Head Injury from 5kg Weight: Symptoms and When to Seek Help
The head was struck by a 5 kg iron block? A 5 kg iron block fell from a height of 15 cm and struck my head, causing a minor abrasion and redness without bleeding. Since the incident, which occurred three days ago, I have not experienced any headaches or dizziness. When I gently p...
Dr. Zhang Junwei reply Neurosurgery
It may be related; if improvement is observed after resting for two to three days, most cases do not require further examination.[Read More] Head Injury from 5kg Weight: Symptoms and When to Seek Help
Head Injury from Accident: Understanding Post-Concussion Symptoms
Head injury from a car accident, pain persisting for over a month? One day, I swerved to avoid a cat and crashed my bike, hitting my head! However, I was wearing a helmet. When I got home, I felt a bit dizzy, but the next day I was okay. After more than a month, I've started...
Dr. Zhang Junwei reply Neurosurgery
It is relatively uncommon to experience dizziness more than a month after a head injury. It is recommended to get plenty of rest, and if the symptoms do not improve, please schedule an appointment with a neurosurgeon.[Read More] Head Injury from Accident: Understanding Post-Concussion Symptoms
Post-Accident Nausea and Head Pain: When to Seek Medical Attention?
After a car accident with no obvious external injuries, but experiencing nausea and a feeling of wanting to vomit, is further examination necessary? Hello, two days ago in the evening, I was involved in a collision with a motorcycle. I only have a slight abrasion on my left eyeli...
Dr. Zhang Junwei reply Neurosurgery
Hello, it is common to experience headaches and dizziness after a head injury. It is recommended to stop working and rest for two to three days. If discomfort persists, it is advisable to schedule an appointment with a neurosurgery clinic for evaluation.[Read More] Post-Accident Nausea and Head Pain: When to Seek Medical Attention?
Understanding Nerve Repair Surgery: Recovery and Rehabilitation Insights
Arm nerve junction surgery Hello, I was in a car accident on September 28, which resulted in my right hand fingers being unable to move. I had surgery performed by Dr. Chuang Chih-Ching at Chang Gung Memorial Hospital in Taipei on January 5, and it has now been a week post-surger...
Dr. Zhang Junwei reply Neurosurgery
Hello, what could be the reasons for the inability to move a finger? What kind of surgery was performed? Which area was injured? It's difficult for me to answer your questions like this![Read More] Understanding Nerve Repair Surgery: Recovery and Rehabilitation Insights
Understanding Hard Bumps on the Skull: When to See a Neurosurgeon
A hard lump has developed on the right occipital bone? On December 22, I consulted a physician regarding a hard lump on my daughter's right occipital bone. The doctor responded that if the lump is very hard, it could possibly be a benign bone tumor. They suggested performing...
Dr. Zhang Junwei reply Neurosurgery
Hello: That's correct, neurosurgery. In fact, I haven't seen the patient, and I cannot provide a definitive diagnosis online. Each physician has their own perspective, and I fundamentally respect the diagnosis and judgment of the outpatient physician![Read More] Understanding Hard Bumps on the Skull: When to See a Neurosurgeon
Understanding Head Injuries: When to Seek Medical Attention
Regarding brain injuries? Hello, I would like to inquire about an incident that occurred when I was about 6 years old. I slipped and fell while taking a shower, hitting the upper left back of my head. At that time, I went to a clinic for treatment (it was already late, so I only ...
Dr. Zhang Junwei reply Neurosurgery
Dear Dr.: According to the information you provided, the head injury occurred 18 years ago. Essentially, your current headaches are not related to the previous head trauma. If you are truly uncomfortable, please visit a hospital for a consultation.[Read More] Understanding Head Injuries: When to Seek Medical Attention
Post-Aneurysm Rupture: Air Travel Safety for Elderly Patients
Issues Related to Ruptured Cerebral Aneurysms Dear Dr. Chang, I have an elderly family member who is 81 years old (born in 1934). On Lunar New Year's Eve this year, she experienced a ruptured aneurysm (subarachnoid hemorrhage) and was sent to the hospital in a coma. After e...
Dr. Zhang Junwei reply Neurosurgery
Hello: The physicians performing aneurysm embolization surgery in the country may be neurosurgeons or interventional radiologists. Make sure to confirm who your surgical physician is and schedule an outpatient appointment to discuss your concerns thoroughly. If the physician does...[Read More] Post-Aneurysm Rupture: Air Travel Safety for Elderly Patients
Understanding Brain Hemorrhage Surgery: Key Questions and Insights
Regarding surgery for cerebral hemorrhage? On Tuesday, a family member suddenly experienced dizziness, vomiting, and overall weakness, so they were immediately taken to the emergency room. Upon arrival at the hospital, they were conscious, but after receiving an injection, they f...
Dr. Zhang Junwei reply Neurosurgery
Hello: There are many situations regarding cerebral hemorrhage, and based solely on your description, it is not possible to assess the condition. Please discuss your situation in detail with your attending physician.[Read More] Understanding Brain Hemorrhage Surgery: Key Questions and Insights
Understanding Intracranial Hemorrhage After Car Accident: Key Questions Answered
Intracranial hemorrhage due to a car accident? Hello, doctor. My girlfriend was in a car accident on the morning of December 31, resulting in a pneumothorax and a brain hemorrhage, for which she underwent surgery to remove the blood clot and was admitted to the intensive care uni...
Dr. Zhang Junwei reply Neurosurgery
Your situation is quite complex; it's best to consult your girlfriend's primary care physician and discuss her condition thoroughly.[Read More] Understanding Intracranial Hemorrhage After Car Accident: Key Questions Answered
Chronic Lower Back Pain: Understanding Muscle vs. Nerve Issues
Persistent lower back pain and difficulty sleeping? Due to excessive physical activity and long-term poor posture (with scoliosis), I began experiencing severe lower back pain two weeks ago (without any injury or sudden strain). I consulted orthopedic and neurosurgery specialists...
Dr. Zhang Junwei reply Neurosurgery
Hello: Basically, if your symptoms do not improve after taking medication and undergoing rehabilitation treatment, it cannot be ruled out that a herniated lumbar disc may be compressing the nerves, causing sciatica. It is recommended to undergo an MRI for further evaluation![Read More] Chronic Lower Back Pain: Understanding Muscle vs. Nerve Issues
Concerns About a Hard Bump on a 12-Year-Old's Skull
There is a hard lump on the occipital bone on the right side of the skull? I have a 12-year-old daughter who has developed a round, pointed hard mass on the right posterior side of her skull. It feels like a bony protrusion and has been present for four years. The hard lump seems...
Dr. Zhang Junwei reply Neurosurgery
Hello: If the lump is very hard, it could be a benign bone tumor. A CT scan can be performed to confirm this, and then a minor surgery can be done to remove it or smooth it out.[Read More] Concerns About a Hard Bump on a 12-Year-Old's Skull
Understanding Risks and Benefits of Artificial Disc Surgery for Spinal Stenosis
4.5 cm long bone spur At the age of 18, I had surgery for a bone spur at the L4-L5 level. Recently, I experienced discomfort and went for an examination, which revealed that another bone spur has developed at the same level. The doctor mentioned that I need to have an artificial ...
Dr. Zhang Junwei reply Neurosurgery
Hello: I'm not sure if you're referring to the cervical spine or the lumbar spine. Essentially, to alleviate your discomfort, decompression surgery is generally necessary. An artificial disc replacement may not be required; a standard brace could also be sufficient. Eac...[Read More] Understanding Risks and Benefits of Artificial Disc Surgery for Spinal Stenosis
Understanding Persistent Dizziness After Head Injury: A Neurological Perspective
Car accident, boating? Two years ago, I was involved in a car accident where my head directly struck the asphalt road. I was taken to the hospital by ambulance. At that time, X-rays and MRIs indicated that there was nothing wrong, and there were no obvious external injuries, so I...
Dr. Zhang Junwei reply Neurosurgery
Hello: Essentially, the aftereffects of a concussion often include dizziness, but since it has been two years and you are still experiencing prolonged dizziness, this is quite uncommon. It is advisable to consult an otolaryngologist, as it may be related to an inner ear balance i...[Read More] Understanding Persistent Dizziness After Head Injury: A Neurological Perspective
Head Injury in Children: When to Seek Medical Attention?
The child hit their head and is bleeding but was not taken to the hospital? Hello, my eldest daughter is 3 years old. On the 23rd, around 4 PM, she was jumping on the bed and accidentally fell, hitting the side of her head against the edge of a marble bedside table. There was ble...
Dr. Zhang Junwei reply Neurosurgery
Hello: Whether or not to stitch a wound and the possibility of infection really depends on the condition of the wound. If you're concerned, it's advisable to go to the hospital for an examination.[Read More] Head Injury in Children: When to Seek Medical Attention?
Understanding Cervical Disc Herniation and Pain Management Options
Cervical disc herniation issues? My mother experienced severe pain in her left arm six months ago, requiring steroid injections for pain relief. An X-ray indicated the presence of bone spurs in her neck, and further MRI was recommended. Unfortunately, in early September, she suff...
Dr. Zhang Junwei reply Neurosurgery
Hello: Nerve compression can cause pain. Treatments such as acupuncture or heat therapy may help alleviate the pain and discomfort, but these are only symptomatic relief and not a fundamental solution. It's likely that the symptoms will recur in a short period of time. Surge...[Read More] Understanding Cervical Disc Herniation and Pain Management Options
Post-Drainage Surgery Dizziness: Understanding Neurological Concerns
Regarding dizziness after drainage tube surgery? Hello, doctor. I would like to ask for your advice. My father underwent surgery for an open skull fracture in the right frontal region due to a work-related injury in 2011. He recovered well and was able to manage his daily activit...
Dr. Zhang Junwei reply Neurosurgery
Hello: The most likely scenario is that the drainage tube pressure is inappropriate. If you initially had an adjustable pressure drainage tube, it is recommended to return to the original surgeon's clinic to adjust the pressure. If it is a fixed pressure type, a repeat surge...[Read More] Post-Drainage Surgery Dizziness: Understanding Neurological Concerns
Improving Vision After Pituitary Tumor Surgery: Can Cycloset Help?
Pituitary tumor Hello, I would like to ask if taking "Cilostazol" can improve my eye condition. I had a pituitary tumor that pressed on my optic nerve, causing blurred vision. After surgery in early January, my vision has improved somewhat, but I still cannot see clearl...
Dr. Zhang Junwei reply Neurosurgery
Hello: If the optic nerve was severely compressed initially, it is possible that after surgery, the optic nerve function may not fully recover. I believe that Cyclosporine A may not be of much help.[Read More] Improving Vision After Pituitary Tumor Surgery: Can Cycloset Help?
Should You See a Doctor After a Baseball Hit to the Head?
I just got hit in the head by a baseball? During baseball practice, I was hit on the forehead by a baseball that was struck by a bat. At the moment, I didn't have any specific symptoms. However, after returning to my dorm and looking in the mirror, I noticed a swelling (appr...
Dr. Zhang Junwei reply Neurosurgery
Hello: It appears that the swollen area is a subcutaneous hematoma, which should not be a cause for concern. Apply ice for the first three days, followed by heat therapy. If there are persistent symptoms of dizziness, vomiting, or headache, it is recommended to visit a neurosurge...[Read More] Should You See a Doctor After a Baseball Hit to the Head?
Post-Surgery Nerve Pain: Understanding Symptoms After Cervical Spine Surgery
More than two months after cervical spine bone spur surgery, there is soreness and numbness on the left side? Hello, Doctor! My mother (nearly sixty years old) underwent surgery on her cervical spine (C4-C5) due to bone spurs at the end of September and early October. Although sh...
Dr. Zhang Junwei reply Neurosurgery
Hello: Based on the symptoms you described, it is possible that the cervical nerve is being compressed, which may not necessarily be at the C4/C5 level, but could involve other levels as well. It is recommended to return to the neurosurgery outpatient clinic for a more detailed e...[Read More] Post-Surgery Nerve Pain: Understanding Symptoms After Cervical Spine Surgery
Understanding Brain Microvascular Malformations: Risks, Treatment, and Management
Cerebral microangioma Hello, my girlfriend, who is 37 years old, often experiences dizziness and headaches. After undergoing a brain MRI at Linkou Chang Gung Memorial Hospital (without contrast), it was found that she has a cerebral microaneurysm with signs of hemorrhage (iron de...
Dr. Zhang Junwei reply Neurosurgery
Hello: The English term for 腦微血管瘤 is "cerebral microvascular malformation." Since the Chinese translation is quite ambiguous, it can be difficult to address your question without the correct English terminology! It is recommended to return to the neurosurgery outpatient...[Read More] Understanding Brain Microvascular Malformations: Risks, Treatment, and Management