Understanding Neck Pain: Seeking Answers for Chronic Discomfort
Neck problems Hello Doctor, I am Xiao Yang, and I live in Taichung. I often feel that the bones in my cervical spine are misaligned, which I believe is compressing my breathing and causing difficulty in respiration. My neck feels very tight, as if someone is choking me. This symp...
Dr. Zhang Junwei reply Neurosurgery
It feels like a case of autonomic nervous system dysfunction or other psychosomatic issues. You may discuss with a neurologist whether it is appropriate to undergo a cervical MRI.[Read More] Understanding Neck Pain: Seeking Answers for Chronic Discomfort
Understanding Post-Endoscopic Spine Surgery Symptoms and Recovery
Endoscopic spinal surgery Before undergoing endoscopic spinal surgery, the patient experienced numbness and pain in the right side of the lower back, hip, and leg, resulting in a limp while walking. After the surgery, the symptoms on the right side completely improved. However, o...
Dr. Zhang Junwei reply Neurosurgery
Without detailed medical history, examination reports, and surgical procedure specifics, it is difficult to provide an answer.[Read More] Understanding Post-Endoscopic Spine Surgery Symptoms and Recovery
Can Children with Ventriculoperitoneal Shunts Jump Rope Safely?
If you have a ventriculoperitoneal (VP) shunt, it is generally advised to avoid high-impact activities such as jumping rope. It is important to consult your healthcare provider for personalized advice based on your specific condition and recovery status? The child is currently 8 ...
Dr. Zhang Junwei reply Neurosurgery
This cannot be determined; you need to ask the surgeon who performed the operation at that time.[Read More] Can Children with Ventriculoperitoneal Shunts Jump Rope Safely?
Understanding Persistent Hip and Knee Pain: A Guide for Families
Pain from the left hip to the knee, making it difficult to walk? Hello doctor, my grandfather, who usually moves around easily and has healthy limbs, suddenly started experiencing pain in his left knee a few weeks ago. The pain has progressively worsened to the point where he can...
Dr. Zhang Junwei reply Neurosurgery
Due to uncertainty whether the issue is related to nerves or joints, it is recommended to visit a clinic for a detailed physical examination to determine the cause.[Read More] Understanding Persistent Hip and Knee Pain: A Guide for Families
Post-Surgery Concerns: Managing Headaches and Dizziness After Intracranial Hemorrhage
Post-intracranial hemorrhage surgery Hello Doctor, my son fell and suffered a right brain hemorrhage at the age of 2 years and 3 months. He underwent surgery, and the wound is approximately 5-8 cm long, with noticeable metal screws in the skull. During a follow-up visit, I inquir...
Dr. Zhang Junwei reply Neurosurgery
It is recommended to return to the neurosurgery outpatient clinic.[Read More] Post-Surgery Concerns: Managing Headaches and Dizziness After Intracranial Hemorrhage
Understanding Non-Healing Wounds: Insights from Neurosurgery
Inquiry regarding the response to question number 203144? "The physician needs to identify the cause of the non-healing wound." This means that I should consult a neurosurgeon at Mackay Memorial Hospital, correct? The wound caused by the screw is red and has formed a lu...
Dr. Zhang Junwei reply Neurosurgery
Yes~[Read More] Understanding Non-Healing Wounds: Insights from Neurosurgery
Understanding Recovery After Aneurysm Rupture and Coiling Surgery
Ruptured cerebral aneurysm, subarachnoid hemorrhage, has undergone embolization surgery? Hello Doctor, thank you very much for taking the time to respond. On Day 0, my father experienced a sudden severe headache on the morning of December 2nd. He was taken to the hospital half ...
Dr. Zhang Junwei reply Neurosurgery
1. Hyperbaric oxygen therapy does not have a specific intervention time; it can begin once the condition is stable. 2. After regaining consciousness, a physician can reassess the situation. 3. It's really difficult to say.[Read More] Understanding Recovery After Aneurysm Rupture and Coiling Surgery
Managing Non-Healing Wound After Screw Loss in Neurosurgery Patients
After the appearance of serous fluid in the head, the screw fell out. The wound was cleaned with saline and Betadine, but serous fluid still appeared and the wound has not healed? Twenty years ago, I had a car accident that required one surgery to perform a craniotomy to remove a...
Dr. Zhang Junwei reply Neurosurgery
It doesn't matter what medication is applied; it's important to have a physician identify the underlying cause of the non-healing wound.[Read More] Managing Non-Healing Wound After Screw Loss in Neurosurgery Patients
Recovery Concerns After Head Trauma: Medication, Symptoms, and Safety Gear
Issues Related to the Recovery Period of Head Trauma Hello Doctor: I previously asked a question regarding my condition after a car accident, where I sustained a right-sided head injury (swelling on the right side of my face), along with mild subarachnoid hemorrhage on the left s...
Dr. Zhang Junwei reply Neurosurgery
Recovery time varies from person to person and depends on the severity of the injury, so it cannot be generalized. Most individuals will see significant improvement within two weeks.[Read More] Recovery Concerns After Head Trauma: Medication, Symptoms, and Safety Gear
Understanding Speech Changes After Craniotomy Surgery
Post-cranial surgery Hello doctor, I would like to ask about my condition. I was in a car accident on October 18 and underwent a craniotomy at the hospital for emergency treatment. It has been two months since then, and I have noticed that my speech is much slower compared to bef...
Dr. Zhang Junwei reply Neurosurgery
It might be related to a brain injury.[Read More] Understanding Speech Changes After Craniotomy Surgery
Understanding Delayed Symptoms After Head Injury: When to Seek Medical Attention
Head injury Hello Doctor: On the evening of November 29th, I accidentally bumped the left side of my head against a doorknob while in the bathroom. At the moment of impact, I did not feel pain, dizziness, swelling, or bleeding, and I remained fully alert and continued to take a s...
Dr. Zhang Junwei reply Neurosurgery
It is indeed important to be cautious. If there are persistent headaches and dizziness, it is recommended to seek treatment at a neurosurgery outpatient clinic.[Read More] Understanding Delayed Symptoms After Head Injury: When to Seek Medical Attention
Head Injury and Clear Nasal Discharge: What You Need to Know
Head injury with nasal discharge? Hello, doctor. I would like to ask about an incident that happened today. While playing with my boyfriend, the bed moved and he hit the back of his head against the bed frame. At that moment, a large amount of clear, slightly yellow fluid flowed ...
Dr. Zhang Junwei reply Neurosurgery
If you have not encountered a similar situation, it is recommended to visit the outpatient clinic to inquire about the medical history in detail if there are any issues.[Read More] Head Injury and Clear Nasal Discharge: What You Need to Know
Understanding Pituitary Prolactinoma: Treatment Options and Concerns
Prolactinoma Hello Doctor: My wife was diagnosed with a 0.4 cm prolactinoma five years ago after experiencing amenorrhea. She had some bleeding at that time, which has since resolved. She has been on Dostinex, which has effectively controlled the tumor, and there has been some sh...
Dr. Zhang Junwei reply Neurosurgery
Before answering the questions, please note that the responses are for reference only due to the lack of detailed medical history and imaging reports. 1. No, medication can be taken for observation. 2. It will likely be absorbed on its own. 3. It may be permanent. 4. No obvious c...[Read More] Understanding Pituitary Prolactinoma: Treatment Options and Concerns
Returning to Work After Mild Brain Injury: Key Recovery Insights
I would like to consult about issues related to brain injury? Hello, Doctor! According to your response that "the most important thing for a concussion is rest, and it will naturally recover over time," I would like to ask how much longer it might take before I can retu...
Dr. Zhang Junwei reply Neurosurgery
Mild subarachnoid hemorrhage typically allows for a full recovery to previous levels of activity after a period of rest.[Read More] Returning to Work After Mild Brain Injury: Key Recovery Insights
Understanding Recurrent Hydrocephalus: Long-Term Management and Concerns
The condition of hydrocephalus is recurrent? Hello Doctor: My mother (65 years old) underwent a ventriculoperitoneal shunt surgery for hydrocephalus in June of this year. She has been regularly returning for follow-up appointments to assess her postoperative condition and determi...
Dr. Zhang Junwei reply Neurosurgery
Theoretically, with the presence of a ventriculoperitoneal shunt, continuous drainage of cerebrospinal fluid can be maintained, significantly reducing the likelihood of developing hydrocephalus again.[Read More] Understanding Recurrent Hydrocephalus: Long-Term Management and Concerns
Understanding Sudden Nerve Pain and Muscle Twitches: Causes and Concerns
Numbness and tingling in the hands and feet, muscle twitching? Eight years ago, I underwent an MRI examination that revealed herniated discs at cervical levels C3-4-5-6, which caused pain in my left shoulder and neck, as well as discomfort in my left arm, skin tingling, and occas...
Dr. Zhang Junwei reply Neurosurgery
It is possible for the symptoms of a herniated disc to be intermittent and to occur on both sides.[Read More] Understanding Sudden Nerve Pain and Muscle Twitches: Causes and Concerns
Understanding Coma and Surgical Options for Brain Hemorrhage Patients
Cerebral hemorrhage with a hematoma, undergoing drainage surgery, with a Glasgow Coma Scale score of 3? Hello, I apologize for disturbing the doctor during work and rest hours. My younger brother, who is 46 years old and was born in the Year of the Snake, had a family gathering o...
Dr. Zhang Junwei reply Neurosurgery
Without a detailed neurological examination and computed tomography assessment, it is difficult to provide an accurate answer. However, if the coma scale is indeed 3, the chances of recovery are very low, and even if recovery occurs, there will likely be severe neurological defic...[Read More] Understanding Coma and Surgical Options for Brain Hemorrhage Patients
Hard Bump on Right Back of Head: Causes and Treatment Options
There is a protrusion in the right posterior part of the brain? There is a hard protrusion on the right side of the back of my head that feels like bone. It hurts when I press on it while sleeping, and it feels tight. The entire area feels uncomfortable, similar to a stiff neck, ...
Dr. Zhang Junwei reply Neurosurgery
Unable to perform a physical examination, cannot make a diagnosis, please schedule an appointment with the neurosurgery outpatient clinic.[Read More] Hard Bump on Right Back of Head: Causes and Treatment Options
Understanding Recovery After a Car Accident: Brain Injury and Medication Concerns
Hello, doctor! I have questions regarding brain injuries caused by car accidents? Hello, Doctor! I sustained a right-sided head injury (with swelling on the right side of my face) due to a car accident, along with mild subarachnoid hemorrhage on the left side and a concussion. Af...
Dr. Zhang Junwei reply Neurosurgery
1. Not taking medication will not affect recovery. 2. The most important aspect of a concussion is rest; it will naturally recover over time.[Read More] Understanding Recovery After a Car Accident: Brain Injury and Medication Concerns
Understanding Coil Embolization for Brain Aneurysms: Key Questions Answered
Embolization coil Hello, doctor. A relative of mine has been diagnosed with an early-stage cerebral aneurysm. The doctor recommended endovascular coil embolization as a minimally invasive treatment. At the time, the person was too anxious and forgot to ask the doctor some questio...
Dr. Zhang Junwei reply Neurosurgery
1. Remain in the brain, not to be removed. 2. There are coils available for MRI. 3. Same as above.[Read More] Understanding Coil Embolization for Brain Aneurysms: Key Questions Answered