Understanding Scalp Pain: When to See a Neurologist or Dermatologist
Brain issues Hello… In the past two to three weeks, I have experienced pain when lightly pressing on my scalp while washing my hair (specifically on the top of my head). I would like to know if this is related to the scalp or if it could be a brain issue. A few months ago, I also...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, your issue may be related to inflammation of the hair follicles on the scalp. It is advisable to consult a dermatologist. The symptoms of headache typically do not involve tenderness; tenderness usually indicates a scalp issue.[Read More] Understanding Scalp Pain: When to See a Neurologist or Dermatologist
Understanding Prolactin Levels: When to See a Specialist for Treatment
Prolactin Hello doctor, I have been experiencing irregular menstruation for about eight years, starting when I was in high school. I thought it was due to academic stress, as I suddenly gained 10 kilograms in the middle of one month (which I have not been able to lose despite eat...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, it seems you have been troubled by irregular menstrual cycles and weight issues for some time. Many hormonal interactions can affect menstrual performance, such as elevated prolactin levels, polycystic ovary syndrome (PCOS), and luteal phase d...[Read More] Understanding Prolactin Levels: When to See a Specialist for Treatment
Head Injury from Domestic Violence: When to See a Neurosurgeon?
Head injury? Hello, doctor: My girlfriend was injured on her head by her father after drinking (domestic violence). As a result, there is a dent in her skull, and she is experiencing pain, dizziness, and some nausea. Should I take her to see a neurosurgeon or a neurologist? Thank...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, she must see a neurosurgeon immediately and arrange for a cranial X-ray or a brain CT scan.[Read More] Head Injury from Domestic Violence: When to See a Neurosurgeon?
Gas Poisoning: Concerns About Brain Damage After Exposure
Gas poisoning? The gas stove was accidentally turned off, and I didn't realize it until half an hour later when I noticed a strong gas smell throughout the entire house. I quickly turned it off, and it took about half an hour for the smell to dissipate. Besides feeling short...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, the main component of gas is aliphatic hydrocarbons, which are non-toxic, colorless, odorless, and tasteless (the odor of gas is intentionally added for safety purposes, typically a foul-smelling compound like hydrogen sulfide). Therefore, unl...[Read More] Gas Poisoning: Concerns About Brain Damage After Exposure
Effective Solutions for Excessive Hand Sweating: Beyond Surgery
Palmar hyperhidrosis Dr. Hong: Hello, in recent years, my hands have been sweating continuously, sometimes when the weather is hot and sometimes when I am nervous. Besides surgery (because the risks of surgery are too high), are there any other effective and lasting methods?
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, there are no other effective and lasting methods besides surgery.[Read More] Effective Solutions for Excessive Hand Sweating: Beyond Surgery
Sudden Severe Pain in the Back of the Head: Causes and Insights
Severe headache? Doctor Hong, if I suddenly turn my head, I experience a sudden and severe pain in the back right side of my head that lasts for about a minute before subsiding. What could be the cause of this? Thank you, doctor.
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, some similar pains may be caused by tendonitis, as there are many small muscles at the back of the head responsible for fine-tuning the position of the head. Once the tendons become inflamed, it can lead to the aforementioned symptoms. You may...[Read More] Sudden Severe Pain in the Back of the Head: Causes and Insights
Repeated Head Injuries: How Do They Affect Brain Health?
Head injury? As an active person who frequently experiences head impacts leading to multiple concussions, you may be concerned about potential cognitive decline. Each concussion can indeed result in some degree of brain cell damage, and repeated concussions may increase the risk ...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, athletes can experience cognitive impairment due to head trauma, with multiple injuries accumulating over time, exemplified by boxing champion Muhammad Ali. The impact of different forces and mechanisms can have varying effects based on age an...[Read More] Repeated Head Injuries: How Do They Affect Brain Health?
Can Recurrent Laryngeal Nerve Injury Be Treated Without Surgery?
Recurrent laryngeal nerve If a doctor accidentally injures the recurrent laryngeal nerve during thyroid surgery, and after six months of observation and treatment there is still no recovery, is it possible to restore function through neurosurgical treatment, or is surgery to corr...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, your condition cannot be restored through neurosurgical treatment.[Read More] Can Recurrent Laryngeal Nerve Injury Be Treated Without Surgery?
Understanding Neurogenic Tumors: Causes, Treatment, and Prevention
Neurogenic tumors Hello Dr. Hong, I would like to ask how neurogenic tumors are formed. I have a growth approximately 6 cm above the elbow on my right arm. Initially, it was small, and nine years ago, I consulted a doctor who said it was a lipoma and advised me not to worry abo...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, the cause of neurogenic tumors is unknown. Nerve compression should be addressed as soon as possible. The surgery in this case is not as you described, where a slight mistake could result in the loss of function of the entire hand; therefore, ...[Read More] Understanding Neurogenic Tumors: Causes, Treatment, and Prevention
Understanding Localized Headaches: Causes and Symptoms Explained
Headache I sometimes experience headaches that are localized pain. Occasionally, I also have headaches during intense physical activity. What could these symptoms indicate? My headaches are small, localized pains that I have experienced for a long time. I previously submitted a q...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, there are many causes of headaches. It is difficult to differentiate between migraine and tension-type headaches online. The best recommendation is to consult a neurologist in person.[Read More] Understanding Localized Headaches: Causes and Symptoms Explained
Understanding Gemma Tumors: Insights and Concerns from Neurosurgery
Could you please specify your question, so I can assist you better? What is a meningioma? I was hospitalized at Chi Mei Hospital for 12 days at the end of March due to a colon ulcer. During my stay, I frequently experienced headaches and consulted a doctor who arranged for a CT s...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, please discuss directly with your physician at the neurosurgery outpatient clinic, or confirm the name of the tumor you mentioned for better clarification.[Read More] Understanding Gemma Tumors: Insights and Concerns from Neurosurgery
Understanding Scoliosis: Treatment Options and Impact on Daily Life
Scoliosis Doctor, I have a question: I frequently experience soreness in my neck and shoulders, and when I tilt my head back, I feel a dull pain near the nerves beside my spine. Once, after receiving cupping therapy from a traditional Chinese medicine practitioner, I was told tha...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, these issues must be assessed in person. Please visit a specialist's clinic for further diagnosis.[Read More] Understanding Scoliosis: Treatment Options and Impact on Daily Life
Are Aneurysms Hereditary? Understanding Risks and Symptoms
Will aneurysms be inherited? Dear Dr. Hong, I apologize for taking up your valuable time, but I have a question I would like to ask you. My mother suffered a brain hemorrhage two years ago due to a ruptured aneurysm. Fortunately, she survived and has not experienced any impact o...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, if you are experiencing abnormal headaches, it is essential to consult a neurologist for a differential diagnosis. As for whether aneurysms are related to genetics, aneurysms caused by specific genetic disorders (such as polycystic kidney dise...[Read More] Are Aneurysms Hereditary? Understanding Risks and Symptoms
Understanding Disc Herniation: Why Is My Leg Numb and How to Find Relief?
Herniated disc I previously had a CT scan that showed a herniated disc compressing a nerve, and then the doctor referred me for electromyography (EMG) and nerve conduction studies (NCS). The results indicated no nerve impairment, so the doctor prescribed medication for my myofasc...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, computed tomography (CT) and magnetic resonance imaging (MRI) are referred to as "imaging studies," which indicate issues related to anatomical structures. Electromyography (EMG) and nerve conduction studies (NCS) are classified as e...[Read More] Understanding Disc Herniation: Why Is My Leg Numb and How to Find Relief?
Understanding Chronic Pain: Insights from Neurosurgery
Pain Hello, doctor! My shoulders, back, and lower back hurt when I press on them lightly, and it has been over three months. I have seen many doctors, but there has been no improvement. Recently, when I have a cold and cough, my back also hurts. Additionally, my right knee someti...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, the cause of back pain is often due to tendon and fascia inflammation. To differentiate it from a herniated disc, please consult a neurosurgery outpatient clinic.[Read More] Understanding Chronic Pain: Insights from Neurosurgery
Understanding Concussions: Symptoms and When to Seek CT Scans
Impact to the back of the head? Hello Doctor, I have a question I would like to ask you. While playing basketball, I accidentally fell backward and hit the back of my head hard on the floor. I immediately felt very uncomfortable and dizzy, so I lay down to rest. However, when I...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question about whether a CT scan is necessary for head trauma, several factors need to be considered, including the time elapsed since the injury, whether there was a loss of consciousness, any neurological deficits, and related symptoms. If symptoms pe...[Read More] Understanding Concussions: Symptoms and When to Seek CT Scans
Understanding Tendon Inflammation and Nerve Compression: A Case Study
Question Hello Doctor: My mother is 42 years old and often experiences pain in her hand for a long time whenever she lifts heavy objects. Even clapping her hands is difficult for her. This issue has troubled her for a long time, and recently it has become quite severe; she feels ...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your inquiry, I recommend that your mother visit a neurosurgery outpatient clinic. The pain in her upper limb could be due to tendonitis or possibly cervical nerve compression. The symptoms may share some similarities but also have distinct differences. A cl...[Read More] Understanding Tendon Inflammation and Nerve Compression: A Case Study
Should You See a Doctor for Numbness in Your Feet After Standing?
Numbness Dear Director: I experience numbness in my feet after standing for long periods, which improves with rest. Should I seek medical evaluation?
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question regarding numbness in the soles of your feet after standing for a long time, it is important to consider how long you are standing before experiencing numbness. I recommend that you seek medical evaluation for further assessment.[Read More] Should You See a Doctor for Numbness in Your Feet After Standing?
Understanding Head Trauma: Symptoms, Recovery, and Long-term Effects
Traumatic Brain Injury (TBI) Hello, doctor: I previously showed you my symptoms after hitting my head, which you mentioned would take about 1-2 months to resolve (I had a CT scan that showed no issues). Does that mean that after 1-2 months, I will be fine and will not have any la...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question: Dizziness and headaches are symptoms of post-concussion syndrome, which can sometimes last for one to two months. There are usually no severe long-term effects. During this time, due to impaired balance organs, you may be more prone to motion ...[Read More] Understanding Head Trauma: Symptoms, Recovery, and Long-term Effects
Does Sleep Deprivation Cause Changes in Body Physiology?
Does lack of sleep cause changes in physical condition? In the past, I used to sleep on time and never experienced sweaty hands. However, since I started staying up late, I have been experiencing sweaty hands.
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question: The severity of palmar hyperhidrosis is related to sympathetic nervous system overactivity. Abnormal sleep may lead to dysregulation of the autonomic nervous system, which can result in changes in constitution.[Read More] Does Sleep Deprivation Cause Changes in Body Physiology?