Understanding Coma After Brain Hemorrhage Surgery: Hope and Recovery
Coma after surgery for intracerebral hemorrhage? Hello doctor, my father had an accident at work on June 22nd where he slipped and hit his head. He was taken to the hospital for examination and was diagnosed with a brain hemorrhage. An emergency surgery was performed, and the ope...
Dr. Zhang Junwei reply Neurosurgery
The location and size of the intracerebral hemorrhage, as well as the level of consciousness, will all affect the postoperative recovery of the patient. Without detailed medical history and imaging, it is not possible to answer this question.[Read More] Understanding Coma After Brain Hemorrhage Surgery: Hope and Recovery
Understanding Scalp Lumps: When to Seek Medical Attention
Small lump on the scalp? Hello Doctor: I have a small lump on the top of my head (approximately 4.5 cm in diameter). The location of the lump had a history of circular hair loss about five years ago. When I initially saw a dermatologist, there was a slight swelling, but I didn&#x...
Dr. Zhang Junwei reply Neurosurgery
You can continue to observe it, and if it becomes more pronounced, schedule an appointment with the neurosurgery clinic.[Read More] Understanding Scalp Lumps: When to Seek Medical Attention
Understanding Head Injuries: Symptoms and When to Seek Help
Head trauma Hello, today (June 7) around noon, I lost control of my emotions and self-harmed by hitting my head against a wall, pulling my hair, and repeatedly striking the edge of my desk and the wooden door of my wardrobe. The areas impacted on my head include: forehead, back o...
Dr. Zhang Junwei reply Neurosurgery
Please schedule an appointment with the neurosurgery outpatient clinic for evaluation.[Read More] Understanding Head Injuries: Symptoms and When to Seek Help
Managing Hydrocephalus After Prolonged Coma: Surgical Options Explored
Is it necessary to address hydrocephalus in a patient who has been in a coma for over six months following a car accident? In late November last year, the patient was involved in a car accident, suffering a head injury from a rear-end collision, resulting in a coma and dilated pu...
Dr. Zhang Junwei reply Neurosurgery
Due to the lack of detailed medical history, it is not possible to determine whether it would be beneficial for the patient's recovery, as I am concerned about providing you with incorrect information.[Read More] Managing Hydrocephalus After Prolonged Coma: Surgical Options Explored
Post-Operative Symptoms After Brain Tumor Surgery: What to Expect
Symptoms After Craniotomy for Brain Tumor Hello, Doctor. I have a tumor about 3 centimeters in size in my cerebellum. I underwent craniotomy in early March this year, and the result was benign. It has been a month and a half since the surgery, and I still feel dizzy, especially w...
Dr. Zhang Junwei reply Neurosurgery
Dizziness is a common phenomenon after cerebellar surgery. If you experience any unusual discomfort such as nausea or vomiting, you can return to the outpatient clinic for an examination at any time, and you do not have to wait for your scheduled follow-up appointment.[Read More] Post-Operative Symptoms After Brain Tumor Surgery: What to Expect
Is Brain Hemorrhage Due to Congenital or Acquired Vascular Malformation?
Cerebral hemorrhage Hello Doctor: I have a friend who has been diagnosed with arteriovenous malformation (AVM) accompanied by intracerebral hemorrhage. Is this condition congenital or acquired? Thank you.
Dr. Zhang Junwei reply Neurosurgery
Congenital.[Read More] Is Brain Hemorrhage Due to Congenital or Acquired Vascular Malformation?
Uncontrollable Head Shaking and Facial Twitches: Understanding Neurological Symptoms
Involuntary head shaking, eye twitching, and eyebrow twitching? Hello Doctor, my father (56 years old) who recovered from lymphoma four years ago has been experiencing these symptoms for a while, but they have recently worsened. 1. Symptoms: involuntary head shaking (mostly side ...
Dr. Zhang Junwei reply Neurosurgery
It is recommended to schedule a neurology outpatient examination.[Read More] Uncontrollable Head Shaking and Facial Twitches: Understanding Neurological Symptoms
Could It Be Osteomyelitis? Understanding Symptoms and Diagnosis
Inquire about the possibility of osteomyelitis? Hello, doctor. My family member (female, approximately 60 years old) is currently experiencing cervical spine pain and underwent an X-ray examination. Within the past 1-2 months, the cervical vertebrae from C5 to C7 have progressed ...
Dr. Zhang Junwei reply Neurosurgery
Based solely on the above tests, it is truly difficult to answer your question. I recommend discussing this further with your physician during your outpatient visit, or seeking a second opinion from another doctor.[Read More] Could It Be Osteomyelitis? Understanding Symptoms and Diagnosis
Understanding Neuropathy: Seeking Answers for Unresolved Pain
Neuropathy Hello, doctor. A year ago, I suddenly started experiencing numbness in my little finger, along with heat and pain in my palm, and unusual pain in my chest and back. I have visited various hospitals and undergone numerous tests, including X-rays, MRIs, ultrasounds, and ...
Dr. Zhang Junwei reply Neurosurgery
It is advisable to seek diagnoses and treatment from different neurologists or neurosurgeons at various hospitals or medical centers, as your issue is complex and cannot be accurately addressed online.[Read More] Understanding Neuropathy: Seeking Answers for Unresolved Pain
Recovery Options for Infraorbital Nerve Injury After Fracture
Infraorbital nerve numbness? Hello doctor, two years ago I suffered an orbital floor fracture due to an accident, which has resulted in numbness of the infraorbital nerve. The symptoms include a tingling sensation from below the injured eye extending to the same side's upper...
Dr. Zhang Junwei reply Neurosurgery
If nerve damage has not recovered after two years, it is usually unlikely to heal completely. Currently, the only available treatment is vitamin B complex.[Read More] Recovery Options for Infraorbital Nerve Injury After Fracture
Managing Persistent Dizziness After Concussion in Seniors
Dizziness after a concussion? My mother, who is 70 years old, fell and injured the back of her head before the Lunar New Year this year, resulting in a laceration that required three stitches. A CT scan and X-ray revealed that there was no injury or bleeding in the skull or brain...
Dr. Zhang Junwei reply Neurosurgery
Typically, a concussion should not cause dizziness for such an extended period. It is recommended to consult an otolaryngologist to check for inner ear imbalance or Meniere's disease.[Read More] Managing Persistent Dizziness After Concussion in Seniors
Understanding Concussions and Post-Concussion Syndrome: Key Insights
Concussion and Post-Concussion Syndrome Excuse me, I would like to ask the physician if a concussion can still occur even if it has not been diagnosed. If the diagnosis report only states "concussion syndrome" without specifying the causative factors (such as head traum...
Dr. Zhang Junwei reply Neurosurgery
I am not sure what concerns the physician issuing the diagnosis has, but post-concussion syndrome refers to the presence of concussion symptoms without having sustained an actual concussion.[Read More] Understanding Concussions and Post-Concussion Syndrome: Key Insights
Understanding Post-Traumatic Head Injuries and Their Long-Term Effects
Post-concussion syndrome Hello Dr. Chang, I had a car accident on April 1st and sustained a 2 cm laceration on my head, which bled profusely. I was taken by ambulance to the emergency room at Shin Kong Wu Ho-Su Memorial Hospital, where I received a tetanus shot, had X-rays taken,...
Dr. Zhang Junwei reply Neurosurgery
Basically, your concerns sound mild and theoretically shouldn't lead to any long-term effects. You're overthinking it; just get a good night's sleep and rest, and you'll be fine.[Read More] Understanding Post-Traumatic Head Injuries and Their Long-Term Effects
Post-Surgery Cognitive Decline: Navigating Life After Brain Tumor Removal
Cognitive and behavioral dysfunction after brain surgery, leading to an inability to perform activities of daily living? Hello Doctor, my father experienced symptoms such as tremors, fainting, and general weakness in January, leading to multiple hospital visits. Initially, an EEG...
Dr. Zhang Junwei reply Neurosurgery
First, I'm not sure how old your father is, but many elderly individuals who have undergone brain surgery may experience symptoms similar to dementia and stroke. Your father's condition is complex, and it is advisable to follow up with a neurologist for treatment.[Read More] Post-Surgery Cognitive Decline: Navigating Life After Brain Tumor Removal
Understanding Headaches and Dizziness After a Head Injury
Dizziness and headache? Hello, Dr. Zhang. I would like to ask you about an incident that happened 10 months ago when I hit my head and had a small amount of bleeding from my scalp. At that time, I only felt pain, so I didn't see a doctor. A few months later, the impact site ...
Dr. Zhang Junwei reply Neurosurgery
Without a physical examination, it is difficult to understand what you mean by "indentation." I recommend consulting a neurosurgery outpatient clinic for evaluation.[Read More] Understanding Headaches and Dizziness After a Head Injury
Understanding a New Bump on the Left Back of the Head
There is a protrusion on the left posterior side of the occipital region? There is a lump approximately the size of half a quail egg located on the left side of the back of the head, about one and a half palm widths above the neck and three finger widths to the left from the cent...
Dr. Zhang Junwei reply Neurosurgery
Without a physical examination, it is not possible to make a determination. It is recommended to consult a neurosurgery outpatient clinic for evaluation.[Read More] Understanding a New Bump on the Left Back of the Head
Should You See a Doctor After a Fall with Head Impact?
Fell while walking, landing on the head first? Last night, I went out with friends and accidentally fell down the stairs. They told me they saw my head hit the ground. I also went to the emergency room yesterday. However, while I was sleeping, I experienced urinary incontinence. ...
Dr. Zhang Junwei reply Neurosurgery
It is recommended to follow up with the neurosurgery outpatient clinic.[Read More] Should You See a Doctor After a Fall with Head Impact?
Understanding Language and Personality Changes in Brain Tumor Patients
Issues related to patients' verbal expression, responses, and changes in personality? Doctor: Hello. I am one of the primary caregivers for the patient. The patient has a tumor in the left temporal lobe measuring 7.69 cm, which was surgically removed and confirmed to be a gl...
Dr. Zhang Junwei reply Neurosurgery
The patient's clinical neurological function is closely related to the progression of the brain tumor (size, location, recurrence, etc.). It is recommended to return to the outpatient clinic and have a thorough discussion with your attending physician.[Read More] Understanding Language and Personality Changes in Brain Tumor Patients
Managing Concussion Symptoms: When to Seek Medical Attention
How to manage a concussion? On March 25, I fainted and hit my head, but I regained consciousness within 10 minutes. I fainted again for a while and was awakened by a convenience store employee. Although I continued to feel dizzy and had blurred vision, I did not go to the emergen...
Dr. Zhang Junwei reply Neurosurgery
Recommendation for a neurosurgical evaluation.[Read More] Managing Concussion Symptoms: When to Seek Medical Attention
Can Ventriculoperitoneal Shunt Surgery Help Wake Up a Patient in Coma?
Is performing a ventriculoperitoneal shunt surgery helpful for regaining consciousness in a patient who has been in a semi-comatose state for nearly four months? My father is 69 years old and underwent surgery for a meningioma nearly four months ago. After the surgery, he experie...
Dr. Zhang Junwei reply Neurosurgery
1. The duration of ventriculoperitoneal shunt placement is short, considered a minor procedure. 2. The drainage catheter for ventriculoperitoneal shunt does not need to be removed. 3. If the drainage catheter becomes obstructed and the patient has hydrocephalus, it may require re...[Read More] Can Ventriculoperitoneal Shunt Surgery Help Wake Up a Patient in Coma?