Dr. Zhang Junwei reply Neurosurgery Question - Page 4

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Understanding Cervical Disc Herniation: Symptoms and Muscle Spasms Explained

Cervical intervertebral disc herniation compression Approximately 8-9 years ago, an MRI examination revealed herniated discs at the C3-4-5-6 levels, which are compressing the nerves and causing symptoms of pain and numbness in the left shoulder, neck, arm, and fingers. After unde...


Dr. Zhang Junwei reply Neurosurgery
Muscle twitching is not necessarily caused by a herniated disc. Yes, it can indeed switch from one side to the other at times.

[Read More] Understanding Cervical Disc Herniation: Symptoms and Muscle Spasms Explained


Understanding Brain Hemorrhage After Falls: A Case Study

Cerebral hemorrhage caused by a fall? Dear Deputy Director, My grandfather is 71 years old and has high blood pressure, but he is physically strong. On November 4th, he slipped on gravel while trying to catch a dog that had run out of the house and collided with a post. While wa...


Dr. Zhang Junwei reply Neurosurgery
I would like to offer my support, but without detailed CT scan reports and neurological examinations, it is difficult to provide accurate advice and prognosis for the patient. I recommend consulting the original treating physician for further inquiries.

[Read More] Understanding Brain Hemorrhage After Falls: A Case Study


Understanding Cervical and Lumbar Disc Compression Symptoms

Cervical and lumbar spine compression? About 8-9 years ago, I underwent an MRI examination which revealed herniated discs at the C3-4-5-6 levels causing compression. At that time, my main symptoms included numbness and pain in my left arm and fingers, along with occasional tingli...


Dr. Zhang Junwei reply Neurosurgery
Herniated discs can occur on both sides, and the symptoms may be intermittent.

[Read More] Understanding Cervical and Lumbar Disc Compression Symptoms


Understanding Spontaneous Brain Hemorrhage in Teens: Recovery and Risks

Spontaneous intracerebral hemorrhage My child experienced spontaneous intracerebral hemorrhage in high school and has undergone craniotomy. Currently, their condition is stable, but the cause of the bleeding remains unidentified. We have scheduled regular follow-up appointments e...


Dr. Zhang Junwei reply Neurosurgery
Without detailed medical history and examination reports, it is not possible to provide an answer, as the size and location of the hemorrhage are closely related to the prognosis.

[Read More] Understanding Spontaneous Brain Hemorrhage in Teens: Recovery and Risks


Understanding Numbness in the Second Toe: Causes and Treatment Options

Numbness in the second toe? About two months ago, I noticed decreased sensation in the second toe of my right foot. I initially thought it was due to diabetes, but blood tests came back normal. After a month, the sensation in the second toe of my left foot suddenly decreased and ...


Dr. Zhang Junwei reply Neurosurgery
Symptoms are mild; an MRI can be performed for confirmation. A consultation with a neurosurgery outpatient clinic is recommended.

[Read More] Understanding Numbness in the Second Toe: Causes and Treatment Options


Understanding Head Injuries: When to Seek Medical Attention After a Fall

Head injury, with pain at the site of impact? Hello, doctor. On August 26, while playing on a water slide, I may have slid down incorrectly and hit the back of my head against the slide. At that moment, I felt pain, but there were no other obvious discomforts. Later, the impact p...


Dr. Zhang Junwei reply Neurosurgery
The primary concern with head trauma is intracranial hemorrhage. If there are accompanying symptoms of nausea and vomiting, it is advisable to seek treatment at a neurosurgery outpatient clinic.

[Read More] Understanding Head Injuries: When to Seek Medical Attention After a Fall


Head Injury from Baseball: Understanding Eye Symptoms and Recovery

A baseball hit on the top of the head? Three days ago, I was hit on the forehead just above the hairline (toward the right) by a high fly ball. At the moment of impact, the upper half of my right eye's field of vision was normal, while the lower half was completely black and...


Dr. Zhang Junwei reply Neurosurgery
Head trauma often accompanies headaches and dizziness, but the more concerning issue is intracranial hemorrhage. If dizziness is accompanied by nausea and vomiting, it is advisable to seek treatment at a neurosurgery outpatient clinic.

[Read More] Head Injury from Baseball: Understanding Eye Symptoms and Recovery


Can Massage Therapy Affect Intracranial Aneurysm Coils and Stents?

Intracranial dural arteriovenous fistula Hello Dr. Chang: My husband (37 years old) previously had an intracranial dural arteriovenous fistula and underwent surgery (with coils and stents placed in the cerebral vasculature). Recently, he has been experiencing pain in his shoulder...


Dr. Zhang Junwei reply Neurosurgery
Due to the uncertainty regarding the exact location and size of the intracranial vascular stent, it is recommended to consult with Dr. Yuan Qiu for further evaluation.

[Read More] Can Massage Therapy Affect Intracranial Aneurysm Coils and Stents?


Understanding Treatment Options for Right Hippocampal Sulcus Remnant Cyst

Please inquire about residual hippocampal fissure? Hello, doctor. Regarding the MRI findings, is there a need for special management for the 1.5 cm right hippocampal sulcus remnant cyst?


Dr. Zhang Junwei reply Neurosurgery
Without a medical history and comparative causes before and after, it is difficult to provide an answer. It is recommended to consult a neurosurgery outpatient clinic.

[Read More] Understanding Treatment Options for Right Hippocampal Sulcus Remnant Cyst


Understanding Head Injuries: When to Seek Medical Attention

Head injury Doctor, I bumped the area around my temple against a classmate's forehead while playing basketball yesterday. At the moment of impact, I was fully conscious, and there hasn't been any swelling since then. However, when I got home, my entire head started to f...


Dr. Zhang Junwei reply Neurosurgery
If you experience persistent headaches and dizziness, it is recommended to consult a neurosurgery outpatient clinic for evaluation.

[Read More] Understanding Head Injuries: When to Seek Medical Attention


Understanding Cervical Spine Issues: Symptoms, Diagnosis, and Treatment Options

Cervical cone issue Last year, I experienced tinnitus in my left ear, neck pain, and left chest tightness, so I visited the outpatient department of neurosurgery. The doctor requested a cervical MRI, and the report is as follows: **Summary of Imaging Findings** Multiplanar mu...


Dr. Zhang Junwei reply Neurosurgery
It is difficult to determine the issue based solely on the report. It is recommended to visit a neurosurgery specialty clinic for a detailed physical evaluation in order to obtain an accurate diagnosis.

[Read More] Understanding Cervical Spine Issues: Symptoms, Diagnosis, and Treatment Options


Head Injury: Can Swelling Resolve on Its Own and Is There a Risk of Bleeding?

I hit the upper left side of my head; is there a possibility of a brain hemorrhage, and can the swelling be reduced? Doctor, I apologize for the interruption! Last night around 9 PM, while bending down to return the communal laundry basket in the laundry room of my dormitory, I a...


Dr. Zhang Junwei reply Neurosurgery
1. The swelling should resolve on its own. 2. The likelihood of intracranial hemorrhage is low; however, if there is persistent headache, dizziness, nausea, or vomiting, seek immediate evaluation from a neurosurgeon or go to the emergency department.

[Read More] Head Injury: Can Swelling Resolve on Its Own and Is There a Risk of Bleeding?


Understanding Post-Surgery Low-Grade Fever After Cervical Disc Treatment

Cervical intervertebral disc compressing the nerve? Hello, I would like to ask if it is normal to experience mild fever symptoms after undergoing cervical radiofrequency ablation for nerve block and epidural injection yesterday. My temperature was around 37.2 to 37.7 degrees Cels...


Dr. Zhang Junwei reply Neurosurgery
It should be fine.

[Read More] Understanding Post-Surgery Low-Grade Fever After Cervical Disc Treatment


Understanding Head Injuries: Concerns About Skull Indentation

Head issues Hello Doctor, two years ago at school, I was struck twice on the right side of my head near the frontal bone by an emotionally agitated classmate using a wooden broom, which broke in the process. At the time, I only experienced bleeding and no other discomfort. After ...


Dr. Zhang Junwei reply Neurosurgery
It is difficult to say whether it is related to the present, as it happened two years ago. If there are any concerns, it is recommended to seek consultation at a neurosurgery outpatient clinic.

[Read More] Understanding Head Injuries: Concerns About Skull Indentation


Understanding Subdural Hematoma and Hydrocephalus: Treatment Options Explained

Subdural hematoma and hydrocephalus? Dear Vice President, 1. My father had a history of stroke due to hypertension seven years ago. The medical advice indicated that the bleeding was minimal, and he was observed for spontaneous absorption without surgery. He has left-sided hemip...


Dr. Zhang Junwei reply Neurosurgery
1. Subdural hematoma cannot be resolved by third ventriculostomy. Third ventriculostomy is a procedure used to manage hydrocephalus.

[Read More] Understanding Subdural Hematoma and Hydrocephalus: Treatment Options Explained


Understanding Post-Concussion Symptoms After a Bathroom Fall

Slipped in the bathroom and hit the back of the head? On July 22, I went on a two-day pilgrimage. On the first night, I slipped and fell in the bathroom, hitting the back of my head. I went to Asia University Hospital for evaluation and was diagnosed with a mild concussion. Three...


Dr. Zhang Junwei reply Neurosurgery
It has been a month, and the likelihood of a brain hemorrhage is low. However, if discomfort persists, it is advisable to seek treatment at a neurosurgery outpatient clinic.

[Read More] Understanding Post-Concussion Symptoms After a Bathroom Fall


Post-Surgery Weakness in Legs After Spinal Surgery: Key Insights

Postoperative leg weakness after spinal surgery? Hello, Vice Dean Zhang. I have undergone three surgeries for lumbar spine issues at the L4-L5 level. The first surgery involved a Romeo clamp and screws, which became loose and caused nerve pain. The second surgery reinforced the c...


Dr. Zhang Junwei reply Neurosurgery
1. There should be no issues if there is no pain and no neurological dysfunction. 2. I cannot provide an answer without knowing your case, imaging studies, and physical examination. 3. Yes, it is related to pain. 4. Not entirely.

[Read More] Post-Surgery Weakness in Legs After Spinal Surgery: Key Insights


Recovery and Rehab After Microdiscectomy for L5-S1 Disc Herniation

Microdiscectomy for L5-S1 Disc Herniation in Athletes Hello Doctor, I had a microdiscectomy for an L5-S1 herniated disc at the end of June. Since the herniated portion was quite large, I would like to ask you: 1. How long will it take before I can engage in intense exercise? 2. W...


Dr. Zhang Junwei reply Neurosurgery
1. Approximately three months, depending on the condition. 2. Please consult a rehabilitation specialist.

[Read More] Recovery and Rehab After Microdiscectomy for L5-S1 Disc Herniation


Understanding Head Injuries: When to Seek Further Medical Attention

Regarding head injuries? Dear Doctor, My mother bumped her head against a clothesline (metal) last Thursday or Friday. After the incident, she applied some medication herself, cooked dinner, and went to bed without eating. This morning, she felt very dizzy and nauseous and final...


Dr. Zhang Junwei reply Neurosurgery
If you experience increased dizziness or vomiting one or two days after taking the medication, it is recommended to visit the neurosurgery outpatient clinic for further evaluation.

[Read More] Understanding Head Injuries: When to Seek Further Medical Attention


Understanding Sacral Dimpling: Causes, Concerns, and Back Pain Links

It seems to be a sacral dimple? Hello, I would like to inquire about a depression I have on my buttocks. I initially thought it was something everyone had, but later realized it was different. After researching online, it seems to resemble a sacral dimple. The depression is locat...


Dr. Zhang Junwei reply Neurosurgery
It doesn't sound like a significant issue; it's likely just a normal variation. However, if you're still concerned, it's advisable to schedule an appointment with a spine specialist for a thorough examination.

[Read More] Understanding Sacral Dimpling: Causes, Concerns, and Back Pain Links


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