Fainting and Falling Back: Understanding Potential Neurological Issues
Fainting and falling backward, resulting in a impact to the back of the head? After sitting on the floor for a long time, I stood up and felt very dizzy. Without realizing it, I leaned back and fell directly to the ground. After that, I felt very dizzy, and my vision seemed blurr...
Dr. Zhang Junwei reply Neurosurgery
Occasional dizziness is indeed a residual effect. If it has been several months and the dizziness is still mild, you can continue to monitor it without needing to go to a major hospital for examination.[Read More] Fainting and Falling Back: Understanding Potential Neurological Issues
Head Injury at Work: When to Seek Medical Attention?
Head injury at work? Hello doctor, about one or two months ago, I had to bend over to enter a machine at work and bumped my head against the magnetic door of the machine (about 1 cm). It was very painful at the time, and when I got off work, I felt my head and found a lump of blo...
Dr. Zhang Junwei reply Neurosurgery
In theory, it is not necessary, but if you are concerned, you can visit a neurosurgery outpatient clinic for an examination![Read More] Head Injury at Work: When to Seek Medical Attention?
Understanding Brain Clots: Treatment and Recovery for Teen Traumatic Injuries
Intracranial hematoma A 16-year-old boy had a motorcycle accident on August 26, 2015, resulting in a subdural hematoma and a fracture of the right parietal bone. He experienced intracranial bleeding, with blood leaking from his right ear. He had a pressure monitor placed in his b...
Dr. Zhang Junwei reply Neurosurgery
This issue requires reviewing the patient's CT scan and clinical symptoms, making it difficult to provide an answer here. It is recommended to discuss this further with your physician during your outpatient visit![Read More] Understanding Brain Clots: Treatment and Recovery for Teen Traumatic Injuries
Understanding Brainstem Hemorrhage: What to Do When Hope Seems Lost
Brainstem hemorrhage My brother, 44 years old, suddenly vomited blood and was taken to Cathay General Hospital in Hsinchu, where he was diagnosed with brainstem hemorrhage. His Glasgow Coma Scale score is 3, and he is unable to breathe on his own. Resuscitation efforts have been ...
Dr. Zhang Junwei reply Neurosurgery
If the coma scale is only three points, the prognosis is poor, and it is recommended to discuss the treatment plan further with the attending physician.[Read More] Understanding Brainstem Hemorrhage: What to Do When Hope Seems Lost
Understanding Occipital Pain: Causes and Solutions After a Car Accident
Occipital pain Hello, doctor. I was in a car accident last night while heading home. I don't have any external injuries, but my neck was jolted when the car behind me suddenly hit my vehicle. Since then, I've been experiencing sharp pain in my neck, along with nausea an...
Dr. Zhang Junwei reply Neurosurgery
I suggest you quickly schedule an appointment with a neurosurgery clinic for evaluation![Read More] Understanding Occipital Pain: Causes and Solutions After a Car Accident
Can Nerves Heal After Surgery? Understanding Recovery for Arm Injuries
Can nerves regenerate? I would like to ask, if there is nerve damage in the right arm, will it recover? I understand that the recovery might take a long time, and I have already undergone surgery for nerve repair. So, will it get better?
Dr. Zhang Junwei reply Neurosurgery
There is a chance for improvement, but in reality, it is not easy to fully return to the condition prior to the injury![Read More] Can Nerves Heal After Surgery? Understanding Recovery for Arm Injuries
Post-Car Accident: Understanding Nerve Issues from Minor Cuts
Nerve issues following lacerations from a car accident? Hello Doctor: Four months ago, I sustained a 2 cm laceration on the dorsum of my foot from a car license plate in a car accident. The wound is not deep. However, I went swimming that afternoon, and the waterproof bandage cam...
Dr. Zhang Junwei reply Neurosurgery
Based on your description, it seems that there is no nerve injury, as you do not experience numbness, weakness, or other neurological deficits![Read More] Post-Car Accident: Understanding Nerve Issues from Minor Cuts
Understanding Intracranial Hemorrhage: Risks and Surgical Outcomes in Elderly Patients
Intracranial hemorrhage Dear Doctor, my grandfather is in his 80s and was involved in a car accident. Why is there a high risk of intracranial hemorrhage compressing the brainstem, leading to a low survival rate? If surgery is performed, what is the approximate survival rate?
Dr. Zhang Junwei reply Neurosurgery
When external force is applied to the head, blood vessels can rupture, leading to bleeding. If this bleeding compresses the brainstem, it can pose a life-threatening risk![Read More] Understanding Intracranial Hemorrhage: Risks and Surgical Outcomes in Elderly Patients
Understanding Post-Car Accident Neurological Symptoms: Right-Sided Paralysis
Localized paralysis in the brain after a car accident? I had a car accident on November 16th of last year, during which I fractured my foot. My head did not hit anything at the time, but now that my foot has healed, I am experiencing numbness on the right side of my head and comp...
Dr. Zhang Junwei reply Neurosurgery
It is recommended to undergo a detailed examination by a neurologist or neurosurgeon![Read More] Understanding Post-Car Accident Neurological Symptoms: Right-Sided Paralysis
Understanding Concussion Diagnosis After an Accident: Key Insights
Determination of Concussion Doctor, my friend was in a car accident. The other party went for a medical evaluation immediately after the incident, and the doctor did not diagnose a concussion at that time. They went home to rest. However, the next day, after 24 hours, the other p...
Dr. Zhang Junwei reply Neurosurgery
A concussion is defined as a state of temporary amnesia or loss of consciousness following a head injury. The diagnosis is entirely based on the patient's symptoms; if the patient does not clearly describe their symptoms to the physician, there is a possibility of an incorre...[Read More] Understanding Concussion Diagnosis After an Accident: Key Insights
Head Injury After Fall: Seeking Help for Persistent Symptoms
Fell off the table and hit my head against the adjacent table? Hello Dr. Zhang: I am a sophomore in high school. About six months ago (last summer), I participated in a summer program at school, and while cleaning the air conditioning, I climbed on a desk and accidentally fell, i...
Dr. Zhang Junwei reply Neurosurgery
If the head is continuously nodding and the dizziness is not severe, it is generally advisable to continue monitoring the situation. However, it is important to avoid vigorous activities. If discomfort persists, a consultation with a neurologist for further evaluation is recommen...[Read More] Head Injury After Fall: Seeking Help for Persistent Symptoms
Understanding Ulnar Nerve Repair: Post-Surgery Symptoms and B Vitamins
Ulnar nerve repair? It has been over three weeks since the ulnar nerve injury surgery, and the two fingers are still experiencing tingling and numbness. What could be the issue, and are there any diagnostic tests that can be performed? How does supplementing with B vitamins aid i...
Dr. Zhang Junwei reply Neurosurgery
If there are any doubts, a nerve conduction study can be performed![Read More] Understanding Ulnar Nerve Repair: Post-Surgery Symptoms and B Vitamins
Head Injury from E-Scooter Accident: What to Do Next?
Hit the ground? Hello doctor, I would like to ask about my girlfriend. This afternoon, while riding an electric scooter, she was thrown off when going around a curve and her head hit the ground. In a moment of panic, I rubbed the area, which caused swelling. There was some bleedi...
Dr. Zhang Junwei reply Neurosurgery
Yes, if the person is alert and does not have symptoms such as headache, dizziness, nausea, or vomiting, applying ice packs is sufficient![Read More] Head Injury from E-Scooter Accident: What to Do Next?
Essential Assessments and Care for Brain and Neck Injuries After Car Accidents
Car accident resulting in head injury and cervical spine injury? What basic examinations will be conducted first? What nursing care is required?
Dr. Zhang Junwei reply Neurosurgery
Start with a simple preliminary physical examination, and if there are any issues, then proceed with X-rays or a CT scan.[Read More] Essential Assessments and Care for Brain and Neck Injuries After Car Accidents
Understanding Dizziness and Nausea After Head Trauma: Signs of Concussion?
Dizziness and nausea? Hello doctor, a few days ago I was playing around with a friend and she hit my head several times with her palm. Shortly after, I started experiencing pain in the upper left side of my temple, about four fingers above it. I also feel dizzy and have the urge ...
Dr. Zhang Junwei reply Neurosurgery
This is not a concussion; it is at most a common symptom of head trauma. Usually, with proper medication and rest for two to three days, it can improve![Read More] Understanding Dizziness and Nausea After Head Trauma: Signs of Concussion?
Recovery After Nerve Surgery: What to Expect and How to Support Healing
I'm sorry, but I need more context or specific content to provide a translation. Please provide the text you would like me to Hello, doctor... My friend was in a serious car accident and has a fractured right arm, which has resulted in the inability to move the fingers on hi...
Dr. Zhang Junwei reply Neurosurgery
I apologize, but brachial plexus injuries belong to a very specialized subspecialty, and there are only a few surgeons in Taiwan who perform these surgeries. This is not my area of expertise, so I recommend consulting a specialist for answers. I'm sorry![Read More] Recovery After Nerve Surgery: What to Expect and How to Support Healing
Understanding Nerve Surgery: Recovery Tips and Concerns After Cervical Nerve Grafting
Nervous system components? Doctor, I would like to ask about my recent nerve graft surgery, which was performed in the cervical spine area. They took the nerve from my left arm to connect to my right arm. I have a few questions: 1. Is it easy for nerves to get damaged? 2. Will pe...
Dr. Zhang Junwei reply Neurosurgery
I apologize, but brachial plexus injury is a highly specialized subspecialty, and there are only a few surgeons in Taiwan who perform these surgeries. It is not my area of expertise, so I recommend consulting a specialist for answers. I'm sorry![Read More] Understanding Nerve Surgery: Recovery Tips and Concerns After Cervical Nerve Grafting
Understanding Vertebrobasilar Insufficiency: Symptoms and Surgical Options
Vertebrobasilar insufficiency Hello Doctor, I am experiencing headaches, dizziness, deep pain in my right ear, and weakness in my right leg (I cannot lift my leg but can still walk slowly). When I stand with my eyes closed, I tend to fall backward. It has been two months since ...
Dr. Zhang Junwei reply Neurosurgery
What type of surgery is suitable?[Read More] Understanding Vertebrobasilar Insufficiency: Symptoms and Surgical Options
Understanding Post-Trauma Brain Hemorrhage: Symptoms and Care
Traumatic brain hemorrhage from a car accident? Hello doctor, my boyfriend had a motorcycle accident last Friday and is currently hospitalized. Throughout the process, he has not shown any signs of unconsciousness. He has been in the intensive care unit for about four days. The d...
Dr. Zhang Junwei reply Neurosurgery
Typically, this situation requires an examination of the patient's brain CT scan and an assessment of neurological function in order to make a determination. I cannot answer your question without that information.[Read More] Understanding Post-Trauma Brain Hemorrhage: Symptoms and Care
Understanding Post-Traumatic Symptoms After Brain Injury
Post-acute sequelae of brain injury? Hello, doctor. I apologize for bothering you, but I would like to ask: "I was in a motorcycle accident where I collided head-on with another vehicle that made an illegal left turn. However, that's not important; I just want to mainta...
Dr. Zhang Junwei reply Neurosurgery
Yes, frontal lobe damage can lead to deterioration and changes in memory, cognition, and personality, while cerebellar injury can result in balance issues.[Read More] Understanding Post-Traumatic Symptoms After Brain Injury