Dr. Zhang Junwei reply Neurosurgery Question - Page 15

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Understanding Head Injuries: Symptoms, Risks, and When to Seek Help

Hit on the back of the head? 1. On September 24th at midnight, I was struck on the right occipital region by an umbrella pole. At the moment of impact, I was conscious and felt pain, and I experienced slight dizziness. There is mild redness on the surface of the right occipital a...


Dr. Zhang Junwei reply Neurosurgery
If headaches and dizziness worsen after a concussion, it is recommended to consult a neurosurgery outpatient clinic for evaluation.

[Read More] Understanding Head Injuries: Symptoms, Risks, and When to Seek Help


Understanding Delayed Intracranial Hemorrhage After Head Trauma

The right occipital region was hit? 1. Sorry, Dr. Chang, it's me again. How long after a head injury does delayed intracranial hemorrhage typically occur, and how long should we observe to confirm that it is not present? 2. What magnitude of impact force can cause delayed ...


Dr. Zhang Junwei reply Neurosurgery
Typically, if bleeding has not occurred within three days, the chance of delayed bleeding is very low. Usually, the likelihood is higher in cases of car accidents or falls from heights.

[Read More] Understanding Delayed Intracranial Hemorrhage After Head Trauma


Understanding Disc Herniation and Cyst Formation at the S2 Level

Herniated disc and a cyst located at the sacral S2 level? Hello doctor, I have been experiencing deep pain in my right buttock and halfway down my thigh, especially when I go from slouching to standing up straight. Physical therapy doesn't seem to have much effect, and this ...


Dr. Zhang Junwei reply Neurosurgery
Blisters cannot be drained with a needle. It is recommended to bring your MRI to a neurosurgery outpatient clinic for consultation with a physician. An online consultation cannot perform a physical examination.

[Read More] Understanding Disc Herniation and Cyst Formation at the S2 Level


Persistent Head Pain After Wall Impact: What You Need to Know

Head injury with pain lasting for several days after hitting a wall? Hello Doctor: Last Wednesday, I accidentally bumped into a corner of the wall at home. At the time, there was no bleeding, but a large bump formed, and it has been throbbing and painful for almost a week now. I ...


Dr. Zhang Junwei reply Neurosurgery
It is recommended to visit the neurosurgery outpatient clinic for an examination.

[Read More] Persistent Head Pain After Wall Impact: What You Need to Know


Navigating Hydrocephalus Treatment Options: Drainage vs. Shunt Surgery

Hydrocephalus Consultation My mother, who is 50 years old, has been diagnosed with hydrocephalus. One hospital suggested performing a lumbar puncture to drain fluid first, followed by a shunt placement, arguing that the pathway from the brain to the lumbar spine is obstructed, ma...


Dr. Zhang Junwei reply Neurosurgery
Patients have different conditions, and the management approaches vary accordingly. It is advisable to visit a medical center or consult multiple hospitals.

[Read More] Navigating Hydrocephalus Treatment Options: Drainage vs. Shunt Surgery


Post-Surgery Nerve Pain: Struggling to Walk After Spinal Fusion

Post-operative nerve pain from the groin to the right leg, resulting in inability to walk? Hello Doctor, I am 49 years old and have undergone my third spinal surgery. (The date of the second surgery was August 7, 2017, at Linkou Chang Gung Memorial Hospital.) Diagnosis: M4806 lu...


Dr. Zhang Junwei reply Neurosurgery
This cannot be answered; if symptoms that were not present before the surgery appear after the procedure, it should still be considered a physician-related issue. It is advisable to seek a consultation at another hospital for further evaluation.

[Read More] Post-Surgery Nerve Pain: Struggling to Walk After Spinal Fusion


Head Injury from Basketball: When to Observe or Seek Medical Attention

Head trauma? Hello doctor, yesterday while playing basketball, I was hit on the side of my head by another person's elbow. The area that was struck has been experiencing mild pain for the past day or two, but I do not have symptoms such as dizziness, vomiting, or weakness. I...


Dr. Zhang Junwei reply Neurosurgery
Just continue to observe for now.

[Read More] Head Injury from Basketball: When to Observe or Seek Medical Attention


Is Brain Edema Recurring? Understanding Symptoms and Risks

Can brain edema recur? My daughter-in-law is 27 years old and had undergone surgery for hydrocephalus during her kindergarten years. Recently, she has been experiencing persistent headaches and excessive sleepiness, and she has to walk with her head down slowly. I'm not sure...


Dr. Zhang Junwei reply Neurosurgery
Recommend a neurosurgery outpatient examination.

[Read More] Is Brain Edema Recurring? Understanding Symptoms and Risks


Understanding Head Injuries: What to Do After a Motorcycle Accident

Occipital impact? Hello, I would like to ask about a situation where I was riding a motorcycle and collided with a pedestrian, causing them to fall backward and hit the back of their head. They had bleeding from their ears on both sides but were awake. When the ambulance arrived ...


Dr. Zhang Junwei reply Neurosurgery
It's difficult to answer this; it's best to go to the hospital and get a CT scan of the brain to see what the situation is!

[Read More] Understanding Head Injuries: What to Do After a Motorcycle Accident


Understanding Recovery Time and Support After Brain Hemorrhage

The recovery of consciousness after a brain hemorrhage can vary significantly depending on the severity of the hemorrhage, the location in the brain, and the individual's overall health. In some cases, consciousness may return within hours to days, while in others, it may ta...


Dr. Zhang Junwei reply Neurosurgery
Hemorrhages in different areas of the brain can lead to varying effects. In the brainstem, even a small amount of bleeding can result in coma or even a vegetative state. Conversely, in less critical areas, a larger hemorrhage may not produce any symptoms at all. The impact largel...

[Read More] Understanding Recovery Time and Support After Brain Hemorrhage


Understanding Dizziness and Headaches: Risks and Symptoms of Brain Disorders

Slight dizziness accompanied by a headache? 1. What is the probability of a cerebral arteriovenous malformation? 2. Are there any methods to reduce the risk of cerebral hemorrhage? 3. What are the signs and symptoms of a cerebral hemorrhage? 4. What does it feel like when t...


Dr. Zhang Junwei reply Neurosurgery
Arteriovenous malformation (AVM) is a congenital condition that cannot be specifically prevented. If a patient experiences severe headaches, neurological deficits, or loss of consciousness, it is recommended to seek medical attention as soon as possible.

[Read More] Understanding Dizziness and Headaches: Risks and Symptoms of Brain Disorders


Understanding Brain Hemorrhage Risks in Young Adults: Causes and Prevention

The back of my head feels swollen and somewhat weak? 1. What is the likelihood and causes of young people experiencing a brain hemorrhage? 2. How can the risk of brain hemorrhage be reduced? 3. What is the relationship between staying up late and brain hemorrhage? 4. Beside...


Dr. Zhang Junwei reply Neurosurgery
Common cerebral hemorrhage is usually associated with a history of hypertension. Properly managing one's blood pressure can reduce the risk of cerebral hemorrhage.

[Read More] Understanding Brain Hemorrhage Risks in Young Adults: Causes and Prevention


Understanding Venous Laser Therapy for Post-Surgery Recovery

Venous laser therapy Hello, I would like to ask about my condition. I previously had a cerebral vascular arteriovenous malformation, which was surgically removed about five months ago. Currently, the most noticeable sequela is central facial nerve paralysis, and I am undergoing r...


Dr. Zhang Junwei reply Neurosurgery
Venous laser treatment is not within the scope of neurosurgery. It is recommended to consult a rehabilitation physician for inquiries.

[Read More] Understanding Venous Laser Therapy for Post-Surgery Recovery


Should You See a Doctor After a Basketball Head Injury?

Hit the forehead while playing basketball? Hello doctor, I would like to ask about something. Yesterday, while playing basketball with my classmates, I was hit on the forehead above my right eyebrow. Today, I have been feeling a bit unfocused and very tired. The muscles on both s...


Dr. Zhang Junwei reply Neurosurgery
It is likely just a simple head injury; observation is recommended. If discomfort persists, it is advised to consult a neurosurgery outpatient clinic for evaluation.

[Read More] Should You See a Doctor After a Basketball Head Injury?


Understanding Pituitary Tumors: Headaches, Seizures, and Vision Issues

Pituitary tumor Hello Doctor: I have been experiencing sudden headaches and dizziness since the beginning of this year, which led to hospitalization, but the cause has not been identified. The frequency and nature of my headaches are completely different from before; I have heada...


Dr. Zhang Junwei reply Neurosurgery
A pituitary tumor smaller than one centimeter, with normal blood tests, is usually a benign adenoma. Since it is less than one centimeter in size, it typically does not cause neurological compression; therefore, the usual recommendation from physicians is to monitor it. As for th...

[Read More] Understanding Pituitary Tumors: Headaches, Seizures, and Vision Issues


Understanding Pediatric Concussions: Symptoms and Next Steps for Parents

Concussion in children One week ago, my 7-year-old son fell out of bed while sleeping and hit his head. He experienced some dizziness and vomiting that morning. The emergency department only performed an X-ray, which showed no abnormalities. After returning home, he did not vomit...


Dr. Zhang Junwei reply Neurosurgery
The symptoms you described are not typical of a cerebral hemorrhage, and theoretically, there should be no issues related to brain bleeding or nerve compression. If you have any questions or concerns, it is recommended to consult a neurosurgery outpatient clinic for an examinatio...

[Read More] Understanding Pediatric Concussions: Symptoms and Next Steps for Parents


Can Spinal Cord Injury Lead to Paralysis After a Month?

Is it still possible to experience paralysis nearly a month after a spinal injury close to the end of the spine? It doesn't hurt, but I'm very afraid of becoming paralyzed.


Dr. Zhang Junwei reply Neurosurgery
If there are no obvious discomforts, there is a 99.9% chance that it will not happen!

[Read More] Can Spinal Cord Injury Lead to Paralysis After a Month?


Understanding Post-Concussion Syndrome: Symptoms and Recovery Challenges

Post-concussion syndrome Last month, I was in a car accident and suffered a laceration on my head that required eight stitches, along with a concussion. After being discharged from the hospital, I returned to work. Initially, I experienced a lot of dizziness and found it difficul...


Dr. Zhang Junwei reply Neurosurgery
It is indeed common to experience headaches and dizziness after a concussion. It is important to rest after the injury, as overexertion can exacerbate the symptoms of the concussion.

[Read More] Understanding Post-Concussion Syndrome: Symptoms and Recovery Challenges


Should You Seek Further Evaluation After a Head Injury?

Head trauma A week or two ago, I was playfully hit in the back of the head while messing around with friends. Initially, I went to the hospital to see a doctor, who said a CT scan wasn't necessary and that I should just monitor my condition. I felt a bit better at first, but...


Dr. Zhang Junwei reply Neurosurgery
Headaches and dizziness are common after a concussion, so it is important to rest after the injury. Overexertion or excessive physical activity can only exacerbate the symptoms of the concussion.

[Read More] Should You Seek Further Evaluation After a Head Injury?


Understanding Eye Blinking and Mouth Twitches During Speech

Blinking forcefully and twitching the corner of the mouth while speaking? Hello, Director Zhang. I would like to ask about my friend who, when speaking, forcefully blinks and has facial tics, specifically pulling at the corners of his mouth while producing the sound "ㄖ."...


Dr. Zhang Junwei reply Neurosurgery
Your description is not very clear to me either. I suggest you bring your friend to see a neurologist for an examination!

[Read More] Understanding Eye Blinking and Mouth Twitches During Speech


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