Understanding Disc Herniation: Challenges and Treatment Options
Herniated disc Hello, I remember experiencing pain in my right arm earlier this year. I consulted a doctor and took medication, but there was no improvement. After more than a month, I began to feel soreness in my right ankle. I returned to the hospital for some tests (X-ray, CT ...
Dr. Qiu Yushu reply Neurosurgery
Hello: The improvement rate after spinal disc herniation surgery is approximately 85%-90%. If symptoms persist, it is advisable to undergo an MRI examination. Medical centers should be equipped to perform endoscopic surgery.[Read More] Understanding Disc Herniation: Challenges and Treatment Options
Burning Sensation in Feet and Heel Pain: Neurological Insights
Heat in the soles of the feet and pain at the edge of the heel bone? Burning sensation in the soles of the feet; pain at the edges of the heel bone after wearing shoes for a short time, with slight pain while walking.
Dr. Qiu Yushu reply Neurosurgery
Hello: Since I cannot provide a personal diagnosis, please visit the outpatient clinic for a consultation with a physician. Thank you.[Read More] Burning Sensation in Feet and Heel Pain: Neurological Insights
Understanding Spinal Cord Injuries and Nerve Compression Symptoms
Spinal Cord and Nerves Hello, doctor. Could you please explain the symptoms of spinal cord injury and nerve compression due to herniated discs? I previously experienced a neck injury that caused me to lose consciousness, and some of my cervical ligaments have calcified. Recently,...
Dr. Qiu Yushu reply Neurosurgery
Hello: Symptoms of herniated disc include: Head: numbness in the upper limbs, shooting pain, and diminished reflexes (as assessed by the physician). Lumbar region: numbness in the lower limbs, shooting pain, and diminished reflexes (as assessed by the physician). Please visit the...[Read More] Understanding Spinal Cord Injuries and Nerve Compression Symptoms
Do You Really Need Surgery for a Herniated Disc? Exploring Options
Is surgery always necessary for a herniated disc? One day, I suddenly experienced mild pain in my lower back, which made it difficult to exert myself while using the restroom and caused significant inconvenience during bowel movements. I took pain medication and muscle relaxants ...
Dr. Qiu Yushu reply Neurosurgery
Hello: If a herniated disc is mild, physical therapy (rehabilitation) may be appropriate. However, as you mentioned, surgery seems necessary. Generally, the surgical options are: 1. Microsurgery 2. Endoscopic surgery, which typically involves incisions no larger than 3-4 centimet...[Read More] Do You Really Need Surgery for a Herniated Disc? Exploring Options
Understanding Surgical Options for Hyperhidrosis: Insights and Costs
Types of surgery for hyperhidrosis? Hello, Doctor. I would like to ask about a type of surgery for palmar hyperhidrosis. I heard that if someone regrets the surgery, the nerves can be reconnected to allow sweating to resume. Is this referring to "endoscopic thoracic sympathe...
Dr. Qiu Yushu reply Neurosurgery
Hello: The use of clamps to interrupt the sympathetic ganglia is a type of endoscopic sympathetic nerve resection surgery. If a patient regrets the procedure, a second surgery can be performed to remove the clamps. It is essential to fully understand the potential complications b...[Read More] Understanding Surgical Options for Hyperhidrosis: Insights and Costs
Understanding Hydrocephalus: Key Information and Insights
Hydrocephalus-related information? Dr. Chiu: Please email me the relevant information regarding hydrocephalus. Your assistance with this would be greatly appreciated. BEST REGARDS, W.T. Lin
Dr. Qiu Yushu reply Neurosurgery
Hello: Here is the information regarding hydrocephalus. (I apologize for not being able to attach images of the ventricular changes before and after surgery at this time.) **Hydrocephalus** What is hydrocephalus? Hydrocephalus, commonly known as water on the brain, is one of ...[Read More] Understanding Hydrocephalus: Key Information and Insights
Minimally Invasive Brain Tumor Surgery: Navigating New Techniques
Surgery Hello, doctor. I am a brain tumor patient. After undergoing gamma knife treatment, I experienced a worsening of my condition. The intensity-modulated radiation therapy was also ineffective, and I continue to have fluid accumulation. The physician has now suggested surgery...
Dr. Qiu Yushu reply Neurosurgery
Hello: Navigation system microsurgery still requires craniotomy, allowing for precise spatial localization of brain tumors while protecting normal brain tissue, making the surgery more precise.[Read More] Minimally Invasive Brain Tumor Surgery: Navigating New Techniques
Managing Neurofibromatosis: A Guide for Teens with Fibromas
Neurofibroma The 16-year-old girl has congenital neurofibromatosis, presenting with typical café-au-lait spots. She underwent surgery to remove a neurofibroma when she was over one year old and had a left leg growth plate arrest procedure due to skeletal abnormalities four years ...
Dr. Qiu Yushu reply Neurosurgery
Hello: You should see a plastic surgeon. Our hospital's plastic surgery department has two experienced physicians, Dr. Hong-Chang Chou and Dr. Chi-Hua Lo.[Read More] Managing Neurofibromatosis: A Guide for Teens with Fibromas
Understanding Endoscopic Discectomy for Herniated Discs: What You Need to Know
Herniated disc Excuse me, doctor, does Hsinchu Hospital perform lumbar intervertebral disc endoscopic surgery? If I want to undergo surgery, should I consult the orthopedic department or the neurosurgery department? Are there any limitations for endoscopic surgery, such as the lo...
Dr. Qiu Yushu reply Neurosurgery
Hello: Our hospital does not perform this type of surgery. Please contact a medical center for inquiries (Neurosurgery). Generally, herniated discs at the L4 and L5 levels are more suitable for this type of surgery. Dr. Yu-Shu Chiu[Read More] Understanding Endoscopic Discectomy for Herniated Discs: What You Need to Know
Understanding Endoscopic Lumbar Disc Surgery: Symptoms and Coverage
Endoscopic lumbar disc surgery? Hello Doctor: I would like to ask if there are any symptom limitations for lumbar endoscopic discectomy? Is it covered by health insurance? I have a herniated disc at the L5-S1 level, but it is protruding posteriorly into the spinal canal. The comp...
Dr. Qiu Yushu reply Neurosurgery
Hello: There are no symptomatic restrictions for endoscopic discectomy. Clinical examination is indeed important. Could you please come to the outpatient clinic for an examination and detailed explanation?[Read More] Understanding Endoscopic Lumbar Disc Surgery: Symptoms and Coverage
Understanding Ventricular Tumors: Recovery Challenges and Rehabilitation Insights
Ventricular tumor Hello Doctor, I would like to ask you a question. My girlfriend underwent surgery to remove a ventricular tumor at Linkou Chang Gung Memorial Hospital in July, and it has been four months since then. In the first two months, her recovery was quite good, but in...
Dr. Qiu Yushu reply Neurosurgery
Hello: Ventricular tumors are generally benign; however, because they are located within the ventricles, they can easily lead to hydrocephalus. Therefore, a ventriculoperitoneal shunt is required. The ventricular drainage catheter often experiences functional issues (such as bloc...[Read More] Understanding Ventricular Tumors: Recovery Challenges and Rehabilitation Insights
Post-Surgery Care and Considerations for Ventricular Drainage Catheters
Ventricular drainage catheter Hello: My girlfriend has recently undergone surgery for a ventricular tumor, and the doctor mentioned the need for a ventricular drainage catheter. I would like to ask: 1. What precautions should be taken after the placement of the ventricular draina...
Dr. Qiu Yushu reply Neurosurgery
Hello: After surgery for ventricular tumors, some patients may experience hydrocephalus, which may necessitate a ventriculoperitoneal shunt procedure. Postoperatively, there are no special precautions required in daily life; however, it is important to monitor the drainage tube f...[Read More] Post-Surgery Care and Considerations for Ventricular Drainage Catheters
Understanding Arm Cramps: Causes and Concerns in Neurology
Muscle cramp In the past year, I have frequently experienced muscle cramps in my arm that are not painful but feel uncomfortable. My blood pressure ranges between 85 and 140. I would like to consult a physician about the possible causes. Thank you.
Dr. Qiu Yushu reply Neurosurgery
Frequent muscle cramps in the arm that are not painful can have several possible causes. One possibility is involuntary contractions (known as focal spasms), which would require further examination to rule out any issues related to the brain. Another possibility is that it may si...[Read More] Understanding Arm Cramps: Causes and Concerns in Neurology
Effective Medications for Managing Epilepsy Without Harming Liver and Kidneys
Epilepsy Hello, doctor. I would like to ask which medications are currently available for controlling epilepsy in patients without harming their liver and kidneys.
Dr. Qiu Yushu reply Neurosurgery
Patients with epilepsy require different medications based on their seizure type and age. Generally, these medications are effective with minimal side effects. However, in cases that are difficult to control, further detailed examinations may be necessary, and surgical treatment ...[Read More] Effective Medications for Managing Epilepsy Without Harming Liver and Kidneys
Understanding Headaches: Where Does the Pain Really Come From?
Regarding headaches? We all know that the brain itself does not have pain receptors, so how does a headache occur, and where does the pain originate?
Dr. Qiu Yushu reply Neurosurgery
There are many causes of headaches, such as increased intracranial pressure, irritation of the meninges (meningitis, subarachnoid hemorrhage), tension-type headaches caused by muscle tightness in the head and neck, peripheral neuropathies (occipital neuralgia, postauricular neura...[Read More] Understanding Headaches: Where Does the Pain Really Come From?
Understanding Brain Edema: Causes, Symptoms, and Treatment Options
Cerebral edema Cerebral edema is a condition characterized by the accumulation of excess fluid in the brain, leading to increased intracranial pressure. It can be caused by various factors, including traumatic brain injury, stroke, infections, tumors, or metabolic imbalances. Sym...
Dr. Qiu Yushu reply Neurosurgery
Cerebral edema refers to the swelling of brain tissue that leads to increased intracranial pressure, resulting in symptoms such as headache and vomiting; in severe cases, it can cause coma and pose a life-threatening risk. There are many causes, including brain tumors, brain absc...[Read More] Understanding Brain Edema: Causes, Symptoms, and Treatment Options