Dr. Zhang Junwei reply Neurosurgery Question - Page 27

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Understanding Brain Tumor Recurrence: Causes and Treatment Options

Brain tumor recurrence I would like to ask the doctor about the conditions under which brain tumors are likely to recur. My friend suddenly fainted in November 2014, and bystanders said it was a seizure; this was the first episode, and he had no prior symptoms. After examination,...


Dr. Zhang Junwei reply Neurosurgery
To determine the type of brain tumor, whether it is benign or malignant, and the cellular characteristics, is essential for understanding the likelihood of recurrence. Targeted therapies or chemotherapy should not pose issues for the skull.

[Read More] Understanding Brain Tumor Recurrence: Causes and Treatment Options


Understanding Fainting and Head Injury Risks in Anemia Patients

Anemia caused fainting and resulted in a head injury? Hello Doctor, I have microcytic anemia, and when I experience anemia, I tend to see everything in white. This was my first time fainting. When I was about to collapse, a passerby helped me, and I lost consciousness. When I cam...


Dr. Zhang Junwei reply Neurosurgery
It seems there shouldn't be any issues, but if you still experience any discomfort, please schedule an appointment with the neurosurgery clinic.

[Read More] Understanding Fainting and Head Injury Risks in Anemia Patients


Understanding Neurological Disorders: A Case Study of Sensory Loss in a Young Girl

Loss of sensation in the body? A 12-year-old girl experienced an unexplained fall down the stairs at the beginning of January this year, initially reporting only back pain. Two hours later, she began to feel numbness in her toes. After being taken to the emergency room, she was d...


Dr. Zhang Junwei reply Neurosurgery
This case is complex, and Taipei Veterans General Hospital and Chang Gung Memorial Hospital are already the best hospitals in the country. I'm not sure how to proceed with the treatment, I apologize!

[Read More] Understanding Neurological Disorders: A Case Study of Sensory Loss in a Young Girl


Exploring Hyperthermia Treatment for Recurrent GBM in Elderly Patients

Recurrent brain tumor, hyperthermia treatment? Hello Doctor, my father is 73 years old. In January, he was diagnosed with a brain tumor due to coordination issues. After surgery, it was confirmed to be a Grade IV Glioblastoma Multiforme (GBM). Following the surgery, he underwent ...


Dr. Zhang Junwei reply Neurosurgery
It is currently unclear how heat therapy affects the human body.

[Read More] Exploring Hyperthermia Treatment for Recurrent GBM in Elderly Patients


Risks of Infection with Artificial Skull Implants After Surgery

Risk of Infection After Cranioplasty Hello Doctor: My father suffered a fall that resulted in intracranial hemorrhage and underwent a craniotomy. His original skull was replaced, but due to an infection, he had to undergo a second debridement surgery, so his autologous skull bone...


Dr. Zhang Junwei reply Neurosurgery
The risk of infection with a prosthetic skull is relatively low. After the procedure, the patient may not regain consciousness immediately, but there shouldn't be a significant difference in outcomes.

[Read More] Risks of Infection with Artificial Skull Implants After Surgery


Post-Crash Dizziness: When to Seek Medical Attention After a Fall

Dizziness after a car accident? Hello, after 10 PM on October 12, my friend was riding a scooter with me. To avoid a taxi in front of us, he made a left turn, turning about 270 degrees. It was drizzling, and the road was slippery, causing us to fall off. When I got up, I felt ver...


Dr. Zhang Junwei reply Neurosurgery
Just go to the hospital!

[Read More] Post-Crash Dizziness: When to Seek Medical Attention After a Fall


Memory Loss After Head Injury: Which Specialist to Consult?

Head issues Hello, doctor. Three years ago, I slipped and hit the back of my head against a metal pole (with significant force). After that, I didn't notice any unusual symptoms, but over time, I've felt that my memory has been deteriorating. I forget things from one mo...


Dr. Zhang Junwei reply Neurosurgery
Neurology

[Read More] Memory Loss After Head Injury: Which Specialist to Consult?


Understanding Crushed Skull Fractures and Subdural Hematomas: Risks and Recovery

Comminuted skull fracture and epidural hematoma? Hello doctor, my girlfriend was in a car accident and went to the hospital because she was experiencing persistent headaches and nausea. She underwent a CT scan and was initially diagnosed with a concussion. Although she was alert,...


Dr. Zhang Junwei reply Neurosurgery
Without a computed tomography (CT) scan image, I cannot provide you with an accurate answer!

[Read More] Understanding Crushed Skull Fractures and Subdural Hematomas: Risks and Recovery


Post-Car Accident Dizziness and Nausea: When to Seek Medical Help

Dizziness and vomiting after a car accident? About a week ago, I was hit by a driver who ran a red light while I was walking on the crosswalk with the green light. At the time, my head was swollen, but since it was a Saturday and there weren't any good hospitals in the area,...


Dr. Zhang Junwei reply Neurosurgery
Abnormal, please consult a neurosurgeon or an otolaryngologist (suspected inner ear issues causing dizziness).

[Read More] Post-Car Accident Dizziness and Nausea: When to Seek Medical Help


Understanding Bumps on the Back of the Head: Causes and Concerns

Occipital bone lump Yesterday, during class, I suddenly felt some pain in the left back of my head. When I touched it, I noticed it was slightly swollen (about 6 to 7 centimeters from my left ear). What could this be?


Dr. Zhang Junwei reply Neurosurgery
Please schedule an appointment for a neurosurgery outpatient examination!

[Read More] Understanding Bumps on the Back of the Head: Causes and Concerns


Can't Lift My Neck: Understanding Neurological Issues After a Fall

Inability to lift the neck? A few days ago, I slipped on a wet floor and now I can't lift my head when lying flat.


Dr. Zhang Junwei reply Neurosurgery
Please schedule an appointment for the neurosurgery outpatient clinic!

[Read More] Can't Lift My Neck: Understanding Neurological Issues After a Fall


Understanding Post-Surgery Complications of Brain Hemorrhage in Seniors

Cerebral hemorrhage, with postoperative spontaneous bleeding? Father is 60 years old. On September 6, he experienced facial paralysis on one side and drooling. After visiting the emergency department, a CT scan revealed intracranial hemorrhage, and he was admitted to the hospital...


Dr. Zhang Junwei reply Neurosurgery
1. The impairment of consciousness is due to neurological damage in the brain caused by bleeding, rather than the bleeding itself. 2. The recovery of consciousness after discontinuation of sedatives is related to the severity of the brain injury. 3. Yes.

[Read More] Understanding Post-Surgery Complications of Brain Hemorrhage in Seniors


Understanding Discrepancies Between MRI and EMG Results in Back Pain

MRI examination shows a herniation at L5-S1 without nerve compression, but the electromyography (EMG) results indicate..? Hello Dr. Chang, In May 2014, I was hospitalized due to a persistent high fever. Despite several days of antibiotic treatment, my condition did not improve. ...


Dr. Zhang Junwei reply Neurosurgery
In clinical practice, it is uncommon to find normal lumbar MRI results while electromyography indicates nerve compression. It seems that the cause of your pain is not entirely clear; why not consider trying high-frequency thermal coagulation therapy again?

[Read More] Understanding Discrepancies Between MRI and EMG Results in Back Pain


Post-Surgery Complications of Brain Aneurysm Treatment: A Patient's Concerns

Inquire about the sequelae after cerebral aneurysm surgery? Hello, my father underwent surgery on January 30, 2016, for a left-sided cerebral aneurysm measuring 1.5 cm, during which five clips were applied. Postoperatively, he developed right-sided hemiparesis and damage to the a...


Dr. Zhang Junwei reply Neurosurgery
There are many potential complications that can occur after aneurysm surgery, and it is not possible to detail each one. The two questions you asked may not necessarily be related to postoperative complications!

[Read More] Post-Surgery Complications of Brain Aneurysm Treatment: A Patient's Concerns


Understanding Brain Cell Damage After Nasopharyngeal Cancer Treatment

Head issues Hello, I would like to ask about my father, who previously underwent radiation therapy and chemotherapy due to nasopharyngeal cancer. It has been nearly three years since he completed his treatment, and during the follow-up period, a brain CT scan revealed that some b...


Dr. Zhang Junwei reply Neurosurgery
Nerve cells in the brain cannot regenerate. If there are any issues, you may consult a neurosurgery outpatient clinic.

[Read More] Understanding Brain Cell Damage After Nasopharyngeal Cancer Treatment


Understanding Head Injuries: What to Expect After a Fall

Head issues Hello Dr. Chang, my girlfriend's father fell from upstairs on September 16 and hit his head. A CT scan showed a hematoma in the right posterior part of the brain. The doctor said there is no ongoing bleeding and that surgery is not necessary, as it will absorb on...


Dr. Zhang Junwei reply Neurosurgery
Not recognizing people is quite serious!

[Read More] Understanding Head Injuries: What to Expect After a Fall


Understanding Occasional Pain in the Right Back of the Head

Right posterior headache? Hello Dr. Chang: Since last night before bed, I've been experiencing sharp pain in the area of my right posterior brain near the top of my head. The pain occurs approximately every five to ten minutes. In addition to spontaneous sharp pain, I also f...


Dr. Zhang Junwei reply Neurosurgery
Recommendation for neurosurgery outpatient clinic!

[Read More] Understanding Occasional Pain in the Right Back of the Head


Understanding Sciatica: When to Seek Medical Attention for Pain Relief

Sciatica Hello Doctor: I have had poor posture and a tendency to slouch since childhood. Due to the heavy academic pressure in junior high and high school, I often had to sit for long periods, and my poor sitting posture has gradually led to pain in both sides of my buttocks, whi...


Dr. Zhang Junwei reply Neurosurgery
If the pain has already affected your daily life, it's time to seek medical attention!

[Read More] Understanding Sciatica: When to Seek Medical Attention for Pain Relief


Hydrocephalus Surgery: Understanding Treatment Options and Specialist Expertise

Hydrocephalus Surgery Dear Doctor, my mother had a minor car accident that resulted in a mild intracranial hemorrhage and subarachnoid hemorrhage. After the blood was absorbed, she continued to experience headaches, dizziness, eye fatigue, and some blurriness when looking upward ...


Dr. Zhang Junwei reply Neurosurgery
If it is confirmed to be hydrocephalus, surgery is necessary. Typically, a ventriculoperitoneal shunt procedure is performed. This drainage surgery is quite simple and is commonly performed by neurosurgeons!

[Read More] Hydrocephalus Surgery: Understanding Treatment Options and Specialist Expertise


Understanding Shoulder Pain After a Fall: When to Seek Medical Attention

Shoulder pain? On the morning of September 7th, I fell down the stairs, landing on my back. I can't remember if I hit my head, but I only noticed that I had difficulty lifting my neck while taking a shower that evening. The next morning, I found it hard to get out of bed; I ...


Dr. Zhang Junwei reply Neurosurgery
Recommended for outpatient examination!

[Read More] Understanding Shoulder Pain After a Fall: When to Seek Medical Attention


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