Understanding Skull Surgery and Recovery After Severe Head Injury
Skull, unresponsive? Hello, doctor. My husband fell to the ground at work, landing on his head. At first, he was able to stand up and walk, but within three minutes, he started to have a nosebleed and fainted. He underwent emergency surgery to remove part of his skull on the left...
Dr. Zhang Junwei reply Neurosurgery
Generally speaking, returning the skull to its original position can aid in the recovery of the patient's neurological function. Using the patient's own bone does carry a higher risk of infection, while artificial cranial implants present a lower risk of infection as an...[Read More] Understanding Skull Surgery and Recovery After Severe Head Injury
Post-Surgery Head Issues: Understanding Tightness and Pain After Craniotomy
Postoperative issues related to the head? Hello Doctor, I would like to ask you a question. About 7-8 years ago, I underwent a craniotomy due to a vascular malformation in my head, and my post-operative condition was good. However, in the past few months, I occasionally feel tigh...
Dr. Zhang Junwei reply Neurosurgery
The surgery from 7-8 years ago should not have any issues with the wound. Since the wound cannot be examined, it is recommended to return to the outpatient clinic for follow-up.[Read More] Post-Surgery Head Issues: Understanding Tightness and Pain After Craniotomy
Understanding Skull Reconstruction: Causes of Indentation After Surgery
Cranial reconstruction? The cranial bone was replaced with autologous bone, and it has been 3 months since the procedure. There is a dent the size of a 5-cent coin at the suture line on the top of the head, but there are no discomforts in the body. What could be the reason for th...
Dr. Zhang Junwei reply Neurosurgery
The indentation is likely a remnant of the craniotomy performed at that time.[Read More] Understanding Skull Reconstruction: Causes of Indentation After Surgery
Post-Surgery Recovery Concerns After Brain Hemorrhage: What to Expect
What are the recovery issues after brain hemorrhage surgery? Hello, doctor. I would like to ask about my mother, who is 64 years old. At the beginning of the month, she suffered a hemorrhagic stroke and was taken to the hospital, where surgery was required. The surgery went smoot...
Dr. Zhang Junwei reply Neurosurgery
Based on your description, the patient may not have fully regained consciousness yet. Since each patient's condition varies, it is advisable to consult your attending physician.[Read More] Post-Surgery Recovery Concerns After Brain Hemorrhage: What to Expect
Understanding Treatment Options for Hydrocephalus in Elderly Patients
Management of Hydrocephalus Hello Doctor, my father-in-law is currently about 75 years old. He suffered a brain injury and hydrocephalus from a car accident in 2004, and underwent ventriculoperitoneal shunt placement (initially with an adjustable shunt that was removed due to inf...
Dr. Zhang Junwei reply Neurosurgery
Pleural cavity drainage is primarily concerned with pleural effusion. The extent to which symptoms improve after drainage is not guaranteed. While drainage can alleviate hydrocephalus, it cannot assist patients who already exhibit symptoms of dementia.[Read More] Understanding Treatment Options for Hydrocephalus in Elderly Patients
Post-Car Accident Head Trauma: Understanding Symptoms and Recovery
Head impact from a car accident? Hello, Doctor: My mother (71 years old) was in a car accident on February 5th, where she sustained a blow to the left front side of her head. A CT scan was performed that day, and the emergency physician noted a slight bleeding (the images showed ...
Dr. Zhang Junwei reply Neurosurgery
Common symptoms of head trauma include headache, dizziness, and discomfort, which may not necessarily be related to the presence of bleeding. The duration of symptoms typically lasts around one week, although some individuals may experience symptoms for up to a month.[Read More] Post-Car Accident Head Trauma: Understanding Symptoms and Recovery
How Long Does Autologous Skull Bone Take to Resorb After Surgery?
Cranial reconstruction How long does it take for an autologous cranial bone graft to be absorbed in a 52-year-old female?
Dr. Zhang Junwei reply Neurosurgery
Not necessarily; some people will absorb it, while others will not.[Read More] How Long Does Autologous Skull Bone Take to Resorb After Surgery?
Understanding Tinnitus: Seeking Solutions After Nerve Compression Treatment
Tinnitus consultation My father experienced nerve compression at cervical vertebrae 4, 5, and 6 in September 2017, which caused pain and numbness in his shoulders, neck, back, and elbows. Initially, the cause of his condition was unclear, leading to a frantic search for treatment...
Dr. Zhang Junwei reply Neurosurgery
For tinnitus issues, it is recommended to seek treatment from an otolaryngologist (ENT specialist) and a neurologist. Currently, I cannot think of any other methods or tests that would be beneficial.[Read More] Understanding Tinnitus: Seeking Solutions After Nerve Compression Treatment
Understanding Left Chest Pain: Could It Be Related to Cervical Issues?
Left chest pain and heat? Hello, doctor. I do not smoke, drink alcohol, or chew betel nut. I occasionally experience a dull pain in my left chest, which sometimes feels warm, located slightly towards the armpit. The frequency is irregular. I have previously undergone a breast ult...
Dr. Zhang Junwei reply Neurosurgery
The likelihood of left chest pain being related to cervical spine issues is very low. It is recommended to visit a thoracic medicine clinic for examination and treatment.[Read More] Understanding Left Chest Pain: Could It Be Related to Cervical Issues?
Understanding Skull Healing Time After Cranioplasty: What to Expect
The healing time for the skull after cranioplasty? Hello Doctor: I was in a car accident at the end of August last year, where my helmet came off and my head hit the ground. I was immediately taken to the emergency room, where it was determined that I had a skull fracture and int...
Dr. Zhang Junwei reply Neurosurgery
Typically, the protrusion may be due to small bone screws and plates that fixate the skull. It is abnormal for the skull to slide back and forth, and it is recommended to seek further evaluation at a neurosurgery outpatient clinic.[Read More] Understanding Skull Healing Time After Cranioplasty: What to Expect
Understanding Baby Tremors: Causes, Concerns, and When to Seek Help
Baby's hand tremors issue? Hello, Doctor. 1. My baby is currently 6 months and 21 days old. On December 20th of last year, he accidentally fell from an 80 cm changing table, resulting in intracranial hemorrhage. A CT and MRI performed by the doctor showed a hematoma in the...
Dr. Zhang Junwei reply Neurosurgery
It's hard to determine whether the tremors you see are due to epilepsy. It is recommended to record a video on your phone during the episode and then consult a physician in an outpatient setting for evaluation and management.[Read More] Understanding Baby Tremors: Causes, Concerns, and When to Seek Help
Recovery After Laminectomy: Addressing Persistent Nerve Pain Concerns
Regarding the recovery period after vertebroplasty? Hello, Dr. Chang. It has been two months since my surgery. I underwent a laminectomy because I was experiencing numbness and pain in my left hand due to nerve compression at the C5-C7 levels. I am still experiencing persistent n...
Dr. Zhang Junwei reply Neurosurgery
In most cases, spinal deformity correction surgery can only alleviate symptoms and cannot completely resolve them. To achieve symptom improvement, anterior approach surgery is more likely to be effective.[Read More] Recovery After Laminectomy: Addressing Persistent Nerve Pain Concerns
Understanding Neck and Shoulder Pain: Insights from Neurosurgery
Shoulder, neck, and back issues? About two years ago, I went to an amusement park and rode a roller coaster. I didn't keep my head pressed against the backrest, and during the turns, my neck was thrown around. At that moment, I only felt neck pain, but after a few weeks, it ...
Dr. Zhang Junwei reply Neurosurgery
It may be a problem related to spinal nerve compression; it is recommended to consult a neurosurgery outpatient clinic for examination.[Read More] Understanding Neck and Shoulder Pain: Insights from Neurosurgery
Understanding Body Tremors: Possible Causes and Connections to Scoliosis
Body tremors Hello Doctor: For the past six months, I have been experiencing a pulsating sensation on the upper right side of my body. I can also feel it when I touch the area. Sometimes it feels not just like a pulsation but also like rolling or shifting. The affected areas incl...
Dr. Zhang Junwei reply Neurosurgery
First, take some B-complex vitamins and observe for 2-3 weeks. If there is no improvement, it is recommended to consult a neurologist.[Read More] Understanding Body Tremors: Possible Causes and Connections to Scoliosis
Understanding Numbness in Hands and Feet: Causes and Relief Tips
Numbness in the hands and feet? Hello, doctor. I am a university student and have been sitting for long periods of time. For two weeks in early January, I was almost sitting all day to finish my final assignments. Recently, I have been on winter break and am not sitting as much, ...
Dr. Zhang Junwei reply Neurosurgery
Numbness in the right foot and right palm is unusual; it is recommended to visit a neurology clinic for evaluation.[Read More] Understanding Numbness in Hands and Feet: Causes and Relief Tips
Understanding Post-Concussion Symptoms: Pain and Numbness Explained
Post-concussion syndrome may involve symptoms such as pain and numbness? Hello, Doctor. On the night of October 1st last year, I slightly bumped the upper right side of my head against a car door after slipping. It hurt a lot at the moment, and I instinctively rubbed it. Later, I...
Dr. Zhang Junwei reply Neurosurgery
It doesn't sound like post-concussion syndrome; it's just a general bruise and cervical strain. It's recommended to take anti-inflammatory medication and get plenty of rest.[Read More] Understanding Post-Concussion Symptoms: Pain and Numbness Explained
Concerns About Titanium Plate and Screw Loosening After Cervical Surgery
Regarding the issue of cervical vertebral plate screw loosening? Hello, Director Zhang. I underwent laminoplasty in December of last year due to nerve compression at cervical levels 5, 6, and 7, along with OPLL. The surgeon performed a XXXX Door Laminoplasty on me. I currently ha...
Dr. Zhang Junwei reply Neurosurgery
It is rare to hear about the screws and plates used in spinal osteotomy procedures becoming dislodged, so there is no need to worry.[Read More] Concerns About Titanium Plate and Screw Loosening After Cervical Surgery
Impact of Skull Deformities on Brain Development and Neurological Health
Head issues My skull is growing towards the right rear, and the right side is larger than the left. I suspect this may be due to a twisting force I experienced during elementary school. Is it possible that this type of external force causing skull deformation could affect my nerv...
Dr. Zhang Junwei reply Neurosurgery
Without a physical and neurological examination, it is unclear how severe the head shape deformity is. If it is not too severe, it generally does not have any significant impact.[Read More] Impact of Skull Deformities on Brain Development and Neurological Health
Managing Post-Surgery Complications After Cervical Disc Replacement
Cervical spine surgery sequelae? Hello Doctor, I have a herniated disc at the C5-C6 level, which has caused severe pain and numbness radiating from my left shoulder, back, arm, and fingers. After undergoing artificial disc replacement surgery, the symptoms on the left side were i...
Dr. Zhang Junwei reply Neurosurgery
After surgery, the emergence of new symptoms usually indicates that there may be an issue in certain areas. It is advisable to discuss any subsequent treatment for your condition with the original surgeon, as other physicians typically do not intervene in such cases.[Read More] Managing Post-Surgery Complications After Cervical Disc Replacement
Post-Surgery Intracranial Hemorrhage: Understanding Pupil Size Differences
Post-intracranial hemorrhage surgery Hello, my mother had an emergency craniotomy for a brain hemorrhage at the end of September last year. When she arrived at the hospital, both of her pupils were dilated, and the injury was to her right hemisphere. After the surgery, her left p...
Dr. Zhang Junwei reply Neurosurgery
Some people are born with unequal pupil sizes, making it difficult to determine if this is normal. It is recommended to consult a professional neurologist for an examination.[Read More] Post-Surgery Intracranial Hemorrhage: Understanding Pupil Size Differences