Can Hydrocephalus Worsen Over Time? Seeking Expert Advice
Does hydrocephalus cause the brain to enlarge? Hello Doctor: I visited the neurology department at Yunji Hospital over ten years ago. At that time, my symptoms included hand tremors and numbness. Since no definitive cause was found (I underwent nerve and EEG tests but with no sig...
Dr. Zhang Junwei reply Neurosurgery
You are likely referring to a blister or fluid accumulation, which can potentially increase in size. If there are any concerns, it is advisable to consult a neurosurgeon for evaluation.[Read More] Can Hydrocephalus Worsen Over Time? Seeking Expert Advice
Managing Intracerebral Hemorrhage: A Case Study of 80cc Blood Accumulation
Cerebral hemorrhage of 80cc? Hello Doctor: On June 27, 2023, my brother was brought to the hospital, where he was diagnosed with a left-sided intracerebral hemorrhage with an initial volume of 68cc, which increased to 80cc after 6 hours. He has impaired mobility on the right side...
Dr. Zhang Junwei reply Neurosurgery
There are no right or wrong choices, only what is suitable or not. Given the patient's special condition (coagulation dysfunction), a thorough discussion with the physician is necessary to make a decision.[Read More] Managing Intracerebral Hemorrhage: A Case Study of 80cc Blood Accumulation
Understanding Bumps on the Skull: Causes and Concerns
Protrusion of the cranial bones? Hello Doctor, I recently noticed a bump near the top of my head. If I divide the area into front, back, left, and right, the front and right sides feel like a normal continuous contour. However, when I touch the back and left sides, there is a sud...
Dr. Zhang Junwei reply Neurosurgery
It is possible that the irregularities were always present, and you have only recently noticed them. It is recommended to observe for another month or two.[Read More] Understanding Bumps on the Skull: Causes and Concerns
Understanding Chronic Dizziness: Exploring Neck and Shoulder Connections
Chronic dizziness Hello, doctor. I have been experiencing long-term dizziness (not vertigo, and I do not feel unbalanced). I do not have any chronic illnesses and have consulted a neurologist. My EEG results were normal, and I have been taking a medication called Nootropil for a ...
Dr. Zhang Junwei reply Neurosurgery
Without a detailed physical examination, it is impossible to determine; it could be present or it could be absent.[Read More] Understanding Chronic Dizziness: Exploring Neck and Shoulder Connections
Understanding Skull Bumps: When to Seek Further Medical Evaluation
Slight protrusion of the skull? Hello Doctor, I recently noticed a bony protrusion near the top of my head. I consulted a neurosurgeon who performed a brief physical examination and said it felt normal (as I don't have any symptoms or discomfort). He advised me to monitor it...
Dr. Zhang Junwei reply Neurosurgery
1. Very difficult. 2. Agree to observe further.[Read More] Understanding Skull Bumps: When to Seek Further Medical Evaluation
Understanding Spinal Surgery: Insights on Atypical Recovery and Symptoms
Spinal surgery Hello Doctor: I have ankylosing spondylitis and suffered compression fractures of the T10 and T11 vertebrae due to a car accident in 2017. The fractures were not detected at the time of the accident, and it wasn't until two months later that I experienced numb...
Dr. Zhang Junwei reply Neurosurgery
The key factor is not the number of spinal surgeries, but rather the extent of spinal cord injury. Severe spinal cord damage is irreversible. It is possible that nerve compression and injury occur at the moment of injury. The earlier the surgery is performed before irreversible d...[Read More] Understanding Spinal Surgery: Insights on Atypical Recovery and Symptoms
Post-Surgery Recovery for Hydrocephalus Patients: Managing Dizziness
Recovery in patients with hydrocephalus? Hello, I would like to inquire about how long it takes for a patient with hydrocephalus to stop experiencing dizziness after surgery. It has been about two weeks since the operation, and I can walk a little, but I still feel dizzy after si...
Dr. Zhang Junwei reply Neurosurgery
Dizziness is not necessarily caused by hydrocephalus, and dizziness may not improve after surgery. Please consult the surgeon to determine the cause of the dizziness.[Read More] Post-Surgery Recovery for Hydrocephalus Patients: Managing Dizziness
Post-Surgery Falls in Hydrocephalus Patients: When to Seek Medical Attention?
Postoperative falls in patients with hydrocephalus? Hello, I would like to ask about my mother. She underwent surgery for hydrocephalus on June 7, and today, June 16, she fell in the bathroom and hit her head. However, the impact was not on the surgical site, which is on the left...
Dr. Zhang Junwei reply Neurosurgery
If the patient is alert and shows no neurological deficits, observation is sufficient. If any issues arise, promptly refer to a neurosurgery outpatient clinic or the emergency department.[Read More] Post-Surgery Falls in Hydrocephalus Patients: When to Seek Medical Attention?
Understanding Cerebellar Hemorrhage: Challenges and Recovery Insights
Spontaneous cerebellar hemorrhage Hello, my husband has experienced spontaneous cerebellar hemorrhage and has a drainage tube in place. He is 46 years old and underwent surgery on January 2, 2023. He was in a coma for a month with a Glasgow Coma Scale score of 3. Later, he develo...
Dr. Zhang Junwei reply Neurosurgery
Infection is not a sequela of neurosurgery; however, when fever occurs, the issue of the drainage tube should be considered first.[Read More] Understanding Cerebellar Hemorrhage: Challenges and Recovery Insights
Understanding Hydrocephalus: Why Spinal Drainage May Fail
Cerebral edema with inadequate drainage? The mother underwent a CT scan and was diagnosed with cerebral edema. The doctor arranged for spinal drainage, but was unable to extract any fluid. Is this due to obstruction or are there other factors involved?
Dr. Zhang Junwei reply Neurosurgery
Cerebral edema cannot be drained, while hydrocephalus can.[Read More] Understanding Hydrocephalus: Why Spinal Drainage May Fail
Why Do My Side Blood Vessels Swell in the Sun?
Prominent blood vessels on both sides of the head? Hello doctor, may I ask why the blood vessels on both sides of my body become prominent when I work under the sun? They return to normal when the temperature decreases, and my blood pressure is below 140.
Dr. Zhang Junwei reply Neurosurgery
Normal, caused by increased blood flow.[Read More] Why Do My Side Blood Vessels Swell in the Sun?
Can Brain Aneurysms Disappear? Insights from a Neurology Case
Arterial aneurysm Hello Dr. Chang, I was diagnosed with a cerebral aneurysm after experiencing severe headaches and undergoing a CT scan in 2017. Subsequently, I had MRI and angiography arranged. Over the past few years, I have had two follow-up MRIs, and the results indicated th...
Dr. Zhang Junwei reply Neurosurgery
Theoretically, it is unlikely for it to disappear, but nothing is absolute. It may be necessary to inquire in detail with the physician about the size and type of the aneurysm, among other factors.[Read More] Can Brain Aneurysms Disappear? Insights from a Neurology Case
Challenges in Managing Hydrocephalus: When Shunt Drainage Fails
The patient has symptoms of hydrocephalus and has had a shunt installed. The drainage is set to maximum, but the results are not satisfactory? Dear Dr. Zhang, My mother is 67 years old. In 2018, she underwent surgery for a carotid artery aneurysm that was compressing her brainst...
Dr. Zhang Junwei reply Neurosurgery
Without detailed examination reports and imaging studies, it is difficult to answer such questions. If the drainage has been maximized and the condition has not improved, it may not be a problem related to hydrocephalus. Whether there is an improvement in hydrocephalus can be det...[Read More] Challenges in Managing Hydrocephalus: When Shunt Drainage Fails
Understanding Persistent Vegetative State After Brain Tumor Surgery: Key Insights
Brain issues Hello doctor, I would like to ask about a relative who underwent a biopsy surgery for a brain tumor. They were originally scheduled for discharge, but before leaving the hospital, they experienced seizures, vomiting, and loss of bowel and bladder control. Subsequentl...
Dr. Zhang Junwei reply Neurosurgery
Magnetic resonance imaging (MRI) cannot detect all brain issues; a normal scan does not mean there are no problems in the brain. There may be other causes for the patient's coma.[Read More] Understanding Persistent Vegetative State After Brain Tumor Surgery: Key Insights
Understanding Head Injuries: Symptoms, Risks, and Recovery After a Fall
Head trauma Yesterday, my sister was playing basketball and during a struggle for the ball, her opponent applied excessive force, causing her to be thrown to the ground, resulting in a direct impact to the right side of her head. The affected area swelled significantly, and she f...
Dr. Zhang Junwei reply Neurosurgery
Obvious concussion symptoms typically improve within one to two weeks, and generally, there are rarely any long-term sequelae.[Read More] Understanding Head Injuries: Symptoms, Risks, and Recovery After a Fall
Understanding Pituitary and Craniopharyngioma Tumors: Symptoms and Next Steps
Pituitary tumor or craniopharyngioma Hello Doctor, since June 2022, I have been experiencing blurred peripheral vision in my left eye. I underwent an examination at a major hospital's ophthalmology department, where the results indicated narrowed visual fields and visual fie...
Dr. Zhang Junwei reply Neurosurgery
First, confirm whether the tumor is indeed compressing the optic nerve. If it is, even if the tumor is small, you can discuss with your physician the possibility of surgery.[Read More] Understanding Pituitary and Craniopharyngioma Tumors: Symptoms and Next Steps
Post-Surgery Vision Loss: Can It Be Reversed After Brain Tumor Removal?
Postoperative issues following brain tumor surgery? Hello, Director Zhang. Recently, a family member underwent surgery to remove three tumors near the occipital lobe and the vertex, with a preliminary diagnosis of metastatic lung cancer. Before the surgery, they experienced doubl...
Dr. Zhang Junwei reply Neurosurgery
It's hard to say; it depends on the situation. We can only continue to monitor it.[Read More] Post-Surgery Vision Loss: Can It Be Reversed After Brain Tumor Removal?
Post-Surgery Recovery Insights for Glioblastoma Patients: Understanding Symptoms and Prognosis
Postoperative care for brain tumors? I would like to ask the doctor about my family member who fell ill in mid-March and was sent to the emergency room, where they were diagnosed with glioblastoma and intracranial hemorrhage. An emergency surgery was performed, with the first sta...
Dr. Zhang Junwei reply Neurosurgery
The growth location of a brain tumor and the presence of bleeding can lead to significantly different clinical outcomes. Without detailed medical history and examination reports, it is not possible to provide an answer.[Read More] Post-Surgery Recovery Insights for Glioblastoma Patients: Understanding Symptoms and Prognosis
Understanding Left Facial Pain: Causes and Treatment Options
Pain on the left side of the face? Hello, doctor: I would like to ask about the pain in my zygomatic bone and mandible, which is sharp and worsens with pressure. I have taken anti-inflammatory medication, but it hasn't been effective. Why is it so painful, and what could be ...
Dr. Zhang Junwei reply Neurosurgery
It is recommended to have a dental examination to check for any dental issues.[Read More] Understanding Left Facial Pain: Causes and Treatment Options
Understanding Dizziness and Head Pain: When to See a Specialist
Dizziness, head-related issues? Hello Doctor: My symptoms include dizziness, and when I stand up and walk, I experience pain and a feeling of lightheadedness in my head. I also find that I easily make mistakes when speaking or typing. I saw a doctor once, and the diagnosis was po...
Dr. Zhang Junwei reply Neurosurgery
Otolaryngology[Read More] Understanding Dizziness and Head Pain: When to See a Specialist