Understanding Symptoms of Stroke and Meningitis: A Family's Urgent Concern
Suspected stroke or meningitis? My wife's sister visited a hospital in Taoyuan on December 21 due to a fever of 38.3 degrees Celsius, which later led to pneumonia and hospitalization. On December 27, she suddenly became weak and limp in her hospital bed. The attending physic...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Mr. Zhou: Your question is difficult to address online; it is advisable to discuss it with the patient's attending physician for a more appropriate response. Wishing you safety and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Tao...[Read More] Understanding Symptoms of Stroke and Meningitis: A Family's Urgent Concern
Hydrocephalus After Head Injury: Should I Consider Drainage Surgery?
Regarding the issue of hydrocephalus? A few days ago, I hit my head and, due to ongoing dizziness, I went to the hospital for a CT scan. Unexpectedly, it revealed hydrocephalus. Since I had surgery for an acoustic neuroma four years ago, the doctor asked me to show him the pre-op...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Winnie: Hello, if there is no enlargement of the hydrocephalus compared to the previous imaging and there are no corresponding symptoms, it is generally recommended to observe the situation first. Typically, the drainage catheter is placed subcutaneously and should not signi...[Read More] Hydrocephalus After Head Injury: Should I Consider Drainage Surgery?
Post-Surgery Care for Brain Hemorrhage: Understanding Treatment Options
Post-operative treatment for cerebral hemorrhage? Hello doctor, we are truly helpless and don’t know what else we can do… My father has severe Alzheimer's disease, Parkinson's disease, and hydrocephalus. In January, he experienced severe drowsiness, not eating or drinki...
Dr. Zhang Yuanyi reply Neurosurgery
Hello: Generally speaking, the prognosis for left hemisphere hemorrhage is poor. If the patient's preoperative condition is not good, they are older, and their level of consciousness is quite low, the prognosis is likely to be unfavorable regardless of whether surgery is per...[Read More] Post-Surgery Care for Brain Hemorrhage: Understanding Treatment Options
Can Cervical Disc Herniation Qualify for Disability Benefits?
Cervical spondylosis Hello Dr. Chang Yuan-yi! I would like to ask if I can apply for disability assessment or labor insurance sickness benefits for cervical spine disorders such as intervertebral disc herniation. I have experienced weakness in both hands, persistent neck pain, an...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Ah Peng, Hello, whether you can apply for disability assessment or labor insurance sickness benefits needs to be evaluated before a decision can be made. Wishing you peace and health, Dr. Zhang Yuan-yi Attending Physician, Department of Neurosurgery Taoyuan General...[Read More] Can Cervical Disc Herniation Qualify for Disability Benefits?
Understanding Arm Pain After Blood Draw: When to Seek Medical Advice
Arm pain or tingling sensation? Hello, doctor. Recently, I participated in a health check-up, and after having my blood drawn, I occasionally experience a sharp pain in my wrist. I initially thought it was temporary, but after a week, I still feel intermittent sharp pain or a col...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Osisokapi: Conditions such as vasculitis and ligament injuries could be potential causes. The sharp pain in your wrist may not necessarily be related to the injection. Please visit an outpatient clinic to consult with a physician for proper diagnosis and treatment. Wishing y...[Read More] Understanding Arm Pain After Blood Draw: When to Seek Medical Advice
Understanding Stroke Risks: The Impact of High Blood Pressure and Falls
Cerebral stroke The patient has hypertension and fell while bathing, hitting their head on the ground. Without immediate medical attention, could there be serious consequences for the brain? Please respond, thank you.
Dr. Zhang Yuanyi reply Neurosurgery
Dear Mr. Wu: Please visit the outpatient clinic for treatment by a specialist for the patient. Wishing you peace and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Stroke Risks: The Impact of High Blood Pressure and Falls
Choosing Between Titanium Implants and Original Skull for Cranioplasty
Regarding skull issues? For my 70-year-old mother, who underwent surgery for a ruptured cerebral aneurysm and had her skull removed, we are considering whether to use a titanium alloy cranial implant or to reattach the original skull bone (which has been preserved at low temperat...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Jeff, Generally, the primary choice is to use the patient's own bone for grafting. There are occasional concerns about infection with preserved skull bones, but such cases are quite rare, and current preservation techniques are quite good. There is no issue of rejectio...[Read More] Choosing Between Titanium Implants and Original Skull for Cranioplasty
Understanding Tension in the Temples: Focus Issues and Neurological Concerns
Tension in the temples and cognitive impairment? I have been experiencing tightness in my temples for a long time, making it difficult for me to concentrate and remember things. I often forget things and my thought processes are slow. Sometimes, I become fixated on a problem and ...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Xiao Li, Hello, please visit the neurology outpatient clinic for treatment. Wishing you safety and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Tension in the Temples: Focus Issues and Neurological Concerns
Understanding Cavernous Hemangiomas: Surgery, Recovery, and Risks
Cerebral cavernous malformation (CCM) Hello, doctor. During other examinations, I unexpectedly discovered that I have cavernous hemangiomas in both the left and right hemispheres of my brain. I heard that these are located on the microvasculature. The one in the left hemisphere i...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Bruce, Regarding your questions, here are the answers: How long will the surgery take? The duration of the surgery can vary. Typically, how long after the surgery will the patient wake up? Patients usually wake up after the effects of the anesthesia wear off. Will the pati...[Read More] Understanding Cavernous Hemangiomas: Surgery, Recovery, and Risks
Is 1 cm Hydrocephalus Serious? When Is Surgery Necessary?
Is 1 centimeter of hydrocephalus serious? Is surgery necessary? Hello Dr. Chang, My baby experienced an unexplained intracranial hemorrhage at 3 and a half months old (without any trauma or vigorous shaking). A CT scan was performed on the day of the hemorrhage, and the hospital...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Ken, Hello, it is unclear whether the hydrocephalus you mentioned refers to communicating hydrocephalus or chronic subdural hematoma. Generally, if there is a significant amount of blood clot, it typically takes more than a month to be absorbed. The resolution of hydrocepha...[Read More] Is 1 cm Hydrocephalus Serious? When Is Surgery Necessary?
Do All Brain Hemorrhages Require Surgery? Risks and Alternatives Explained
Surgical intervention for cerebral hemorrhage? Hello, doctor: Is surgery always necessary for hemorrhage in the lateral ventricles and the fourth ventricle? Is the risk of surgery significant? Are there other methods for treatment?
Dr. Zhang Yuanyi reply Neurosurgery
Hello, if there is associated hydrocephalus or a low level of consciousness, surgery is usually required. Generally, brain surgery carries risks; however, if a drainage procedure is performed for hydrocephalus, the risks are considered lower compared to other types of brain surge...[Read More] Do All Brain Hemorrhages Require Surgery? Risks and Alternatives Explained
Understanding Severe Back Pain: Causes and Recommended Tests
Back pain Hello: I often experience severe pain in my back near the right sacral area, especially when I lower my neck or press on that area. I am unsure what the cause might be and what examinations I should undergo. Will health insurance cover this? I would appreciate your guid...
Dr. Zhang Yuanyi reply Neurosurgery
Hello: Your pain may be related to your daily posture, muscle use, or cervical spine issues. It is advisable to consult a physician at the outpatient clinic for an examination. Wishing you safety and health. Sincerely, Dr. Zhang Yuan-yi, Attending Physician, Department of Neurosu...[Read More] Understanding Severe Back Pain: Causes and Recommended Tests
Understanding Foot Pain and Numbness: When to Seek Specialist Help
Soreness and numbness in the soles of the feet? Dear Doctor: My feet experience numbness followed by a burning sensation, then soreness, and finally pain whether I am sitting or standing. I have seen an orthopedic specialist, had X-rays of my spine which showed no issues, and tri...
Dr. Zhang Yuanyi reply Neurosurgery
Dear SEN: Hello, issues with the cervical and lumbar spine can both potentially cause similar symptoms. Additionally, individuals with a history of diabetes may experience this condition due to peripheral neuropathy. It is recommended to visit a neurosurgery outpatient clinic for...[Read More] Understanding Foot Pain and Numbness: When to Seek Specialist Help
Understanding Intracranial Hemorrhage: Causes, Risks, and Safety Concerns
Medical consultation Hello, Doctor: I would like to consult a specialist regarding the following questions: 1. What is ventricular hemorrhage? What is intracerebral hemorrhage? 2. If both ventricular hemorrhage and intracerebral hemorrhage are diagnosed simultaneously, what cou...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Mr. Cheng: Hello, (1) The ventricles are cavities within the brain that contain cerebrospinal fluid; bleeding within these cavities is referred to as ventricular hemorrhage, while intracerebral hemorrhage refers to bleeding within the brain tissue itself. (2) The simultane...[Read More] Understanding Intracranial Hemorrhage: Causes, Risks, and Safety Concerns
Understanding Finger Joint Pain: Is It Carpal Tunnel Syndrome?
Finger joint pain may suggest carpal tunnel syndrome? Hello Doctor: Due to my profession, I have been typing for a long time, and about three years ago, I started experiencing pain in the finger joints. All ten fingers hurt, with the little finger being particularly severe. Durin...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Bruce, Carpal tunnel syndrome commonly presents with numbness in the thumb, index finger, middle finger, and the medial side of the ring finger, and is less frequently associated with joint pain. Joint pain may sometimes occur due to overuse leading to cartilage wear. In yo...[Read More] Understanding Finger Joint Pain: Is It Carpal Tunnel Syndrome?
Post-Concussion Care: Key Considerations After Intracranial Hemorrhage
excuse me? After experiencing intracranial hemorrhage, there are several important considerations to keep in mind during recovery. Since the injury occurred from a fall while riding a bike, and there was a reported hematoma of nearly 1 cm, likely a subdural hematoma, it is crucia...
Dr. Zhang Yuanyi reply Neurosurgery
Hello, 1. How long does it take for the bleeding to be absorbed by the body? Will it be completely absorbed? → It can take anywhere from 1 to 3 months, and it is possible for it to be completely absorbed. 2. He experienced headaches a few days ago, but not recently. Could thi...[Read More] Post-Concussion Care: Key Considerations After Intracranial Hemorrhage
Pregnancy Considerations for Patients with Intracranial Aneurysms
Intracranial aneurysm I was diagnosed with an intracranial aneurysm and underwent embolization surgery a year ago. I have been on medication (Clopidogrel) for three months post-surgery, and my doctor informed me that I need to continue the medication for six months. I would like ...
Dr. Zhang Yuanyi reply Neurosurgery
Hello, according to existing literature, the use of Baoshantong does not increase the risk of embryonic abnormalities. A 1996 epidemiological study published in the United States found that the risk of aneurysm rupture in pregnant women is 2.5 times that of the general population...[Read More] Pregnancy Considerations for Patients with Intracranial Aneurysms
Understanding Subarachnoid Hemorrhage: Long-term Effects After Trauma
Subarachnoid hemorrhage (SAH) refers to bleeding in the space between the brain and the tissues covering it, known as the subarachnoid space. This condition can occur due to various causes, including the rupture of an aneurysm, head trauma, or other vascular malformations? In the...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Ah-Hsien: Post-traumatic stress disorder, chronic bleeding, or new neurological conditions must all be considered, especially taking into account age and any related medical conditions. It is best to have a physician evaluate and make a diagnosis. Wishing you peace and healt...[Read More] Understanding Subarachnoid Hemorrhage: Long-term Effects After Trauma
Understanding Hydrocephalus Surgery: Options and Risks Explained
Surgical Methods for Hydrocephalus Hello Dr. Chang! My father is 70 years old and was previously paralyzed in bed due to a stroke. He currently has hydrocephalus (which existed before the stroke but was untreated due to the stroke) and is experiencing seizures. He is taking antic...
Dr. Zhang Yuanyi reply Neurosurgery
Hello, Miss Chun-Ying. It is commonly said that hydrocephalus can occur in two situations: one is ventricular enlargement leading to hydrocephalus, and the other is subdural hematoma. The surgical approach for the former involves the placement of a ventriculoperitoneal shunt, wit...[Read More] Understanding Hydrocephalus Surgery: Options and Risks Explained
Understanding Lumbar Burst Fractures and Nerve Injury Management
Lumbar vertebra burst fracture with spinal nerve injury? Hello Doctor: 1. I underwent lumbar spine surgery approximately ten years ago, during which I had a total of three to four surgeries. Recently, I have been experiencing lower back pain, leg numbness, and a burning sensati...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Jack, After surgery for lumbar nerve compression, it is common for some neurological symptoms to persist. This is because the relief of nerve compression does not always guarantee a return to original function. Currently, there are no specific treatment options available, a...[Read More] Understanding Lumbar Burst Fractures and Nerve Injury Management