Dr. Zhang Junwei reply Neurosurgery Question - Page 20

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Persistent Eye Twitching: Causes and When to Seek Help

The area under the eye has been twitching continuously for two weeks? Hello Doctor, I have been experiencing continuous twitching under my eyes for the past two weeks. I consulted a doctor who suggested that I might have a vitamin deficiency and recommended that I take vitamin su...


Dr. Zhang Junwei reply Neurosurgery
It is recommended to undergo an examination at the neurology outpatient clinic!

[Read More] Persistent Eye Twitching: Causes and When to Seek Help


Understanding Ulnar Nerve Issues and Carpal Tunnel Syndrome Treatment

Ulnar nerve issues at the elbow, wrist problems, and peripheral nerve injuries? Due to prolonged computer use (with the arm resting on the desk) and a habit of exercising, there is a sensation of numbness in the ulnar nerve area at the elbow (without pain). However, there is no d...


Dr. Zhang Junwei reply Neurosurgery
Basically, the surgery to cut the transverse carpal ligament is relatively safe and generally does not affect hand function.

[Read More] Understanding Ulnar Nerve Issues and Carpal Tunnel Syndrome Treatment


Understanding Nerve Sensation Changes After Deep Hand Lacerations

Deep muscle tear in the hand, with numbness after recovery? Hello doctor, six years ago I sustained a deep laceration on the outer side of my forearm, approximately 8 centimeters from the elbow joint, which severed part of the muscle but did not damage the nerves. After surgical ...


Dr. Zhang Junwei reply Neurosurgery
If it has been six years, the chances of recovery are very low. It is recommended to consult a neurologist.

[Read More] Understanding Nerve Sensation Changes After Deep Hand Lacerations


Understanding Low-Grade Fever After Stroke Surgery: Causes and Concerns

Causes of low-grade fever after stroke surgery? Hello Dr. Chang, My husband (36 years old) underwent brain surgery in early July due to a hemorrhagic stroke, which left the left side of his body immobile. After the surgery, he has been experiencing low-grade fevers (around 37.0-...


Dr. Zhang Junwei reply Neurosurgery
Generally speaking, after a stroke, low-grade fever is often associated with excessive pulmonary secretions and difficulty in clearing cough. If there is a dysfunction in the temperature regulation center following a cerebral stroke, it typically results in high fever.

[Read More] Understanding Low-Grade Fever After Stroke Surgery: Causes and Concerns


Head Injury Concerns: Potential Risks and Management After Impact

Top of the head impact issues? Hello Director Chang, Today, while I was getting into a government van, I didn't notice the height difference and hit my head hard against the door frame. It was very painful at the moment, and the pain radiated to the back of my head. By the ...


Dr. Zhang Junwei reply Neurosurgery
Based on your description, it seems to be a mild head injury. If discomfort persists, you may want to schedule an appointment with a surgical outpatient clinic for further evaluation.

[Read More] Head Injury Concerns: Potential Risks and Management After Impact


Understanding Dizziness After a Fall: Is It a Concussion?

I feel a bit dizzy? About a week ago, I fell off my bike. At the time, I was fully conscious, had no head injuries, and did not forget anything, only sustaining some superficial wounds. I went to Hengchun Hospital for wound dressing, where I was given pain medication. The next da...


Dr. Zhang Junwei reply Neurosurgery
It is not a concussion, but it is a head injury that can also cause symptoms such as dizziness and other sequelae. Taking medication and getting plenty of rest should help improve the condition.

[Read More] Understanding Dizziness After a Fall: Is It a Concussion?


Optimal Time Interval Between Two Neurosurgery Procedures for Aneurysm Removal

Interval between two surgeries on the same limb? Doctor: Hello, I am a 50-year-old office worker. In December of last year, a health check revealed through MRI that I have a brain aneurysm on both the left and right sides of the cerebral cavity, each measuring 1 cm. In March of t...


Dr. Zhang Junwei reply Neurosurgery
There is no specific regulation on how long one must wait before undergoing another procedure, but it is advisable to rest for at least three months. Alternatively, if craniotomy is not performed, embolization can also be utilized.

[Read More] Optimal Time Interval Between Two Neurosurgery Procedures for Aneurysm Removal


Understanding Right Lower Rib Pain: Causes and When to Seek Help

Pain in the right lower rib area? You are experiencing intermittent sharp pain in the lower right rib area (with one particularly painful episode at night) that has lasted for two weeks. A chest CT scan showed no issues. During the pain, you felt the urge to use the restroom, and...


Dr. Zhang Junwei reply Neurosurgery
Based on your brief description and without a physical examination, it is difficult to determine the issue. I recommend seeing a pulmonology clinic for further evaluation.

[Read More] Understanding Right Lower Rib Pain: Causes and When to Seek Help


Post-Surgery Numbness and Pain: When to Seek Medical Attention?

One and a half months after brain surgery, there is a sudden sensation of numbness in the head? Hello, doctor. I underwent brain aneurysm surgery on June 7, 2018, and my recovery has been quite good; my bodily functions are generally normal. However, the left side of my head wher...


Dr. Zhang Junwei reply Neurosurgery
It is common to experience numbness at the surgical site after a craniotomy. As long as there is no redness, swelling, heat, or discharge of pus, there is no need to be overly concerned.

[Read More] Post-Surgery Numbness and Pain: When to Seek Medical Attention?


Understanding Headaches: Post-Injury Symptoms and Eye Health Concerns

Headache issues? I have had migraine issues since childhood, where fatigue and exposure to wind can trigger headaches. However, I never sought any medical evaluation. At the end of last year, I fell down the stairs without using my hands to brace myself, landing face-first. I was...


Dr. Zhang Junwei reply Neurosurgery
You can first visit the neurosurgery outpatient clinic!

[Read More] Understanding Headaches: Post-Injury Symptoms and Eye Health Concerns


Persistent Head Issues After Injury: When to Seek Medical Attention?

Head issues Hello, doctor. I am currently a senior in college. When I was in the third year of junior high, I was playing in the restroom and kicked water, causing myself to fly up and hit my head on the ground. At that moment, I couldn't hear anything and was dazed for a wh...


Dr. Zhang Junwei reply Neurosurgery
It is impossible for a blood clot from the third year of junior high to remain until now; it can only be said that this is a consequence of head trauma. Alternatively, you may want to consult an otolaryngologist to check if there is an issue with your inner ear causing your dizzi...

[Read More] Persistent Head Issues After Injury: When to Seek Medical Attention?


Understanding Chiropractic Care: Risks and Benefits for Spinal Health

Spinal and cervical adjustment? Hello doctor, I have had scoliosis since I was in the first year of junior high school until the first year of high school. When I was in the third year of junior high, I went to the hospital for rehabilitation, but they didn't mention anythin...


Dr. Zhang Junwei reply Neurosurgery
The quality of chiropractic care varies widely; if it has already caused you discomfort, it's best to stop.

[Read More] Understanding Chiropractic Care: Risks and Benefits for Spinal Health


Understanding Coma Recovery After a Car Accident: Key Insights

Unconscious due to a car accident? Hello Doctor, my younger brother is 21 years old. On June 12, he was in a car accident and arrived at the hospital with a Glasgow Coma Scale (GCS) score of 12. After intubation, the doctors assessed his GCS to be 7. They mentioned that his motor...


Dr. Zhang Junwei reply Neurosurgery
Diffuse hemorrhage and diffuse axonal injury are not the same. One refers to diffuse hemorrhage, while the other refers to diffuse axonal injury.

[Read More] Understanding Coma Recovery After a Car Accident: Key Insights


Managing Persistent Head Hematomas: When to Seek Neurosurgery Help

Head hematoma When I was a child, I hit the back of my left head and lost consciousness for a few seconds before waking up. My head then swelled up! At that time, I didn't see a doctor and just waited for it to heal. Who would have thought that the lump is still there now, w...


Dr. Zhang Junwei reply Neurosurgery
Blood clots do not last that long; it is likely tissue proliferation. Please consult a physician for further evaluation.

[Read More] Managing Persistent Head Hematomas: When to Seek Neurosurgery Help


Loss of Smell After Head Injury: When to Seek Medical Attention

Loss of smell after a head injury? Hello doctor, I fainted and hit the back of my head a week ago. Two days later, I went to the hospital for an X-ray, and the doctor said there was nothing serious and that I should rest. However, I have noticed that I can't smell anything, ...


Dr. Zhang Junwei reply Neurosurgery
It is recommended to seek medical examination now, specifically with a neurosurgeon.

[Read More] Loss of Smell After Head Injury: When to Seek Medical Attention


Understanding Hydrocephalus: Drainage Issues and Patient Experiences

Hydrocephalus - Drainage Issues Hello, Doctor! My mother has been experiencing dizziness and difficulty walking due to intracranial hemorrhage from a head injury. Initially, we thought it was temporary, but it has persisted. Some doctors suspect it might be hydrocephalus, which c...


Dr. Zhang Junwei reply Neurosurgery
After ventricular-peritoneal shunt placement, the ventricles may not necessarily decrease in size; the key point is whether there is an improvement in symptoms.

[Read More] Understanding Hydrocephalus: Drainage Issues and Patient Experiences


Understanding Chronic Subdural Hematoma and Post-Surgery Concerns

Chronic subdural hematoma with scalp depression? Hello Doctor, My mother is 76 years old. In January of this year, she was diagnosed with chronic subdural hematoma and underwent a drainage surgery on her head. It has been almost six months since the surgery, and we have noticed...


Dr. Zhang Junwei reply Neurosurgery
Due to the drainage from the surgery, a small hole will be made in the head, which will naturally leave a slight indentation. If one is particularly concerned about it, a surgical procedure can be performed to correct it.

[Read More] Understanding Chronic Subdural Hematoma and Post-Surgery Concerns


Is Your Headache a Post-Injury Symptom? When to Seek Medical Advice

I was elbowed in the left temple by a friend? Hello doctor, around early May, my friend accidentally bumped their elbow against their temple without noticing. For a few days after the impact, there were no visible injuries, but they felt some pain when laughing or moving the musc...


Dr. Zhang Junwei reply Neurosurgery
It usually recovers on its own after a period of time.

[Read More] Is Your Headache a Post-Injury Symptom? When to Seek Medical Advice


Post-Car Accident Head Pain: Understanding Risks and Recovery Tips

I was in a car accident and hit the back of my head. It's been two weeks, and sometimes I experience severe headaches? Hello, doctor. My nephew was involved in a car accident with a classmate on April 26, where the classmate sustained a blow to the back of the head. The emer...


Dr. Zhang Junwei reply Neurosurgery
Post-traumatic symptoms from head injuries often include headaches and dizziness. It is important to rest, and with time, these symptoms typically resolve on their own.

[Read More] Post-Car Accident Head Pain: Understanding Risks and Recovery Tips


Understanding Post-Concussion Symptoms: Dizziness and Fatigue After Injury

Mild concussion Hello doctor, I was in a car accident at the end of January, which resulted in an injury to the upper left side of my head and a mild concussion. The wound has healed, but I am still confused because I occasionally experience dizziness, especially when I lie down ...


Dr. Zhang Junwei reply Neurosurgery
Post-concussion syndrome can only heal through the body's natural recovery process or by taking pain relievers and anti-nausea medications.

[Read More] Understanding Post-Concussion Symptoms: Dizziness and Fatigue After Injury


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