Understanding Chronic Subdural Hematoma and Epilepsy After Brain Injury
The patient sustained a brain injury from a car accident and has been hospitalized for nearly six months, during which they have been continuously taking antiepileptic medication for treatment. MRI scans have revealed multiple issues. Could the physician please provide an explana...
Dr. Cai Zongzhang Reply:
Hello Mr. Li: Brain hemorrhage often has epilepsy as a sequela. The duration of medication depends on the frequency of seizures. Whether chronic subdural hematoma requires surgical treatment also depends on the symptoms. It is recommended to visit a neurosurgery outpatient clinic...[Read More] Understanding Chronic Subdural Hematoma and Epilepsy After Brain Injury
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 Neurological Symptoms: When to Seek Further Medical Help
Numbness in the head, facial numbness, and finger twitching, etc? Hello Dr. Tsai, a year and a half ago I experienced chest numbness, chin pain, pain in my left shoulder and left arm, and soreness in my left fingers and wrist. Subsequently, I developed numbness on the right side ...
Dr. Cai Zongzhang Reply:
Hello: Insufficient sleep can also trigger multiple neuropathic pain, making it harder to fall asleep and creating a vicious cycle. It is recommended to first improve sleep, which may also alleviate pain symptoms. Magnetic resonance imaging (MRI) has ruled out structural diseases...[Read More] Understanding Neurological Symptoms: When to Seek Further Medical Help
Understanding Weakness in the Left Middle Finger: Possible Neurological Causes
Possible neurological disorders associated with weakness in the left middle finger? Hello Doctor: My mother has myasthenia gravis and hyperthyroidism (which has been surgically removed, and she is currently taking medication to supplement potassium). Recently, she woke up one mor...
Dr. Jiang Junyi Reply:
Dear Ms. Kuo, Regarding your mother's condition, we may first need to consider the common issue of trigger finger. Q1: If there is no improvement in symptoms after two weeks, is it true that there are no tests that can identify or rule out the cause? I have read that when...[Read More] Understanding Weakness in the Left Middle Finger: Possible Neurological Causes
Fainting and Head Injury: Understanding Risks and Recovery Steps
Fainting and hitting the head? Hello, Doctor Jiang. My girlfriend fainted on March 4th while going to the bathroom due to stomach pain and hit her head. She was unconscious for a while (not sure how long, as there was no one around) and then woke up on her own. There were no exte...
Dr. Jiang Junyi Reply:
Hello Mr. Ksyii, You mentioned, "I fainted on my way to the bathroom due to stomach pain and hit my head, and was unconscious for a while... 1. I would like to ask the doctor if there is a possibility of intracranial bleeding? What should I pay attention to? 2. Should I con...[Read More] Fainting and Head Injury: Understanding Risks and Recovery Steps
Head Injury Concerns: When to Seek Medical Attention After Trauma
Head issues Hello, doctor. My mother is 50 years old and was hit on the back of her head by a car door this morning. She is currently on anticoagulants due to vasculitis, and I am very concerned about the possibility of microvascular rupture and other issues. Which specialty shou...
Dr. Jiang Junyi Reply:
Hello Hue: It has been over 10 days now; how is your mother doing? If she is in her 50s and has not experienced loss of consciousness or significant localized hematoma, there may not be too much to worry about. Delayed intracranial hemorrhage typically occurs within 48 hours, wit...[Read More] Head Injury Concerns: When to Seek Medical Attention After Trauma
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
Head Injury Concerns: Understanding Symptoms and Risks After a Fall
Hit the back of the head on the right side? Hello Doctor, I am the lady who bumped into the rolling iron door last time. Yesterday, I discovered that I might have hit the back of my head, but at that moment, my head retracted a bit, causing my neck to be somewhat immobile, and I ...
Dr. Jiang Junyi Reply:
Hello: You mentioned "cerebral hemorrhage, intracranial hemorrhage" if the symptoms persist or worsen. It is recommended to undergo imaging studies, such as a CT scan of the brain. It is advisable to visit a neurology outpatient clinic for further evaluation and follow-...[Read More] Head Injury Concerns: Understanding Symptoms and Risks After a Fall
Understanding Long-Term Effects of Head Injuries from Falls
Hello, doctor. I would like to ask about injuries from falls? Hello doctor, when I was 19 years old, I accidentally fell while going up the stairs and hit my head. At that time, I only felt dizzy but was fully conscious. Since there was bleeding, I went to the hospital. The docto...
Dr. Jiang Junyi Reply:
Hello Mr. Chen, You mentioned, "For the past 6 years, if I experience dizziness, will it be related to my previous injury?" Generally speaking, if there is no loss of consciousness, no anticoagulant medication use, or obvious local hematoma, head trauma is usually mild...[Read More] Understanding Long-Term Effects of Head Injuries from Falls
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
Understanding Leg Neuropathic Pain: Causes and Management Strategies
Leg neuropathy, polyneuropathy? Hello Doctor, I have consulted multiple physicians (in rehabilitation, orthopedics, neurosurgery, and neurology), but I still cannot identify the problem... I am 32 years old and work as a software engineer. My symptoms seem quite variable, and I h...
Dr. Jiang Junyi Reply:
Hello Mr. Zac, You mentioned that "when walking, the outer side of my left ankle feels like it's being electrified, and after this pain sensation appeared, my outer calf and the sole of my foot began to feel numb and tingly (which may indicate nerve damage)." This...[Read More] Understanding Leg Neuropathic Pain: Causes and Management Strategies
Understanding Your Brain CT Report: Key Findings Explained
Head issues The CT report indicates the following findings: - There is no evidence of intracranial hemorrhage (ICH), subdural hematoma (SDH), epidural hematoma (EDH), or subarachnoid hemorrhage (SAH). - The skull is intact. - There are no discernible space-occupying lesions. - ...
Dr. Jiang Junyi Reply:
Hello Ms. Lala: You mentioned that "CT of the brain without contrast shows: -Absence of ICH/SDH/EDH/SAH. -Skull intact. -No discernible space-occupying lesions. -No definite midline shift." This is a normal report: there is no evidence of any type of intracranial hemo...[Read More] Understanding Your Brain CT Report: Key Findings Explained
Assessing Risk of Chronic Subdural Hematoma After Head Injury
Head trauma Hello Doctor, my father is 52 years old and has a history of liver cirrhosis, currently undergoing medication treatment. Last week, he accidentally hit his head hard when closing the car door. The pain lasted for about two minutes, and there was no loss of consciousne...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "the rear door accidentally hit my head after closing, it was quite forceful, and it hurt for about two minutes. There was no loss of consciousness, and I did not experience any other discomfort." Generally speaking, if there is no l...[Read More] Assessing Risk of Chronic Subdural Hematoma After Head Injury
Understanding Your Brain CT Report: What It Means for Your Health
Head issues The CT report indicates the following findings: - There is no evidence of intracranial hemorrhage (ICH), subdural hematoma (SDH), epidural hematoma (EDH), or subarachnoid hemorrhage (SAH). - The skull is intact. - There are no identifiable space-occupying lesions in...
Dr. Jiang Junyi Reply:
Hello Ms. Lala, You mentioned that "CT of the brain without contrast shows: -Absence of ICH/SDH/EDH/SAH. -Skull intact. -No discernible space-occupying lesions. -No definite midline shift." This is a normal CT scan report: there is no evidence of any type of intracrani...[Read More] Understanding Your Brain CT Report: What It Means for Your Health
Understanding Facial and Scalp Numbness: Causes and Next Steps
Regarding facial and scalp numbness (medical examination has been conducted)? Hello, doctor. For the past two months, I have been experiencing intermittent numbness on the right side of my scalp and cheek, and occasionally around my nose. I do not have diabetes, hypertension, or ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the right side of the scalp and cheek area experiences intermittent numbness, and occasionally there is a tingling sensation near the nose." The MRI report did not reveal any lesions related to the trigeminal nerve. The symptoms should b...[Read More] Understanding Facial and Scalp Numbness: Causes and Next Steps
Understanding Head Trauma: Long-Term Effects and Concerns
Head trauma Hello, doctor. Two years ago, I was struck on the head by a metal pipe while at work. At the time, I was unsure if there was any issue, so I went to an orthopedic doctor for an X-ray. The doctor said there was no fracture in the skull. After two months, I saw a neurol...
Dr. Jiang Junyi Reply:
Dear Mr. Xiao: You mentioned: 1. I have always had concerns about whether a person can still function normally if there is a fracture or a slight crack in the skull. It has been two years since then; if there was a fracture at that time, could the person still be conscious? A...[Read More] Understanding Head Trauma: Long-Term Effects and Concerns
Understanding Intracranial Hemorrhage: Symptoms, Risks, and Recovery
Intracranial hemorrhage Hello Doctor, After having two upper molars extracted two years ago, I started feeling unwell. Later, at work, I was struck on the head by a heavy iron pipe that fell from above. 1. I am uncertain if I have hypertension; my company health check-ups hav...
Dr. Jiang Junyi Reply:
Hello Mr. Allen, You mentioned, "If there was a brain hemorrhage that was absorbed by itself, can it be seen on a CT scan? If the skull had previously fractured and healed, can a CT scan show that there was a prior injury?" Typically, in cases of severe brain injury, s...[Read More] Understanding Intracranial Hemorrhage: Symptoms, Risks, and Recovery
Can B12 and Micobalance Help Restore My Lost Sense of Smell?
Should I supplement with Micobalance for the loss of smell? What else can I do? Hello, doctor. Two years ago, I had an accident where I fell from a height, resulting in a skull fracture at the back of my head, intracranial hemorrhage, and a Glasgow Coma Scale score of 3. I was in...
Dr. Hong Weibin Reply:
Hello: If there has already been damage to the olfactory nerve, recovery may be more challenging. Vitamin B12 can be purchased over the counter at pharmacies or community drugstores; it may be worth trying, but it is likely to help maintain the current condition and reduce furthe...[Read More] Can B12 and Micobalance Help Restore My Lost Sense of Smell?
Is It Dangerous If You Hit Your Head and Bleed Without Pain?
Is there a risk if I hit my head and there is bleeding but no pain? A family member (around 50 years old with no history of cardiovascular disease) accidentally fell this morning and hit their head against a sharp object. At the time, there was approximately enough blood to soak ...
Dr. Jiang Junyi Reply:
Dear Ms. Ida, You mentioned that a family member (around 50 years old, with no history of cardiovascular disease) accidentally fell this morning and hit their head against a sharp object, resulting in approximately the amount of blood that would fill two tissues, but it stopped ...[Read More] Is It Dangerous If You Hit Your Head and Bleed Without Pain?
Understanding Post-Anesthesia Dizziness: Causes and Concerns
Questions about dizziness for my mother? Mother underwent general anesthesia for a bladder endoscopy and resection surgery from February 23 to February 25. After the anesthesia, she experienced mild headache for one night, which resolved the next morning upon discharge. However, ...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "lacunar infarct at the left lentiform nucleus," which refers to a small infarct in the left lentiform nucleus. This may be related to motor function. However, it is still necessary to assess the relevant neurological functions. Regarding...[Read More] Understanding Post-Anesthesia Dizziness: Causes and Concerns