Understanding Post-Concussion Syndrome: Recommended Tests and Recovery Time
I would like to ask the doctor again about the issue regarding the last concussion? Hello Dr. Chen, regarding the issue of post-concussion syndrome we discussed last time, you mentioned that clinical examinations could be performed. I would like to ask which tests would be most s...
Dr. Chen Weida Reply:
Hello, Xiao Zong! Each person's condition is different. To clearly understand symptoms, diseases, necessary examinations, treatments, and estimated recovery time, a specialist physician needs to evaluate you in person. Online consultations may not be very helpful for your co...[Read More] Understanding Post-Concussion Syndrome: Recommended Tests and Recovery Time
Managing Post-Concussion Symptoms: Nosebleeds and Ear Noises Explained
On the fourth day after the concussion, experiencing a nosebleed and a sensation of fluid in the ears? Hello, doctor. My child suffered a concussion after a car accident. The emergency physician diagnosed her and stated that there was no bleeding in the brain, allowing us to go h...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, You mentioned, "The neurosurgery outpatient clinic in my area will only be available in a few days. Should I wait for the clinic to open, or go directly to the emergency room?" Regarding head trauma, delayed intracranial hemorrhage typically occurs within ...[Read More] Managing Post-Concussion Symptoms: Nosebleeds and Ear Noises Explained
Understanding Post-Concussion Syndrome: Managing Dizziness Beyond 3 Months
Post-concussion syndrome and sequelae with dizziness symptoms lasting more than three months? Hello, doctor. I was in a motorcycle accident on April 18. At the time, the motorcycle fell, but I did not lose consciousness and there were no obvious external injuries. Afterward, the ...
Dr. Chen Weida Reply:
Hello, Xiao Zong! Thank you for reaching out regarding your dizziness issue. It is important to have a clinical examination, assessment, and diagnosis by a specialist. I recommend that you choose one of the three physicians you trust the most to discuss the subsequent treatment o...[Read More] Understanding Post-Concussion Syndrome: Managing Dizziness Beyond 3 Months
Understanding Visual Snow Syndrome: Symptoms, Management, and Lifestyle Impact
Snow blindness condition After consulting with an ophthalmologist, the doctor indicated that the situation I described sounds like "visual snow," which is characterized by the sensation of seeing static or snow-like visual disturbances. I underwent a dilated eye examina...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned "visual snow syndrome." The primary cause of visual snow syndrome is a neurological disorder in the visual processing areas of the cerebral cortex. It commonly occurs after a concussion or mild traumatic brain injury. I would like to know if ...[Read More] Understanding Visual Snow Syndrome: Symptoms, Management, and Lifestyle Impact
Do Mild Concussions Require MRI Scans? Expert Advice for Parents
Is an MRI necessary for a mild concussion? Hello Doctor, my son had an accident while skiing in Japan before the Lunar New Year. He did not collide with any hard objects, but he experienced a mild concussion. At the time of the incident (around 10:00 PM, as it was night skiing), ...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Lin, You mentioned that your child needs an MRI, which is not inexpensive, and you would like to ask the doctor whether, given your child's current condition, an MRI is necessary for further examination. Currently, the out-of-pocket cost for MRI in Taiwan is...[Read More] Do Mild Concussions Require MRI Scans? Expert Advice for Parents
Understanding Dizziness After Head Injury: When to Seek Further Evaluation
Slipping in the bathroom, head injury? Hello Doctor, I accidentally slipped and hit my head (upper right side of the occipital region) in the bathroom on November 28, 2023. I went to the emergency room and received six stitches. However, starting on December 6, 2023, I began to...
Dr. Jiang Junyi Reply:
Hello Mr. A-Lung, You mentioned, "On 2023/12/12, I have been feeling slightly dizzy all day. I wonder if it could be a concussion or a brain hemorrhage?" Generally speaking, if there is no loss of consciousness, no anticoagulant use, or significant local hematoma, head...[Read More] Understanding Dizziness After Head Injury: When to Seek Further Evaluation
Should You See a Neurologist After a Fall and Head Impact?
Did you fall backward and hit the back of your head? On my way to work in the morning, I accidentally slipped on a slippery road and fell backward, hitting the back of my head. At the moment, I didn't feel any discomfort, so I continued to work as usual. However, by the afte...
Dr. Peng Shiwei Reply:
You can self-monitor for three days; if you experience symptoms such as altered consciousness, shortness of breath, persistent vomiting, or severe headache, it is recommended to seek medical attention from a neurosurgeon as soon as possible. Thank you.[Read More] Should You See a Neurologist After a Fall and Head Impact?
Post-Hospitalization: Managing Blurry Vision and Dizziness After a Car Accident
One month after hospitalization? When I wake up in the hospital, I often experience blurred vision and dizziness. I was discharged because I was involved in a car accident.
Dr. Jiang Junyi Reply:
Dear Mr. Df, You mentioned that you often experience blurred vision and dizziness upon waking up, particularly after the car accident. I would like to know how long you experienced loss of consciousness, as this could indicate potential post-concussion syndrome. Additionally, we...[Read More] Post-Hospitalization: Managing Blurry Vision and Dizziness After a Car Accident
Assessing Potential Concussion Symptoms After a Head Injury
The right occipital region was hit by a ball? Hello, Doctor. On November 9th, during gym class at 10 AM, a pickleball (about the size of a baseball, hollow plastic, and quite light) suddenly hit me on the back of my right head. It came from about 4 or 5 meters away. At the mome...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "At the moment, I don't feel it will be very painful and I think it will get better soon, so I didn't go to the health room... The pain seems to radiate to my forehead." This symptom is more indicative of cervical myofascial inflamm...[Read More] Assessing Potential Concussion Symptoms After a Head Injury
Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
Injured due to assault? Hello, doctor. Around the years 2003-2004, during my school years, I had a conflict with some classmates, which led to one of them hitting me on the back right side of my head with a metal chair. At that time, I lost consciousness, and I am unsure if there...
Dr. Peng Shiwei Reply:
Hello, due to current regulations, I am unable to provide treatment to patients without an in-person consultation. If you have concerns regarding your brain injury, I recommend scheduling an appointment for a physician to evaluate and treat you personally. If any tests or further...[Read More] Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
Post-Exercise Head Pressure: Understanding Symptoms and When to Seek Help
Head pressure after exercise? Hello Doctor, I had a minor head impact during a martial arts class the day before yesterday, but I felt completely fine that day. However, yesterday I woke up with an extremely mild pressure sensation in my head (almost unnoticeable) and an overall ...
Dr. Peng Shiwei Reply:
Hello, I believe your symptoms can be monitored. However, if you experience new symptoms such as headaches, dizziness, vomiting, or changes in consciousness, you should seek medical attention immediately. Thank you for your inquiry.[Read More] Post-Exercise Head Pressure: Understanding Symptoms and When to Seek Help
Head Injury and Dizziness: When to Seek Medical Attention
Dizziness after hitting the head? Hello doctor, I accidentally bumped into a scaffold at the construction site yesterday while wearing a hard hat. I felt that the impact wasn't significant, but I felt a bit dizzy and had some nausea (though I didn't vomit) that day. I s...
Dr. Peng Shiwei Reply:
Hello, based on your inquiry, it is recommended that if your symptoms have persisted for more than 24 hours, you should visit a hospital to check for a concussion or any potential brain injury. Thank you for your question.[Read More] Head Injury and Dizziness: When to Seek Medical Attention
Understanding Head Trauma: Concerns About Skull Indentation After Injury
Head trauma Hello Doctor, two years ago at school, a classmate hit me hard on the right side of my head twice with a wooden broom, approximately near the frontal bone, causing the broom to crack. At that moment, I only experienced bleeding and no other discomfort. After returning...
Dr. Jiang Junyi Reply:
Hello Mr. Kg: You mentioned that "there is a dented groove where I was hit, while the other side of the skull does not have this." After researching related information, it seems that this could be a skull base fracture. However, the "skull base fracture" you ...[Read More] Understanding Head Trauma: Concerns About Skull Indentation After Injury
Understanding Tiny Acute Ischemic Infarcts: Causes and Management
Physical examination revealed signs of a previous minor stroke? Hello Doctor: Last month, the MRI results for my brain were interpreted as follows: Z719 Counseling, unspecified, V6540 Counseling, not otherwise specified, ||cre:0, eGFRr:0 Imaging findings: Brain MRI study without ...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned "A tiny acute ischemic infarct, left occipital subcortical white." An elder relayed that it was a concussion; could this have related effects? MRI primarily detects cerebral infarctions within a month. It cannot explain events that occurred muc...[Read More] Understanding Tiny Acute Ischemic Infarcts: Causes and Management
Uncontrollable Neck and Facial Twitches After Roller Skating: Causes and Solutions
Involuntary twitching of the neck and face after exercise? Hello, doctor. My child is in sixth grade and has been practicing artistic roller skating for two and a half years. Recently, the difficulty level has increased, and they have been falling frequently and sweating profusel...
Dr. Wu Mukhan Reply:
Excessive exercise and prolonged training can lead to fatigue and muscle soreness, especially when there is insufficient rest and recovery time, which may result in more pronounced discomfort. Over-sweating can cause dehydration and electrolyte imbalances, potentially leading to ...[Read More] Uncontrollable Neck and Facial Twitches After Roller Skating: Causes and Solutions
Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Post-concussion syndrome includes symptoms such as sleep disturbances, limb tremors, and dizziness? Hello Doctor: Since the night of the car accident on January 6th, I have experienced sudden jerking movements in my left hand and foot shortly after falling asleep. I wake up and c...
Dr. Jiang Junyi Reply:
Dear Miss Rabbit, You mentioned that "since the night of the car accident on January 6th, my right eye has been blurry, and my left hand and foot have been experiencing spasms... I have never had these symptoms before." Your symptoms may warrant consideration of lesion...[Read More] Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Understanding Meniere's Disease: Can a Concussion Trigger Symptoms?
Meniere's disease I would like to inquire about a concussion I sustained from a motorcycle accident six months ago, and I am now diagnosed with Meniere's disease. I understand that there are many potential causes for Meniere's disease, but I am curious if the concu...
Dr. Hong Weibin Reply:
Hello: The exact cause of Meniere's disease is currently unclear, but it is believed to be related to an imbalance of endolymphatic fluid in the inner ear (accumulation of endolymph in the inner ear labyrinth). Therefore, any factors that may affect the flow of this fluid co...[Read More] Understanding Meniere's Disease: Can a Concussion Trigger Symptoms?
Post-Concussion Symptoms: Seeking Help for Persistent Neurological Issues
Post-concussion syndrome A 68-year-old elderly individual fell on the street a few months ago for unknown reasons, resulting in a head injury with a laceration on the left forehead that required 5-6 stitches. After the laceration healed, the individual developed insomnia and a pe...
Dr. Jiang Junyi Reply:
Dear Ms. Yeh, You mentioned that "after the head laceration healed, it caused insomnia and a tingling sensation in the head." This may be attributed to two possible reasons: localized nerve damage due to the injury or compression of the cervical nerve roots caused by e...[Read More] Post-Concussion Symptoms: Seeking Help for Persistent Neurological Issues
Understanding Concussions: Symptoms, Risks, and When to Seek Help
Head injury / concussion I'm sorry to ask, but I would like to inquire about something. On June 7th, I had a dispute with my family and was slapped forcefully about 5 or 6 times. At the time, I didn't feel anything unusual, but after a while, by June 10th, I have been c...
Dr. Jiang Junyi Reply:
Hello, In general, head trauma without loss of consciousness, anticoagulant use, or obvious local hematomas tends to be mild. However, the following conditions warrant consideration of delayed bleeding and a visit to the emergency room: (1) Deterioration of vision, seeing doubl...[Read More] Understanding Concussions: Symptoms, Risks, and When to Seek Help
Understanding Post-Concussion Syndrome: Symptoms and Dietary Tips
Post-concussion syndrome Fifteen years ago, I suffered a head injury and cervical spine damage in a car accident. Although I consulted a neurologist at the time, the doctor did not order detailed examinations since I was able to walk and communicate normally. As a result, my head...
Dr. Jiang Junyi Reply:
Dear Mr. E, You mentioned that "memory has significantly declined... and you are unsure if there are dietary suggestions for improvement." For dietary aspects, you can adopt the Mediterranean diet, the Dietary Approaches to Stop Hypertension (DASH) diet, and the Medite...[Read More] Understanding Post-Concussion Syndrome: Symptoms and Dietary Tips