Understanding Neck Pain After Spinal Surgery: When to Seek MRI?
Neck pain Hello Dr. Chang, I underwent a decompression surgery with laminectomy and spinal fusion with internal fixation for the L4-L5 intervertebral disc on November 21, 2019. The doctor mentioned that it could be an old injury from judo, which I was unaware of at the time, comb...
Dr. Zhang Junwei reply Neurosurgery
The amount of medical X-ray radiation is very low, and undergoing several dozen procedures a year generally poses no problem. Magnetic resonance imaging (MRI) involves no radiation at all, so there is no need for concern.[Read More] Understanding Neck Pain After Spinal Surgery: When to Seek MRI?
Managing Post-Trauma Seizures: When to Stop Medication?
Post-traumatic epilepsy Hello Doctor: After a car accident, I experienced intracranial hemorrhage and underwent skull surgery, which led to seizures (in March 2019). Since taking the medication prescribed by my doctor, I have not had any further seizures for almost a year. How lo...
Dr. Zhang Junwei reply Neurosurgery
If a patient with epilepsy has not experienced a seizure for six months, it may be considered to discontinue medication. However, after stopping the medication, there is a possibility that seizures may recur, but they may also not occur.[Read More] Managing Post-Trauma Seizures: When to Stop Medication?
Understanding Intracranial Hemorrhage: Risks of Delayed Surgery
Intracranial hemorrhage Hello, Doctor: The person was conscious during the car accident but became unconscious after arriving at the hospital. The doctors confirmed intracranial hemorrhage and a hematoma that required surgery. If we, as parents, delayed the surgery due to the lon...
Dr. Zhang Junwei reply Neurosurgery
It is possible, as intracranial hemorrhage can sometimes progress very rapidly![Read More] Understanding Intracranial Hemorrhage: Risks of Delayed Surgery
Understanding Hand Nerve Issues After Humerus Fracture Surgery
Hand nerves I previously had a humeral fracture and underwent surgery. During my recovery period, I frequently consulted my attending physician. I have lost sensation in the area of my palm, specifically from the ring finger to the little finger (including the fingers), and this ...
Dr. Zhang Junwei reply Neurosurgery
It is possible that a humeral fracture may result in nerve injury; therefore, it is recommended to consult a neurosurgery outpatient clinic for evaluation and treatment.[Read More] Understanding Hand Nerve Issues After Humerus Fracture Surgery
Understanding Visual Field Defects: When to Consult a Neurologist
Visual field defect Hello, doctor. I am currently a sophomore. Four years ago, I started experiencing flashes and defects in part of my right eye's visual field. At that time, I was also dealing with a condition that caused white spots in my eyes. After two months of examina...
Dr. Zhang Junwei reply Neurosurgery
You can first schedule an appointment with an ophthalmologist for an examination![Read More] Understanding Visual Field Defects: When to Consult a Neurologist
Understanding Subarachnoid Hemorrhage: Symptoms, Risks, and Treatment Options
Subarachnoid hemorrhage Hello doctor, my father is 71 years old. On January 29th, during the Lunar New Year, he was admitted to the emergency room due to fever and vomiting. The doctor diagnosed him with subarachnoid hemorrhage (the amount of bleeding is unknown) and pulmonary tu...
Dr. Zhang Junwei reply Neurosurgery
Please return to the neurosurgery outpatient clinic for follow-up, as post-hemorrhagic complications such as hydrocephalus and subdural hematoma may still arise.[Read More] Understanding Subarachnoid Hemorrhage: Symptoms, Risks, and Treatment Options
Preoperative Assessments for Hydrocephalus Surgery: What You Need to Know
Hydrocephalus Surgery Evaluation My father suffered multiple fractures due to a car accident and is experiencing issues such as double vision and hydrocephalus. Although his overall health is gradually improving, the symptoms of hydrocephalus are becoming increasingly severe. We ...
Dr. Zhang Junwei reply Neurosurgery
Before hydrocephalus surgery, a brain CT scan is essential to confirm the presence of hydrocephalus. As for whether a detailed evaluation is necessary prior to the surgery, it is theoretically required. This is because it relates to whether the patient's neurological deficit...[Read More] Preoperative Assessments for Hydrocephalus Surgery: What You Need to Know
Post-Accident Observation Period for Elderly with Concussion
Observation period after a car accident? Hello Doctor: My grandfather was recently involved in a motorcycle accident with a cyclist. After being sent to the hospital for examination, the emergency physician stated that he only suffered a mild concussion and there are currently no...
Dr. Zhang Junwei reply Neurosurgery
The acute phase lasts about 3 days; however, it is advisable to monitor elderly patients for one month, as chronic subdural hematoma may still develop within that timeframe.[Read More] Post-Accident Observation Period for Elderly with Concussion
Is Ventriculoperitoneal Shunt Surgery Suitable for Dementia from Brain Atrophy?
Cerebral atrophy leading to compensatory hydrocephalus with dementia symptoms, is it suitable for ventriculoperitoneal shunt surgery? Hello Doctor, my father is 66 years old and has a history of Parkinson's disease, epilepsy, diabetes, and mental illness. In October 2019, he...
Dr. Zhang Junwei reply Neurosurgery
If a patient experiences compensatory ventricular enlargement due to cerebral atrophy, performing a ventriculoperitoneal shunt surgery is indeed not effective. It will not lead to significant improvement in the patient's dementia condition.[Read More] Is Ventriculoperitoneal Shunt Surgery Suitable for Dementia from Brain Atrophy?
Understanding Brain Edema Treatment Options After Tumor Surgery
Treatment of cerebral edema? My husband underwent brain tumor surgery four months ago and is currently experiencing hemiplegia and symptoms of cerebral edema (MRI shows infiltration of brain tissue with fluid accumulation, while the ventricles are normal). The attending physician...
Dr. Zhang Junwei reply Neurosurgery
Cerebral edema and hydrocephalus are different conditions, and their management approaches are completely distinct. Cerebral edema typically improves gradually over time.[Read More] Understanding Brain Edema Treatment Options After Tumor Surgery
Understanding Upper Back Pain: Causes and When to Seek Help
Upper back pain? Hello doctor, today I was sitting on the ground with my legs extended in front of me when my upper back experienced a sudden compression. My body leaned forward in a position similar to a seated forward bend (I have good flexibility). The weight pressing down was...
Dr. Zhang Junwei reply Neurosurgery
It is likely a muscle strain, so there's no need to worry too much. Taking anti-inflammatory pain relievers and resting for a few days should lead to improvement![Read More] Understanding Upper Back Pain: Causes and When to Seek Help
Understanding Cervical Disc Issues: Symptoms and When to Seek Help
Cervical cone issue Recently, I watched an educational video about proper neck posture and intentionally adjusted my neck according to the recommendations. After working in this position for a day, I noticed pain when I looked down at home. Initially, I thought it was just muscle...
Dr. Zhang Junwei reply Neurosurgery
This symptom does not resemble nerve compression due to a herniated disc. Typically, if X-rays show no issues, it is recommended to wear a soft cervical collar, take anti-inflammatory and pain relief medications, and rest for one to two weeks. If there is no improvement, a consul...[Read More] Understanding Cervical Disc Issues: Symptoms and When to Seek Help
Understanding Trigeminal Neuralgia: Symptoms and Diagnosis
Trigeminal neuralgia? Hello, doctor. Recently, I've been experiencing a dull pain in my right teeth, but occasionally when I swallow something, I feel a sudden sharp pain on the right side of my mouth. After trying to swallow a few more times, the pain goes away. I've a...
Dr. Zhang Junwei reply Neurosurgery
It is advisable to consult a dentist first to rule out any dental issues before suspecting trigeminal neuralgia.[Read More] Understanding Trigeminal Neuralgia: Symptoms and Diagnosis
Understanding Skull Depression and Brain Hemorrhage After a Car Accident
Skull depression, cerebral hemorrhage? Hello, doctor. Here’s what happened: During the car accident, I was wearing a helmet, which showed no signs of impact or scratches, and I had no other bruises on my body. I remained conscious throughout. After arriving at the hospital, the d...
Dr. Zhang Junwei reply Neurosurgery
A skull depression caused by impact and intracranial hemorrhage indicates that the force of the impact was significant. As for the recovery time, it cannot be determined without detailed medical history and information, and thus cannot be answered online.[Read More] Understanding Skull Depression and Brain Hemorrhage After a Car Accident
Understanding Lumbar and Coccyx Issues: Symptoms and Diagnosis Explained
Hello, doctor. I would like to inquire about issues related to the lumbar spine and the coccyx? Hello, doctor. Here's the situation. For about a year now, I have been experiencing a sensation of a foreign body in my anus, and after urinating, there are a few drops of urine l...
Dr. Zhang Junwei reply Neurosurgery
If there is nerve compression, it cannot be clearly seen with just an X-ray; generally, an MRI is also needed. It is recommended to schedule an appointment with a neurosurgery clinic for a professional evaluation.[Read More] Understanding Lumbar and Coccyx Issues: Symptoms and Diagnosis Explained
Understanding Persistent Dizziness: Causes, Tests, and When to Get an MRI
Dizziness for more than two months? Hello Doctor, I have been experiencing dizziness and shoulder and neck pain for the past two and a half months. The symptoms include a constant feeling of dizziness throughout the day, without a sensation of spinning, nausea, unsteadiness while...
Dr. Zhang Junwei reply Neurosurgery
Your issue is complex, and it is difficult to provide a complete answer without a thorough physical examination and tests. I recommend consulting a neurology or neurosurgery outpatient clinic.[Read More] Understanding Persistent Dizziness: Causes, Tests, and When to Get an MRI
Traveling After Cerebrovascular Surgery: Can I Fly to Japan?
Moyamoya disease Hello Doctor: I underwent intracranial and extracranial vascular anastomosis surgery in January and April this year due to a hair-like cerebrovascular disease. My recovery has been good, and I have been attending regular follow-up appointments. After my appointme...
Dr. Zhang Junwei reply Neurosurgery
You should ask the surgeon who performed the operation about this issue![Read More] Traveling After Cerebrovascular Surgery: Can I Fly to Japan?
Child's Head Injury: Understanding Symptoms and When to Seek Help
Bleeding from the back of the head after hitting a stone step? Hello, doctor~~~ My child, who is over 6 years old, fell backward while sitting on the stone steps in Miaoli on October 21 and hit the back of his head, causing bleeding. We performed emergency first aid and called an...
Dr. Zhang Junwei reply Neurosurgery
The sequelae of head trauma include headaches and dizziness. Children may exhibit decreased energy levels. It is important to closely monitor the child's level of consciousness; if they are lethargic and cannot be awakened, seek medical attention immediately.[Read More] Child's Head Injury: Understanding Symptoms and When to Seek Help
Understanding Nerve Issues: Exploring Causes of Leg and Hip Numbness
Numbness in the lower back, hips, and legs, unclear where the issue lies? On August 24, I had a pelvic adjustment, and for the week following, I did not experience any particular sensations and did not engage in any special activities. On September 1, I noticed swelling on the ou...
Dr. Zhang Junwei reply Neurosurgery
It is not possible to diagnose the disease online; it is recommended to consult a neurosurgery outpatient clinic for examination.[Read More] Understanding Nerve Issues: Exploring Causes of Leg and Hip Numbness
Understanding Coma After Car Accident: Recovery and Potential Outcomes
Coma due to a car accident? In the case of a car accident where the ambulance arrived and there was no heartbeat or pulse, CPR was performed in the ambulance, successfully restoring the heartbeat. However, upon arrival at the hospital, the doctor indicated there was a brain hemor...
Dr. Zhang Junwei reply Neurosurgery
The information is unclear and cannot be answered. Since there is bleeding, once a CT scan of the brain is performed, it will definitely identify the location of the bleeding. There will always be a Glasgow Coma Scale score, with a minimum of 3 and a maximum of 15. It cannot be a...[Read More] Understanding Coma After Car Accident: Recovery and Potential Outcomes