Understanding Concussions: Symptoms, Risks, and When to Seek Help
Concussion / Head Injury Hello, doctor. On the evening of December 21, I accidentally slipped and hit my head outside the bathroom. At the moment, I did not lose consciousness, but I felt a lot of pain at the impact site. The next day, I only experienced nausea without any loss o...
Dr. Zhang Junwei reply Neurosurgery
Basically, if you are asking this question, the likelihood of a brain hemorrhage is very low. Brain hemorrhages typically present with severe headaches, dizziness, nausea, vomiting, and even loss of consciousness.[Read More] Understanding Concussions: Symptoms, Risks, and When to Seek Help
Understanding Head Injuries: Signs of Intracranial Bleeding
Head injury Yesterday, I hit my head and woke up at home. My friend told me that I rode my bike back, but I don't remember that part. Now my neck is sore, and there is a soft spot on my head when I press it. Could this be intracranial bleeding?
Dr. Zhang Junwei reply Neurosurgery
It sounds like a concussion rather than an intracranial hemorrhage. I recommend a consultation with a neurosurgery outpatient clinic for evaluation.[Read More] Understanding Head Injuries: Signs of Intracranial Bleeding
Understanding Neck Pain When Looking Up: Causes and Concerns
Neck pain when tilting the head upward? Hello doctor, I am 17 years old and recently noticed that I experience pain in the left side of the back of my head when I look up, specifically under the bone. I would like to know what possible issues this could indicate. What is the like...
Dr. Zhang Junwei reply Neurosurgery
This neck pain issue is unrelated to subarachnoid hemorrhage and is likely just ordinary neck pain. It is recommended to consult a neurosurgery outpatient clinic for examination.[Read More] Understanding Neck Pain When Looking Up: Causes and Concerns
Understanding Nerve Issues in the Cervical Spine After Trauma
Cervical spine nerve issues? I would like to consult a physician. Recently, I had a conflict with a classmate that resulted in being hit. Prior to that, I had also been hit on the back. Each time, the hits were spaced out by one to two seconds, and the pain from the previous hit ...
Dr. Zhang Junwei reply Neurosurgery
You have described so much, but without a physical examination, it is truly impossible to provide an answer. I recommend that you schedule an appointment with a neurosurgery clinic for an evaluation. If you still have doubts, consider seeking opinions from several different physi...[Read More] Understanding Nerve Issues in the Cervical Spine After Trauma
Understanding Pituitary Tumors: Risks, Surgery, and Recovery Challenges
Pituitary tumor Hello Doctor, my father has a pituitary tumor that is pressing on his optic nerve. An MRI revealed a tumor approximately 2.5 cm in size, and he underwent surgery. The doctor mentioned that the tumor was deeply embedded and surrounded by blood vessels. However, tow...
Dr. Zhang Junwei reply Neurosurgery
From the description, it is evident that the condition is quite serious; however, I do not have detailed medical information to answer your question. I recommend discussing this with the attending physician.[Read More] Understanding Pituitary Tumors: Risks, Surgery, and Recovery Challenges
Understanding Head Trauma: Risks of Brain Bleeding After Impact
Head trauma Hello, doctor. This afternoon, on November 24th, I was playing around with my classmates and accidentally bumped into the wall behind me. The pain lasted only a few minutes, but at that moment, I noticed a metallic taste of blood in my mouth. I went to the health cent...
Dr. Zhang Junwei reply Neurosurgery
The probability of a brain hemorrhage is extremely low; typically, brain hemorrhages occur due to incidents such as car accidents or falls.[Read More] Understanding Head Trauma: Risks of Brain Bleeding After Impact
Is It Safe to Exercise After a Head Injury? Expert Insights
Exercise after a head injury? Hello, doctor. Two days ago in the afternoon, I bumped my head while playfully pushing back with a friend. At that moment, my consciousness was normal, but it hurt a bit, so I went to the health center for ice treatment. It seems to have swollen a li...
Dr. Zhang Junwei reply Neurosurgery
Exercise can increase uncomfortable symptoms. Typically, this is observed for about a week.[Read More] Is It Safe to Exercise After a Head Injury? Expert Insights
Understanding Weakness and Gastrointestinal Bleeding After Brain Tumor Biopsy
Brain tumor biopsy Doctor, I would like to ask about a family member who underwent a biopsy surgery for a brain tumor. The patient has been experiencing persistent weakness and has also developed gastrointestinal bleeding. Could you please explain what might be causing the weakne...
Dr. Zhang Junwei reply Neurosurgery
Weakness may be due to the brain tumor itself, while gastrointestinal bleeding could be caused by a stress ulcer.[Read More] Understanding Weakness and Gastrointestinal Bleeding After Brain Tumor Biopsy
Understanding Diminished Responses in Brain Injury Patients
The mother's reactions are becoming increasingly diminished? My mother, who is 58 years old, was diagnosed with breast cancer metastasis to the brain at the end of April this year. On November 13, she fell at home, hitting the left side of her head, resulting in a wound with...
Dr. Zhang Junwei reply Neurosurgery
Based solely on your description and without seeing the brain CT scan, I cannot answer your question![Read More] Understanding Diminished Responses in Brain Injury Patients
How Often Should You Monitor a Pituitary Tumor Without Medication?
How often should a pituitary tumor be monitored if medication is not being taken? Twelve years ago, I developed hyperprolactinemia due to medication for a peptic ulcer, which led to an MRI revealing a pituitary tumor measuring less than 1 cm. The neurosurgeon who initially examin...
Dr. Zhang Junwei reply Neurosurgery
It is recommended to follow up every one to three years.[Read More] How Often Should You Monitor a Pituitary Tumor Without Medication?
Understanding Cerebellar AVM: Recovery from Bleeding and Dizziness
Cerebellar arteriovenous malformation (AVM) One day, I suddenly experienced bleeding and was taken to the hospital, where it was determined that I had a hemorrhage due to an arteriovenous malformation (AVM). After surgery on the cerebellum, it has been over 10 days. I can hold on...
Dr. Zhang Junwei reply Neurosurgery
The cerebellum regulates balance, and injuries to the brain can cause dizziness. The duration of symptoms can vary, and there is no definitive answer to how long they will last.[Read More] Understanding Cerebellar AVM: Recovery from Bleeding and Dizziness
Considerations for Air Travel After Acute Brain Hemorrhage: A Patient's Guide
Returning to Taiwan by plane? I would like to inquire about a patient who experienced an acute intracerebral hemorrhage abroad. Currently, the patient has no sensation in the left hand, and the left leg has progressed from no sensation to slight awareness. Since the incident, the...
Dr. Zhang Junwei reply Neurosurgery
Such issues are too complex to be addressed solely based on the limited information you provided. To avoid giving you incorrect answers, I recommend that you bring your medical records and consult a physician in the neurosurgery outpatient clinic in person.[Read More] Considerations for Air Travel After Acute Brain Hemorrhage: A Patient's Guide
Do I Need Surgery for My Herniated Cervical Disc? Expert Insights
Do I need surgery to replace my cervical intervertebral disc due to a herniated disc? Hello Doctor, I am a patient with hypotonic cerebral palsy. Last March, I suffered a fall that resulted in herniated discs at cervical levels 4 to 6. Initially, I experienced increased difficult...
Dr. Zhang Junwei reply Neurosurgery
Your question is too complex. Certain conditions require imaging studies and a personal physical examination to provide an answer. It is recommended to consult a neurosurgery outpatient clinic for evaluation.[Read More] Do I Need Surgery for My Herniated Cervical Disc? Expert Insights
Post-Surgery Nasal Leakage After Brain Surgery: Causes and Recovery
Cerebrospinal fluid rhinorrhea after brain surgery? Hello Doctor: After a year following brain surgery due to a car accident, I am experiencing cerebrospinal fluid (CSF) leakage from my nose. Will the surgical site heal completely? Is there a possibility of recurrence in the futu...
Dr. Zhang Junwei reply Neurosurgery
Nasal discharge can vary in different situations; if it does not resolve naturally within a week, surgical treatment is recommended.[Read More] Post-Surgery Nasal Leakage After Brain Surgery: Causes and Recovery
Can I Get a Medical Certificate for Head Injury After an Accident?
Can I go to the hospital for a diagnosis certificate after a head injury? I'm sorry, I would like to ask Dr. Chang. My mother was in a car accident last November, where she hit her head and lost consciousness. At that time, her Glasgow Coma Scale score was 8, indicating seve...
Dr. Zhang Junwei reply Neurosurgery
You can ask the physician who originally treated you to issue a medical certificate. Whether the sequelae can recover depends on the patient's clinical condition.[Read More] Can I Get a Medical Certificate for Head Injury After an Accident?
How Long Should I Monitor After a Forehead Injury from a Falling Branch?
Hit by a falling branch? Hello, doctor. Yesterday, while I was walking and waiting for the traffic light, I was hit on the forehead by a falling branch. At the time, my forehead was red and swollen, but I didn't have any other issues. After sleeping for a night, I feel mostl...
Dr. Zhang Junwei reply Neurosurgery
If there is not much happening within three days, it is usually considered fine.[Read More] How Long Should I Monitor After a Forehead Injury from a Falling Branch?
Can Neurosurgery Help Improve Brain Function in Severe Coronary Blockage?
Severe coronary artery obstruction affecting the brain: Can it be improved through neurosurgical intervention? Hello doctor, my grandfather has severe blockage in all three major arteries and is currently managing his condition with medication. He often feels a bit sluggish in th...
Dr. Zhang Junwei reply Neurosurgery
It may be caused by carotid artery stenosis, and you should consult a neurologist rather than a neurosurgeon.[Read More] Can Neurosurgery Help Improve Brain Function in Severe Coronary Blockage?
Understanding Cervical Spine Pain: Causes and When to Seek Help
Cervical spine pain Hello, doctor. I've been experiencing significant pain at a specific point near my seventh cervical vertebra for the past couple of days. I would like to ask what might be the cause (could it be due to posture, etc.)? Do I need to seek medical attention? ...
Dr. Zhang Junwei reply Neurosurgery
Pain points are often caused by muscle inflammation.[Read More] Understanding Cervical Spine Pain: Causes and When to Seek Help
Head Injury Concerns for Dialysis Patients: What You Need to Know
Mother hit her head? Hello Doctor: My mother (52 years old) accidentally bumped her head against the edge of the range hood in the kitchen this morning (the edge is not sharp). She felt pain at the moment (which lasted for about one to two minutes) but there was no external injur...
Dr. Zhang Junwei reply Neurosurgery
The incidence of chronic subdural hematoma is low, and it cannot be prevented in advance; observation is required for one month.[Read More] Head Injury Concerns for Dialysis Patients: What You Need to Know
Understanding Sciatic Nerve Injury: Recovery Chances and Insights
Sciatic nerve injury I would like to inquire about a situation where, in July, I suffered a stab wound to the sciatic nerve, resulting in numbness in the sole of my foot, inability to move my toes normally, and weakness in my calf and thigh muscles, which are beginning to atrophy...
Dr. Zhang Junwei reply Neurosurgery
Without objective examination reports, it is not possible to provide an answer.[Read More] Understanding Sciatic Nerve Injury: Recovery Chances and Insights