Should You Seek Medical Attention for a Head Injury with a Swelling?
Pain and swelling after a head injury? Today, I accidentally stepped off the edge while going down from the third floor to the second floor and fell to the second floor. I have bruises and pain from abrasions on my body, and I hit my head against the wall, resulting in a swelling...
Dr. Zhang Junwei reply Neurosurgery
If there is no headache or dizziness, you may continue to monitor.[Read More] Should You Seek Medical Attention for a Head Injury with a Swelling?
Severe Headaches and Nausea: Understanding Migraine Symptoms and Treatment
Severe headache accompanied by vomiting? Hello, Dr. Chang. About five years ago, I was slapped by my mother for making a mistake, and that night I went to the emergency room with severe headaches and nausea. It was the first time I experienced such intense pain. The doctor prescr...
Dr. Zhang Junwei reply Neurosurgery
Please visit the neurology outpatient clinic for an examination.[Read More] Severe Headaches and Nausea: Understanding Migraine Symptoms and Treatment
Best Follow-Up Imaging for Suspected Intracranial Aneurysm: MRI vs. CT
Examination of Intracranial Aneurysms Hello Doctor: The brain MRI (without contrast) from my health check-up shows a suspected 3mm internal carotid artery aneurysm. After one year, which follow-up examination is the better option, MRI or CT scan? Should the examination include co...
Dr. Zhang Junwei reply Neurosurgery
MRI with contrast agent[Read More] Best Follow-Up Imaging for Suspected Intracranial Aneurysm: MRI vs. CT
Deciding on Acoustic Neuroma Surgery: Expert Opinions and Patient Dilemma
Deciding on surgery for a vestibular schwannoma is challenging? I have consulted four hospitals and four neurosurgeons regarding my condition. I currently have poorly controlled diabetes and an acoustic neuroma approximately 2 cm in size, which only slightly touches the brainstem...
Dr. Zhang Junwei reply Neurosurgery
A 2 cm neuroma can actually be treated with a gamma knife![Read More] Deciding on Acoustic Neuroma Surgery: Expert Opinions and Patient Dilemma
Do Seizures After a Car Accident Always Follow the Incident?
Seizures occurred at the time of the car accident? Will there definitely be epilepsy after a car accident if seizures occur at the time of the accident?
Dr. Zhang Junwei reply Neurosurgery
Not necessarily.[Read More] Do Seizures After a Car Accident Always Follow the Incident?
Do Head Impacts Cause Brain Cell Death and Memory Loss?
After a concussion, do brain cells die? Hello, doctor. Here's the situation: one night, when I sat up in bed, I bumped into the wooden support beam between the upper and lower bunk. The force and speed with which I sat up were normal, so it wasn't too light or too heavy...
Dr. Zhang Junwei reply Neurosurgery
No, you're overthinking it![Read More] Do Head Impacts Cause Brain Cell Death and Memory Loss?
Post-Car Accident Headaches: When to Seek Medical Attention?
Headache one month after a car accident? About mid-December last year, I was involved in a motorcycle accident. I didn't get thrown off; I just fell down with the motorcycle while wearing a helmet. I was a passenger and managed to get up after the fall. I didn't go to t...
Dr. Zhang Junwei reply Neurosurgery
If the headache persists, it is recommended to consult a neurosurgery outpatient clinic for evaluation.[Read More] Post-Car Accident Headaches: When to Seek Medical Attention?
Understanding Occasional Pain in the Left Back of the Head: Causes and When to See a Doctor
Intermittent sharp pain in the left posterior part of the head? I recently traveled to South Korea and experienced a frostbite sensation in my left nostril (the right nostril was unaffected). After returning, I felt a burning and nerve pain in my left nostril, which extended to t...
Dr. Zhang Junwei reply Neurosurgery
If the pain persists, it is recommended to consult a neurosurgery outpatient clinic for evaluation.[Read More] Understanding Occasional Pain in the Left Back of the Head: Causes and When to See a Doctor
Should Seniors on Anticoagulants See a Doctor After a Head Injury?
Elderly individuals who are on long-term anticoagulant therapy may experience a fall and sustain a head injury? Grandfather has undergone heart valve surgery and has been on anticoagulants for 20 years. He fell while working in the mountains and hit the back of his head, resultin...
Dr. Zhang Junwei reply Neurosurgery
Please schedule an appointment with the neurosurgery department![Read More] Should Seniors on Anticoagulants See a Doctor After a Head Injury?
Post-Car Accident Dizziness: Understanding Recurring Symptoms
Dizziness recurrence after a car accident? I was in a car accident over a month ago. When I was taken to the hospital, I had a scan done, and it appeared that my head was not injured. However, I still felt dizzy, so I went to see a doctor. I took medication for a while and then r...
Dr. Zhang Junwei reply Neurosurgery
Related.[Read More] Post-Car Accident Dizziness: Understanding Recurring Symptoms
Managing Hyperhidrosis: Tips for Teens Dealing with Excessive Sweating
Hyperhidrosis issues? I have been experiencing sweaty hands and feet since the third or fourth grade, and it has continued into high school. Regardless of the weather, I sweat excessively, and it has become increasingly severe over the past few months. My hands sweat so much that...
Dr. Zhang Junwei reply Neurosurgery
This issue is not within my specialty; I recommend consulting a thoracic surgeon.[Read More] Managing Hyperhidrosis: Tips for Teens Dealing with Excessive Sweating
Understanding Post-Surgery Coma Scores and ICP Monitoring in Neurosurgery
Intracranial pressure monitor Dear Doctor: After a brain tumor surgery, is it true that the Glasgow Coma Scale (GCS) score is always 3 immediately post-operation? Additionally, is it mandatory to place an intracranial pressure (ICP) monitor after the surgery?
Dr. Zhang Junwei reply Neurosurgery
Regardless of the type of surgery, immediately after general anesthesia, the level of consciousness is typically at 3. It is not always necessary to place an intracranial pressure monitor.[Read More] Understanding Post-Surgery Coma Scores and ICP Monitoring in Neurosurgery
Understanding Temple Pain: When to Seek Medical Attention
Temporalis pain A few days ago, I accidentally hit my temple against a hard hat. After that, I experienced a headache and nausea. Although it improved after a few hours, I've been feeling pain in my temple for the past few days. Should I see a doctor, or will it heal on its ...
Dr. Zhang Junwei reply Neurosurgery
If it hasn't improved by today, you should schedule an appointment with the neurosurgery outpatient clinic![Read More] Understanding Temple Pain: When to Seek Medical Attention
Understanding Subtle Head Bumps: When to Seek Medical Advice
Recently, I have been feeling my head? Hello doctor, recently I noticed a subtle bump on the top of my head that is not very prominent and can only be felt with careful touch. Is this normal? I asked my father, and he mentioned that he has had it since childhood. It doesn't ...
Dr. Zhang Junwei reply Neurosurgery
If there have been no changes for several years, theoretically, continued observation is sufficient.[Read More] Understanding Subtle Head Bumps: When to Seek Medical Advice
Head Injury from 60cm Fall: When to Seek Medical Attention?
Struck on the top of the head by a heavy object from a height of 60 centimeters? Hello, Dr. Chang. I experienced dizziness at the moment of impact and felt a pulling sensation in my neck. Afterward, when I look up, I feel pressure and pain. When I look down, I also feel a pulling...
Dr. Zhang Junwei reply Neurosurgery
No immediate action is needed; however, if symptoms persist for more than two to three days, it is advisable to seek medical attention.[Read More] Head Injury from 60cm Fall: When to Seek Medical Attention?
Ulnar Nerve Compression: Is Rehabilitation Effective or Worsening Symptoms?
Is rehabilitation effective for ulnar nerve compression? I have ulnar nerve compression in my right hand, specifically affecting the little finger in three segments, with persistent tingling in the fingertip. The area in the middle of my right palm, near the Guyon's canal, t...
Dr. Zhang Junwei reply Neurosurgery
It's hard to determine; let's observe for a while longer.[Read More] Ulnar Nerve Compression: Is Rehabilitation Effective or Worsening Symptoms?
Head Injury from Basketball: When to Seek Emergency Care
Hit on the top of the head by a basketball? Around 11 AM, I was hit on the head with a basketball, which caused me to experience headaches, dizziness, and overall weakness. After a while, I started feeling a bit nauseous. In the afternoon, my mom took me to a general clinic, wher...
Dr. Zhang Junwei reply Neurosurgery
You should rest and continue to monitor your condition. If discomfort persists, please visit the neurosurgery outpatient clinic for further evaluation.[Read More] Head Injury from Basketball: When to Seek Emergency Care
Understanding Post-Concussion Symptoms: Tinnitus and Dizziness Explained
Post-concussion syndrome In mid-November, I was hit by a motorcycle that ran a red light while crossing the street. I lost consciousness at the time, but I'm not sure how long it lasted. My brain may have suffered a concussion due to the impact with the ground. I underwent a...
Dr. Zhang Junwei reply Neurosurgery
It is possible, but it could also be caused by inner ear imbalance.[Read More] Understanding Post-Concussion Symptoms: Tinnitus and Dizziness Explained
Understanding Post-Edema Symptoms: Is Memory Loss Normal After Brain Injury?
What is the normal range for sequelae after cerebral edema? Hello, doctor. I had a car accident two years ago where my left frontal lobe hit the ground. The emergency physician diagnosed me with cerebral edema. I did not undergo surgery and was discharged after four days in the h...
Dr. Zhang Junwei reply Neurosurgery
The sequelae of head trauma can be quite troublesome. If brain imaging studies, such as MRI, do not reveal any abnormalities, then the only option is to monitor the condition.[Read More] Understanding Post-Edema Symptoms: Is Memory Loss Normal After Brain Injury?
Do I Need to See a Neurosurgeon After a Head Injury?
I would like to ask if I need to see a neurosurgeon? Hello Dr. Chang, Two days ago (11/28), I hit my head against the upper edge of a car door. At the time, I did not lose consciousness and was fully aware, although I felt pain and vaguely heard a sound that I perceived as a rat...
Dr. Zhang Junwei reply Neurosurgery
Yes, if you are truly feeling unwell, please consult a neurosurgeon.[Read More] Do I Need to See a Neurosurgeon After a Head Injury?