Hyperbaric Oxygen Therapy for Hypertension-Induced Hemorrhage: Risks and Benefits
Hypertension can lead to cerebral hemorrhage, and you are considering hyperbaric oxygen therapy. What are the potential side effects or complications? Hello Dr. Chang, I have another question. A family member at home has high blood pressure that led to a cerebral hemorrhage, with...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Pipi, Hello. The side effects of hyperbaric oxygen therapy are as follows: 1. Temporary lens damage: 20% 2. Optic nerve damage: 3-20% 3. Middle ear effusion or hematoma 4. Tympanic membrane rupture 5. Pneumothorax 6. Lung function abnormalities due to oxygen toxicity 7. Se...[Read More] Hyperbaric Oxygen Therapy for Hypertension-Induced Hemorrhage: Risks and Benefits
Understanding Scoliosis: Causes and Correction for 15-30 Degree Curves
Scoliosis Scoliosis with a curvature of 15-30 degrees can be managed through various approaches, including observation, physical therapy, and bracing, depending on the patient's age, growth potential, and the severity of the curve. Scoliosis can occur due to a variety of r...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Yaya, X-rays are needed to assess the following: 1. Angle, 2. Type of scoliosis, 3. Presence of rotation, 4. Bone age, and 5. Center of gravity, before determining the appropriate correction method and the cause of the condition. Most cases are primary (with no identifiable...[Read More] Understanding Scoliosis: Causes and Correction for 15-30 Degree Curves
Understanding Finger Stiffness and Pain: Possible Causes and Solutions
Finger stiffness and pain inquiry? Hello Doctor, I would like to ask about my fingers. Initially, when I wake up in the morning, they feel stiff. After two weeks, the stiffness turned into pain, particularly around the nails and the first joint of my fingers. However, once I move...
Dr. Zhang Yuanyi reply Neurosurgery
Hello, sometimes the sensation of stiffness in the hands may be related to cervical spine issues. Carpal tunnel syndrome commonly presents with numbness in the fingers or palm, and may occasionally extend to the forearm, but it is rare to manifest as localized joint tenderness. I...[Read More] Understanding Finger Stiffness and Pain: Possible Causes and Solutions
Understanding Axillary Hyperhidrosis: Neurosurgery vs. Plastic Surgery Approaches
Axillary hyperhidrosis Hello, Doctor: In the department introductions of some hospitals, I see that both neurosurgery and plastic surgery list the treatment of "hyperhidrosis" (axillary sweating). Are the approaches of neurosurgery and plastic surgery the same? Is surgi...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Ah Xiang, Hello. The approaches of neurosurgery and plastic surgery are different. Neurosurgery involves endoscopic sympathectomy through the thoracic cavity, primarily targeting palmar hyperhidrosis. The success rate for controlling axillary sweating is lower than that for...[Read More] Understanding Axillary Hyperhidrosis: Neurosurgery vs. Plastic Surgery Approaches
Head Trauma: Symptoms and When to See a Neurosurgeon
Headache? I was hit on the head by a stone when I was a child! I never went to see a doctor, but I have been feeling a throbbing sensation in my head. In recent years, I have also experienced episodes of temporary blindness. Could this be due to internal bleeding? Should I see a ...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Ms. Liao: Generally speaking, events from childhood are less likely to be related to current symptoms. For the brief episodes of vision loss, it is advisable to consult an ophthalmologist first for confirmation. Wishing you safety and health. Sincerely, Dr. Zhang Yuanyi, Att...[Read More] Head Trauma: Symptoms and When to See a Neurosurgeon
Severe Lower Back Pain: When to See a Neurosurgeon or Internist?
Back pain I would like to ask you, I have been experiencing severe back pain for the past 1 to 2 months, specifically in the lower back area. Whenever I lift something or have a slight hunch, my lower back hurts a lot. Should I see a neurosurgeon or an internist? Do I need to see...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Xiao Rou, There are many causes of back pain, and it is important to consider any events that may have occurred prior to the onset of pain (such as exercise, trauma, or lifting heavy objects). The issue may be related to muscles, the spine, or intervertebral discs, with a v...[Read More] Severe Lower Back Pain: When to See a Neurosurgeon or Internist?
Understanding Unconscious Responses After Brain Hemorrhage: A Patient's Journey
A brain hemorrhage may result in the eyes being open, but the patient remains unconscious? Hello, doctor. I previously asked about my condition, and now I have improved a bit, so I'm reaching out again. I am a 45-year-old male who had a stroke in April, which caused a blood ...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Pipi: (1) Generally speaking, after a drainage surgery for a brain hemorrhage, the condition is mostly stable after one to two months. Whether there is consciousness will depend on the recovery in the coming months, and there is no way to confirm the chances of regaining co...[Read More] Understanding Unconscious Responses After Brain Hemorrhage: A Patient's Journey
Understanding Lipomas: Risks, Symptoms, and Treatment Options
Questions about lipomas? Hello Doctor: I have been experiencing mild numbness in my left foot for a year, occasionally accompanied by a tingling sensation. After undergoing an MRI, it was discovered that I have a lipoma on my spine. The doctor mentioned that surgery is the only t...
Dr. Zhang Yuanyi reply Neurosurgery
1. The chance of a lipoma shrinking is low; there may be other underlying reasons. 2. If the tumor enlarges and compresses the spine and nerves, it is indeed possible. 3. The risk considerations vary depending on the location and size of the tumor. Sincerely, Dr. Zhang Yuan-chi, ...[Read More] Understanding Lipomas: Risks, Symptoms, and Treatment Options
Understanding Eye Venous Reflux: Causes, Symptoms, and Treatment Options
Ocular venous reflux Hello Doctor: I previously experienced a sudden spike in blood pressure to 185/115, which later caused me to see black shadows pulsating in my vision in sync with my heartbeat during episodes of increased heart rate and shortness of breath. After undergoing a...
Dr. Zhang Yuanyi reply Neurosurgery
Dear QQ: Generally, in cases of superior oblique palsy (SOV), there may be retrograde visual impairment. Another possibility could involve the carotid-cavernous sinus fistula. Consider angiography; if the shadow is due to venous occlusion or vascular hemorrhage, it should be fixe...[Read More] Understanding Eye Venous Reflux: Causes, Symptoms, and Treatment Options
Understanding Tracheostomy Healing After a Car Accident: Key Considerations
Regarding tracheostomy? I would like to ask if there are specific conditions that must be met for tracheostomy healing after a car accident, specifically if it is necessary to expectorate mucus from the mouth.
Dr. Zhang Yuanyi reply Neurosurgery
I apologize for not being able to fully understand the issue based on the statement provided, making it difficult to respond. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Taoyuan Hospital, Department of Health.[Read More] Understanding Tracheostomy Healing After a Car Accident: Key Considerations
Safe Surgical Options for Meningioma in Diabetic Patients
Which type of surgery should be used for meningiomas? Dear Dr. Chang, My mother is 60 years old and has recently been diagnosed with a meningioma following an MRI examination. Additionally, she has calcification in her cervical spine, and the meningioma is severely compressing h...
Dr. Zhang Yuanyi reply Neurosurgery
Meningiomas are generally benign tumors that typically grow quite slowly. In elderly patients with small meningiomas that do not present significant symptoms, observation with follow-up examinations every six months to a year may be considered. However, if there is compression of...[Read More] Safe Surgical Options for Meningioma in Diabetic Patients
Understanding the Impact of Hypertension on Brain Hemorrhage Recovery
Hypertension Hello, doctor. A 45-year-old male with hypertension has suffered a cerebral hemorrhage and has undergone two drainages. His Glasgow Coma Scale score has improved from 5 to 8, but he has undergone a tracheostomy, so there is no score for the verbal response. Currently...
Dr. Zhang Yuanyi reply Neurosurgery
I apologize, but I am unsure about the term "腦椎體" (which may refer to the "thalamus" or "brainstem" depending on the context) due to translation issues. The ventricles in a CT scan appear black under normal conditions, indicating no abnormalities. Ge...[Read More] Understanding the Impact of Hypertension on Brain Hemorrhage Recovery
Understanding Pituitary Tumors: Managing High Prolactin Levels and Symptoms
Pituitary tumor Elevated prolactin levels can lead to lactation, and it may be related to breast stimulation such as massage. To restore normal levels, it is important to consult a healthcare professional who may recommend lifestyle changes, medication, or further evaluation to i...
Dr. Zhang Yuanyi reply Neurosurgery
I would like to clarify that breast massage is not related to this issue. If there is an elevated level of prolactin, the underlying cause must be determined first. If it is indeed a pituitary tumor, there are two treatment options: medication and surgery. The choice of treatment...[Read More] Understanding Pituitary Tumors: Managing High Prolactin Levels and Symptoms
Uncontrolled Tongue Movement and Speech Issues After Brain Surgery: Causes and Insights
Involuntary movements of the tongue while speaking? I have a question to ask. About six months ago, my mother noticed that her speech became unclear, similar to having a "thick tongue," and her tongue would move involuntarily while speaking, which occurred quite frequen...
Dr. Zhang Yuanyi reply Neurosurgery
After the removal of a lesion, although symptoms may be expected to improve or resolve, if the nerves (especially in the brain) were originally compressed or damaged, the nerve injury may remain irreversible even after the lesion has been excised. The removal of the lesion is int...[Read More] Uncontrolled Tongue Movement and Speech Issues After Brain Surgery: Causes and Insights
Does This Hospital Have a CT Scanner for Neurosurgery?
excuse me? Does the hospital have a computed tomography (CT) scanner?
Dr. Zhang Yuanyi reply Neurosurgery
Dear A-Feng: Many hospitals have computed tomography (CT) scanners, and our hospital has one as well. However, all examinations, except for self-paid health check-ups, must be evaluated by a physician before a prescription can be issued to arrange for the examination. Wishing you...[Read More] Does This Hospital Have a CT Scanner for Neurosurgery?
Post-Surgery Pain and Complications from L4-L5, L5-S1 Disc Herniation
The intervertebral discs at L4-L5 and L5-S1 have herniated and have been surgically treated? Hello, Dr. Zhang. I have suffered from a car accident resulting in herniation of the intervertebral discs at L4-L5 and L5-S1, which severely affects my daily life. I have undergone rehabi...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Chen: Regarding your questions, my responses are as follows: 1. Both the fixation screws and the support frame are methods for stabilizing the spine; they simply have different developmental timelines, and there is no theoretical error in this. 2. It is not possible to deter...[Read More] Post-Surgery Pain and Complications from L4-L5, L5-S1 Disc Herniation
Understanding Parlodel Side Effects and Alternatives for Pituitary Tumors
Parlodel medication Taking one tablet of Parlodel daily to treat a 0.2 cm pituitary tumor can cause side effects such as dizziness, nausea, nasal congestion, and rapid heartbeat. These are considered common side effects. There are alternative medications available, and it may be ...
Dr. Zhang Yuanyi reply Neurosurgery
Parlodel may have side effects such as nausea, vomiting, abdominal pain, dizziness, facial flushing, orthostatic hypotension, insomnia, headache, nasal congestion, tinnitus, and abnormal liver function. The usual dosage of Parlodel is 2.5 mg, with a recommended daily dose of 2.5 ...[Read More] Understanding Parlodel Side Effects and Alternatives for Pituitary Tumors
Can Cervical Disc Herniation Cause Finger Weakness? Understanding the Connection
Can a herniated cervical disc cause weakness in the fingers? Recently, I have been experiencing shoulder and back muscle pain due to frequent neck stiffness, which has affected my daily life. After visiting a rehabilitation specialist and undergoing X-rays, the doctor informed me...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Hunter, It is possible that a cervical disc herniation could cause pain in the shoulders, neck, and upper limbs, or issues with sensation and strength in the upper extremities. However, the weakness in your right hand fingers also needs to be evaluated for potential periphe...[Read More] Can Cervical Disc Herniation Cause Finger Weakness? Understanding the Connection
Understanding Nerve Sheath Tumors: Surgery, Risks, and Recovery
Neurofibroma Hello, I recently had an MRI that revealed a 0.75 cm tumor on my spinal nerve. Do I need surgery? Can it be determined whether it is malignant or benign? How large will the surgical incision be? Is there a risk of paralysis in the lower body or incontinence? How many...
Dr. Zhang Yuanyi reply Neurosurgery
The assessment of spinal tumors varies depending on their location. A determination of malignancy or benignity can only be speculated based on imaging studies; the definitive diagnosis of malignancy or benignity ultimately relies on pathological results. If we consider the tumor ...[Read More] Understanding Nerve Sheath Tumors: Surgery, Risks, and Recovery
Understanding Post-Surgery Fever and Complications in Spine Fracture Patients
Confusion Hello! I have a perplexing question. A patient fell from a height and sustained an L3 burst fracture. After being admitted to the hospital, they underwent surgery for internal fixation. On the third day post-surgery, the patient began to experience fever. Despite multip...
Dr. Zhang Yuanyi reply Neurosurgery
Dear Mr. Lun, Hello, when considering infection issues, there are many factors to take into account. The most common sites are still the lungs, urinary tract, and surgical sites. It is also important to consider the pattern of fever; if it has led to myelitis, then general antib...[Read More] Understanding Post-Surgery Fever and Complications in Spine Fracture Patients