Head Surgery: Fixing Skull Defects with Plates and Screws


Understanding Post-Trauma Head Pain: Is It a Residual Effect or Something More?

Brain issues Hello Doctor: Six years ago, I was in a car accident and hit my head, losing consciousness at the time. The doctor diagnosed me with intracranial hemorrhage. After resting for about a month, the doctor said the blood clot had dissipated, and I returned to my normal l...


Dr. Chen Changmu reply Neurosurgery
Hello Zhu Zhu: You have been injured for six years, and the headaches are likely a sequela. It is recommended to visit a neurosurgery outpatient clinic for evaluation.

[Read More] Understanding Post-Trauma Head Pain: Is It a Residual Effect or Something More?


Seeking Neurological Advice for Shoulder Injury and Muscle Atrophy

Consult a neurologist? My girlfriend seems to have sustained an injury to her left shoulder (specifically the scapula) at birth, and now she is unable to lift her arm. A doctor at Chung Shan Medical University mentioned that there is muscle atrophy and that surgery is needed, but...


Dr. Chen Changmu reply Neurosurgery
It sounds like a brachial plexus injury. It is recommended to visit a neurosurgery or rehabilitation clinic for treatment.

[Read More] Seeking Neurological Advice for Shoulder Injury and Muscle Atrophy


Pros and Cons of Sitting vs. Lying Position in Neurosurgery

What are the advantages and disadvantages of using sitting and supine positions in neurosurgical procedures? What are the advantages and disadvantages of using sitting and supine positions in neurosurgical procedures?


Dr. Chen Changmu reply Neurosurgery
I don't quite understand the question you are asking. If it pertains to the surgical position, it is determined by the area of the body being operated on. For example, in cases of lumbar disc herniation, the prone position is used, while for frontal lobe tumors, the supine p...

[Read More] Pros and Cons of Sitting vs. Lying Position in Neurosurgery


Understanding Radiation Exposure: Risks from X-rays, CT, and MRI Scans

Radiation injury I recently had a car accident and underwent X-ray, CT scan, and MRI within a short period of time. I would like to know if such exposure to radiation could cause harm to my body, such as cancer.


Dr. Chen Changmu reply Neurosurgery
Please have the patient schedule an outpatient appointment and provide detailed instructions.

[Read More] Understanding Radiation Exposure: Risks from X-rays, CT, and MRI Scans


Effective Strategies to Help Your Partner Quit Smoking After Brain Surgery

Cerebral aneurysm My husband underwent surgery for a brain aneurysm two months ago. Fortunately, the doctor was highly skilled, and he is now recovering as usual. However, my husband is a heavy smoker, and the doctor advised him not to smoke after the surgery. Yesterday, I found ...


Dr. Chen Changmu reply Neurosurgery
Hello, Amei netizen: Serving with medical expertise is the responsibility of a physician, and we appreciate your recognition of the medical community! Regarding your smoking cessation issue, factors such as smoking history, environment, willpower, and even family communication an...

[Read More] Effective Strategies to Help Your Partner Quit Smoking After Brain Surgery


Understanding Hyperhidrosis: Treatment Duration and Surgical Options

Palmar hyperhidrosis How long does treatment for hand sweating take? Is surgery necessary?


Dr. Chen Changmu reply Neurosurgery
Please visit the outpatient clinic for an evaluation to determine if further treatment is necessary.

[Read More] Understanding Hyperhidrosis: Treatment Duration and Surgical Options


Understanding Bone Spurs: Expert Advice on Treatment and Nutrition

Bone spur Hello doctor, my mother's health check report indicates that she has bone spurs in her neck. May I ask: 1. Which department should she visit for bone spur treatment? 2. What dietary changes should be made? (What nutrients should be supplemented?) 3. Can she purchas...


Dr. Chen Changmu reply Neurosurgery
Please cherish our online medical resources. When asking the same question, please specify only one physician or dietitian.

[Read More] Understanding Bone Spurs: Expert Advice on Treatment and Nutrition


Understanding Herniated Discs: Treatment Options and Risks Explained

Herniated disc Hello, doctor. I have a herniated disc, but I find that if I press down on the protruding area with both palms and then bend my waist forward while leaning my body back, I can feel the protruding cartilage being pushed back in. This also alleviates some of the sore...


Dr. Chen Changmu reply Neurosurgery
Hello, based on your symptoms, they do not appear to be indicative of a herniated disc. Currently, neurosurgical procedures have advanced significantly, and the risk of paralysis from surgery is very low. However, your condition may require further examination, as it might not so...

[Read More] Understanding Herniated Discs: Treatment Options and Risks Explained


Understanding Neurological Changes in Psychosomatic Disorders

Hello, doctor~ Thank you~ Hello, I am a person with a neurosis and would like to ask some questions. Thank you. 1. Since I became ill, my cognitive abilities have significantly declined. Is there any change in the brain for people like us (such as degeneration...)? 2. The huma...


Dr. Chen Changmu reply Neurosurgery
Most patients with neuroses do not exhibit structural abnormalities in the brain. Cognitive impairment may be related to the medications used, as long-term use can lead to further brain development without causing enlargement or compression of the opposite side of the brain. Incr...

[Read More] Understanding Neurological Changes in Psychosomatic Disorders


Understanding Hypertensive Intracerebral Hemorrhage: Causes and Implications

Causes of hypertensive intracerebral hemorrhage? My friend suffered a car accident that resulted in a brain hemorrhage and is now paralyzed in bed. His family requested a medical certificate from the doctor to apply for accidental injury insurance compensation, but the diagnosis ...


Dr. Chen Changmu reply Neurosurgery
A car accident itself does not cause hypertensive intracerebral hemorrhage; however, if a sudden intracerebral hemorrhage occurs while driving, leading to an accident, it is still considered an accident. As for paralysis, it may be due to the damage to brain tissue from the hemor...

[Read More] Understanding Hypertensive Intracerebral Hemorrhage: Causes and Implications


Understanding Headaches: Causes, Symptoms, and When to Seek Help

Headache Hello Doctor, I would like to ask you a question. Recently, I have been experiencing frequent headaches. Sometimes the pain wakes me up at night, and other times it occurs when I just get up to hang out the laundry. Each time, I feel weak all over, nauseous, and very diz...


Dr. Chen Changmu reply Neurosurgery
If the headache persists, it is recommended to visit a neurology clinic for further evaluation. The correlation between heart valve issues and headaches is likely minimal, unless there is significant aortic stenosis or tricuspid regurgitation, which may present with symptoms such...

[Read More] Understanding Headaches: Causes, Symptoms, and When to Seek Help


Managing Compensatory Sweating After Hand Surgery: Medication Options

Palmar hyperhidrosis Hello Dr. Chen, I would like to inquire if there are any oral medications available to alleviate or control compensatory sweating after hand surgery. Thank you for your response.


Dr. Chen Changmu reply Neurosurgery
Currently, there are no specific oral medications available to control or alleviate compensatory sweating after surgery for hyperhidrosis.

[Read More] Managing Compensatory Sweating After Hand Surgery: Medication Options


Post-Concussion Vomiting: What You Need to Know and Do

Hello! How can I assist you I experienced a head injury over two months ago, and now I am experiencing vomiting, but what I am vomiting is just clear, tasteless water. What should I do now?


Dr. Chen Changmu reply Neurosurgery
Two months after the car accident, the patient is now experiencing vomiting. Given the age, the likelihood of developing a chronic subdural hematoma is low, but it is still possible. If there are accompanying symptoms such as persistent headaches, unsteady gait, or drowsiness, it...

[Read More] Post-Concussion Vomiting: What You Need to Know and Do


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