Can Sexual Activity Trigger Aneurysm Rupture After Surgery?
Cerebral aneurysm Three months ago, I underwent surgery for a cerebral aneurysm, followed by an endovascular embolization procedure. I came across discussions online suggesting that engaging in sexual activity could potentially cause the aneurysm to rupture. Is this true? Also, i...
Dr. Zhang Junwei reply Neurosurgery
The online reference likely pertains to an unaddressed aneurysm. If you have already undergone surgery and had it treated, please discuss it with your surgeon; it should not have any impact![Read More] Can Sexual Activity Trigger Aneurysm Rupture After Surgery?
Impact of Skull Base Fractures on Hearing Loss and Balance Issues
Basilar skull fracture causing auditory nerve damage? I would like to ask about my recent car accident that resulted in a skull base fracture causing left ear leakage, as well as subdural and epidural bleeding. After the ear leakage stopped, I noticed persistent tinnitus on the l...
Dr. Zhang Junwei reply Neurosurgery
For hearing loss, you should consult an otolaryngologist.[Read More] Impact of Skull Base Fractures on Hearing Loss and Balance Issues
Understanding Post-Traumatic Headaches After Intracranial Hemorrhage
#148189 Response - Intracranial Hemorrhage Sequelae #148189 I have previously asked a question and received a doctor's advice: Essentially, there are sequelae, and it's not that one cannot write; it depends on the physician's professional judgment. I would like to ...
Dr. Zhang Junwei reply Neurosurgery
I'm sorry, I'm in the south![Read More] Understanding Post-Traumatic Headaches After Intracranial Hemorrhage
Understanding Chronic Subdural Hematoma After Car Accidents: Care and Recovery
Traumatic brain hemorrhage from a car accident? My grandfather was in a car accident in Pingtung on April 13 of this year. At the time, he didn't seem to have any serious injuries, only some minor abrasions. The local hospital in Pingtung only examined his external injuries ...
Dr. Zhang Junwei reply Neurosurgery
Theoretically, as long as the initial neurological impairment is not severe, almost complete recovery is possible. Whether the patient can live independently or requires assistance from others needs to be assessed in detail; it is difficult to answer this question online.[Read More] Understanding Chronic Subdural Hematoma After Car Accidents: Care and Recovery
Understanding Carpal Tunnel Syndrome: Treatment Options and Insights
Radicular syndrome with hand numbness? My mother has been experiencing numbness in her middle and index fingers after prolonged activities such as reviewing documents, washing dishes, brushing her teeth, and combing her hair over the past two years. A doctor diagnosed her with ce...
Dr. Zhang Junwei reply Neurosurgery
Since the nerve conduction study indicates two underlying issues simultaneously, and there has been no improvement after wrist surgery, cervical spine surgery may need to be considered.[Read More] Understanding Carpal Tunnel Syndrome: Treatment Options and Insights
Understanding Post-Traumatic Head Injuries: Symptoms and Medical Documentation
Post-traumatic intracranial hemorrhage sequelae following a car accident? Hello, doctor. I was in a car accident four months ago, during which I lost consciousness and have no memory of the incident. The diagnosis was: intracranial hemorrhage; cerebral contusion combined with sku...
Dr. Zhang Junwei reply Neurosurgery
Basically, having sequelae does not mean one cannot write; it depends on the physician's professional judgment.[Read More] Understanding Post-Traumatic Head Injuries: Symptoms and Medical Documentation
Understanding Left Neck Pain: Causes, Diagnosis, and Treatment Options
Left neck pain? Four years ago, I experienced numbness in my left fingers and pain in my arm. After an MRI examination, it was found that there was a herniated disc at the levels of C3-C4, C4-C5, C5-C6, and C6-C7, with the C5-C6 level being more severe. I did not undergo surgery ...
Dr. Zhang Junwei reply Neurosurgery
X-rays cannot visualize intervertebral discs, let alone nerves. If there is a suspicion of worsening disc herniation with nerve compression, it is best to perform an MRI again.[Read More] Understanding Left Neck Pain: Causes, Diagnosis, and Treatment Options
Essential Considerations for Ventriculoperitoneal Shunt and Anti-Siphon Devices
I would like to inquire about the special considerations regarding the implantation of adjustable ventriculoperitoneal shunts and anti-siphon devices? Hello! I am a social worker serving individuals with disabilities. Recently, one of my clients has an implanted ventriculoperiton...
Dr. Zhang Junwei reply Neurosurgery
Strong magnetic materials include powerful magnets (not regular magnets) and devices that generate strong magnetic fields, such as medical MRI machines, but do not include mobile phones or computers. However, areas with strong magnetic fields are usually marked, as otherwise, ite...[Read More] Essential Considerations for Ventriculoperitoneal Shunt and Anti-Siphon Devices
Understanding Foot Pain: Causes and Solutions for Neurological Issues
Foot problems Pain on the outer side of the dorsum and sole of the foot (approximately below the ankle) has been noted. Recent health check-ups indicate that I am slightly overweight and have a history of gout, but I have been managing my diet and have not had an attack for a yea...
Dr. Zhang Junwei reply Neurosurgery
This is likely not a neurological issue; let's consult an orthopedic clinic![Read More] Understanding Foot Pain: Causes and Solutions for Neurological Issues
Post-Craniectomy Care: Essential Tips for Recovery at Home
Craniectomy Due to a ruptured aneurysm, my mother had her skull removed for decompression. She is currently being cared for at home, but the skull has not been replaced. I would like to know what precautions should be taken. Aside from avoiding pressure and impact, can she functi...
Dr. Zhang Junwei reply Neurosurgery
Yes, that's correct. In the neurosurgery outpatient clinic, it's important to return the skull as soon as possible.[Read More] Post-Craniectomy Care: Essential Tips for Recovery at Home
Understanding Neurological Issues: Exploring Oral Symptoms and MRI Findings
Brain issues Hello Doctor, I have been experiencing some discomfort in my oral cavity for over five months. I have consulted with specialists in oral and maxillofacial surgery, dentistry, otolaryngology, neurology, and rheumatology, but so far, none have been able to provide a co...
Dr. Zhang Junwei reply Neurosurgery
To be honest, what you said is too complicated, and it's difficult to answer these questions online. I recommend discussing this with a neurosurgery outpatient clinic and a physician.[Read More] Understanding Neurological Issues: Exploring Oral Symptoms and MRI Findings
Understanding Persistent Finger Pain: When to Consult a Neurosurgeon
Finger issues Hello Doctor: My right hand's little finger at the first phalanx (distal phalanx) on the inner side has been experiencing severe pain for over 5-6 years whenever I accidentally press on it. The pain feels like being struck by a hammer, which often causes me to ...
Dr. Zhang Junwei reply Neurosurgery
It sounds like nerve or tendon inflammation; I recommend a consultation at the neurosurgery outpatient clinic.[Read More] Understanding Persistent Finger Pain: When to Consult a Neurosurgeon
Understanding Postural Numbness: Is It Just Cervical Compression?
Posterior right hemisphere edema? Hello, Dr. Chang. This has happened twice, both times while sleeping in a slouched position on a wooden chair, with the back of my head resting directly against the top of the chair back. Upon waking, I experienced a feeling of swelling and numbn...
Dr. Zhang Junwei reply Neurosurgery
It sounds like it may be caused by cervical nerve compression; however, it is still recommended to consult a neurosurgery outpatient clinic for an accurate diagnosis.[Read More] Understanding Postural Numbness: Is It Just Cervical Compression?
Understanding Nerve Compression: Diagnosing Back Pain and Muscle Strain
Nerve compression Due to unexplained itching in the right foot and easy fatigue and swelling in the right calf and right buttock, along with pain radiating to the left side of the thigh and groin, I consulted a neurosurgeon. An X-ray revealed that the L4 and L5 intervertebral dis...
Dr. Zhang Junwei reply Neurosurgery
In theory, a muscle strain should not affect nerve conduction studies. If the cause remains unclear, it is recommended to undergo magnetic resonance imaging (MRI) for further evaluation.[Read More] Understanding Nerve Compression: Diagnosing Back Pain and Muscle Strain
Understanding Spasticity and Pain Management After Neurosurgery
Stiff Person Syndrome Dear Dr. Chang Jun-Wei, I am a patient who has consulted at multiple hospitals and undergone a series of tests including blood biochemistry, 24-hour urine analysis, and peripheral nerve examinations, which included sensory and motor evoked potentials, senso...
Dr. Zhang Junwei reply Neurosurgery
Your question is too complex to be answered online based solely on the information you provided.[Read More] Understanding Spasticity and Pain Management After Neurosurgery
Experiencing Pain Four Years After Head Injury: Should You See a Doctor?
About four years ago, I had a head injury, and now I experience sharp pain? Hello, doctor. About four years ago, I had a motorcycle accident and hit my head. At that time, the doctor evaluated a CT scan and determined there were no issues. However, in recent days, I have been exp...
Dr. Zhang Junwei reply Neurosurgery
The issues from four years ago should theoretically not cause headaches now; however, if there is persistent headache, it is still advisable to seek medical evaluation.[Read More] Experiencing Pain Four Years After Head Injury: Should You See a Doctor?
Understanding Pituitary Tumors and Post-Surgery Recovery Challenges
Regarding my father's pituitary tumor and related issues? Hello doctor, my father suddenly experienced severe headaches, high fever, and vomiting at the end of last month, which led to an emergency visit. It was discovered that he has a pituitary tumor. After a lumbar punctu...
Dr. Zhang Junwei reply Neurosurgery
Although I would like to help you, your question is too complex, and without medical history and results from imaging studies such as CT scans, it is really difficult to provide an answer. I recommend scheduling an appointment with your father's attending physician to discus...[Read More] Understanding Pituitary Tumors and Post-Surgery Recovery Challenges
Understanding Head Injuries: Symptoms and Concerns After a Fall
Head issues About three weeks ago, while playing with my puppy, I hurriedly dove into a blanket and hit the top of my head hard. At that moment, it hurt a lot (I was immediately worried about a possible intracranial hemorrhage). Now, I am experiencing some dizziness, hand tremors...
Dr. Zhang Junwei reply Neurosurgery
Chronic subdural hematoma is very rare in young individuals; I have personally never seen a case in someone under 15 years old, so there is no need to worry too much. However, if you are truly uncomfortable, please schedule an appointment with a neurosurgery clinic for an evaluat...[Read More] Understanding Head Injuries: Symptoms and Concerns After a Fall
Understanding Tarlov Cysts: Symptoms, Risks, and Treatment Options
2 cm Tarlov cyst Hello, I fell while skiing in Korea on February 26, landing on my buttocks. An X-ray taken in Korea indicated a coccygeal fracture. After returning home, I visited an orthopedic specialist and underwent an MRI. The MRI report stated: "Bone marrow edema-like ...
Dr. Zhang Junwei reply Neurosurgery
Doctors base their recommendations on past experiences. Tarlov cysts may grow larger, but the rate is usually slow, and they may not grow at all. My suggestion is to have regular follow-ups. If the cyst does increase in size or if neurological symptoms worsen, then further interv...[Read More] Understanding Tarlov Cysts: Symptoms, Risks, and Treatment Options
Post-Traumatic Head Injury: When to Seek Further Medical Evaluation
Post-head trauma Doctor: Hello. My father, who is 80 years old, suffered a head injury from a car accident two months ago. He has been regularly visiting Mackay Memorial Hospital for follow-up. Initially, there was a slight amount of intracranial hemorrhage, and the doctor said i...
Dr. Zhang Junwei reply Neurosurgery
1. If there are no issues after two months, then there is likely nothing to worry about, and theoretically, a CT scan is not necessary. 2. It could possibly be a normal anatomical structure.[Read More] Post-Traumatic Head Injury: When to Seek Further Medical Evaluation