Dr. Zhang Junwei reply Neurosurgery Question - Page 6

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Managing Post-Surgery Neurological Scarring After Brain Tumor Removal

Neurogenic scar tissue after brain tumor surgery? Hello Dr. Chang, I had a brain tumor removed in mid-last year, and I have been experiencing persistent symptoms such as tinnitus, diplopia, facial numbness, and trigeminal nerve issues as postoperative sequelae. I would like to kn...


Dr. Zhang Junwei reply Neurosurgery
The term "scarring in the central nervous system" refers to the formation of scar tissue following nerve damage. It appears similar to nerve injury, and currently, there are no particularly effective treatment options available.

[Read More] Managing Post-Surgery Neurological Scarring After Brain Tumor Removal


Understanding Post-Surgery Symptoms After Cervical Spine Injury

Questions After Cervical Spine Surgery Due to Car Accident Hello Doctor: Due to a car accident last November, I experienced compression of the cervical spine from the helmet, resulting in a herniated disc at C3-C7 and spinal cord edema. I underwent a discectomy and fusion surgery...


Dr. Zhang Junwei reply Neurosurgery
Nerve conduction studies can help clarify your concerns.

[Read More] Understanding Post-Surgery Symptoms After Cervical Spine Injury


Pain in the Pinky Finger Joint When Exposed to Cold Water: Causes Explained

The tip of the little finger hurts when exposed to cold water? Since the beginning of winter, I have suddenly experienced pain on the inner side of the distal joint of my right little finger when washing with cold water, but there is no pain when washing with warm water. Could yo...


Dr. Zhang Junwei reply Neurosurgery
This is not a neurosurgical issue; it is recommended to consult an orthopedic outpatient clinic for examination.

[Read More] Pain in the Pinky Finger Joint When Exposed to Cold Water: Causes Explained


Managing AVM Complications: Insights on Treatment Options and Transfers

Arteriovenous malformation of the brain with associated intracerebral hemorrhage? Dear Doctor: My family member, in their forties, was diagnosed with an arteriovenous malformation (AVM) two years ago. After angiography, surgery was deemed too risky due to the deep location of the...


Dr. Zhang Junwei reply Neurosurgery
Currently, there does not seem to be a better treatment option available, but since each individual's condition varies, it is still recommended to have a detailed consultation in an outpatient setting.

[Read More] Managing AVM Complications: Insights on Treatment Options and Transfers


Head Injury Concerns: When to Seek Medical Attention After a Bump

Head trauma Hello doctor, yesterday when I was closing the rear car door, I accidentally hit my dad's head without noticing. He was conscious at the time but felt a lot of pain and has a small bruise on the top of his head. Today, he has no other discomfort. Is there a possi...


Dr. Zhang Junwei reply Neurosurgery
The likelihood of intracranial hemorrhage is low; however, if there is persistent headache and dizziness, immediate medical attention should be sought.

[Read More] Head Injury Concerns: When to Seek Medical Attention After a Bump


Could It Be Subarachnoid Hemorrhage? Understanding Severe Headaches

Is it a subarachnoid hemorrhage? I started experiencing high blood pressure and severe headaches after eating pork the day before yesterday. The pain is worse than before, as if there is a stone pressing on my head. Sometimes I feel a bit better and manage to sleep, but I still w...


Dr. Zhang Junwei reply Neurosurgery
Neurology.

[Read More] Could It Be Subarachnoid Hemorrhage? Understanding Severe Headaches


Managing Post-Car Accident Head Pain: Effective Relief Strategies

Post-traumatic sequelae from a car accident? Hello, doctor. I would like to ask about an incident on January 16 where I sustained a head injury in a car accident. At the time, I did not feel nauseous, and the emergency department assessed that there was no concussion. However, si...


Dr. Zhang Junwei reply Neurosurgery
It is recommended to schedule a consultation with a neurosurgeon.

[Read More] Managing Post-Car Accident Head Pain: Effective Relief Strategies


Managing Severe Nerve Pain After Complex Pelvic and Foot Injuries

Explosive neuropathic pain? Hello, Doctor. Last August, I had an accidental fall from a height resulting in a complex pelvic fracture and crush fractures in both feet. The sensation in my left foot is abnormal; it feels like there are two wires underneath my shoe, and the nerve p...


Dr. Zhang Junwei reply Neurosurgery
Due to the lack of detailed medical history and examination records, I am unable to provide an answer. It is recommended to consult a physician in an outpatient setting with the medical records in hand.

[Read More] Managing Severe Nerve Pain After Complex Pelvic and Foot Injuries


Understanding Recovery from Right Brain Hemorrhage: Signs and Treatment Options

Right hemisphere hemorrhage I would like to know about a patient with a brain hemorrhage who was initially unresponsive upon arrival at the intensive care unit. The next day, they showed some movement on the right side and could slightly open their eyes, but their speech was uncl...


Dr. Zhang Junwei reply Neurosurgery
Unable to provide explanations and predictions based on specific medical conditions.

[Read More] Understanding Recovery from Right Brain Hemorrhage: Signs and Treatment Options


Understanding Aneurysm Rupture: Coma, Pain Perception, and Prognosis

Aneurysm rupture, currently in a coma? Hello, Doctor: I would like to ask about a 71-year-old patient who has no poor dietary habits and maintains a normal daily routine, but is small in stature and has a weak immune system. Health checks show no signs of hypertension, diabetes, ...


Dr. Zhang Junwei reply Neurosurgery
1. Theoretically, a person in a coma does not feel pain. 2. Not necessarily.

[Read More] Understanding Aneurysm Rupture: Coma, Pain Perception, and Prognosis


Understanding Post-Surgery Confusion After Brain Hemorrhage Drainage

Altered consciousness after drainage of a cerebral hemorrhage? Hello, doctor! My father was sent to the hospital three weeks after a fall due to headaches. After examination, he was found to have a subdural hematoma. The physician recommended drainage for quicker recovery (and he...


Dr. Zhang Junwei reply Neurosurgery
Without detailed computed tomography and examinations, it is not possible to provide an interpretation or prognosis based on specific medical conditions.

[Read More] Understanding Post-Surgery Confusion After Brain Hemorrhage Drainage


Understanding the Risks and Challenges of Brain Cyst Surgery Near the Brainstem

Surgical issues related to a brain cyst near the brainstem? Hello, doctor. Recently, after undergoing an MRI, I learned that there is a large cyst (fluid-filled sac) in my brain near the brainstem that requires surgical drainage. I would like to know the difficulty level and risk...


Dr. Zhang Junwei reply Neurosurgery
Without specific imaging studies, medical history, and physical examination, it is not possible to provide an answer.

[Read More] Understanding the Risks and Challenges of Brain Cyst Surgery Near the Brainstem


Chronic Brain Hemorrhage: Understanding Delayed Diagnosis and Treatment Options

Chronic cerebral hemorrhage with hematoma compressing the brain? Hello Dr. Zhang, my father (born in 1943) had a severe head injury from a fall down the stairs at the end of August, resulting in significant bleeding that required emergency care. A CT scan at that time showed only...


Dr. Zhang Junwei reply Neurosurgery
Without detailed CT scans and neurological examinations, it is not possible to determine an accurate treatment plan. It is recommended to bring the discharge summary and CT scans to an outpatient appointment for discussion with the physician.

[Read More] Chronic Brain Hemorrhage: Understanding Delayed Diagnosis and Treatment Options


Is It Safe to Fly Years After Skull Surgery? Understanding the Risks

Is there still a high risk of flying years after cranial surgery? Hello, doctor. I was in a serious car accident four years ago, during which I sustained a brain injury and had a portion of my skull about the size of a fist removed. Later, a titanium plate was used to replace the...


Dr. Zhang Junwei reply Neurosurgery
There is basically no risk anymore, but it is still advisable to consult with the surgeon who originally performed your operation.

[Read More] Is It Safe to Fly Years After Skull Surgery? Understanding the Risks


Post-Surgery Care: Impact of Heavy Lifting After Meningioma Surgery

Postoperative care Hello, Director. I would like to ask what impact lifting heavy objects after meningioma surgery might have on the brain?


Dr. Zhang Junwei reply Neurosurgery
Basically, it won't be a problem, but it depends on how heavy the item is. For example, if you are going to lift weights, then it could be an issue.

[Read More] Post-Surgery Care: Impact of Heavy Lifting After Meningioma Surgery


Understanding Post-Coma Care Options After Brain Hemorrhage

Subsequent Issues Following Coma Due to Cerebral Hemorrhage Hello Doctor, I would like to inquire about my mother, who is 83 years old. A month ago, she suffered a massive hemorrhagic stroke in the right hemisphere of her brain that nearly crossed the midline. She underwent an em...


Dr. Zhang Junwei reply Neurosurgery
Without detailed medical history, it is difficult to provide an answer. However, if the condition is severe enough that the physician determines there is no possibility of recovery, and the family agrees not to pursue aggressive treatment, then performing a drainage procedure may...

[Read More] Understanding Post-Coma Care Options After Brain Hemorrhage


Can Subarachnoid Hemorrhage Go Unidentified on Scans?

Subarachnoid hemorrhage with no identifiable bleeding source? Is it possible that a relative diagnosed with subarachnoid hemorrhage due to sudden severe headache might still not have a detectable bleeding source after undergoing relevant imaging studies?


Dr. Zhang Junwei reply Neurosurgery
It's possible.

[Read More] Can Subarachnoid Hemorrhage Go Unidentified on Scans?


Understanding Head Injuries from Motorcycle and Bicycle Accidents

Injuries caused by car accidents? A collision between a motorcycle and a bicycle resulted in a fall that caused head trauma, leading to initial loss of consciousness and confusion. Bystanders attempted to rouse the individual with no response, and then a second motorcycle struck ...


Dr. Zhang Junwei reply Neurosurgery
Yes, it is a concussion, it will.

[Read More] Understanding Head Injuries from Motorcycle and Bicycle Accidents


Post-Spinal Fusion Surgery: Understanding Symptoms and Treatment Options

Post-spinal fusion surgery I have rheumatoid arthritis and underwent surgery on June 23 for L4-L5 instability (with a Romeo cage and health insurance screws). Due to osteoporosis with a T-score of -2.4, I experienced collapse and pain, which led to a second surgery for adjustment...


Dr. Zhang Junwei reply Neurosurgery
Due to the varying complexity of individual medical conditions, it is not possible to provide specific explanations for each person's condition.

[Read More] Post-Spinal Fusion Surgery: Understanding Symptoms and Treatment Options


Can Nerve Damage from Car Accidents Be Repaired?

Can nerve damage from a car accident be repaired? Doctor, I would like to ask about my nephew who suffered facial fractures and nerve damage due to a car accident. Currently, he is unable to move his left eye and has weakness in his eyelid, making it impossible for him to open it...


Dr. Zhang Junwei reply Neurosurgery
It is not possible to determine the duration and severity of the injury, and therefore, individual conditions cannot be explained.

[Read More] Can Nerve Damage from Car Accidents Be Repaired?


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