Dr. Ding Xianwei reply Neurosurgery Question - Page 15

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Understanding Head Injuries in Children: Symptoms and When to Seek Help

Pediatric head injury Doctor, my one-year-old daughter accidentally hit her head while playing yesterday afternoon. The back of her head struck the ground, and she initially just cried. However, in the evening, she started to vomit, so we rushed her to the hospital. The doctor sa...


Dr. Ding Xianwei reply Neurosurgery
Hello: If you experience vomiting immediately after eating, it may be necessary to consider gastrointestinal disorders. Vomiting caused by head trauma is quite specific and differs from vomiting due to general gastrointestinal issues. Therefore, I recommend that you follow up at ...

[Read More] Understanding Head Injuries in Children: Symptoms and When to Seek Help


Understanding Disc Herniation Surgery: Options, Recovery, and Laser Treatment

Intervertebral Disc Protrusion Surgery Hello, doctor. I would like to ask a question. Last week, I had an X-ray and MRI at the hospital. The doctor said that I have severe intervertebral disc herniation at the fourth and fifth lumbar vertebrae, which is compressing the nerves. Cu...


Dr. Ding Xianwei reply Neurosurgery
Hello: Generally speaking, if there is severe nerve compression, surgery would be an important option. In your case, it is sufficient to remove the cartilage compressing the nerve, and there is no need for a complex surgical procedure. The duration of the surgery is not as import...

[Read More] Understanding Disc Herniation Surgery: Options, Recovery, and Laser Treatment


Understanding Sciatica: Symptoms, Causes, and Treatment Options

Suspected neuropathic pain? Hello Dr. Ding: During the summer vacation, I traveled back and forth to Tainan for classes every Saturday for nine consecutive weeks, using public transportation. For the past month, whenever I sit for a long time, I experience a sharp pain in a speci...


Dr. Ding Xianwei reply Neurosurgery
Hello: Based on your symptoms, it is recommended that you consult a neurosurgeon for further evaluation and treatment. As long as you seek out the appropriate specialist, you can be assured that they are qualified physicians who have passed specialty examinations. Please do not w...

[Read More] Understanding Sciatica: Symptoms, Causes, and Treatment Options


Head Injury: Key Signs to Watch After a Workplace Accident

Head injury Hello, doctor. My father accidentally hit his head against a metal plate while working and bled, but the bleeding has stopped. However, he insists on not going to the hospital for a check-up due to time constraints. Are there any specific signs or symptoms we should w...


Dr. Ding Xianwei reply Neurosurgery
Hello: If there is no loss of consciousness, generally, observation is sufficient. Please pay attention to the following issues: 1. Is there severe vomiting? 2. Is there any loss of consciousness? 3. Is there any weakness in the limbs? 4. Are there any seizures? If any of these i...

[Read More] Head Injury: Key Signs to Watch After a Workplace Accident


Understanding Sympathetic Nerve Issues: Solutions for Hand Pain and Numbness

Numbness in the hands? I was involved in a car accident last March, which resulted in injuries to my right wrist and elbow. I consulted both orthopedic and rehabilitation specialists, but my symptoms have shown limited improvement. In recent months, I have experienced numbness on...


Dr. Ding Xianwei reply Neurosurgery
Hello: If you are experiencing symptoms of numbness, it may indicate nerve injury, which can lead to issues of numbness and pain. The sympathetic nervous system is a part of the autonomic nervous system and regulates certain reflexes, such as sweating and pupil response. Some of ...

[Read More] Understanding Sympathetic Nerve Issues: Solutions for Hand Pain and Numbness


Understanding Excessive Sweating After Neurosurgery: Risks and Recovery

Side effects I would like to ask a question. I previously visited an outpatient clinic and asked the doctor about my condition. The doctor mentioned that after surgery, I might experience excessive sweating in other areas of my body. When they refer to excessive sweating, does th...


Dr. Ding Xianwei reply Neurosurgery
Hello: Generally speaking, not everyone experiences compensatory sweating, and individual perceptions may vary. However, statistics show that about one-third of patients are dissatisfied with surgical outcomes. If palmar hyperhidrosis is significantly affecting your daily life, s...

[Read More] Understanding Excessive Sweating After Neurosurgery: Risks and Recovery


Treating Compensatory Sweating After Hyperhidrosis Surgery

Compensatory sweating after surgery for hyperhidrosis? Hello Dr. Ding, I would like to ask if there are any treatment options available for severe compensatory sweating that occurs after surgery for hyperhidrosis. Thank you!


Dr. Ding Xianwei reply Neurosurgery
Hello: Currently, compensatory sweating can be managed with some sympathetic nervous system inhibitors; however, due to side effects, long-term use is not recommended. Sincerely, Dr. Ding Hsien-Wei, Neurosurgeon.

[Read More] Treating Compensatory Sweating After Hyperhidrosis Surgery


Understanding Morning Hand Numbness in Children: Causes and Concerns

Numbness in the hands? An 11-year-old girl has been experiencing numbness in her right hand upon waking up for several consecutive days. It is unclear if there is any correlation.


Dr. Ding Xianwei reply Neurosurgery
Hello: It may be due to compression of the ulnar nerve at the right elbow overnight. It is recommended to seek a specialist's diagnosis and examination immediately if any symptoms arise. Wishing you safety.

[Read More] Understanding Morning Hand Numbness in Children: Causes and Concerns


Understanding Guillain-Barré Syndrome: Causes, Symptoms, and Treatment

Guillain-Barré syndrome Guillain-Barré syndrome is a rare neurological disorder in which the body's immune system mistakenly attacks the peripheral nerves. This condition often follows an infection and can lead to muscle weakness, numbness, and in severe cases, paralysis. Th...


Dr. Ding Xianwei reply Neurosurgery
Hello: This is a type of inflammatory peripheral nerve disorder, with symptoms including muscle weakness, difficulty breathing, sudden weakness in the lower limbs, and abnormal sensations in the limbs. The cause is currently unknown. For more detailed information, you can visit w...

[Read More] Understanding Guillain-Barré Syndrome: Causes, Symptoms, and Treatment


Immediate vs. Delayed Repair of Wrist Ligament Injuries: Key Differences

Wrist vascular and nerve injury? Hello, doctor. I have a torn wrist ligament. Is it better to repair and suture it immediately or to wait two weeks before doing so? What are the differences between the two options, and how do they affect recovery?


Dr. Ding Xianwei reply Neurosurgery
Hello: It is recommended to consult a hand surgeon for evaluation. Ligaments and nerves are different; nerves are better repaired immediately, but considerations should still be based on individual conditions. Sincerely, Dr. Ding Hsien-Wei, Neurosurgeon.

[Read More] Immediate vs. Delayed Repair of Wrist Ligament Injuries: Key Differences


Unexplained Facial Depression: Seeking Answers for Neurological Symptoms

Facial depression of unknown etiology? I have noticed a depression on my forehead over the past two years, accompanied by occasional tightness and mild pain. In cold weather, I even experience a numb sensation. Earlier this year, I visited the neurology department at Mackay Memor...


Dr. Ding Xianwei reply Neurosurgery
Hello: Due to the nature of your symptoms, an in-person examination is necessary for a proper diagnosis. It is recommended that you bring your examination reports and consult with a neurospecialist at another hospital to investigate the cause. Sincerely, Dr. Ding Hsien-Wei, Neuro...

[Read More] Unexplained Facial Depression: Seeking Answers for Neurological Symptoms


Understanding Excessive Sweating: When to Seek Medical Help

Facial sweating is profuse, like rain! Hello: I have been sweating a lot since I was young, and I tend to flush when I get nervous, but it has never been severe enough to be unbearable. However, in recent years, I have noticed that I sweat a lot just from walking a few steps. In ...


Dr. Ding Xianwei reply Neurosurgery
Hello: Generally speaking, palm sweating is a secondary condition; however, your situation seems to indicate generalized hyperhidrosis, which may suggest an issue with your endocrine system. Additionally, you should consider whether you experience irritability, have a large appet...

[Read More] Understanding Excessive Sweating: When to Seek Medical Help


Understanding Cervical Disc Surgery: When to Choose Surgery Over Rehab

Cervical cone surgery issues? Dear Dr. Ding, I have a very contradictory question that I need your help with. Recently, I have been experiencing frequent neck pain, difficulty turning my head, and numbness and weakness in my left arm. I went to a large hospital in central Taiwan...


Dr. Ding Xianwei reply Neurosurgery
Hello: Such questions cannot be answered online; I need your imaging studies (including X-rays and MRI of the cervical spine) and your personal consultation to provide you with an answer. Generally speaking, if there is a displacement, surgery may still be an important treatment ...

[Read More] Understanding Cervical Disc Surgery: When to Choose Surgery Over Rehab


Understanding Whiplash Injuries: Symptoms, Treatment, and Care Options

Whiplash injury Hello, doctor. In February, I was in a car accident. The situation was that the brakes were suddenly applied while I was sitting in the front seat, and my head hit the windshield. Fortunately, there was no bleeding or external injury, but later I started experienc...


Dr. Ding Xianwei reply Neurosurgery
Hello: Your issue is likely a neck injury. All public hospitals in Taipei should accept National Health Insurance. I recommend that you visit the neurosurgery department at any of these hospitals. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery Department, Taoyuan Hospital, Ministry ...

[Read More] Understanding Whiplash Injuries: Symptoms, Treatment, and Care Options


Seeking Help for Post-Surgery Neurological Issues: A Call for Assistance

Emergency Assistance (Forwarded by the Department of Health) My wife, Li Mi, underwent a 9 cm meningioma surgery on March 14, 2003, at Cathay General Hospital, performed by neurosurgeon Dr. Huang Jinshan. Since then, she has been unable to sleep normally and requires a combinatio...


Dr. Ding Xianwei reply Neurosurgery
Hello: It is recommended that you return to Dr. Huang Jinshan's outpatient clinic for further evaluation and treatment. Additionally, if the brain tumor is benign, you will not be able to apply for major illness benefits. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery, Taoyuan ...

[Read More] Seeking Help for Post-Surgery Neurological Issues: A Call for Assistance


Unexplained Pain in the Left Buttock: Possible Causes and Solutions

Unexplained pain Hello doctor, recently I've been experiencing unexplained pain in my left buttock, which comes and goes. Sometimes it's mild enough that I can't sit comfortably, but at its worst, it makes walking and moving difficult due to the pain. I'm not ...


Dr. Ding Xianwei reply Neurosurgery
Hello: You may be experiencing nerve compression or muscle injury in your lumbar spine. Generally, muscle injuries tend to heal with rest in a relatively short time, while issues related to the lumbar spine may take longer to resolve. It is recommended that you visit a neurosurge...

[Read More] Unexplained Pain in the Left Buttock: Possible Causes and Solutions


Understanding Recent Onset Sciatica Symptoms and Treatment Options

Recently started? Hello doctor, I’m not sure if my symptoms are related to sciatica. They started a few months ago, beginning with a sharp pain in my lower back that extends to my buttocks, where I also feel a sharp sensation when pressure is applied. The pain then radiates down ...


Dr. Ding Xianwei reply Neurosurgery
Hello: It seems that you may be experiencing an acute lumbar disc herniation with nerve root compression. You can try resting in a supine position with your knees slightly bent, avoiding prolonged sitting or standing, and not lifting heavy weights. If this treatment does not lead...

[Read More] Understanding Recent Onset Sciatica Symptoms and Treatment Options


Understanding Hand Tremors: Causes and Solutions in Neurosurgery

My hands are shaking~~~ Doctor, I often experience shaking in my hands when I lift objects or raise them in general. I've noticed that others do not have this issue. What could be the reason for this?


Dr. Ding Xianwei reply Neurosurgery
Hello: The tremors during movement can have many possible causes, and sometimes it may be due to hormonal imbalances. It is recommended that you visit a metabolic specialist for further diagnosis. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery, Taoyuan Hospital, Ministry of Health a...

[Read More] Understanding Hand Tremors: Causes and Solutions in Neurosurgery


Understanding Progress in Severe Brain Injury Recovery: A Patient's Journey

Cerebral contusion My father has been in bed for nearly four months due to a severe brain injury. He has a tracheostomy and is still undergoing suctioning. The doctors' assessments so far have not been very optimistic, as the extent of his brain injury is significant and con...


Dr. Ding Xianwei reply Neurosurgery
Hello: Since I couldn't see it in person, it's difficult to assess. If your father can understand your instructions, the rehabilitation process is likely to be more successful. If you would like further information, please feel free to bring the imaging studies to my cl...

[Read More] Understanding Progress in Severe Brain Injury Recovery: A Patient's Journey


Understanding Coma Scores: Insights into Severe Brain Injury Recovery

Traumatic brain injury (TBI) My father has been lying in bed for almost four months due to a severe traumatic brain injury. The extent of the brain damage is significant, and the doctors currently assess that he may never be able to get out of bed. I would like to ask about his G...


Dr. Ding Xianwei reply Neurosurgery
Hello: Since I was unable to see it in person, it is difficult to assess. If your father can understand your instructions, the rehabilitation work will likely be more successful. If you would like further information, feel free to bring the films to my clinic, and we can have a g...

[Read More] Understanding Coma Scores: Insights into Severe Brain Injury Recovery


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