Dr. Xie Bojun reply Neurosurgery Question

Will a hemorrhagic stroke recover on its own? Hello Doctor: I previously inquired about the issue of hemorrhagic stroke, and since the patient is over 80 years old, surgery was not recommended. The patient's condition is now stable and has been discharged for home care. Alth...

Cerebral hemorrhage stroke Dear Doctor: The patient suffered a stroke due to a cerebral hemorrhage, resulting in complete paralysis on the left side. It has been half a month since then, and the patient has been transferred from the intensive care unit to a general ward. The pati...

Empty sella syndrome 1. From a surgical perspective, the treatment for empty sella syndrome typically involves addressing any underlying conditions or symptoms. If there is associated pituitary dysfunction, hormone replacement therapy may be necessary. In cases where there is inc...

Lumbar spine injury 6? 1. There has been some improvement, but will it relapse again? I went to an orthopedic examination, and at that time, the doctor did not take an X-ray. He diagnosed me through palpation and told me it was sciatica located between L3 and S1. I still experien...

Traumatic intracerebral hemorrhage Hello: My friend was hospitalized after slipping and hitting their head at the hospital. The doctor diagnosed them with traumatic intracerebral hemorrhage. In order to file an insurance claim, the insurance company requested a CT scan. Will the ...

Does scoliosis require surgery? Dear Director Hsieh, I was diagnosed with a 37-degree lumbar scoliosis at the orthopedic outpatient clinic. Although I currently do not have any discomfort, the physician has recommended surgery. I feel a bit scared and hesitant because it seems li...

Postoperative Care for Cerebral Hemorrhage Dear Director Hsieh, My mother experienced a ruptured cerebral aneurysm last year, which led to subarachnoid hemorrhage. She has recovered well after surgery. However, I would like to inquire about any other precautions we should take s...

Pituitary surgery Dear Dr. Hsieh, Hello! I would like to ask how many days of hospitalization are typically required for transsphenoidal pituitary surgery performed through the nasal cavity? Thank you for your clarification!

Pituitary tumor Dear Doctor: I came across a report online stating that about 10% of the general population may have pituitary abnormalities, but some individuals show no symptoms and therefore have not been diagnosed. Additionally, it mentioned that most pituitary tumors are ben...

Numbness occurs in the outer side of the left thigh when standing for long periods or lying flat? The symptoms have been present for 8-9 years, possibly due to a fall while sitting on the stairs, which may have caused an injury to the lumbar spine. I have visited many orthopedic ...

Dizziness in the head. There are red spots on both cheeks with slight swelling. Blunt head trauma? Dear Director Hsieh, I hope this message finds you well. I apologize for taking your valuable time to ask a question, and I greatly appreciate your response. Regarding the patien...

Chemotherapy, augmented with surgery? How should a physician treat a pseudotumor at the skull base, which is characterized by fibrosis (also known as scarring), in order to achieve healing? Is chemotherapy, radiation therapy, or surgery recommended? Thank you!

Degenerative spondylitis of the lumbar spine I have been experiencing numbness in my calves and pain in my lower back. After getting an X-ray at the hospital, the doctor diagnosed me with degenerative spondylitis of the lumbar spine. Due to my job, I need to lift heavy objects. C...

Finger tremors In recent months, my fingers on both hands have been moving involuntarily, usually just one finger at a time, primarily the index finger of my left hand. Each episode lasts about 5 to 10 seconds. I didn't think much of it at first, but the frequency has increa...

Body paralysis Hello, doctor. I am 20 years old and recently started to feel a slight tingling sensation on the left side of my body. Sometimes it's in my arm, and other times it's in my entire leg, but it's always on the left side. I began an internship this summe...

What is the feasibility of minimally invasive water jet disc surgery? Dear Doctor, I underwent a CT scan and found that I have a herniated disc between the fifth lumbar vertebra and the sacrum, which is compressing the nerve. My symptoms include lower back pain after sitting fo...

Herniated disc after a car accident? The image above is an MRI scan. I would like to ask the physician to take a moment to respond to the following questions. Thank you. Dear Doctor, I was involved in a car accident on June 8, 2011, and the MRI scan shows a C3 nerve root contus...

Fracture of the fifth vertebral arch? Hello, Doctor! Nine years ago, I experienced severe lower back pain and pain in my lower body that left me unable to move. It wasn't until the following year when I returned to Taiwan to see a doctor that I learned I had a fracture of th...

Non-pharmacological approaches? How can physicians reduce intracranial venous sinus pressure in patients using physical methods? Conversely, what methods would increase intracranial venous sinus pressure? Thank you!

Brain MRI examination Hello, I would like to ask if using soft earplugs during a brain MRI examination (due to previous abnormal EEG results that require further investigation) will affect the interpretation of the examination results. Thank you.