Understanding Brain Hemorrhage: Causes, Risks, and Treatment Options
Cerebral hemorrhage Hello Dr. Chang, I would like to ask about an elderly patient who was still able to walk but fell and was sent for dialysis. The dialysis unit was not informed in a timely manner, so some anticoagulants were administered. After the dialysis, a CT scan of the b...
Dr. Zhang Yuanyi reply Neurosurgery
Hello, due to the numerous variations, it is difficult to make a judgment. Wishing you peace and health. Sincerely, Dr. Zhang Yuanyi, Neurosurgeon, Taoyuan General Hospital, Department of Health.[Read More] Understanding Brain Hemorrhage: Causes, Risks, and Treatment Options
Impact of Pituitary Tumors on Breast Milk Production: A Medical Insight
Pituitary tumor A pituitary tumor measuring approximately 0.2 cm, will massaging the chest daily exacerbate milk secretion? Thank you.
Dr. Zhang Yuanyi reply Neurosurgery
Hello, I believe there should not be a significant correlation between breast massage and milk secretion. Wishing you peace and happiness. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Impact of Pituitary Tumors on Breast Milk Production: A Medical Insight
Understanding Left Coccyx Pain: Causes, Symptoms, and Treatment Options
Pain in the left coccyx may occur intermittently? Sometimes, even without engaging in strenuous exercise, I suddenly experience pain on the left side of my coccyx (only when I move that area of muscle). This started in July, but the pain is quite intense, often not hurting for ju...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Mr. Lin, Hello. 1. The term "ruptured disc" likely refers to a herniated disc, which can compress a nerve on one side, resulting in unilateral pain. It is important to maintain proper posture and consider using a supportive lumbar brace; however, there is no qui...[Read More] Understanding Left Coccyx Pain: Causes, Symptoms, and Treatment Options
Why Sleeping on Your Back Might Be Harmful: A Neurosurgical Perspective
It is not advisable to sleep on your back? Thank you, doctor, for taking the time to answer my questions. Two years ago, I had a habit of sleeping on my back, which allowed me to fall asleep easily. Recently, I have changed my sleeping habits and now sleep on my side. As a result...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Cats: In response to your inquiry, please find the following: 1. Uncertain. 2. Cervical spine issues are also a possibility. At this moment, it is not possible to determine the need for examination based solely on the description of the problem. Please visit a nearby outpati...[Read More] Why Sleeping on Your Back Might Be Harmful: A Neurosurgical Perspective
Is Epilepsy Caused by Brain Aneurysms Considered Functional Disorder?
What is functional disorder? (Does epilepsy count?) Consulting a physician: Is intracranial hemorrhage caused by a cerebral aneurysm leading to epilepsy considered a functional disorder?
Dr. Zhang Yuanyi reply Neurosurgery
Dear Mr. Huang: Intracranial hemorrhage does carry the possibility of seizures. May I ask what the definition of functional disorder is? Wishing you peace and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Taoyuan General Hospital, Ministry ...[Read More] Is Epilepsy Caused by Brain Aneurysms Considered Functional Disorder?
Neck Injury from Car Accident: Surgery Risks for 63-Year-Old Patient
Cervical vertebrae C3 and C4 injured in a car accident? In a car accident, the cervical vertebrae C3 and C4 have been damaged, causing nerve compression (Taichung). I am unsure which physician to consult. The patient is 63 years old, has diabetes, and fatty liver. Is surgery an o...
Dr. Zhang Yuanyi reply Neurosurgery
Dear James, 1. You can consult any neurosurgeon. 2. Whether surgery is necessary depends on the severity of the compression and the presence of related symptoms. 3. There are always risks associated with surgery. Wishing you safety and health. Sincerely, Dr. Zhang Yuan-yi ...[Read More] Neck Injury from Car Accident: Surgery Risks for 63-Year-Old Patient
Reviving Comatose Patients: Electrical Stimulation for Nerve Activation
Comatose patients: Electrical stimulation to activate nerve cells? The patient is approximately 48 years old and has suffered a hemorrhagic stroke. They have been under home care for two years, are completely paralyzed, and are unconscious. There have been news reports regarding ...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Ms. Chen: The term "current-activated cells" is a general term and not a professional terminology. Could you please specify the technique more precisely for clarification? Wishing you peace and health, Department of Neurosurgery, Taoyuan General Hospital, Min...[Read More] Reviving Comatose Patients: Electrical Stimulation for Nerve Activation
Understanding Intracranial Hemorrhage: Recovery and Communication Challenges
Intracranial hemorrhage Hello Doctor: My father was admitted to the hospital on April 29 due to intracranial hemorrhage and underwent surgery to remove the hematoma. He woke up on May 1. The nurse said that his intracranial pressure and everything else were normal. We have been t...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Yin, Hello. Based on the current information, it is difficult for me to provide an accurate answer, as the perception of whether he has truly regained consciousness may differ between the general public and medical professionals. From the content of the article, it appears ...[Read More] Understanding Intracranial Hemorrhage: Recovery and Communication Challenges
Understanding Subarachnoid Hemorrhage: Causes and Risks of Complications
Subarachnoid hemorrhage Hello, I would like to ask about subarachnoid hemorrhage, for example: what causes subarachnoid hemorrhage? Is it caused by trauma or is it a complication of a disease? Also, what is the likelihood of subarachnoid hemorrhage leading to hydrocephalus? Thank...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Ms. Chen, 1. Conditions such as brain infections, brain tumors, vascular diseases (including arteriovenous malformations and aneurysms), head trauma, hematological disorders, or post-emergency situations can all potentially lead to subarachnoid hemorrhage. 2. Approximately...[Read More] Understanding Subarachnoid Hemorrhage: Causes and Risks of Complications
Can a Person Appear Conscious While Actually Unconscious After Head Trauma?
Is it possible for a person to appear conscious despite having suffered a severe head injury and actually be unconscious? Hello Dr. Chang: I suffered a severe blow to the back of my head and was subsequently taken to the hospital by ambulance. Afterward, I saw the ambulance repor...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Mr. Song: In medical terms, a coma is simply a coma, and there are specific assessment methods for it. Wishing you safety and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Can a Person Appear Conscious While Actually Unconscious After Head Trauma?
Understanding Left Leg Numbness: Causes and When to Seek Help
The left leg often feels numb and tingling? Hello! For the past two to three months, I have been experiencing a noticeable aching and tingling sensation at the point where my left hip connects to my left leg. I suspect this is due to poor posture from prolonged sitting, whether I...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Tina: You can choose either the neurosurgery or orthopedic outpatient clinic, as it depends on the specific condition and some examinations conducted at the clinic. Wishing you peace and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Ta...[Read More] Understanding Left Leg Numbness: Causes and When to Seek Help
Understanding Nerve Recovery After Injury: Timeline and Treatment Insights
excuse me? Hello Dr. Chang, I would like to ask you a question. I was injured when my electric folding bicycle was folded up and pinched my webbing, causing a lot of bleeding. Although I went to the hospital for suturing, it has been three months since then. At the time of suture...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Zhongbin, The recovery of nerve damage depends on the extent of the injury, whether there is a complete rupture, and whether it involves central or peripheral nerves. Generally, recovery can take anywhere from 5-6 weeks to 4-5 months. If there is a complete rupture, the cha...[Read More] Understanding Nerve Recovery After Injury: Timeline and Treatment Insights
Understanding a Bump on the Back of the Head: What You Need to Know
There is a protrusion on the back of the head? While studying, I suddenly felt a slight, unusual pain in my brain, so I touched my head and discovered a small bump on the back of my skull. There was no external trauma or impact; I found it by chance. Doctor, what could this situa...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Mr. Yu-Hao, Hello, the normal human anatomy includes a protrusion at the back of the neck known as the "external occipital protuberance," which may be what you are feeling. However, it could also be indicative of other issues. It is difficult to assess through ema...[Read More] Understanding a Bump on the Back of the Head: What You Need to Know
Understanding Headaches: Why Intense Vibrations Cause Pain
Headache Why does the head hurt under strong vibrations? Thank you for your explanation!
Dr. Zhang Yuanyi reply Neurosurgery
Dear Xiao Zhen: The phenomenon may arise from the meninges, periosteum, muscles, bones, etc., making it impossible to determine whether it is normal or abnormal. Wishing you peace and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Taoyuan Ge...[Read More] Understanding Headaches: Why Intense Vibrations Cause Pain
Understanding Post-Surgery Nerve Issues After Oral Cancer Treatment
Cancer My mother had oral cancer surgery 9 years ago, and recently she was diagnosed with buccal mucosa cancer. It has been 7 days post-surgery without any treatment, and now she is experiencing numbness in her hands and feet. What could be the reason for this?
Dr. Zhang Yuanyi reply Neurosurgery
Dear Xiaoling, There could be many possible reasons for your condition. It would be advisable to discuss this with your treating physician first. Wishing you safety and health, Dr. Zhang Yuanyi Attending Physician, Department of Neurosurgery Taoyuan Hospital, Ministry o...[Read More] Understanding Post-Surgery Nerve Issues After Oral Cancer Treatment
Effective Treatments for Sciatic Nerve Pain: Affordable Solutions
Sciatic nerve How can sciatica be treated? Can you help me with some methods that don't require spending money?
Dr. Zhang Yuanyi reply Neurosurgery
Dear Mr. Yang, Sciatica is generally caused by nerve compression due to a herniated disc or complications from spinal stenosis. It is important to pay attention to posture and consider using a lumbar support for health maintenance. Treatment options may include physical therapy ...[Read More] Effective Treatments for Sciatic Nerve Pain: Affordable Solutions
Understanding Cerebral Vascular Abnormalities: When to Seek Medical Advice
Cerebrovascular abnormalities Hello Dr. Chang: I have experienced unexplained headaches since childhood. In my third year of junior high, I underwent an MRI, and the doctor told me I had "cerebral vascular abnormalities." He said as long as I avoid strenuous exercise, t...
Dr. Zhang Yuanyi reply Neurosurgery
Please have the physician review the images again and inform them of any new symptoms. Generally, abnormalities in cerebral blood vessels should be evaluated with MRI or angiography as needed. It is not possible to confirm any issues through this correspondence. Sincerely, Dr. Ch...[Read More] Understanding Cerebral Vascular Abnormalities: When to Seek Medical Advice
Understanding Hard Lumps in the Neck and Shoulder Area: Causes and Insights
Shoulder and neck? There is a hard lump (very hard) when pressing down on the area where the shoulder and neck connect. Also, what is the name of the triangular area between the clavicle and the shoulder? Because when I press there, I can also feel a protruding hard lump that is ...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Xiao T: There are many possibilities for the lump. Please first visit a family medicine clinic for evaluation, and then determine which specialty is needed for treatment. Wishing you safety and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurg...[Read More] Understanding Hard Lumps in the Neck and Shoulder Area: Causes and Insights
Effective Treatments for Sciatica Pain: Finding the Right Care in Taipei
Sciatica Hello Dr. Chang, I have had a spinal injury since childhood, and I have experienced intermittent lower back pain that usually improves within two to three days. However, this year, the pain persisted for two to three months before showing any improvement. Recently, I hav...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Eric, Based on the symptoms, there is a possibility of nerve compression. If medication and rehabilitation treatments are ineffective, an MRI should be considered, and subsequent treatment will be determined based on the results. If there are accompanying symptoms of urinar...[Read More] Effective Treatments for Sciatica Pain: Finding the Right Care in Taipei
Understanding Back Pain and Foot Pain: Causes and Treatments
Back pain and plantar pain? Hello Doctor: I have been suffering from back pain and pain in the soles of my feet for almost six months. I previously visited an orthopedic clinic, where they suggested that I might have plantar fasciitis, and that my back pain could be due to poor p...
Dr. Zhang Yuanyi reply Neurosurgery
If there is tenderness associated with back pain and foot pain, the likelihood of myofascial pain syndrome is higher. If medication is ineffective, it is advisable to first try using a lumbar support and engage in rehabilitation. Additionally, there are many potential causes of b...[Read More] Understanding Back Pain and Foot Pain: Causes and Treatments