Dr. Ding Xianwei reply Neurosurgery Question - Page 4

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Understanding Delayed Symptoms of Concussion After Head Trauma

Head injury with concussion? Hello Dr. Ding: My nephew was involved in a rear-end collision while driving without maintaining a safe distance. After police intervention, neither party required medical attention at the scene. About 6 to 7 days later, the other party called to repo...


Dr. Ding Xianwei reply Neurosurgery
Due to the lack of direct examination, this response is based solely on experience. A concussion is the mildest form of head injury. According to Wikipedia, "A concussion is a common and relatively mild brain injury that occurs when a person experiences a sudden impact or jo...

[Read More] Understanding Delayed Symptoms of Concussion After Head Trauma


Understanding Nerve Discomfort in the Lower Back: Causes and Solutions

Discomfort in the back nerves? Hello: Recently, I've been experiencing tightness and numbness in my lower left back when I touch it. It gets even tighter and more numb when I sit in a lower chair or exert pressure on my back. I previously consulted an orthopedic specialist w...


Dr. Ding Xianwei reply Neurosurgery
Due to the lack of a personal examination and insufficient information to provide recommendations, it is advisable for you to visit a neurosurgery outpatient clinic for appropriate care.

[Read More] Understanding Nerve Discomfort in the Lower Back: Causes and Solutions


Understanding Post-Concussion Symptoms and Their Duration

Post-concussion syndrome Hello Dr. Ding, I had an accident six days ago while riding my motorcycle too fast and fell. I was wearing a helmet, but I am unsure what my head hit, and I lost consciousness for about ten minutes. Over the past week, my bodily injuries have gradually ...


Dr. Ding Xianwei reply Neurosurgery
Since I have not personally treated you, I can only respond based on experience. If unconsciousness lasts more than 10 minutes, it is considered a concussion! Other symptoms are residual effects following a head injury. Dizziness, nausea, or vomiting are not necessary conditions ...

[Read More] Understanding Post-Concussion Symptoms and Their Duration


Managing Pneumothorax-Induced Brain Hypoxia: Treatment and Diagnosis

Pneumothorax causing cerebral hypoxia? Hello, my father underwent a colon tumor resection two days ago. After the anesthesia was administered, during the pressure-assisted ventilation, a pneumothorax was discovered, leading to 30 minutes of cerebral hypoxia. Although he is curren...


Dr. Ding Xianwei reply Neurosurgery
This is not my area of expertise, so I cannot provide an answer.

[Read More] Managing Pneumothorax-Induced Brain Hypoxia: Treatment and Diagnosis


Head Injury: Understanding Risks, Symptoms, and Long-Term Effects

Head trauma Hello, I apologize for sending another message as the previous one was not completed. A few days ago, I had an accident while riding my motorcycle on a slippery road and hit my head. I was going at a relatively high speed but was wearing a helmet, so there were no ext...


Dr. Ding Xianwei reply Neurosurgery
If a person is in a coma for more than 10 minutes, it is considered a concussion! However, intracranial bleeding can only be detected through a CT scan. The purpose of the examination is to inform medical care decisions. Since I cannot provide direct treatment, I can only share b...

[Read More] Head Injury: Understanding Risks, Symptoms, and Long-Term Effects


Understanding Unexplained Leg Jerks During Sleep: Causes and Solutions

Experiencing involuntary leg movements during sleep? Hello, doctor: I have been experiencing involuntary leg movements while sleeping for the past week. Sometimes, it even affects my ability to fall asleep and causes feelings of tension and spasms. What could be the reason for th...


Dr. Ding Xianwei reply Neurosurgery
Your issue requires further examination before a definitive answer can be provided. It is recommended that you consult a neurologist for additional testing and evaluation.

[Read More] Understanding Unexplained Leg Jerks During Sleep: Causes and Solutions


Understanding Thoracic Outlet Syndrome: Causes, Symptoms, and Treatment Options

Thoracic Outlet Syndrome My dad has a sensation from his right arm to his back, as if a rope is tightly bound. Initially, the doctor mentioned degeneration in the neck and suggested a cervical disc replacement, but there was no improvement. Later, an MRI revealed that the right s...


Dr. Ding Xianwei reply Neurosurgery
Such questions cannot be answered online. It is recommended that you first consult a neurologist for a comprehensive examination before discussing further.

[Read More] Understanding Thoracic Outlet Syndrome: Causes, Symptoms, and Treatment Options


Post-Concussion Symptoms: What to Watch For After Head Trauma

Post-traumatic sequelae of head injury Hello, I was hit on the side of my head, just above my right ear, by a baseball three days ago. After the impact, I experienced swelling and pain, but no other symptoms for the first few days. However, since last night, I have been feeling d...


Dr. Ding Xianwei reply Neurosurgery
The sequelae of head trauma include dizziness and headaches. Therefore, if you did not lose consciousness at the time, your symptoms are likely due to the aftermath of the head injury. You need to drink plenty of water and rest, and you should avoid vigorous exercise for the time...

[Read More] Post-Concussion Symptoms: What to Watch For After Head Trauma


Frequent Head Injuries at Work: Understanding Headaches and Memory Loss

Frequent headaches often occur due to being overly busy at work and carelessly bumping the head? Hello Dr. Ding: I work at a dental clinic, and since we have a high volume of patients every day, I often don't pay attention to how close the medical equipment is to my head whe...


Dr. Ding Xianwei reply Neurosurgery
It is possible to experience similar symptoms after a head injury, and in some cases, these symptoms may persist for more than a year. A small number of individuals may have lifelong sequelae following a head injury. These can include dizziness, headaches, and even memory impairm...

[Read More] Frequent Head Injuries at Work: Understanding Headaches and Memory Loss


Persistent Dizziness: Could It Be a Neurological Aftermath?

Persistent dizziness Recently, I have been experiencing increasingly noticeable dizziness, especially when bending down or turning my head. Eight years ago, I was hit on the head by a chair, but at that time, I did not have any symptoms of dizziness or vomiting. Now, however, I a...


Dr. Ding Xianwei reply Neurosurgery
If it was eight years ago, it may not be significantly related to the previous head trauma. I recommend that you visit the outpatient clinic for further evaluation.

[Read More] Persistent Dizziness: Could It Be a Neurological Aftermath?


Understanding Left Shoulder Blade Pain and Hand Numbness: A Guide

Pain in the left scapula accompanied by hand numbness? Hello doctor, I started experiencing back pain six months ago. Since I have a sedentary job, I began exercising and stretching to improve the situation. However, over two months ago, I started to feel numbness, tingling, and ...


Dr. Ding Xianwei reply Neurosurgery
Based on the information provided, it appears that there may be issues with your cervical spine. However, just because the examination did not reveal any problems does not mean that there are none. What you should focus on is treatment rather than further examinations. Since you ...

[Read More] Understanding Left Shoulder Blade Pain and Hand Numbness: A Guide


Understanding Foot Cramps: Causes and Solutions for Better Sleep

Leg twitching? Hello Dr. Ding, I often experience twitching in my right little toe while sleeping. Sometimes the twitching is severe, and I feel it extending to my lower back. Occasionally, I also feel discomfort in my head. This has been happening for about 5 to 6 years, and it ...


Dr. Ding Xianwei reply Neurosurgery
Due to the lack of a personal examination, I can only provide suggestions based on the information you provided. If you are experiencing lower back pain that radiates to the right little toe, it may be caused by a herniated disc in the lumbar region compressing a nerve. If it is ...

[Read More] Understanding Foot Cramps: Causes and Solutions for Better Sleep


Understanding Concussions and Cervical Ligament Calcification: Key Insights

Concussion. Cervical spine calcification? A week ago, I was hit on the head by a striped object. The next day, I experienced dizziness, headaches, slight stiffness on the left side of my face, nausea (twice), and neck and shoulder pain. By the third day, I only had mild headaches...


Dr. Ding Xianwei reply Neurosurgery
Due to the lack of a personal examination, I can only respond based on the information you provided. Generally speaking, a concussion is defined as a loss of consciousness for more than 10 minutes following a head injury, after which the individual regains consciousness. Some ind...

[Read More] Understanding Concussions and Cervical Ligament Calcification: Key Insights


Understanding Brain Growths: Tumors, Cysts, and Hydrocephalus Explained

Hello, how can I assist you? If there are growths in the brain, such as tumors, lesions, cysts, or conditions like hydrocephalus, are they all considered brain tumors, or do they have other names?


Dr. Ding Xianwei reply Neurosurgery
Your question is unclear and cannot be answered!

[Read More] Understanding Brain Growths: Tumors, Cysts, and Hydrocephalus Explained


Understanding Brain Tumors: Types and Symptoms Explained

What about brain tumors? If there are growths, nerves, or cysts in the brain, are they all considered brain tumors?


Dr. Ding Xianwei reply Neurosurgery
Your question is unclear and cannot be answered!

[Read More] Understanding Brain Tumors: Types and Symptoms Explained


Understanding Herniated Discs: Surgical Options and Treatment Insights

Herniated disc Hello Doctor: My husband felt a strain in his lower back while lifting heavy objects in March, and since then he has experienced mild pain on the right side of his sacrum and the upper edge of his hip bone. About 2-3 weeks ago, the pain intensified into severe stab...


Dr. Ding Xianwei reply Neurosurgery
Since I have not personally examined you, and imaging studies often do not fully correlate with the actual symptoms of the patient, providing only your MRI results does not allow for any decision-making. Therefore, I cannot offer any recommendations regarding your concerns. I sug...

[Read More] Understanding Herniated Discs: Surgical Options and Treatment Insights


Understanding Out-of-Pocket vs. Insurance Coverage for Bone Spur Surgery

Bone spur surgery Hello doctor, my question is whether there is a distinction between self-pay and National Health Insurance coverage for bone spur surgery? I understand that the waiting time for National Health Insurance coverage is about three weeks. If I choose self-pay, can I...


Dr. Ding Xianwei reply Neurosurgery
All surgeries can be handled as out-of-pocket expenses! This question should be directed to the National Health Insurance Administration.

[Read More] Understanding Out-of-Pocket vs. Insurance Coverage for Bone Spur Surgery


Exploring the Truth Behind PT-C Fibrocartilage Repair for Disc Herniation

Treatment methods for herniated discs? I would like to inquire about the authenticity of the German PT-C fiber ring repair therapy. I came across it online by chance, but there is limited information available. It claims to address the root cause of issues, but I am unsure if thi...


Dr. Ding Xianwei reply Neurosurgery
I am not familiar with the PT-C fiber ring repair therapy. According to the information on Google, this treatment is primarily conducted in hospitals across the strait. It might be more appropriate to consult with a hospital in China for further guidance!

[Read More] Exploring the Truth Behind PT-C Fibrocartilage Repair for Disc Herniation


Is a CT Scan Necessary After a Head Injury? Understanding the Risks

Is there a necessity for a non-contrast CT scan of the brain? Hello Dr. Ding, My brother weighs about 100 kilograms and fell off his bike on a rainy, slippery road. He has a head injury with an external wound measuring approximately 7 to 10 centimeters. When bystanders brought h...


Dr. Ding Xianwei reply Neurosurgery
If it is an emergency issue, you should go directly to the emergency department for evaluation and treatment by an emergency physician. Since I cannot examine you in person, I can only provide suggestions based on your description. It sounds like you may have experienced a concus...

[Read More] Is a CT Scan Necessary After a Head Injury? Understanding the Risks


Persistent Headaches and Dizziness: Seeking Solutions After Injury

Persistent dizziness and headache? Dear Doctor, I previously wrote to you regarding my condition, and since there has been no improvement, I would like to consult you again. On May 18, I accidentally bumped into a horizontal bar while walking, which led to dizziness and headache...


Dr. Ding Xianwei reply Neurosurgery
Your issue is actually a consequence of head trauma. Many of my patients continue to experience dizziness and headaches even after three months, and many also report memory decline! This is an unfortunate reality! In fact, about 5% of patients will suffer from long-term sequelae ...

[Read More] Persistent Headaches and Dizziness: Seeking Solutions After Injury


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