Understanding Head Injuries in Elderly: When to Seek Medical Attention
Head injury I would like to consult a doctor. My grandmother, who is 80 years old, fell at home on the morning of May 18, 2022, around 9 AM. She hit her head and developed a bump. When we helped her up, she mentioned that the area where she was hit felt numb and was slightly pain...
Dr. Zhang Junwei reply Neurosurgery
Purple eyelids indicate a bruise. It is important to check for symptoms such as headache, dizziness, nausea, or vomiting; if any of these are present, medical attention should be sought.[Read More] Understanding Head Injuries in Elderly: When to Seek Medical Attention
Can You Masturbate After a Concussion? Expert Insights on Recovery
Is it safe to masturbate after a concussion? Hello Doctor, I bumped the back of my head on May 26th, but it wasn't very hard. After texting a doctor I know about my symptoms, he assessed that it might be a concussion, so I didn't go to see a doctor. Currently, I have sy...
Dr. Zhang Junwei reply Neurosurgery
Not necessarily.[Read More] Can You Masturbate After a Concussion? Expert Insights on Recovery
Understanding Post-Surgery Spine Issues: When to Seek Medical Advice
Nail problems Hello, I would like to ask about my condition. Three years ago, I had a herniated disc at lumbar vertebrae L1 and L2, and upon the doctor's recommendation, I had dynamic screws installed at thoracic vertebra 15 and lumbar vertebrae L1 and L2. Recently, I have n...
Dr. Zhang Junwei reply Neurosurgery
Without detailed medical history and physical examination, it is not possible to provide an answer.[Read More] Understanding Post-Surgery Spine Issues: When to Seek Medical Advice
Exploring Treatment Options for IDH-Mutant Glioma: A Patient's Guide
Is Dymista suitable for me? Hello Doctor: Below is my recent biopsy report. I was diagnosed with a grade II oligodendroglioma 18 years ago, and I have undergone surgery and radiation therapy. This time, the tumor has grown in the brainstem area, compressing the brainstem, and no ...
Dr. Zhang Junwei reply Neurosurgery
I am not a brain tumor specialist; I recommend consulting a brain tumor specialist for an outpatient evaluation.[Read More] Exploring Treatment Options for IDH-Mutant Glioma: A Patient's Guide
Managing Chronic Subdural Hematoma in an 85-Year-Old: Surgical Risks and Alternatives
An 85-year-old woman with chronic subdural hematoma? Dear Director Zhang, I apologize for troubling you. My mother-in-law has been suffering from dementia for a long time and is unable to express her pain. She fell in her backyard on April 23. The symptoms observed that day wer...
Dr. Zhang Junwei reply Neurosurgery
Chronic subdural hematoma has a certain probability of worsening (the likelihood varies from person to person). Aside from surgical intervention, there are no other effective treatment options. Observation to see if it resolves spontaneously is also possible, but the likelihood o...[Read More] Managing Chronic Subdural Hematoma in an 85-Year-Old: Surgical Risks and Alternatives
Understanding Brain Edema and Spinal Surgery: A Patient's Dilemma
Cerebral edema and spinal surgery? Hello: Eight months ago, a neurosurgeon told my mother that she had cerebral edema and needed surgery. At that time, my mother (80 years old) showed no symptoms, so we did not take it seriously. Now she is walking unsteadily and appears to be be...
Dr. Zhang Junwei reply Neurosurgery
Without a complete physical assessment, this question cannot be answered.[Read More] Understanding Brain Edema and Spinal Surgery: A Patient's Dilemma
Understanding MRI Results: Concerns About Pituitary Gland Changes
Brain MRI report Due to a high prolactin level of 54, I underwent an MRI, which reported "No definite brain mass including the sella region. Upward bulging appearance of the pituitary gland probably indicates some hypertrophy or physiological change." This second senten...
Dr. Zhang Junwei reply Neurosurgery
The report has indicated that it is a physiological change, which is normal.[Read More] Understanding MRI Results: Concerns About Pituitary Gland Changes
Traumatic Intracranial Hemorrhage: Treatment and Long-Term Effects
Treatment and Sequelae of Traumatic Intracranial Hemorrhage Hello Doctor: The patient was involved in a car accident in Pingtung on April 28 and was required to be transferred to a hospital in the city with a neurosurgery department due to their residence in a mountainous area. T...
Dr. Zhang Junwei reply Neurosurgery
Due to uncertainty about the extent of the injury, I cannot explain the current condition. I can only advise that if you are unable to care for yourself, please seek assistance and return to the neurosurgery outpatient clinic as soon as possible.[Read More] Traumatic Intracranial Hemorrhage: Treatment and Long-Term Effects
Understanding Concussion Diagnosis and Medical Certificates After Head Injuries
Diagnosis Certificate Content Hello, doctor. My mother was in a car accident recently, resulting in a 5 cm laceration on her head that has been treated. During the emergency visit, the emergency physician clearly stated that she had a concussion, but the diagnosis certificate doe...
Dr. Zhang Junwei reply Neurosurgery
A concussion has a specific definition, and not every head impact is classified as a concussion. The duration of recovery from a concussion varies depending on the symptoms, and there is no fixed recovery period.[Read More] Understanding Concussion Diagnosis and Medical Certificates After Head Injuries
Impact of Skull Depression on Child's Cognitive and Behavioral Development
Cranial depression Hello, my son had a head injury when he was four months old, resulting in a depression on the left back of his head. He is now seven years old, and the depression has become more pronounced, but he reports no pain when pressed. Could this depression negatively ...
Dr. Zhang Junwei reply Neurosurgery
Theoretically, it should not happen, but a consultation with a neurosurgery outpatient clinic is still recommended.[Read More] Impact of Skull Depression on Child's Cognitive and Behavioral Development
Can Brain Tumors Cause Pressure in the Nasal Cavity?
Can a brain tumor compress the nasal cavity? Since October 2021, I have been experiencing a feeling of pressure and tightness in the right nasal cavity (without pain). I have consulted with an otolaryngologist and a dentist to rule out issues such as nasopharyngeal cancer or dent...
Dr. Zhang Junwei reply Neurosurgery
Under normal circumstances, brain tumors do not compress the nasal cavity.[Read More] Can Brain Tumors Cause Pressure in the Nasal Cavity?
Understanding Post-Surgery Symptoms: Nerve Issues After Thoracic Surgery
Thoracic spine issues Hello, doctor! I had surgery last June for thoracic spinal stenosis that was compressing my nerves, but nearly a year after the surgery, I still experience persistent numbness in my legs. I later returned for follow-up visits and had an MRI to assess the com...
Dr. Zhang Junwei reply Neurosurgery
Very likely.[Read More] Understanding Post-Surgery Symptoms: Nerve Issues After Thoracic Surgery
Optimal Timing for Hydrocephalus Surgery: What You Need to Know
Hydrocephalus: Hello doctor, I would like to ask about the optimal timing for surgery in cases of hydrocephalus. I have seen information suggesting that it should be addressed as soon as possible, but due to the need to arrange for hospitalization, it has been three weeks and my ...
Dr. Zhang Junwei reply Neurosurgery
There are varying degrees of water accumulation, but it is still recommended to address it as soon as possible.[Read More] Optimal Timing for Hydrocephalus Surgery: What You Need to Know
Managing Headaches After Shunt Placement in Hydrocephalus Patients
The installation of a drainage catheter for hydrocephalus may cause headaches? Hello Doctor, my daughter was born with hydrocephalus, and a drainage tube was placed on the left side of her head. She is currently in the ninth grade and has been complaining of headaches since recei...
Dr. Zhang Junwei reply Neurosurgery
The key is to clarify the cause of the pain: is it due to headaches caused by hydrocephalus, or is it pain resulting from the tension of the drainage catheter?[Read More] Managing Headaches After Shunt Placement in Hydrocephalus Patients
Understanding Neurofibromas: Symptoms, Risks, and Connections to Glioblastoma
Neurofibromas are benign tumors that arise from the nerve sheath, primarily composed of Schwann cells, fibroblasts, and other cell types. They are commonly associated with neurofibromatos Hello, doctor. Previously, my mother was diagnosed with a primary glioblastoma after a brain...
Dr. Zhang Junwei reply Neurosurgery
1. The two conditions are different diseases. 2. If you feel unwell, seek medical attention as soon as possible.[Read More] Understanding Neurofibromas: Symptoms, Risks, and Connections to Glioblastoma
Post-Operative Concerns: Exercising with a Ventriculoperitoneal Shunt
Postoperative Care for Ventriculoperitoneal Shunt Surgery Hello, doctor. At the beginning of 2020, I had a tumor in the fourth ventricle and underwent craniotomy for tumor resection. After the surgery, I developed symptoms of hydrocephalus and subsequently had a ventriculoperiton...
Dr. Zhang Junwei reply Neurosurgery
In theory, some simple stretching exercises may not pose a problem, but if it involves intense or competitive sports, please consult the surgeon who performed your operation.[Read More] Post-Operative Concerns: Exercising with a Ventriculoperitoneal Shunt
Understanding Complications After Craniotomy: A Patient's Journey
Clamping surgery Hello Doctor: My mother underwent a craniotomy on March 15, with the surgery performed on the 16th. After the surgery, the doctor reported that it was very successful, with no bleeding and the aneurysm was clipped. She was then moved to the intensive care unit fo...
Dr. Zhang Junwei reply Neurosurgery
Without detailed medical history, I cannot provide an answer. Please consult the surgeon.[Read More] Understanding Complications After Craniotomy: A Patient's Journey
Fainting in the Bathroom: When to Seek Medical Attention for Dizziness
Fainted in the restroom and hit my head? Hello doctor, I fainted and hit my head in the bathroom on March 9th. I still feel dizzy today, especially when I get up in the morning and when I go to bed; it feels like I'm spinning and I lose my balance. I get dizzy with any movem...
Dr. Zhang Junwei reply Neurosurgery
If dizziness persists, you may consult an otolaryngologist.[Read More] Fainting in the Bathroom: When to Seek Medical Attention for Dizziness
Understanding Sudden Buttock Pain: Causes and When to Seek Help
Painful sensations in the buttocks may feel like an electric shock? Hello, doctor. I have a fixed point on the left side of my buttocks that feels like being pricked by a needle or suddenly shocked, similar to static electricity. It startles me. If it's severe, I jump up fro...
Dr. Zhang Junwei reply Neurosurgery
You can consult a neurosurgeon.[Read More] Understanding Sudden Buttock Pain: Causes and When to Seek Help
Possibility of Removing a Drain Tube After Neurosurgery: What to Know
The possibility of removing the drainage tube? Hello Doctor: I would like to ask, last November I underwent surgery to place a drainage tube from my right brain to my stomach to address the issue of hydrocephalus. I would like to know if it is possible to remove this drainage tub...
Dr. Zhang Junwei reply Neurosurgery
The removal is straightforward. However, what was the reason for placing the drainage tube initially? After removal, is there a possibility of developing hydrocephalus again? These are considerations you need to take into account.[Read More] Possibility of Removing a Drain Tube After Neurosurgery: What to Know