Understanding Intracranial Hemorrhage: A Case Study of Acute Cerebellar Bleeding
Intracranial hemorrhage Hello Doctor: I would like to ask about my grandmother, who was admitted to the hospital and underwent surgery for acute cerebellar hemorrhage on February 8, 2006. The hospital diagnosed her with hypertensive hemorrhage, but she has no history of hypertens...
Dr. Ding Xianwei reply Neurosurgery
Hello: Based on your statement, it is difficult to make a determination. However, generally, a ventilator may require a tracheostomy after three weeks. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Intracranial Hemorrhage: A Case Study of Acute Cerebellar Bleeding
Can You Play Sports After a Head Injury? A Guide for Recovery
Can I exercise after a head injury? I suffered a skull fracture and epidural hematoma due to a car accident last July. I underwent surgery to remove the blood clot and have since recovered well. I would like to know if I can now engage in more intense basketball activities.
Dr. Ding Xianwei reply Neurosurgery
Hello: It is best to take it easy or to seek out exercises that do not involve muscle impact. Sincerely, Dr. Ding Hsien-Wei, Neurosurgeon.[Read More] Can You Play Sports After a Head Injury? A Guide for Recovery
Can Honnath's Phenomenon Be Prevented in Sympathetic Nerve Surgery?
Can the symptoms of hyperhidrosis be anticipated and avoided in advance? I would like to ask a physician in the southern region who believes that using a titanium clip to block the superior margin of the second nerve can treat my facial flushing and mild erythema. He thinks this ...
Dr. Ding Xianwei reply Neurosurgery
Hello: Essentially, this is a relatively new technology, and most physicians do not have much experience with it. However, any surgery may have potential complications, so it is important to discuss thoroughly with your physician before making a decision. Sincerely, Dr. Ding Hsie...[Read More] Can Honnath's Phenomenon Be Prevented in Sympathetic Nerve Surgery?
Understanding Unusual Head Pressure: A Neurosurgical Perspective
A strange sensation? Hello, doctor: During my university years, as the academic pressure became less intense, I found that my sleep duration increased significantly. I could sleep until 11 AM if I had no classes, and even take a nap in the afternoon without any issues. However, I...
Dr. Ding Xianwei reply Neurosurgery
Hello: You may be experiencing symptoms due to overuse of your cervical spine, possibly from staring at the television or computer screen. Therefore, it is recommended that you avoid prolonged standing or sitting, and refrain from maintaining a fixed posture for too long, as this...[Read More] Understanding Unusual Head Pressure: A Neurosurgical Perspective
Unexpected Discovery of Meningioma: What You Need to Know
Incidental discovery of meningioma? Hello, doctor. About a month ago, I bent my head down for about 30 seconds and felt as if blood was rushing to my head. After I lifted my head, I noticed a clear, light yellow fluid coming from my nose (as I had a mild cold at that time). I wen...
Dr. Ding Xianwei reply Neurosurgery
Hello: Generally speaking, meningiomas have a 55% chance of undergoing malignant transformation if they are benign. If this is the case, surgery is still the most important recommendation. You may want to drink more water to see if it alleviates your headache, or you can bring yo...[Read More] Unexpected Discovery of Meningioma: What You Need to Know
Can Childhood Brain Injuries Be Remedied After Many Years?
Head injury during childhood? Is there a way to remedy the impact on cognitive abilities and memory caused by a brain injury sustained in childhood, even after more than a decade has passed?
Dr. Ding Xianwei reply Neurosurgery
Hello: In principle, after more than ten years, the chances of recovery through medication are quite low. It is recommended to utilize rehabilitation methods or take notes to help remember important information. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Can Childhood Brain Injuries Be Remedied After Many Years?
Understanding Arm Pain: Causes and Prevention Tips for Office Workers
Intermittent sharp pain in the right arm from the armpit? Hello, this job requires internet and document processing. I have been using the mouse with my right hand for nearly a year. Could this be related to the height of my desk and chair? If so, could you provide some suggestio...
Dr. Ding Xianwei reply Neurosurgery
Hello Pamela, Due to work requirements involving internet use and document processing, I have been using my right hand for the mouse, which has resulted in significant pain in my right elbow. A few days ago, I started experiencing intermittent shooting pain that radiates from my...[Read More] Understanding Arm Pain: Causes and Prevention Tips for Office Workers
Understanding Sudden Muscle Pain: Causes and Solutions for Online Users
Sudden onset of severe pain? I am an internet user, spending more than 10 hours online every day. Two days ago, I suddenly felt soreness in both legs and the back of my right hand. This type of soreness has occurred before, and it persists even when my body is at rest; I still fe...
Dr. Ding Xianwei reply Neurosurgery
Ah-Chih: I believe your muscle soreness is due to prolonged internet use and maintaining a single posture, which leads to muscle fatigue caused by poor posture over time. It is essential to frequently change your position. A solution is to perform shoulder and neck exercises ever...[Read More] Understanding Sudden Muscle Pain: Causes and Solutions for Online Users
Effective Treatments for Piriformis Syndrome: Medications, Ice Therapy, and Rehabilitation
Piriformis syndrome What are the treatment options for piriformis syndrome? 1. Medications: Can pain relievers and muscle relaxants be taken long-term? For one week or two weeks? Does smoking during the medication period affect the efficacy of the drugs or cause other side effe...
Dr. Ding Xianwei reply Neurosurgery
Hello: Piriformis syndrome is typically treated with medication and rehabilitation methods, and it rarely becomes severe enough to require surgical intervention. Pain relievers and muscle relaxants can place a certain burden on the body, and long-term use is not recommended. For ...[Read More] Effective Treatments for Piriformis Syndrome: Medications, Ice Therapy, and Rehabilitation
How to Treat Pseudo Sciatica: Understanding Gluteal Muscle Inflammation
How to treat pseudoscatic pain (gluteus minimus inflammation)? Hello, doctor. I came across this report online (http://www.nsshu.com/pseudosciatica.htm) and initially suspected that I might have sciatica. However, after reading the article, I believe I may be experiencing pseudos...
Dr. Ding Xianwei reply Neurosurgery
Hello: Your condition is what I have researched as simple F back pain. Generally speaking, most people can heal without medication by changing their work and lifestyle habits. Avoid prolonged standing and sitting, do not maintain a fixed posture for too long, and avoid looking do...[Read More] How to Treat Pseudo Sciatica: Understanding Gluteal Muscle Inflammation
Understanding Numbness and Sensation Loss in the Foot: Possible Causes
It feels like the sensation after receiving an anesthetic injection? For about one to two weeks, I've been experiencing numbness in my left foot. Even when there is no numbness, touching the skin on the sole of my foot feels like it has been anesthetized—heavy but without se...
Dr. Ding Xianwei reply Neurosurgery
Hello: This should be a neurological issue. It is recommended to visit a neurology outpatient clinic for diagnosis and treatment. Sincerely, Dr. Ding Suan-Wei, Neurosurgery.[Read More] Understanding Numbness and Sensation Loss in the Foot: Possible Causes
Understanding Brain Injuries After a 4-Meter Fall: MRI and Recovery Insights
Fell from a height of four meters? Hello Doctor, my father recently fell from a height of about four meters from the roof and sustained a head injury. He had bleeding from his ears and was unconscious at the scene, but by the time he arrived at the hospital, his vital signs were ...
Dr. Ding Xianwei reply Neurosurgery
Hello: The purpose of conducting CT and MRI examinations is to provide recommendations for further treatment plans. If the CT results do not reveal any blood clots, we refer to this as diffuse axonal injury, which has a poorer prognosis. The current medical goal is to minimize se...[Read More] Understanding Brain Injuries After a 4-Meter Fall: MRI and Recovery Insights
Impact of Pregnancy on Disc Herniation Recovery: Rehabilitation Tips
Disc herniation Doctor, I previously sustained an injury that resulted in a herniation of the intervertebral discs at the L4-L5 levels. After rehabilitation, I experienced improvement, but recently I've started to feel discomfort again. I would like to know if pregnancy coul...
Dr. Ding Xianwei reply Neurosurgery
Hello: Avoid prolonged sitting or standing, and do not maintain a fixed posture for too long. Strengthen the muscles of the abdomen and back. Sincerely, Dr. Ding Hsien-Wei, Neurosurgeon.[Read More] Impact of Pregnancy on Disc Herniation Recovery: Rehabilitation Tips
Diagnosing Olfactory Nerve Damage After Head Trauma: Key Insights
Olfactory nerve Hello Dr. Ding: A friend of mine was in a car accident and suffered a brain injury, suspected to be a subarachnoid hemorrhage, which may have caused damage to the olfactory nerve, leading to olfactory dysfunction. Since smell is a subjective perception, what metho...
Dr. Ding Xianwei reply Neurosurgery
Hello: It is recommended to visit the neurology outpatient clinic for a detailed diagnosis. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Diagnosing Olfactory Nerve Damage After Head Trauma: Key Insights
Understanding Grade III Astrocytoma: Challenges and Care Options
Brain tumor My sister has been diagnosed with a grade III astrocytoma for the first time. Due to its deep location and large size, surgery is not an option. She is 36 years old and completed radiation therapy in May. From May to July, her condition was relatively stable, but over...
Dr. Ding Xianwei reply Neurosurgery
Hello: If there are already brainstem metastases and radiation therapy has been performed, there may be no other treatment options available. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Grade III Astrocytoma: Challenges and Care Options
Best Treatment Options for Benign Astrocytoma: A Patient's Guide
Brain tumor Hello doctor, I was diagnosed with a brain tumor in August, and the biopsy showed it to be a benign astrocytoma. The physician recommended gamma knife treatment, but I found online information stating that gliomas are not suitable for radiation therapy. Could you plea...
Dr. Ding Xianwei reply Neurosurgery
Hello, it is recommended to consult your attending physician for a clearer understanding of the patient's condition. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Best Treatment Options for Benign Astrocytoma: A Patient's Guide
Understanding Hand Numbness: When to Seek Medical Help and Treatment Options
Numbness in the hands? Hello Dr. Ding: I work in computer graphic design and have to use the computer for long hours every day. Recently, over the past month, I have noticed that all five fingers on my left hand are experiencing numbness (especially the middle three fingers). Whe...
Dr. Ding Xianwei reply Neurosurgery
Hello: Please schedule an appointment with the neurosurgery outpatient clinic for evaluation by a specialist. Wishing you good health.[Read More] Understanding Hand Numbness: When to Seek Medical Help and Treatment Options
Understanding Disc Herniation: Causes, Symptoms, and Treatment Options
Herniated disc Dr. Ding, I apologize for reaching out, but I had a spinal injury from a car accident. After a long period of treatment, I still experience lower back pain and numbness in my right leg. I had an X-ray taken, and the doctor informed me that there were no issues with...
Dr. Ding Xianwei reply Neurosurgery
Hello: The causes of back pain are often due to prolonged standing or sitting, or improper use of the lumbar spine, such as repetitive bending or lifting heavy objects. Given your history of injury, along with lifting heavy items, it is likely to recur. Based on your symptoms, th...[Read More] Understanding Disc Herniation: Causes, Symptoms, and Treatment Options
Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment Options
Trigeminal neuralgia Hello Doctor, I have been experiencing facial twitching on the right side, with my right eyelid frequently twitching. When I touch the upper gums and palate with my tongue, I feel an electric shock sensation. There is also a constant drooling from the corner ...
Dr. Ding Xianwei reply Neurosurgery
Hello: You may be experiencing trigeminal neuralgia. Oral medications can be taken for a period of time, and if they are ineffective, surgery can be considered. Additionally, procedures such as thermocoagulation and alcohol injection are options, and gamma knife surgery may also ...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment Options
Understanding Meningioma: Treatment Options and Surgical Alternatives
Meningioma What are the treatment options for meningiomas? Are there any methods that can cure it without surgery? What is the likelihood of a complete cure?
Dr. Ding Xianwei reply Neurosurgery
Hello: Meningiomas are primarily treated with surgery, while other treatments serve as adjuncts. There are no non-surgical methods that can cure them. However, it is essential to know the tumor's location; if it is situated at the skull base, surgery may sometimes be unmanag...[Read More] Understanding Meningioma: Treatment Options and Surgical Alternatives