Post-Craniotomy Care: How Long Should Follow-Up Treatment Last?
How long should follow-up treatment be after brain surgery due to a car accident? Hello Doctor: I would like to ask about my 8-year-old child who suffered a skull fracture on the left side due to a car accident. Emergency surgery was performed to remove the fractured bone, and tw...
Dr. Zhang Junwei reply Neurosurgery
The sequelae are not related to the surgery but are associated with the initial brain injury. It depends on the severity of the brain injury at that time.[Read More] Post-Craniotomy Care: How Long Should Follow-Up Treatment Last?
Can You Lose Weight with a Ventriculoperitoneal Shunt?
Ventriculoperitoneal shunt If I have a ventriculoperitoneal shunt, can I lose weight? Additionally, I have had issues with eye coordination for a long time; what should I do?
Dr. Zhang Junwei reply Neurosurgery
You can lose weight. I don't know why your eyes are not coordinated.[Read More] Can You Lose Weight with a Ventriculoperitoneal Shunt?
Should My Mother Get a CT Scan After a Head Injury at 63?
Head injury Doctor, excuse me, I would like to ask a question. My mother is 63 years old, and on the evening of January 30th, while she was wiping the water from the refrigerator, she accidentally bumped her head against the upper refrigerator door with a loud "thud." S...
Dr. Zhang Junwei reply Neurosurgery
Chronic bleeding does not occur at the moment of impact; it typically manifests around 2 to 4 weeks later. During this period, it is important to monitor the patient for any severe headaches, dizziness, nausea, vomiting, or neurological deficits. If any of these symptoms arise, s...[Read More] Should My Mother Get a CT Scan After a Head Injury at 63?
Understanding Chronic Subdural Hematoma: Risks and Recovery Insights
Chronic subdural hematoma Hello Doctor: My father underwent a chronic subdural hematoma on January 22, initially receiving an external ventricular drain placement. On January 26, the hospital informed us that there was still a significant amount of cerebrospinal fluid, and consid...
Dr. Zhang Junwei reply Neurosurgery
1. The placement of a drainage tube is recommended to not exceed one week. 2. This requires a comprehensive assessment of neurological function and a CT scan; it cannot be answered online.[Read More] Understanding Chronic Subdural Hematoma: Risks and Recovery Insights
Understanding Hydrocephalus: Key Questions About Treatment and Surgery
Hydrocephalus specialist Dear Doctor, My mother recently underwent a CT scan due to dementia, which unexpectedly revealed issues related to hydrocephalus. After a preliminary discussion with a neurosurgeon, we have decided to proceed with a shunt placement procedure. I would lik...
Dr. Zhang Junwei reply Neurosurgery
Lumbar abdominal drainage is considered a relatively new technique, and there are fewer physicians who are proficient in it, so it is advisable to inquire specifically.[Read More] Understanding Hydrocephalus: Key Questions About Treatment and Surgery
Understanding Nerve Conduction Studies for Hand Injury Recovery
Hand injuries Hello Doctor: I would like to ask about my father, who had a work-related accident where his right hand was caught in a machine, resulting in the amputation of all five fingers. He later underwent surgery to reattach some fingers; however, the middle finger was not ...
Dr. Zhang Junwei reply Neurosurgery
The nerve conduction study room examines nerve function to identify any potential issues. Please consult the original surgeon for assistance.[Read More] Understanding Nerve Conduction Studies for Hand Injury Recovery
Post-Operative Concerns After Meningioma Surgery: When to Seek Help
Postoperative care for brain tumors? Hello Doctor, I underwent a craniotomy for a meningioma on October 14th of this year. The meningioma was approximately 1 cm in size and located near the right optic nerve, with a surgical incision about 24 cm long. From the time of surgery unt...
Dr. Zhang Junwei reply Neurosurgery
1. If the headache worsens, please return for a follow-up consultation. 2. There is no specific mandatory position for craniotomy surgery.[Read More] Post-Operative Concerns After Meningioma Surgery: When to Seek Help
Essential First Aid for Head Injuries After a Car Accident
Injuries resulting from a car accident? In the case of a car accident resulting in skull fractures, blurred vision with inability to focus, nasal discharge, and fever, the following medical procedures should be followed: 1. **Immediate Assessment**: Conduct a thorough neurologic...
Dr. Zhang Junwei reply Neurosurgery
Without detailed imaging reports and neurological examinations, it is not possible to provide an answer.[Read More] Essential First Aid for Head Injuries After a Car Accident
Head Injury from Slip in Shower: When to Seek Medical Attention
Slipped and hit my head in the bathroom? Hello doctor, I accidentally slipped and hit the back left part of my head while showering on Monday. There is no obvious external injury, and I usually don't feel any pain, but it does hurt when I touch the area where I hit. I don&#x...
Dr. Zhang Junwei reply Neurosurgery
If there are no obvious neurological abnormalities and no headache or dizziness, observation can continue.[Read More] Head Injury from Slip in Shower: When to Seek Medical Attention
Understanding Aneurysm Rupture and Recovery: Key Insights for Caregivers
Ruptured cerebral aneurysm with right-sided hematoma? Hello, my mother is 59 years old and has high blood pressure. She hasn't been taking her medication regularly. On Friday night, she suffered a ruptured aneurysm and was admitted to the hospital. Her blood pressure was low...
Dr. Zhang Junwei reply Neurosurgery
The questions you are asking are too complex; such inquiries require detailed neurological examinations and computed tomography imaging to provide answers.[Read More] Understanding Aneurysm Rupture and Recovery: Key Insights for Caregivers
Understanding the Recurrence Risk of Traumatic Subarachnoid Hemorrhage
The recurrence rate of traumatic subarachnoid hemorrhage? Hello Doctor, I accidentally hit my head while walking two weeks ago. At that moment, I felt fine, but four days later, I suddenly experienced severe pain in my head. I was taken to the emergency room and diagnosed with su...
Dr. Zhang Junwei reply Neurosurgery
This is a traumatic subarachnoid hemorrhage, which usually can resolve on its own.[Read More] Understanding the Recurrence Risk of Traumatic Subarachnoid Hemorrhage
Understanding Screw Loosening After Cervical Spine Surgery: Risks and Options
Loosening of bone screws after cervical cone surgery? Two years ago, I underwent surgery for cervical osteophytes. A few days ago, I felt a sensation of something stuck in my throat, so I went for an X-ray and found that the tip of the first screw at the surgical site had fractur...
Dr. Zhang Junwei reply Neurosurgery
Surgery is theoretically possible and carries low risk, but it still requires assessment by an outpatient physician based on symptoms.[Read More] Understanding Screw Loosening After Cervical Spine Surgery: Risks and Options
Can Patients with Pituitary Tumors Safely Use Ritalin?
Pituitary adenoma and Ritalin? Hello, doctor. My child has a history of pituitary adenoma, specifically Cushing's syndrome, and has undergone surgical treatment. However, he has attention deficit disorder (ADD) and is currently taking medications such as Ritalin and Stratter...
Dr. Zhang Junwei reply Neurosurgery
I am not a specialist in pituitary gland disorders; I recommend consulting directly with a clinic.[Read More] Can Patients with Pituitary Tumors Safely Use Ritalin?
Post-Vaccine Numbness: Is It a Normal Side Effect?
Post-vaccination issues? Hello doctor, after receiving the BNT vaccine, I have experienced numbness in both hands (which has lasted for about a day). Is this a normal side effect?
Dr. Zhang Junwei reply Neurosurgery
Unable to determine if it is a vaccine side effect![Read More] Post-Vaccine Numbness: Is It a Normal Side Effect?
Understanding Recovery Expectations After Cervical Spine Fracture Surgery
Expected Recovery After Cervical Spine Fracture Surgery Hello Doctor: A relative has suffered a cervical spine fracture due to diving, and the patient can currently only move their limbs slightly. Surgery has been scheduled, and the doctor's diagnosis is as follows: fracture...
Dr. Zhang Junwei reply Neurosurgery
Without detailed imaging reports and neurological examinations, it is not possible to provide an answer.[Read More] Understanding Recovery Expectations After Cervical Spine Fracture Surgery
Is Glycerol Administration a Standard Treatment for High Blood Pressure Aneurysm?
In cases of hypertension with aneurysm rupture and elevated intracranial pressure, administering glycerol to reduce intracranial pressure is part of the standard treatment protocol? 1. At 1:00 PM, the patient experienced a ruptured aneurysm with intracranial hemorrhage, as shown ...
Dr. Zhang Junwei reply Neurosurgery
Administering glycerol can reduce intracranial pressure in patients with brain edema and is considered standard treatment.[Read More] Is Glycerol Administration a Standard Treatment for High Blood Pressure Aneurysm?
How Does Cerebellar Hydrocephalus Affect the Brain?
What should be done about hydrocephalus? Will cerebellar hydrocephalus affect the brain? Previously, there was a brain surgery and a spinal drainage catheter was placed for 5 months.
Dr. Zhang Junwei reply Neurosurgery
The placement of a drainage catheter for hydrocephalus is reliable; for more in-depth questions, please consult a neurosurgery outpatient clinic for detailed answers.[Read More] How Does Cerebellar Hydrocephalus Affect the Brain?
Post-Surgery Concerns: Can Ventriculoperitoneal Shunt Cause Cerebrospinal Fluid Leakage?
Ventriculoperitoneal shunt surgery I would like to ask the doctor about an issue related to a car accident I had in March of this year, which resulted in intracranial hemorrhage. I underwent a ventriculoperitoneal shunt surgery, but since the surgery, I have been yawning frequent...
Dr. Zhang Junwei reply Neurosurgery
Drainage surgery is not indicated, but there may be a possibility of cerebrospinal fluid leakage due to previous trauma. Please schedule an appointment with the neurosurgery clinic.[Read More] Post-Surgery Concerns: Can Ventriculoperitoneal Shunt Cause Cerebrospinal Fluid Leakage?
Post-Biopsy Pain and Numbness: Understanding Nerve Injury and Recovery
Severe pain at the surgical site and intense numbness after the biopsy procedure? My father is 64 years old and has a long history of smoking, betel nut chewing, and alcohol consumption. Recently, he discovered a long protrusion in the left groin area. After going to the hospital...
Dr. Zhang Junwei reply Neurosurgery
You should ask the surgeon whether any nerves were damaged during the biopsy, as the extent of the injury varies and the treatment will differ accordingly.[Read More] Post-Biopsy Pain and Numbness: Understanding Nerve Injury and Recovery
Foot Injury: Nerve Damage and Tingling in Toes Explained
A puncture wound on the sole of the foot has resulted in numbness in the toes? I would like to ask the doctor about a large glass injury on the sole of my foot, approximately 2 centimeters long horizontally, with stitches. The wound extends upward towards the third and fourth toe...
Dr. Zhang Junwei reply Neurosurgery
It is not necessarily a case of optic nerve injury; a visit to the clinic for examination is needed to determine the answer.[Read More] Foot Injury: Nerve Damage and Tingling in Toes Explained