Dr. Ding Xianwei reply Neurosurgery Question - Page 9

Share to:
After a Fall: Understanding Head Injuries and When to Seek Help

Slipped and hit the back of the head? Hello, my husband slipped on a thin layer of ice on an asphalt road and fell, hitting the back of his head hard against the ground. I immediately called out to him, but he did not respond at all. I saw him lying on the ground with his eyes wi...


Dr. Ding Xianwei reply Neurosurgery
The patient should be taken directly to the emergency room for evaluation and management. The attending specialist will assess the situation and provide the best possible care.

[Read More] After a Fall: Understanding Head Injuries and When to Seek Help


How Long Does It Take for Neurosurgeons to Respond to Patient Inquiries?

How long does it take from the time a question is asked until the physician responds? Dr. Ding, is it appropriate to use an Ommaya CSF Reservoir or a Medtronic CSF-Ventricular Reservoir for drainage and pressure relief in cases of intracranial hemorrhage? Additionally, how long d...


Dr. Ding Xianwei reply Neurosurgery
I apologize for not receiving your question a week ago. Due to the lack of information regarding the patient's condition, we are unable to provide an answer regarding your inquiry about the choice between the Ommaya CSF Reservoir or the Medtronic CSF-Ventricular Reservoir. S...

[Read More] How Long Does It Take for Neurosurgeons to Respond to Patient Inquiries?


Exploring Surgical Options for Facial Blushing: Beyond Psychological Treatment

Facial blushing surgery? Hello Doctor: I previously asked about the issue of blushing, and many times I haven't received a definitive answer from doctors. I would like to know if the treatment for blushing relies solely on psychological therapy, or if there are surgical opti...


Dr. Ding Xianwei reply Neurosurgery
The facial blushing surgery is a procedure that I have little personal experience with. Based on information from the internet, I believe it is a type of sympathetic nerve block surgery. I recommend that you consult with more specialists in this field.

[Read More] Exploring Surgical Options for Facial Blushing: Beyond Psychological Treatment


Understanding Subdural Hematoma: Insights and Prognosis After Brain Injury

Subdural hematoma Dear Dr. Ding, My father is 54 years old. On December 13, he fell from a 2-foot high ladder, landing on his left side. He was conscious during the fall and attempted to speak but was unable to. He even tried to get up. When the ambulance arrived, the paramedics...


Dr. Ding Xianwei reply Neurosurgery
I apologize, your questions are quite complex, so I will provide an introduction based on my personal experience regarding your inquiries: 1. Given the current condition of my father, can he be classified as a persistent vegetative state (PVS) or does it require several months f...

[Read More] Understanding Subdural Hematoma: Insights and Prognosis After Brain Injury


Understanding Intracranial Noises: Potential Neurological Conditions Explained

Intracranial noise Hello, could you please tell me what diseases might cause intracranial noises in my head? PS: It's not auditory hallucinations and there are no ENT-related issues. Thank you for your clarification!


Dr. Ding Xianwei reply Neurosurgery
Your issue may require an in-person consultation to resolve. My guess is that your skull might have some unique characteristics that increase resonance. This is the only explanation I can think of at the moment.

[Read More] Understanding Intracranial Noises: Potential Neurological Conditions Explained


Impact of Hair Treatments on Pituitary Tumors: Risks and Remedies

Pituitary tumor Does dyeing and perming hair affect pituitary tumors? A pituitary tumor that was 0.2 cm and secreting prolactin 3-4 years ago has not been treated for almost a year; could it worsen? What are the treatment options for a cure? Are there any authoritative doctors sp...


Dr. Ding Xianwei reply Neurosurgery
Currently, there is no evidence to suggest that hair dyeing or perming has an impact on pituitary tumors. Due to the incomplete nature of your information, I cannot provide comprehensive advice. Essentially, if you have chosen to take medication, you should regularly monitor your...

[Read More] Impact of Hair Treatments on Pituitary Tumors: Risks and Remedies


Understanding Pituitary Tumors: Symptoms, Diagnosis, and Treatment Options

Pituitary tumor Hello Dr. Ding: I underwent an MRI examination... In September, the results indicated a pituitary tumor (the January examination showed pituitary hyperplasia). The neurologist mentioned that there is slight pressure on the optic nerve and the vomiting center. My p...


Dr. Ding Xianwei reply Neurosurgery
If your prolactin level is only 88, it is possible that your pituitary tumor is not very large. However, without seeing your MRI, I cannot provide a well-informed recommendation. Symptoms such as dizziness, headaches, nausea, and weakness in the hands are not always necessarily c...

[Read More] Understanding Pituitary Tumors: Symptoms, Diagnosis, and Treatment Options


Understanding Spontaneous vs. Non-Spontaneous Brain Hemorrhage and Hematoma

Cerebral hemorrhage and cerebral hematoma? (1) To determine whether a hemorrhagic stroke (intracerebral hemorrhage) or a hematoma is spontaneous, clinicians typically assess the patient's medical history, risk factors (such as hypertension, anticoagulant use, or trauma), and...


Dr. Ding Xianwei reply Neurosurgery
Intracerebral hemorrhage and hematoma are simply different terms for intracranial bleeding. Therefore, the two conditions refer to the same issue. (1) Essentially, both are assessed based on the physician's experience and the location of the bleeding. (2) This falls under th...

[Read More] Understanding Spontaneous vs. Non-Spontaneous Brain Hemorrhage and Hematoma


Understanding Traumatic Brain Injury After a Car Accident: Guidance for Caregivers

Traumatic brain injury from car accidents? Hello Doctor: My brother, who is 37 years old, suffered a traumatic brain injury with intracranial fractures and bleeding (damage to the right frontal lobe) due to a car accident. After surgery, he was temporarily placed in a nursing hom...


Dr. Ding Xianwei reply Neurosurgery
Hello: Regarding your brother's intracranial hemorrhage from the car accident, although his symptoms may be caused by the head trauma, there are many causes related to mental illness, which are actually two sides of the same coin. Therefore, it is important to investigate wh...

[Read More] Understanding Traumatic Brain Injury After a Car Accident: Guidance for Caregivers


Exploring Alternative Treatments for Brain Cell Degeneration After Hemorrhage

Cerebral cell pathology Hello, Doctor. I would like to ask about my boyfriend who had a brain hemorrhage due to an accident ten years ago. At that time, surgery was deemed too risky, so he did not undergo a procedure to clear it. Now, he is experiencing issues with brain cell deg...


Dr. Ding Xianwei reply Neurosurgery
Hello, ma'am: Regarding your boyfriend's brain lesions, I am unable to answer your questions as your information is not very clear. Could you please provide his detailed medical history and pathology slide data? If it is a malignant brain tumor, the currently available ...

[Read More] Exploring Alternative Treatments for Brain Cell Degeneration After Hemorrhage


Understanding Ankle Mobility Issues: Nerve Damage and Diagnosis Confusion

I am unable to dorsiflex my left ankle! Hello Dr. Ding, On July 1st of this year, due to work requirements, I sat on a very low stool with my legs positioned backward on either side of the stool, causing my calves to touch my thighs. I maintained this position for an entire day ...


Dr. Ding Xianwei reply Neurosurgery
Dear Feng: Based on the information you provided, it seems more likely to be a peripheral nerve issue; however, there may also be a concurrent problem with a herniated disc compressing the nerve. Since I have not personally examined you, I cannot make any definitive judgments. I ...

[Read More] Understanding Ankle Mobility Issues: Nerve Damage and Diagnosis Confusion


Understanding Finger Numbness and Pain: Possible Causes and Concerns

Numbness and tingling in the fingers? My colleague suddenly felt numbness in his fingers while lifting a heavy load. He described it as a sensation of something constantly pricking his fingers. This feeling started after moving the items, and he has never experienced anything lik...


Dr. Ding Xianwei reply Neurosurgery
Dear Xiao Ju: It is recommended that you visit a neurosurgeon for a detailed examination, as it may be related to cervical spine issues. Wishing you health, happiness, and safety. Sincerely, Dr. Ding Hsien-Wei, Attending Physician, Department of Neurosurgery, Taoyuan General Hosp...

[Read More] Understanding Finger Numbness and Pain: Possible Causes and Concerns


Post-Operative Follow-Up for Brain Aneurysm: Key Questions Answered

Postoperative follow-up issues for cerebral aneurysm? Dear Dr. Ding, Thank you very much for your response on September 1 regarding my questions about the recovery time from double vision after my brain aneurysm surgery on August 28. I appreciate it! The reason I inquired about ...


Dr. Ding Xianwei reply Neurosurgery
Dear Mr. Hong: I recommend that you discuss this matter with your attending physician. Sincerely, Dr. Ding Hsien-Wei, Attending Neurosurgeon, Taoyuan General Hospital, Department of Health.

[Read More] Post-Operative Follow-Up for Brain Aneurysm: Key Questions Answered


Understanding Brain Aneurysms: Recovery, Risks, and Care Tips

Cerebral aneurysm Dear Dr. Ding, On July 19, I was hospitalized due to dizziness and vomiting, and it was discovered that there was a 1 cm vascular malformation in my brainstem that had hemorrhaged. However, by the time I was admitted, the bleeding had stopped. The neurosurgeon ...


Dr. Ding Xianwei reply Neurosurgery
Dear Mr. Hong, 1. The likelihood of a clip dislodging is quite low, and we have not heard of any such cases so far. 2. 3. Please discuss this with your surgeon. 4. It is not necessary. 5. In principle, if the surgical clip has been properly placed, there is no need to worry abo...

[Read More] Understanding Brain Aneurysms: Recovery, Risks, and Care Tips


Managing Subdural Hematoma in Patients with Liver Disease: A Complex Case

Subdural hematoma Hello Dr. Ding, The patient is diagnosed with liver cancer, cirrhosis, thrombocytopenia, splenomegaly, and a subdural hematoma. Last year, the patient was found to have a subdural hematoma due to altered mental status and underwent a splenectomy, which was uns...


Dr. Ding Xianwei reply Neurosurgery
Dear You: This situation can be divided into two parts. The first is the issue of headaches. If the subdural hematoma has been present for a long time and the CT scan shows that the hematoma is no longer visible, then this is a matter of sequelae, and only symptomatic treatment c...

[Read More] Managing Subdural Hematoma in Patients with Liver Disease: A Complex Case


Understanding Bouncing Head Sensations: Possible Neurological Causes

Head bump I feel like my entire head is covered by a layer of skin, with a bouncing sensation. Sometimes my scalp itches, I have difficulty hearing, and my eyelids feel heavy. I'm not sure what the cause of this is.


Dr. Ding Xianwei reply Neurosurgery
Dear Gang: I recommend that you first consult with an ENT specialist regarding your hearing loss, and then proceed with further evaluation and treatment from neurosurgeon Dr. Ding Hsien-Wei. Respectfully,

[Read More] Understanding Bouncing Head Sensations: Possible Neurological Causes


Understanding Chronic Back Pain: Seeking Answers for Nighttime Discomfort

I experience back pain every night when I go to sleep? I am a 30-year-old male who has generally been healthy and has not suffered from any serious illnesses throughout my life. However, since early October 2006, I suddenly experienced an issue one night when I was unable to get ...


Dr. Ding Xianwei reply Neurosurgery
Based on your description, I am unable to provide suitable advice. I recommend that you visit the Department of Immunology and Rheumatology for further examination. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery, Taoyuan General Hospital, Department of Health. 960712

[Read More] Understanding Chronic Back Pain: Seeking Answers for Nighttime Discomfort


Severe Left Thigh Pain: Should I Consider Surgery or Continue Rehab?

Severe pain in the left thigh? Dear Dr. Ding, I am 57 years old and have been experiencing severe pain in my left thigh for the past three weeks. The pain has escalated from 20 minutes daily to the point where I can no longer get out of bed or walk. Last Friday, I went to the em...


Dr. Ding Xianwei reply Neurosurgery
Dear Mr. Tsai: Please discuss in detail with your physician before making a decision, or seek a second opinion at the Neurosurgery outpatient clinic of Taoyuan General Hospital. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery Department.

[Read More] Severe Left Thigh Pain: Should I Consider Surgery or Continue Rehab?


Chest Pain Radiating to Arm While Sleeping: Nerve or Thoracic Issue?

Chest pain that extends to the arm during breathing? If you experience chest pain while sleeping on your left side, and the pain radiates to your entire left arm, could it be a nerve issue or a problem related to the thoracic cavity? Thank you for your response, doctor.


Dr. Ding Xianwei reply Neurosurgery
Dear Ms. Chen: Your symptoms may indicate a cervical spine issue, and the chest pain cannot be ruled out as a potential heart condition. It is recommended that you visit an outpatient clinic for a detailed examination and diagnosis.

[Read More] Chest Pain Radiating to Arm While Sleeping: Nerve or Thoracic Issue?


Post-Surgery Concerns for Carpal Tunnel Syndrome: Pain and Muscle Atrophy

Carpal Tunnel Syndrome - Postoperative Questions Dear Dr. Ding, Due to my work, I have been using the computer for a long time, which has caused numbness and pain in both of my hands. It has affected my daily life to the point where I have difficulty even eating. After undergoin...


Dr. Ding Xianwei reply Neurosurgery
Hello: Your condition may indicate that the nerves have not yet recovered. It is recommended that you visit a neurology outpatient clinic for a detailed evaluation. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.

[Read More] Post-Surgery Concerns for Carpal Tunnel Syndrome: Pain and Muscle Atrophy


Previous|Page Next