Head Injury Concerns: When to Seek Medical Attention for Symptoms
Head issues? Three weeks ago, I hit my head on the top when I lay down with force. A few days later, I experienced dizziness and visited an ENT specialist, which helped improve my condition. Recently, I have been experiencing hand tremors and tinnitus, along with a dull, tight he...
Dr. Zhang Junwei reply Neurosurgery
Continuous observation is necessary, as the symptoms of chronic subdural hematoma can vary. If there is no improvement with medication and rest, it is recommended to consult a neurosurgery outpatient clinic for further evaluation.[Read More] Head Injury Concerns: When to Seek Medical Attention for Symptoms
Understanding Sleep Tremors and Noise: Possible Neurological Issues
Cerebral palsy and noise? Recently, I have been experiencing sudden tremors when trying to fall asleep. During my sleep, I sometimes feel a sudden numbness and shaking in my head accompanied by a high-pitched noise. However, most of my sleep is unaffected by this symptom; it has ...
Dr. Zhang Junwei reply Neurosurgery
It is recommended to conduct a detailed medical history and examination in the neurology outpatient clinic.[Read More] Understanding Sleep Tremors and Noise: Possible Neurological Issues
Understanding Painful Bumps at the Back of the Head: When to Seek Help
Occipital bone lump There are multiple small hard lumps located on the right side of the back of your head, approximately 5 centimeters from your ear, which sometimes cause pain when pressed, while at other times there is no sensation. Recently, you have been experiencing a dull ...
Dr. Zhang Junwei reply Neurosurgery
Please schedule an appointment with the neurosurgery outpatient clinic for a physician examination.[Read More] Understanding Painful Bumps at the Back of the Head: When to Seek Help
Post-Surgery Care for Brain Tumor Patients: Managing Complications and Medications
Post-operative care for brain tumor surgery? My father had surgery last May, and since then he has been experiencing severe diabetes insipidus (drinking nearly 10,000 cc of water daily). However, he also has heart failure, with blood pressure typically ranging from 180 to 200 mmH...
Dr. Zhang Junwei reply Neurosurgery
If you have so many issues, I recommend visiting a hospital's integrative medicine department or a family medicine clinic. They will address your conditions comprehensively, rather than treating each symptom in isolation.[Read More] Post-Surgery Care for Brain Tumor Patients: Managing Complications and Medications
Understanding Brain Injections: Benefits, Risks, and Recovery After Surgery
Cerebrospinal fluid (CSF) shunt, hydrocephalus, brain tumor? Hello Doctor, my father underwent surgery last August due to a ruptured cerebral aneurysm. After the surgery, he developed hydrocephalus and underwent another procedure to have a drainage catheter installed. However, hi...
Dr. Zhang Junwei reply Neurosurgery
Yes, there is no such thing as a "brain-stabilizing injection" in medicine. For headaches, pain relievers are administered, and for dizziness, antiemetics are given. The term "brain-stabilizing injection" was created to reassure the public.[Read More] Understanding Brain Injections: Benefits, Risks, and Recovery After Surgery
Understanding Unusual Spine Sensations: When to Seek Medical Advice
The lumbar spine feels unusual? Hello Dr. Chang, I apologize for the lengthy message. This morning, after using the restroom, I suddenly felt something unusual in my lumbar spine (it wasn't painful). After struggling to finish, I noticed that walking felt strange (again, no...
Dr. Zhang Junwei reply Neurosurgery
I recommend that you schedule an appointment with a neurosurgery clinic for an examination; it will be safer and give you peace of mind.[Read More] Understanding Unusual Spine Sensations: When to Seek Medical Advice
Post-Surgery Symptoms: Understanding Coordination Issues and Weakness
What symptoms should be monitored after posterior brain surgery? I would like to ask if it is normal to experience a lack of coordination and weakness in the limbs after returning home to rest, or if recovery will gradually occur with rest.
Dr. Zhang Junwei reply Neurosurgery
If you experience uncoordinated movements in your hands and feet along with a feeling of weakness, it is important to consider whether you had these symptoms prior to surgery. If you did, then rest and allow time for recovery. If these symptoms were not present before, you should...[Read More] Post-Surgery Symptoms: Understanding Coordination Issues and Weakness
Understanding Vascular Malformations: When to Seek Medical Help
Hairy cell vascular lesions Hello, I am a rare disease patient. I underwent two cerebral vascular reconstruction surgeries 13.4 years ago. There are still issues in the lower right part of my brain, but my doctor does not recommend further surgery. I also have a chronic asthma co...
Dr. Zhang Junwei reply Neurosurgery
It is recommended to first consult a pulmonologist to properly treat asthma.[Read More] Understanding Vascular Malformations: When to Seek Medical Help
Understanding Temporary Vision Loss After Concussion in Children
A concussion can cause temporary vision impairment in one eye? Hello, a 4-year-old child has sustained a concussion due to a head injury. A CT scan of the brain showed no bleeding, and an ophthalmologist confirmed that there are no issues with the optic nerve or retina. However, ...
Dr. Zhang Junwei reply Neurosurgery
If there is no improvement, it is recommended to consult a neurosurgeon, as there may be an injury to the optic nerve, and an MRI may be necessary.[Read More] Understanding Temporary Vision Loss After Concussion in Children
Understanding Post-Concussion Symptoms: When to Seek Medical Attention
Post-concussion syndrome? Hello, doctor. On January 2, 2019, I was involved in a motorcycle accident where I collided with another vehicle, causing me to be thrown off and hit my head. I don't remember whether my knee, buttocks, or head was the first point of impact. I did n...
Dr. Zhang Junwei reply Neurosurgery
It is important to monitor whether the current symptoms worsen or persist without improvement. Generally, such symptoms tend to improve with adequate rest. If there is no improvement, a consultation with a neurosurgery outpatient clinic should be scheduled for further evaluation ...[Read More] Understanding Post-Concussion Symptoms: When to Seek Medical Attention
How Long Should a Young Adult Rest After a Mild Concussion?
A Grade 1 concussion typically requires a recovery period of about 7 to 10 days? Hello, Dr. Chang. May I ask: For a young person in their twenties or thirties who has sustained a Grade I concussion from a car accident, how long do general physicians typically recommend for rest?
Dr. Zhang Junwei reply Neurosurgery
There are no specific grades for concussions; it is generally recommended to rest for one week.[Read More] How Long Should a Young Adult Rest After a Mild Concussion?
Post-Surgery Complications of Acoustic Neuroma and AV Malformation Removal
Neurofibroma with arteriovenous malformation? My husband underwent a craniotomy for a left-sided vestibular schwannoma on January 15. During the surgery, the surgeon discovered an arteriovenous malformation beneath the dura mater, which was also removed. The surgery lasted approx...
Dr. Zhang Junwei reply Neurosurgery
Because I am unclear about the situation during the surgery, various circumstances can occur during a craniotomy. The fact that eight bags of blood were transfused indicates a significant amount of blood loss, which may have led to ischemia and hypoxia in some brain tissue, poten...[Read More] Post-Surgery Complications of Acoustic Neuroma and AV Malformation Removal
Understanding Skull Indentations: When to Seek Medical Attention for Head Injuries
Depressed skull or cranial depression? Yesterday, my son's classmates were playing tag and ran through damaged playground equipment. A hanging metal rod rebounded and struck my ten-year-old son's head. Although there are no visible external injuries or swelling, there s...
Dr. Zhang Junwei reply Neurosurgery
Neurological surgery outpatient visit.[Read More] Understanding Skull Indentations: When to Seek Medical Attention for Head Injuries
Understanding Sudden Thumb Inability: Causes and Care Tips
The thumb suddenly cannot be straightened? Hello Doctor: A few nights ago, I suddenly noticed that I couldn't consciously straighten the joint of my right thumb near the palm, nor could I bring it together with my index finger. However, there was no pain at all! After gettin...
Dr. Zhang Junwei reply Neurosurgery
It is rare; it is recommended to directly visit a neurology outpatient clinic for a physical examination to confirm.[Read More] Understanding Sudden Thumb Inability: Causes and Care Tips
Understanding Extracranial Aneurysms: Risks and Treatment Options
Extracranial aneurysm Hello Dr. Chang: Recently, an elder in my family underwent a vascular imaging examination and was found to have two extracranial aneurysms, each measuring 0.5 cm. Since they are extracranial, is it generally the case that no treatment is required? If an extr...
Dr. Zhang Junwei reply Neurosurgery
Cerebral aneurysms generally do not cause immediate effects on brain tissue when they rupture, so they typically do not require intervention. However, the management may depend on the location and size of the aneurysm, so it is advisable to discuss this with your neurosurgeon or ...[Read More] Understanding Extracranial Aneurysms: Risks and Treatment Options
Sinusitis or Eye Pressure? Navigating Chronic Pain and Diagnosis
Sinusitis or ocular pressure? Hello, Doctor. The patient has been experiencing pressure and dull pain in the upper part of the eyeball and between the eyebrows, along with eye fatigue and a desire to rest. They have undergone MRI of the brain by a neurologist multiple times, but ...
Dr. Zhang Junwei reply Neurosurgery
If you have already consulted with neurology and ENT specialists without finding any issues, it is advisable to consider a consultation with a neurosurgery clinic.[Read More] Sinusitis or Eye Pressure? Navigating Chronic Pain and Diagnosis
Understanding Intracranial Hemorrhage: Treatment and Prognosis After Trauma
Intracranial hemorrhage My husband fell down the stairs on the night of October 13 and suffered a significant impact. There were no obvious external injuries to the head, but he bled profusely from his ears. He was taken to Linkou Chang Gung Memorial Hospital and was already in a...
Dr. Zhang Junwei reply Neurosurgery
Without a complete medical history and assessment, it is not possible to provide an accurate response. I apologize![Read More] Understanding Intracranial Hemorrhage: Treatment and Prognosis After Trauma
Understanding Cervical Spine Surgery and Autonomic Nervous System Disorders
Cervical spine surgery (autonomic nervous system dysfunction) Last year, I fell from an aluminum ladder and injured my cervical spine, which led to back pain, headaches, dizziness, tinnitus, insomnia, blurred vision, palpitations, chest tightness, nausea, vomiting, memory loss, a...
Dr. Zhang Junwei reply Neurosurgery
Without a complete medical history, patient history, and neurological examination, it is difficult to provide an accurate answer. I apologize![Read More] Understanding Cervical Spine Surgery and Autonomic Nervous System Disorders
Understanding Intracranial Hemorrhage: What to Expect After Surgery
Intracranial hemorrhage Doctor, I would like to ask about my mother who had a car accident and suffered from intracranial hemorrhage. After the surgery, her brain did not show any signs of contraction, and her pupils remain dilated. The attending physician mentioned that the pupi...
Dr. Zhang Junwei reply Neurosurgery
Without a complete medical history, patient history, and neurological examination, it is difficult to provide an accurate answer. I apologize![Read More] Understanding Intracranial Hemorrhage: What to Expect After Surgery
Addressing Leg Issues: Seeking Solutions for Neurological Conditions
Leg problems Hello, I would like to ask a question. I experienced a period of oxygen deprivation at birth, which has led to some walking difficulties and a slight leg length discrepancy. I would like to know if there are any treatment options available for this condition. Additio...
Dr. Zhang Junwei reply Neurosurgery
If the neurological damage is caused by brain hypoxia, rehabilitation is currently the only option available.[Read More] Addressing Leg Issues: Seeking Solutions for Neurological Conditions