Dr. Zhang Junwei reply Neurosurgery Question

Share to:
Understanding Post-Concussion Syndrome: Persistent Dizziness After Injury

Post-concussion syndrome and sequelae with dizziness symptoms lasting for 3 months? Hello, doctor. I was in a car accident on April 18, and I did not experience any loss of consciousness at the time. I was able to answer all the questions from the medical staff. However, after un...


Dr. Zhang Junwei reply Neurosurgery
Head trauma can also cause vestibular dizziness. It is recommended that you visit an otolaryngologist for an examination.

[Read More] Understanding Post-Concussion Syndrome: Persistent Dizziness After Injury


Understanding Concussions: Symptoms, Diagnosis, and Psychological Impact

The condition is uncertain whether it is a concussion or a psychological issue? On July 10th, around 9 AM, a foreign worker was operating a crane with a set of four small metal hooks attached, slightly larger than an adult's finger. The hooks tended to stop at head height, a...


Dr. Zhang Junwei reply Neurosurgery
If there is persistent dizziness, headache, and nausea after a head injury, it indicates a concussion.

[Read More] Understanding Concussions: Symptoms, Diagnosis, and Psychological Impact


Understanding Stroke Caused by Brain Hemorrhage: A Patient's Journey

Stroke caused by cerebral hemorrhage? Hello Dr. Chang, on July 2nd, my father fell in the bathroom. At that time, he was speaking unclearly and expressed that he could not move his left side. We immediately called an ambulance, and the initial assessment was a cerebral hemorrhage...


Dr. Zhang Junwei reply Neurosurgery
In the acute phase of a cerebral hemorrhage, aside from standard treatment, there are not many good recommendations, as severe brain injury may result in the patient not regaining consciousness.

[Read More] Understanding Stroke Caused by Brain Hemorrhage: A Patient's Journey


Can a Removed Skull Bone Be Replaced by Another Hospital's Doctor?

Can the skull that was preserved in the hospital's freezer after a stroke be reattached by a doctor from a different hospital? Dear Deputy Director Zhang, My family member underwent a craniotomy due to a stroke, and the skull was removed and preserved in the hospital's...


Dr. Zhang Junwei reply Neurosurgery
In theory, it is possible; however, since the skull is stored in a -80°C ultra-low temperature freezer, ensuring that the storage temperature remains unchanged during transfer to another hospital is crucial. This is to prevent an increased risk of infection, as the receiving phys...

[Read More] Can a Removed Skull Bone Be Replaced by Another Hospital's Doctor?


Unilateral Sweating: Understanding Right Arm Hyperhidrosis in Heat

Walking under the sun, only the right forearm is sweating while the left forearm is not? Recently, due to the hot weather, I've noticed that after walking in the sun for a while, I sweat easily from my chest, back, and armpits. However, I've observed that only my right ...


Dr. Zhang Junwei reply Neurosurgery
Palmar hyperhidrosis and sympathetic nervous system abnormalities. Neurosurgery.

[Read More] Unilateral Sweating: Understanding Right Arm Hyperhidrosis in Heat


Understanding a Movable Lump on the Back of Your Neck: What to Do?

I felt a lump on the back of my neck? Recently, I noticed a large, movable lump on the back of my neck when I looked up. It is not attached to the skin, and I cannot feel it when I look down. It is completely painless, but I am a bit worried about what it could be (the location i...


Dr. Zhang Junwei reply Neurosurgery
General surgery, plastic surgery, and neurosurgery are all acceptable.

[Read More] Understanding a Movable Lump on the Back of Your Neck: What to Do?


Understanding Blurry Vision: Possible Causes and When to Seek Help

Blurred vision I would like to inquire about blurred vision. I can see clearly up close, but my distance vision is blurry. This phenomenon occurred about a month ago, and after resting my eyes, it improved. Recently, I have experienced blurred vision in one eye. An ophthalmologic...


Dr. Zhang Junwei reply Neurosurgery
Blurred vision is mostly related to eye issues. If there are any concerns, it is advisable to consult a neurologist.

[Read More] Understanding Blurry Vision: Possible Causes and When to Seek Help


Is It Safe to Fly After Intracranial Aneurysm Surgery?

Is it safe to fly after surgery for an intracranial vascular malformation? Dear Dr. Chang, My family member underwent clipping surgery for an intracranial aneurysm three years ago and has been in stable condition during follow-up visits. They have not flown on an airplane during...


Dr. Zhang Junwei reply Neurosurgery
Theoretically, it shouldn't be a concern. However, if you are worried, it is advisable to consult the original surgeon for clarification.

[Read More] Is It Safe to Fly After Intracranial Aneurysm Surgery?


Should You Monitor Mild Head Injuries After a Fall? Expert Insights

Hello, Dr. Chang. I fell on May 23rd, landing on my back. Should I monitor this type of injury? Although 37 years old is not considered elderly, it is still middle-aged. On May 21, while taking a shower, I accidentally bumped the top left of my head against the metal shower head....


Dr. Zhang Junwei reply Neurosurgery
Based on your description, it seems to be just symptoms of a head injury, and the likelihood of delayed bleeding is low. The key point is that if there is persistent headache or dizziness, and the symptoms worsen, it is advisable to seek medical attention promptly.

[Read More] Should You Monitor Mild Head Injuries After a Fall? Expert Insights


Understanding Subarachnoid Hemorrhage: A Patient's Journey and Recovery

Subarachnoid hemorrhage My husband experienced a sudden headache last year and fainted in front of the emergency room. The emergency diagnosis was subarachnoid hemorrhage, and I signed the critical condition notice. He was hospitalized for a week to manage hypertension (which he ...


Dr. Zhang Junwei reply Neurosurgery
If angiography has been performed and no vascular abnormalities are found, then the only option is to monitor the situation.

[Read More] Understanding Subarachnoid Hemorrhage: A Patient's Journey and Recovery


Exploring Nerve Repair Options for Vocal Cord Paralysis After Trauma

Nerve repair issues Hello Doctor, last March I was sent to the emergency room due to a car accident and required an emergency tracheostomy. Two days later, the physician decided to reposition the tracheostomy because the initial placement was deemed suboptimal. This may have caus...


Dr. Zhang Junwei reply Neurosurgery
I apologize, but regarding this issue, I am currently not familiar with the relevant research and cannot provide an answer. I recommend consulting a neurosurgery or otolaryngology department at a medical center.

[Read More] Exploring Nerve Repair Options for Vocal Cord Paralysis After Trauma


Understanding Eyelid Twitching: Is It a Sign of Tumor Recurrence?

Eyelid twitching? Dear Doctor, my mother underwent surgery a few years ago to remove a brain tumor, but the doctors informed us that the tumor could recur. Recently, her lower eyelid has been twitching. If the tumor does indeed recur, will a second surgery be as successful as the...


Dr. Zhang Junwei reply Neurosurgery
It depends on the condition of the brain tumor.

[Read More] Understanding Eyelid Twitching: Is It a Sign of Tumor Recurrence?


Understanding Sudden Double Vision and Increased Eye Pressure: A Guide for Families

Sudden onset of double vision accompanied by an increase in flashes to 200 degrees? Hello Dr. Chang Jun-Wei, I would like to ask you a question. My father is 60 years old and about 1-2 weeks ago, he suddenly experienced double vision while driving during the day. The next day, he...


Dr. Zhang Junwei reply Neurosurgery
Since the MRI has already been scheduled, we will wait for the examination results. There are too many differential diagnoses to detail individually.

[Read More] Understanding Sudden Double Vision and Increased Eye Pressure: A Guide for Families


Post-Car Accident Symptoms: Understanding Dizziness and Head Trauma

Symptoms after a car accident? Hello doctor, I had a car accident at the end of October last year that resulted in a right-sided head injury (swelling on the right side of my face), along with mild subarachnoid hemorrhage on the left side and a concussion. I was recovering well a...


Dr. Zhang Junwei reply Neurosurgery
Theoretically, the head trauma from last October is unrelated to the current headaches and dizziness occurring six months later. As for the underlying issue, it will depend on whether the symptoms persist and the results of further examinations.

[Read More] Post-Car Accident Symptoms: Understanding Dizziness and Head Trauma


Can MRA Detect Hydrocephalus After Shunt Removal?

Can an MRA detect hydrocephalus? Hello, Doctor. I was diagnosed with hydrocephalus when I was 9 years old, and later had a shunt placed for drainage. Four years ago, the shunt was removed because I was frequently uncomfortable and my doctor determined that there would be no recur...


Dr. Zhang Junwei reply Neurosurgery
MRA primarily examines blood vessels, but it is a brain scan, and it can also reveal the presence of hydrocephalus.

[Read More] Can MRA Detect Hydrocephalus After Shunt Removal?


Consulting Neurosurgeons: Bringing Your CT Scan for Skull Deformity Evaluation

Cranial-related issues? Hello Doctor, I apologize for asking again. I am the patient who consulted you a few days ago regarding cranial deformities. I would like to know if I can bring my own CT scans to Kaohsiung for your evaluation?


Dr. Zhang Junwei reply Neurosurgery
I do not have experience in craniofacial surgery, so I recommend consulting a physician at a medical center.

[Read More] Consulting Neurosurgeons: Bringing Your CT Scan for Skull Deformity Evaluation


Understanding Traumatic Brain Injury: Recovery and Treatment Insights

Traumatic brain injury from a car accident? Hello Doctor Zhang, my sister was in a car accident and suffered a brain hemorrhage. The doctors placed an intracranial monitor during surgery. In the ICU, her right leg has been moving uncontrollably, and it continues to do so even aft...


Dr. Zhang Junwei reply Neurosurgery
It is unclear whether the involuntary movements of your right foot are due to epilepsy or another condition. Whether or not surgery is needed for the head will depend on the progression of the subsequent medical condition.

[Read More] Understanding Traumatic Brain Injury: Recovery and Treatment Insights


Post-Accident Memory Loss and Headaches: Understanding Brain Injuries

Headache after amnesia due to a car accident? Hello Dr. Chang, my father (62 years old) was in a car accident on January 3rd. His reaction was slow at the time, and he was unable to answer my mother’s questions about how the accident happened over the phone. When we arrived at th...


Dr. Zhang Junwei reply Neurosurgery
1. Yes, it is a concussion. 2. Chronic subdural hematoma cannot be predicted in advance; we can only respond to it as it arises.

[Read More] Post-Accident Memory Loss and Headaches: Understanding Brain Injuries


Understanding Head Injuries: Risks of Intracranial Bleeding in Young Adults

Head injury Hello, Doctor. Today, while I was reading and preparing to take a nap, I accidentally bumped my head against the wall. At that moment, I only felt pain and did not experience loss of consciousness, dizziness, or blurred vision. I accidentally rubbed the impact area bu...


Dr. Zhang Junwei reply Neurosurgery
1. Extremely low possibility. 2. Extremely low possibility.

[Read More] Understanding Head Injuries: Risks of Intracranial Bleeding in Young Adults


Understanding Shoulder Discomfort: Possible Causes and Insights

Shoulder pain Hello, Deputy Director. I would like to ask for your advice. Recently, I have been experiencing a sensation of soreness and tightness around my shoulders, shoulder blades, lower back, and ribs (on both sides and front to back). It's not exactly pain, but rather...


Dr. Zhang Junwei reply Neurosurgery
Muscle strains and chronic inflammation are more common.

[Read More] Understanding Shoulder Discomfort: Possible Causes and Insights


Page Next