Understanding Follow-Up Care for a 1mm Intracranial Aneurysm
What is a 1mm intracranial aneurysm? Hello Dr. Zhao, at the beginning of this year, I visited the neurology department at Hospital A due to persistent dizziness and decreased hearing in my left ear. The doctor ordered a non-contrast MRI, which revealed a left-sided vestibular sch...
Dr. Zhao Shaoqing reply Neurosurgery
Hello: Generally, follow-up can include a neurosurgical evaluation fee. Invasive examinations such as computed tomography angiography (CTA) and MRI may be covered by health insurance if they meet the symptoms and criteria provided by the insurance. An at-pouching lesion typically...[Read More] Understanding Follow-Up Care for a 1mm Intracranial Aneurysm
Understanding Elevated ESR Levels in Ankylosing Spondylitis Patients
Causes of elevated ESR (Erythrocyte Sedimentation Rate) Hello Dr. Zhao: I am a patient with ankylosing spondylitis and am currently undergoing stable treatment with medication in the rheumatology department. All my symptoms and indices have been well controlled, except for my ESR...
Dr. Zhao Shaoqing reply Neurosurgery
Hello: ESR refers to the erythrocyte sedimentation rate, which is a method for measuring inflammatory proteins. However, lower back pain caused by vertebral fractures or slippage, as well as muscle and tendon inflammation due to sports injuries, typically do not result in an elev...[Read More] Understanding Elevated ESR Levels in Ankylosing Spondylitis Patients
Understanding Subarachnoid Hemorrhage and Sacral Fractures in Elderly Patients
Caused by a car accident? 1. I would like to ask if a 70-year-old woman who has sustained a subarachnoid hemorrhage and an incomplete fracture of the sacrum due to a minor car accident (where the car lightly touched her and she fell backward) can expect these injuries to heal on ...
Dr. Zhao Shaoqing reply Neurosurgery
I hope to visit the outpatient clinic for an evaluation of my current condition.[Read More] Understanding Subarachnoid Hemorrhage and Sacral Fractures in Elderly Patients
Can Headphones Cause Indentations on Your Skull? Understanding the Impact
Depression of the skull About a year ago, I noticed a prominent indentation on the right side of my scalp, which has a groove that is higher at the front and back and lower in the middle. When I experience headaches, that area tends to hurt more. I don't recall having this i...
Dr. Zhao Shaoqing reply Neurosurgery
You can visit the outpatient clinic for medical evaluation.[Read More] Can Headphones Cause Indentations on Your Skull? Understanding the Impact
Understanding Head Bumps: When to Worry After a Minor Accident
Head mass I had a minor car accident before, and I hit my head, resulting in a large bump. When I went to see a doctor, they mentioned it was bone overgrowth. However, after returning home, I still felt some small blood clots when I touched the area, but they haven't caused ...
Dr. Zhao Shaoqing reply Neurosurgery
If you are still concerned, you can visit a hospital for a consultation.[Read More] Understanding Head Bumps: When to Worry After a Minor Accident
Post-Head Trauma: When to Seek Neurological Care After Assault
Assaulted on the back of the head due to domestic violence? After being struck on the back of the head with a fist, there was immediate bruising and swelling behind the ear, along with pain at the top of the head and intermittent sharp pains. Dizziness was also experienced. Nearl...
Dr. Zhao Shaoqing reply Neurosurgery
You can visit a neurosurgery clinic.[Read More] Post-Head Trauma: When to Seek Neurological Care After Assault
Understanding Irregular Headaches: Symptoms, Causes, and When to Seek Help
Irregular headaches (right upper, frontal, etc.) Hello Doctor, I started experiencing persistent headaches last week. During the day, the headaches occur irregularly and in different locations. However, the right upper frontal area and the right lower temple are more common. I ha...
Dr. Zhao Shaoqing reply Neurosurgery
You can visit the hospital for examination and evaluation.[Read More] Understanding Irregular Headaches: Symptoms, Causes, and When to Seek Help
Should My Elderly Father Undergo Skull Reconstruction After Head Injury?
Intracranial hemorrhage due to a car accident? On April 22 at 10:00 AM, my father was involved in a car accident. That afternoon, he experienced intracranial hemorrhage exceeding 30% of blood volume, necessitating an emergency surgery that evening to relieve intracranial pressure...
Dr. Zhao Shaoqing reply Neurosurgery
Hello; after a physician assesses that the brain condition is relatively stable, it is generally recommended to reattach and secure the skull defect. Besides improving the aesthetic appearance after cranial reconstruction and protecting the extremely delicate brain tissue, it als...[Read More] Should My Elderly Father Undergo Skull Reconstruction After Head Injury?
Understanding Recovery from Subdural Hemorrhage in Elderly Patients
An 81-year-old patient has experienced a hemorrhage in the superficial area of the right hemisphere of the brain? Hello Doctor: My mother was sent to the emergency room on July 22 due to excessive drowsiness. A CT scan revealed bleeding in the posterior superficial area of the ri...
Dr. Zhao Shaoqing reply Neurosurgery
Hello: The human brain is an extremely intricate organ. Most injuries cause damage at the moment of bleeding. If the patient responds to family members' calls and the amount of bleeding is not significant, some physicians may advocate for conservative treatment. Generally, b...[Read More] Understanding Recovery from Subdural Hemorrhage in Elderly Patients
Understanding Recovery from Subdural Hemorrhage in Elderly Patients
An 81-year-old patient has experienced a hemorrhage in the superficial area of the right hemisphere of the brain? Hello Doctor: My mother was sent to the emergency room on July 22 after falling into a deep sleep. A CT scan revealed bleeding in the posterior superficial area of th...
Dr. Zhao Shaoqing reply Neurosurgery
Hello: The human brain is an extremely intricate organ. Most injuries cause damage at the moment of bleeding. If the patient responds to family calls and the amount of bleeding is not significant, some physicians may advocate for conservative treatment. Generally, bleeding will g...[Read More] Understanding Recovery from Subdural Hemorrhage in Elderly Patients
Blurred Vision After Brain Hemorrhage: Recovery and Treatment Options
Blurred vision due to cerebral hemorrhage? Hello Doctor, I would like to ask about my family member who has experienced slight bleeding in the brain due to a car accident. It has been a month since the accident, and there have been no dizziness symptoms, but the blurred vision ha...
Dr. Zhao Shaoqing reply Neurosurgery
Hello: It is recommended to visit an ophthalmologist for a detailed examination to check for any damage to the optic nerve. The Changhua Hospital of the Ministry of Health and Welfare cares about you.[Read More] Blurred Vision After Brain Hemorrhage: Recovery and Treatment Options
Understanding Head Injuries: Symptoms, Risks, and When to Seek Help
Head trauma I'm sorry to hear about your situation. Based on your description, it sounds like you may be experiencing symptoms that could be associated with a concussion, especially given the impact to your head and the subsequent headache, dizziness, and bruising near your ...
Dr. Zhao Shaoqing reply Neurosurgery
If there is a pre-existing concussion, it is advisable to rest. If symptoms such as vomiting or nausea worsen, seek an outpatient evaluation.[Read More] Understanding Head Injuries: Symptoms, Risks, and When to Seek Help
Understanding Leg Numbness and Tingling After Prolonged Sitting or Standing
Experiencing numbness in the legs after sitting cross-legged for an extended period? Hello, doctor. Today I walked and stood for a longer time, and I also sat cross-legged for a while. Is it normal to feel slight numbness and a bit of itching in both legs up to the hips when lyin...
Dr. Zhao Shaoqing reply Neurosurgery
Hello: The symptoms resemble those of sciatica pain. It is possible that there may be muscle strain or intervertebral disc degeneration. It is recommended to visit a hospital for further examination. Thank you for your concern from Changhua Hospital, Ministry of Health and Welfar...[Read More] Understanding Leg Numbness and Tingling After Prolonged Sitting or Standing
Can Skull Preservation Lead to Infection from Own Acne Bacteria?
Can the skull preservation be infected by its own acne bacteria? Last month, my spouse underwent a craniotomy for the excision of an arteriovenous malformation, and the skull bone was temporarily stored for over a month. During the second surgery these past few days, we inquired ...
Dr. Zhao Shaoqing reply Neurosurgery
Hello: There is a possibility of infection associated with the skull, whether it is removed, replaced, or retained in any state. The original skull will be carefully evaluated by the physician to determine if it has been infected and whether it is appropriate to retrieve it. If i...[Read More] Can Skull Preservation Lead to Infection from Own Acne Bacteria?
Is It Normal to Experience Mild Swelling and Pain After a Head Injury?
Head trauma On April 9, a car accident resulted in a contusion to the left forehead without a concussion. After the swelling subsided, there is still a slight lump on the forehead with occasional sharp pain (without touching). Is this condition normal after more than a month?
Dr. Zhao Shaoqing reply Neurosurgery
You can visit the outpatient clinic for consultation.[Read More] Is It Normal to Experience Mild Swelling and Pain After a Head Injury?
Understanding Rehabilitation Duration After Chronic Subdural Hematoma Surgery
The rehabilitation time after surgery for chronic subdural hematoma can vary depending on the individual patient's condition, the extent of the surgery, and any underlying health issues. Generally, patients may require several weeks to a few months of rehabilitation to regai...
Dr. Zhao Shaoqing reply Neurosurgery
Hello: Whether chronic subdural hematoma requires rehabilitation treatment should primarily depend on clinical symptoms. You may consult your rehabilitation physician for an evaluation and discussion. Wishing you a speedy recovery. The Ministry of Health and Welfare Changhua Hosp...[Read More] Understanding Rehabilitation Duration After Chronic Subdural Hematoma Surgery
Understanding Cervical Fusion and Artificial Discs: Can Surgery Relieve Nerve Pain?
Cervical fusion at levels C3-C4 and artificial disc replacement at levels C5-C6? Hello, Director! I am an RA and I have decided to undergo surgery for my cervical spine, specifically C3-C4 fusion and C5-C6 artificial disc replacement. I also have symptoms of lumbar disc herniatio...
Dr. Zhao Shaoqing reply Neurosurgery
Hello: Cervical disc herniation, if it causes nerve root compression, may lead to lower limb weakness. Symptoms may improve to some extent after decompression surgery; however, since I have not reviewed your MRI in detail, I cannot make the most accurate assessment. I recommend t...[Read More] Understanding Cervical Fusion and Artificial Discs: Can Surgery Relieve Nerve Pain?
Managing Swelling and Bruising After a Car Accident: A Guide
Car accident, hematoma on the left occipital region and left forehead? On the evening of February 27, a car accident occurred, resulting in a collision with a utility pole. The emergency diagnosis indicated a concussion, with significant hematomas on the left posterior region of ...
Dr. Zhao Shaoqing reply Neurosurgery
Hello: It is common to experience localized hematoma and bruising at the site of head trauma a few days after the injury. If you experience any loss of consciousness or weakness in your limbs, you can apply ice packs for the first three days, followed by heat therapy after that. ...[Read More] Managing Swelling and Bruising After a Car Accident: A Guide
Can Patients with Ventriculoperitoneal Shunts Undergo Peritoneal Dialysis?
Can a patient with a ventriculoperitoneal shunt undergo peritoneal dialysis treatment? Hello doctor, my family member had a car accident two years ago and has a ventriculoperitoneal shunt. Recently, their kidney function has worsened and they need dialysis treatment. I saw online...
Dr. Zhao Shaoqing reply Neurosurgery
Hello: The ventricular-peritoneal shunt is a drainage system that involves placing a catheter from the ventricles of the brain into the peritoneal cavity, allowing cerebrospinal fluid to drain from the ventricles into the abdominal cavity. Peritoneal dialysis is performed by inse...[Read More] Can Patients with Ventriculoperitoneal Shunts Undergo Peritoneal Dialysis?
Understanding Head Injuries: Symptoms, Medications, and Recovery
Regarding the issue of head trauma? Hello, doctor. I am 21 years old, and I would like to describe my situation: On January 27, 2022, around 2 to 3 PM, I was moving heavy objects into my car when the trunk door did not fully open and hit me. The impact was quite strong, and I imm...
Dr. Zhao Shaoqing reply Neurosurgery
1. Do the medications prescribed by the doctor have side effects such as dizziness and drowsiness? Are these side effects normal, or should the medication be discontinued? Answer: All medications can have a certain degree of side effects. If you experience discomfort after taking...[Read More] Understanding Head Injuries: Symptoms, Medications, and Recovery