Neck Disc Herniation: When to Consider Surgery After Rehab
Cervical intervertebral disc herniation rehabilitation bottleneck? My mother (48 years old) experienced neck and hand pain earlier this year and consulted a neurosurgeon. After an MRI, she was diagnosed with a herniated disc at the C3-C4 level. The doctor recommended surgery, but...
Dr. Ding Xianwei reply Neurosurgery
Due to the lack of imaging data and not having personally examined you, I can only provide suggestions based on your information. If rehabilitation does not show improvement, surgery may be a consideration. However, since I am not aware of the specifics of your allergy to anesthe...[Read More] Neck Disc Herniation: When to Consider Surgery After Rehab
Is the Minimally Invasive Surgery at NTU Hsinchu a Second-Generation Endoscopic Procedure?
Minimally invasive surgery Is the minimally invasive surgery at National Taiwan University Hsinchu Branch classified as a second-generation lumbar endoscopy?
Dr. Ding Xianwei reply Neurosurgery
I am not aware of the situation at other hospitals, so please go directly to National Taiwan University Hospital for inquiries.[Read More] Is the Minimally Invasive Surgery at NTU Hsinchu a Second-Generation Endoscopic Procedure?
Understanding Multiple Brain Tumors: Risks and Alternatives to Surgery
Multiple brain tumors My father recently experienced unsteady walking, and an MRI examination revealed multiple tumors in the brain, with the largest tumors located in the cerebellum and the motor area of the cerebrum, measuring approximately 3-4 cm. Is he a suitable candidate fo...
Dr. Ding Xianwei reply Neurosurgery
Due to the lack of patient information, I cannot provide specific recommendations. Generally speaking, multiple tumors are not typically indicated for craniotomy; however, suggestions should still be based on the patient's condition. I recommend bringing all imaging studies ...[Read More] Understanding Multiple Brain Tumors: Risks and Alternatives to Surgery
Understanding Lumbar Osteophytes: Symptoms, Risks, and Management
Lumbar osteophytes Dear Dr. Ding, Recently, I accompanied my wife for a follow-up appointment. According to the neurologist's X-ray diagnosis, there is normally a space between each lumbar vertebra, but no such space was observed between L4 and L5, indicating that the L4 an...
Dr. Ding Xianwei reply Neurosurgery
Due to the incomplete nature of your information, it is not possible to provide recommendations regarding surgery or whether it may be necessary. It is advised that you bring all previous examination results to a neurosurgery consultation for further evaluation. Let the neurosurg...[Read More] Understanding Lumbar Osteophytes: Symptoms, Risks, and Management
Sudden Stomach Discomfort and Constipation After Neck Injury: Is It Serious?
Sudden stomach discomfort and constipation? Hello Dr. Ding, I injured my neck four months ago, and due to numbness and weakness in my arm, I underwent an MRI. At that time, there was a slight herniation between the C5 and C6 vertebrae, but the doctor said it wasn't serious a...
Dr. Ding Xianwei reply Neurosurgery
Due to incomplete information, we are unable to make a judgment. We recommend that you bring your records to our outpatient clinic for further understanding.[Read More] Sudden Stomach Discomfort and Constipation After Neck Injury: Is It Serious?
Understanding Lumbar Bone Spurs: Symptoms, Diagnosis, and Treatment Options
Lumbar osteophytes My wife is 28 years old, and her symptoms are as follows: (1) She experiences occasional sharp pain and swelling in the arch of her right foot when sitting for long periods (this occurs less frequently in more comfortable seating, but is more likely to happen i...
Dr. Ding Xianwei reply Neurosurgery
Due to the incomplete information provided, I can only offer general advice. According to numerous studies, bone spurs and symptoms are often not correlated. Our surgical approach primarily focuses on decompression and stabilization; generally, bone spurs merely indicate that you...[Read More] Understanding Lumbar Bone Spurs: Symptoms, Diagnosis, and Treatment Options
Understanding Numbness in the Pinky and Ring Finger: Causes and When to Seek Help
Numbness in the fingers? Hello doctor, since last week, my left hand's little finger and ring finger occasionally experience numbness several times a day, with the area affected being limited to the left hand's ulnar side. What could be the reason for this? Do I need to...
Dr. Ding Xianwei reply Neurosurgery
Due to the insufficient information provided, I can only offer some possible suggestions. This may be a cervical spine issue, and I recommend that you visit a neurosurgery clinic for evaluation.[Read More] Understanding Numbness in the Pinky and Ring Finger: Causes and When to Seek Help
Understanding Inflammatory Pseudotumors in the Brain: Growth Patterns and Implications
Inflammatory pseudotumor of the brain Does an inflammatory pseudotumor (granuloma) in the brain exhibit destructive growth? Does an inflammatory pseudotumor (granuloma) increase in size over time? Thank you!
Dr. Ding Xianwei reply Neurosurgery
Due to insufficient information, I am unable to provide any recommendations.[Read More] Understanding Inflammatory Pseudotumors in the Brain: Growth Patterns and Implications
Understanding CT Scans: Concerns After Pediatric Head Injury
Computed Tomography (CT) scan That day, my four-year-old daughter was squatting on the ground playing when she was possibly hit on the head by something from a high chair. At that time, she vomited (around 2 PM). Later, around 9 PM, she vomited again, so I asked my husband to tak...
Dr. Ding Xianwei reply Neurosurgery
What is your question? Due to the lack of complete information, I can only provide suggestions based on personal experience. If the question is whether a CT scan is needed for head trauma, in fact, if the patient has lost consciousness for a period of time, a CT scan of the brain...[Read More] Understanding CT Scans: Concerns After Pediatric Head Injury
Post-Spinal Surgery Complications: Understanding Cardiac Arrest and Coma
Two days after spinal surgery, the patient experienced cardiac arrest and became comatose? I have a relative who sustained a spinal cord injury due to a crush injury on August 17. On August 22, he underwent surgery to replace an artificial bone joint and was transferred to a gene...
Dr. Ding Xianwei reply Neurosurgery
Due to incomplete information, the question you asked may not receive the assistance you need. Rapid heartbeat leading to cessation may also be caused by cardiac issues. Therefore, we may not be able to provide the assistance you require.[Read More] Post-Spinal Surgery Complications: Understanding Cardiac Arrest and Coma
Impact of Dental Implants on MRI Accuracy: What You Need to Know
MRI Examination and Dentures Hello, I have dental prosthetics (fixed and non-removable, including three teeth: incisors and canines, some of which are made of metal). I have completed a brain MRI and would like to know if the metal in my dental prosthetics could affect the accura...
Dr. Ding Xianwei reply Neurosurgery
Your question should be directed to the radiology department for clarification.[Read More] Impact of Dental Implants on MRI Accuracy: What You Need to Know
Post-Car Accident Symptoms: Understanding Neurological Issues
Symptoms after a car accident? Hello Doctor, three months ago, I sustained a head injury due to a car accident. At the time of the injury, there was bleeding from my head, but the doctors and nurses at the hospital could not find any visible wounds. Over the past three months, in...
Dr. Ding Xianwei reply Neurosurgery
1. The sequelae of head trauma do not resolve quickly, so it may take some time. About 5% of patients may not fully recover from these sequelae. 2. If there is numbness or pain in both hands, it is possible that there was a concomitant cervical spine injury at the time, which is ...[Read More] Post-Car Accident Symptoms: Understanding Neurological Issues
Understanding Concussion Observation Period: Guidelines and Recommendations
Questions about the observation period for concussions? Hello: I would like to ask what the basic hospitalization observation period is for a concussion. Is there any official regulation or reference material available?
Dr. Ding Xianwei reply Neurosurgery
Basically, a concussion does not require hospitalization. However, sometimes patients request it, so there are occasions when hospitalization occurs.[Read More] Understanding Concussion Observation Period: Guidelines and Recommendations
Understanding the Differences Between Insurance and Out-of-Pocket Costs for Neurosurgery
The difference between National Health Insurance and out-of-pocket expenses? My mother has a lumbar spine slip at the L4 and L5 levels and needs surgery. The doctor recommends using a self-funded option (due to better materials). Is this necessary? By the way, my mother is 73 yea...
Dr. Ding Xianwei reply Neurosurgery
Due to the lack of clinical data, it is not possible to make a determination. I recommend seeking a second opinion from a nearby healthcare provider.[Read More] Understanding the Differences Between Insurance and Out-of-Pocket Costs for Neurosurgery
Understanding Neurofibromatosis Type 2 After Acoustic Neuroma Surgery
At the age of 19, I underwent surgery for a unilateral vestibular schwannoma (4mm)? As per the title, I had surgery three years ago, and during my one-year follow-up, there was no recurrence. The doctor mentioned that I could follow up again in five years. I should have felt reli...
Dr. Ding Xianwei reply Neurosurgery
NF2 has specific criteria; if you do not meet these criteria, you should not be diagnosed with NF2. I think you do not need to worry too much, just ensure proper monitoring.[Read More] Understanding Neurofibromatosis Type 2 After Acoustic Neuroma Surgery
Managing High Prolactin Levels: When to Consider MRI Scans?
Issues related to elevated prolactin levels? Dear Doctor, I have been experiencing elevated prolactin levels (27-30) for the past few years (approximately four years). However, I am currently receiving medication treatment from a new endocrinology department, and my levels are no...
Dr. Ding Xianwei reply Neurosurgery
Since I have not reviewed your case, I recommend that you return to your physician's office to discuss it with them for a more appropriate evaluation.[Read More] Managing High Prolactin Levels: When to Consider MRI Scans?
Reversing Compensatory Sweating: Can Previous Surgery Tools Be Removed?
Surgery for palmar hyperhidrosis without nerve ablation? Hello, Doctor. I underwent a surgery for palmar hyperhidrosis 13 years ago. At that time, the doctor informed me that if I could not accept the compensatory sweating that might occur post-surgery, this new type of surgery w...
Dr. Ding Xianwei reply Neurosurgery
I am not familiar with your surgery, so I cannot provide an answer. I sincerely apologize.[Read More] Reversing Compensatory Sweating: Can Previous Surgery Tools Be Removed?
Understanding Post-Traumatic Brain Injury Symptoms After a Motorcycle Accident
Post-traumatic brain injury (TBI) sequelae from a car accident? Hello Doctor: My father was hospitalized due to a motorcycle accident at the end of April, which resulted in a brain injury. He was in a coma with a Glasgow Coma Scale score of 3 and had an intracranial pressure moni...
Dr. Ding Xianwei reply Neurosurgery
Based on your description, I would like to offer my suggestions. Your father may be experiencing changes in temperament due to frontal lobe damage, which is part of the sequelae of a head injury. Frankly, it is quite remarkable that he has progressed from a Glasgow Coma Scale sco...[Read More] Understanding Post-Traumatic Brain Injury Symptoms After a Motorcycle Accident
Post-Accident Headaches and Nausea: Understanding Possible Causes
Headache and vomiting? My girlfriend was in a car accident a while ago and had some stitches on her forehead. It has been over two weeks now, and she only experiences dizziness when lying down to sleep and slight dizziness with certain movements. She saw a doctor a few weeks ago,...
Dr. Ding Xianwei reply Neurosurgery
Due to the incomplete information available online, based solely on your content, if you need further information regarding the intracranial region, it is recommended that you visit a neurosurgery outpatient clinic. Generally speaking, the likelihood of delayed intracranial hemor...[Read More] Post-Accident Headaches and Nausea: Understanding Possible Causes
Understanding Post-Surgery Complications from Intracranial Hemorrhage
Intracranial hemorrhage. Postoperative complications? Doctor: Hello! I would like to ask a question. My daughter is 4 years old. She had a car accident in April, resulting in a skull fracture and subdural hematoma in the left frontal region. Three days later, she underwent a cran...
Dr. Ding Xianwei reply Neurosurgery
It is important to clarify that generally, it is intracranial hemorrhage that leads to sequelae, while complications from the surgery itself are relatively rare. Due to the lack of complete data, potential sequelae are predicted based on experience. Many injuries may not be visib...[Read More] Understanding Post-Surgery Complications from Intracranial Hemorrhage