Understanding Hyperhidrosis: Treatment Options and Costs Explained
My palmar hyperhidrosis? Hello, doctor. I am a patient with "palmar hyperhidrosis." Usually, whenever the weather is hot, my hands sweat continuously and excessively. Is there a way to resolve this? Also, do people with palmar hyperhidrosis always need surgery to be cur...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your inquiry about hyperhidrosis, endoscopic thoracic sympathectomy can be used for treatment, and it has shown very good results. The cost will depend on the co-payment regulations of the National Health Insurance. I recommend that you consult with a neuros...[Read More] Understanding Hyperhidrosis: Treatment Options and Costs Explained
Excessive Sweating Solutions: Surgical and Medication Options in Taiwan
Hyperhidrosis If you are experiencing excessive underarm sweating, which hospital offers surgical options for this condition, or can this symptom be treated with medication?
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your inquiry, hyperhidrosis can be treated through endoscopic surgery, which can be performed by most neurosurgeons. Medication is not effective in resolving this condition.[Read More] Excessive Sweating Solutions: Surgical and Medication Options in Taiwan
Understanding Subarachnoid Hemorrhage: Causes and Differences Explained
Subarachnoid hemorrhage Thank you! I appreciate you taking the time to answer my questions. First, my inquiries are: (1) What are the differences between the subarachnoid space, subdural space, arachnoid mater, and dura mater? Additionally, (2) what can cause subarachnoid hemorrh...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, the meninges consist of three layers from outer to inner: the dura mater, arachnoid mater, and pia mater. The space between the arachnoid mater and pia mater is called the subarachnoid space. The main causes of subarachnoid hemorrhage are twof...[Read More] Understanding Subarachnoid Hemorrhage: Causes and Differences Explained
Can Hand Sweating Be Treated with Medication Instead of Surgery?
Can palmar hyperhidrosis be treated with medication instead of surgery? I experienced autonomic nervous system dysfunction at the end of last year, and shortly after, around February of this year, I began to have symptoms such as sweating in my hands, dizziness, body heat, and ra...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, emotional anxiety and tension can stimulate the sympathetic nervous system, leading to an exacerbation of palmar hyperhidrosis. If the condition does not cause significant distress in social or work situations, surgical treatment is not necess...[Read More] Can Hand Sweating Be Treated with Medication Instead of Surgery?
Can Vision Loss from Brain Hemorrhage Improve Over Time?
Is there a chance for visual field loss to improve? Two years ago, I underwent surgery due to a brain hemorrhage, and I have had left-sided hemianopia since then. Is there a chance that this condition can improve? The doctor mentioned that my issue was caused by an arteriovenous ...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your questions: 1. Arteriovenous malformations are abnormal blood vessels that remain from embryonic development, with an annual bleeding risk of approximately 1-4%, which is not related to hypertension, smoking, or alcohol consumption. 2. The left-sided vis...[Read More] Can Vision Loss from Brain Hemorrhage Improve Over Time?
Surgical Solutions for Excessive Foot Sweating: What You Need to Know
Is there a specific surgery to treat excessive foot sweating? I am a person with hyperhidrosis, experiencing severe sweating in my hands and feet. Eight years ago, I underwent endoscopic surgery, but the issue with foot sweating has not improved. Antiperspirants have been ineffec...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your question, some doctors attempt endoscopic surgery to treat plantar hyperhidrosis, but due to unclear effectiveness and a higher incidence of complications, such procedures are not widely practiced. It is recommended that you discuss this with your neuro...[Read More] Surgical Solutions for Excessive Foot Sweating: What You Need to Know
Understanding Dizziness: Is It a Sign of Brain Tumor?
The relationship between dizziness and brain tumors? This week, I initially experienced palpitations and a sensation of shortness of breath. Later, I began to feel dizzy, with occasional headaches and overall weakness. During the palpitations, I sometimes felt a bit nauseous. I h...
Dr. Hong Xuyi reply Neurosurgery
Hello: In response to your inquiry: Your symptoms are all non-specific. It is recommended that you first consult with a family physician for a differential diagnosis.[Read More] Understanding Dizziness: Is It a Sign of Brain Tumor?
Managing Herniated Discs: Medical Guidance for Returning to Taiwan
How to seek medical treatment for a herniated disc upon returning to Taiwan? I am currently in Shanghai, and since January of this year, I have been experiencing lower back and leg pain that affects my daily activities. Any slight standing or sitting triggers the pain, and I need...
Dr. Hong Xuyi reply Neurosurgery
Hello Mr. Eric Chen: For intervertebral disc herniation, you can visit the neurosurgery, orthopedics, or rehabilitation departments for outpatient care. If conservative treatment is ineffective, surgical intervention may be necessary.[Read More] Managing Herniated Discs: Medical Guidance for Returning to Taiwan
Expert Advice on Treating Axillary Odor: Best Hospitals and Recovery Tips
Bromhidrosis Hello, I have a problem with body odor and would like to know which hospital in Taipei and which doctor has experience in this area. After the surgery, how long do I need to pack the area with gauze, and what is the fastest recovery time? Thank you.
Dr. Hong Xuyi reply Neurosurgery
Hello Ms. Hsu: The surgery for axillary hyperhidrosis can be performed by neurosurgery using endoscopic techniques to disrupt the sympathetic ganglia at the fourth thoracic vertebra, which reduces sweating in the armpits, or by plastic surgery to directly excise the axillary swea...[Read More] Expert Advice on Treating Axillary Odor: Best Hospitals and Recovery Tips
Understanding Sciatica: From Symptoms to Effective Treatments
Numbness occurs after sitting for a few minutes? Hello, Dr. Hong. I live in Taipei City. Last July, I went for an MRI because I couldn't bend over, and the doctor said I had a herniated disc at the L4-L5 level. At that time, I wasn't experiencing any pain. Later, during...
Dr. Hong Xuyi reply Neurosurgery
Hello Mr. Gohome; your symptoms are consistent with sciatica, which is often caused by a herniated disc in the lumbar region compressing the nerve roots. When the nerve roots are compressed, it can lead to pain, which may later progress to numbness (indicating a gradual loss of s...[Read More] Understanding Sciatica: From Symptoms to Effective Treatments
Unbearable Back Pain: Seeking Solutions Beyond Traditional Treatments
Sharp pain in the back? I have sharp pain in my back. I have seen orthopedic, neurology, and rehabilitation specialists. I undergo rehabilitation every day, but it hasn't helped. I've had many X-rays and various tests, but nothing seems to work. The doctors only say it&...
Dr. Hong Xuyi reply Neurosurgery
Ms. Liu is requested to come to the outpatient clinic for an in-person consultation, where a physical examination will be conducted to assess her condition, allowing for the arrangement of further tests and determination of the treatment plan.[Read More] Unbearable Back Pain: Seeking Solutions Beyond Traditional Treatments
Understanding Oral Infections and Their Link to Brain Tumors: Key Insights
Brain tumor Hello Doctor: I recently underwent surgery and have been experiencing frequent dizziness, which led me to seek an examination at Kaohsiung Veterans General Hospital. After various tests conducted by the physician, a black mass (approximately 2 cm) was discovered in my...
Dr. Hong Xuyi reply Neurosurgery
The content you described is unclear (it is uncertain whether it is a brain abscess or another issue). If it is a brain abscess, tooth extraction could be a potential pathogenic factor (oral bacteria may infect brain tissue through the bloodstream); the role of oral sex is unknow...[Read More] Understanding Oral Infections and Their Link to Brain Tumors: Key Insights
Understanding Post-Concussion Symptoms: When to See a Specialist
Concussion Doctor: Hello, I was in a car accident half a month ago and suffered a concussion. The hospital physician said that I don't have any major issues anymore. However, when I woke up yesterday morning, I noticed that I could hardly hear out of my left ear, as if somet...
Dr. Hong Xuyi reply Neurosurgery
Mild head trauma occurring two weeks prior to the sudden onset of hearing impairment is not a common complication following a concussion. It is recommended that you seek assistance from an otolaryngologist to assess the degree and type of hearing loss (conductive or sensorineural...[Read More] Understanding Post-Concussion Symptoms: When to See a Specialist
Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Coccygeal disc herniation Hello Dr. Hong: This year, I discovered a small protrusion near my coccyx, which often causes pain, especially when sitting or even while riding a bike. I had a history of sciatica several years ago. Could you please advise if the protrusion in the coccy...
Dr. Hong Xuyi reply Neurosurgery
The coccyx is not related to the sciatic nerve; is there a deformity? A preliminary assessment can be made through X-ray examination. Generally, it is often caused by trauma, and the treatment principle is conservative therapy (non-surgical treatment).[Read More] Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Can Surgery Cause Brain Hemorrhage? Understanding Risks and Complications
Can surgery cause a brain hemorrhage? Hello: My mother had a subarachnoid hemorrhage in her brain six years ago. Recently, she was diagnosed with stage 0 cervical cancer and underwent a hysterectomy. Post-surgery, she has been experiencing abdominal distension but no other sympto...
Dr. Hong Xuyi reply Neurosurgery
Hello, there are many causes of shock. Whether what occurred was indeed shock and the reasons for it cannot be clarified with just a few words online. I recommend discussing this in detail with your attending physician to obtain a clearer explanation.[Read More] Can Surgery Cause Brain Hemorrhage? Understanding Risks and Complications
Can a Comatose Patient Recover After Brain Tumor Surgery?
Is there a chance of waking up after being in a coma following brain tumor surgery? My family member underwent surgery two months ago for a tumor near the medulla oblongata and has remained in a coma since the operation. Is there a chance of awakening?
Dr. Hong Xuyi reply Neurosurgery
Hello Ms. Chang, your question cannot be discussed online, as the information available on the internet is very limited. It is recommended that you discuss it with your attending physician, as you should be able to obtain a clearer answer.[Read More] Can a Comatose Patient Recover After Brain Tumor Surgery?
Understanding Craniotomy: Risks and Recovery After Stroke Surgery
Stroke Due to a stroke causing increased intracranial pressure, a craniectomy was performed, which poses a life-threatening risk. After this surgery, is it necessary to reattach the bone? If the bone is not replaced, what other complications might arise?
Dr. Hong Xuyi reply Neurosurgery
Hello, Ms. Mulan. Generally speaking, whether to perform cranioplasty after craniectomy or to reimplant autologous bone grafts from other sites depends on several factors. The primary indication is that the patient is able to mobilize (such as sitting in a wheelchair or undergoin...[Read More] Understanding Craniotomy: Risks and Recovery After Stroke Surgery
Effective Exercises for Recovery from Herniated Discs: A Guide
Disc herniation In late December 2000, I experienced severe back pain that rendered me immobile, akin to being in a vegetative state, lying in bed unable to move. Any movement would cause excruciating pain in my lower back, making me feel worse than death. After spending four day...
Dr. Hong Xuyi reply Neurosurgery
Hello FANG, there are several common causes of lower back pain in young people. One is a sprain that leads to tendon inflammation, and another is a herniated disc. A herniated disc can compress the nerve roots, resulting in back pain and sciatica. Different locations of the herni...[Read More] Effective Exercises for Recovery from Herniated Discs: A Guide
Understanding Concussion Symptoms and Important Precautions
Concussion What are the symptoms of a concussion and what precautions should be taken?
Dr. Hong Xuyi reply Neurosurgery
The traditional definition of a concussion refers to a reversible (i.e., recoverable) neurological dysfunction, characterized by a brief (approximately ten minutes) loss of consciousness followed by a complete return to consciousness, but accompanied by some degree of amnesia. Mo...[Read More] Understanding Concussion Symptoms and Important Precautions
Understanding Neck Injuries: Risks of Playful Strikes and Brain Damage
Neck I used to playfully hit my friends on the neck, but I recently saw a report stating that this could cause brain injuries, which has made me very concerned. I’m unsure if this is true, and it has led me to question whether my intelligence has been affected. I would like to un...
Dr. Hong Xuyi reply Neurosurgery
Severe neurological impairments that may result from external force trauma to the neck include varying degrees of cervical spinal cord injury and carotid artery injury leading to intimal dissection, which can cause insufficient blood supply to the brain and subsequently result in...[Read More] Understanding Neck Injuries: Risks of Playful Strikes and Brain Damage