Head Injury After Motorcycle Fall: Do I Need a Follow-Up?
Riding a motorcycle in the rain can be dangerous, leading to accidents and head injuries? Hello, Doctor. I had a motorcycle accident on December 21, 2019, where I fell while wearing a helmet and hit my head. At that time, I felt a pressure and pain in the right side of my head, a...
Dr. Hong Weibin Reply:
Hello: The observation period for head trauma is generally about 7 to 14 days. A small number of patients with head injuries may experience delayed intracranial hemorrhage or axonal injury to the brain. During the observation period, the main concern is the potential for such ble...[Read More] Head Injury After Motorcycle Fall: Do I Need a Follow-Up?
Understanding Head Trauma: Symptoms and Risks of Brain Injury
Head trauma Doctor, may I ask: I bumped the right side of my head against a wall five days ago. I only have slight headaches and neck and shoulder pain, with no other discomfort. Is this a normal condition after a head injury, or is there a possibility of a slow brain bleed or in...
Dr. Hong Weibin Reply:
Hello: Head injuries require caution, as there is a possibility of delayed intracranial hemorrhage. You may seek assistance from a neurologist for evaluation and follow-up in the outpatient clinic 1-2 times. Wishing you a speedy recovery.[Read More] Understanding Head Trauma: Symptoms and Risks of Brain Injury
Understanding Left-Sided Numbness and Eye Pressure: Possible Neurological Issues
Numbness and tingling in the left side of the limbs? Hello doctor, sometimes I feel numbness in my left hand and left foot, and my right eye feels swollen. I'm not sure if these two symptoms are related. What could be the issue? Is it possible that there is something growing...
Dr. Jiang Junyi Reply:
Hello: Based on your description, a brain computed tomography (CT) scan is generally performed to rule out significant lesions such as intracranial hemorrhage or obvious brain tumors. If clinical symptoms such as vomiting, headaches, seizures, or neurological deficits are present...[Read More] Understanding Left-Sided Numbness and Eye Pressure: Possible Neurological Issues
Understanding Head Trauma: Symptoms and Risks of Intracranial Bleeding
Head trauma Hello Doctor: On October 11, I hit the right side of my head against a wall. It was very painful at the moment, but after a few minutes and until the next day, there was no pain. Starting on October 13, I began to experience pain on the right side of my head extending...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious localized hematoma, head trauma is mostly mild. However, the following conditions should prompt consideration of delayed bleeding and a visit to the emerge...[Read More] Understanding Head Trauma: Symptoms and Risks of Intracranial Bleeding
Severe Head Pain During Orgasm: Causes and Concerns Explained
Severe headache during orgasm or ejaculation? Hello, doctor. I am a 30-year-old male currently weighing 107 kg. I do not smoke or drink alcohol, and I have no history of hypertension or diabetes, although there are related patients in my family. On the evening of August 18th, whi...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, with pain sometimes being widespread. The nature of the pain is dull, aching, with a s...[Read More] Severe Head Pain During Orgasm: Causes and Concerns Explained
Understanding Poor Outcomes After rt-PA Treatment for Stroke
The effect of administering rt-PA after a stroke is suboptimal? Hello, my father-in-law, who is 65 years old, was found to have a stroke at 8 AM and was taken to the hospital. The doctors determined that he could receive rt-PA, but at 3 AM the following day, he developed increase...
Dr. Jiang Junyi Reply:
Hello: According to studies related to rTPA, the most significant side effect of administering thrombolytics is bleeding. Although the risk of intracranial hemorrhage from thrombolytic therapy is ten times higher than that of oral anticoagulants (approximately 6%), "the over...[Read More] Understanding Poor Outcomes After rt-PA Treatment for Stroke
Understanding Pituitary Nodules: MRI Recommendations and Hormone Levels
Pituitary gland nodule Hello Dr. Jiang, the report is a bit long, could you please help me identify the important points? The last sentence of the report states, "Suggest MRI of pituitary gland with enhancement if clinically indicated." I translated this to mean that an...
Dr. Jiang Junyi Reply:
Hello: The term you mentioned, "Suggest MRI of pituitary gland with enhancement if clinically indicated," refers to recommending an MRI scan with contrast for the pituitary gland (due to a suspected 5mm low-signal nodule in the pituitary). Generally, pituitary tumors ar...[Read More] Understanding Pituitary Nodules: MRI Recommendations and Hormone Levels
Can Frequent Hits to the Back of the Head Affect My Brain Function?
Frequently hit on the back of the head? Hello, doctor: I am currently in high school, but my classmates often make fun of me and frequently hit the back of my head (quite hard, and it makes me feel dizzy). This has been happening for almost a year... I would like to know if this ...
Dr. Hong Weibin Reply:
Hello: Chronic head trauma can indeed lead to brain damage and even pose a risk of intracranial hemorrhage, which over time may result in cognitive decline. Foreign studies have found that individuals who experience head injuries at a young age, such as boxers or football players...[Read More] Can Frequent Hits to the Back of the Head Affect My Brain Function?
Can Stroke Be Treated? Understanding Care Options and Concerns
Can a stroke be treated? My mother suddenly experienced facial drooping and weakness in her left arm and leg, and was urgently taken to the hospital. The doctor diagnosed her with a stroke and administered three doses of tissue plasminogen activator (tPA) and started an IV drip. ...
Dr. Hong Weibin Reply:
Currently, for the treatment of stroke, if a patient arrives at the hospital within 3 hours of the onset of acute stroke symptoms (calculated from the last time they were normal), thrombolytic therapy can be administered. If the patient arrives within 4 to 6 hours (and in some ca...[Read More] Can Stroke Be Treated? Understanding Care Options and Concerns
Post-Surgery Recovery After Brain Surgery: Symptoms and Concerns
Postoperative care after brain surgery? The brain sustained a concussion, and the occipital bone was removed due to intracranial hemorrhage with injury to the cerebellum. Other than that, there was a fracture of the big toe. The patient was conscious before surgery and was transf...
Dr. Jiang Junyi Reply:
Hello: I'm not sure if the patient you mentioned belongs to the elderly population, but when there is a change in consciousness in the intensive care unit, delirium should be considered. This is an acute confusional state that commonly occurs in hospitalized patients aged 65...[Read More] Post-Surgery Recovery After Brain Surgery: Symptoms and Concerns
Can You Extract Wisdom Teeth with a Ventricular Drain?
Can a ventricular drainage catheter be used to extract wisdom teeth? Hello, doctor: I have hydrocephalus and underwent a ventriculoperitoneal shunt procedure to implant a drainage tube. I would like to ask if it is safe to have my wisdom teeth extracted and whether it could cause...
Dr. Jiang Junyi Reply:
Hello, Happy New Year! The ventriculoperitoneal shunt procedure utilizes a unidirectional valve drainage system, with one end of the catheter placed in the ventricle and tunneled subcutaneously to the abdominal cavity. When the intracranial pressure rises to a certain level, cere...[Read More] Can You Extract Wisdom Teeth with a Ventricular Drain?
Understanding Memory Loss After a Severe Head Injury: What to Expect
Severe head trauma after a fall? Hello Doctor: Three weeks ago, I slipped on wet tiles while exiting my bathroom at home and hit the back of my head near my left ear against the wall. The impact was quite severe, and I lost consciousness for a moment, feeling a tingling sensation...
Dr. Gao Chunde Reply:
The area near the left ear corresponds to the left temporal lobe in the brain, which houses auditory processing, language functions, and deeper memory regions. Your symptoms could indicate a short-term neurological dysfunction due to a concussion, but they may also suggest other ...[Read More] Understanding Memory Loss After a Severe Head Injury: What to Expect
Intermittent Pain Near Ear and Temple: When to See a Specialist?
Intermittent sharp pain near the ear extending to the temple? Hello, doctor. Due to a car accident, I have experienced minor intracranial hemorrhage and a concussion. Currently, I frequently have intermittent sharp pain around my head and near my ears, which often wakes me up fro...
Dr. Lan Shengxing Reply:
Dear WEN, this issue may need to be first addressed by a neurosurgeon. If it is not related to an injury, then you can consult a neurologist. However, since it only affects you when opening your mouth wide, it might be related to temporomandibular joint (TMJ) disorders. It may be...[Read More] Intermittent Pain Near Ear and Temple: When to See a Specialist?
Understanding Occipital Headaches: Causes, Symptoms, and When to Seek Help
Occipital headache Hello doctor, about a week ago, I experienced a sudden tightening pain in the back of my head while masturbating before bed. The pain stopped when I ceased the activity. The next day, I repeated the same behavior and felt the pain again, but it was less intense...
Dr. Gao Chunde Reply:
This is a rare type of headache known as sexual headache, which occurs during sexual activity, masturbation, or orgasm. Individuals who experience this type of headache may not have it every time they engage in these activities, and the headache typically diminishes within a few ...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and When to Seek Help
Concussion and Dementia: Understanding Long-Term Risks After Injury
Concussion and Dementia Hello, I had a concussion from a car accident two years ago, but there was no intracranial hemorrhage. I recovered after a month, but I am worried if this could lead to dementia in the future. Thank you.
Dr. Gao Chunde Reply:
According to literature statistics, a single concussion does not increase the likelihood of developing dementia later on; however, repeated concussions do increase the risk of developing dementia, Parkinson's disease, or depression in the future.[Read More] Concussion and Dementia: Understanding Long-Term Risks After Injury
Can Brain Hemorrhages Heal on Their Own? Understanding Recovery and Repair
Cerebral hemorrhage in children Will a brain hemorrhage absorb on its own? If the brain nerves are injured, will they repair themselves?
Dr. Gao Chunde Reply:
There are many types of intracranial hemorrhage, including intracerebral hemorrhage, subarachnoid hemorrhage, subdural hemorrhage, and intraventricular hemorrhage. Some are single episodes of bleeding, while others involve gradual bleeding. The causes are numerous; in addition to...[Read More] Can Brain Hemorrhages Heal on Their Own? Understanding Recovery and Repair
Head Injuries in Sports: Impact on Dizziness and Cognitive Function
Head injury from sports? Sometimes when playing sports, I might hit my head, which causes temporary dizziness, but it doesn't happen often. I'm not sure if it could affect my intelligence. Is there any treatment available? Although I try to take precautions, what level ...
Dr. Huang Yongquan Reply:
Generally, unless there is long-term brain trauma like that experienced by boxers, or severe head injuries resulting in concussions or intracranial hemorrhages, minor impacts to the head do not cause significant damage to cognitive function. Severe injuries typically present with...[Read More] Head Injuries in Sports: Impact on Dizziness and Cognitive Function
Understanding Chronic Headaches: Causes and Concerns in Neurology
Chronic headache Hello doctor, I would like to ask a question on behalf of my friend. My friend was hit on the head multiple times with objects like sticks and belts by family members during childhood. Since middle school, she has been experiencing headaches, which have persisted...
Dr. Zeng Kongyan Reply:
Hello: In response to your question, there are many causes of headaches. Mild cases may include tension-type headaches or tendonitis, while more severe cases could involve brain tumors, encephalitis, or intracranial hemorrhage. Migraines are commonly seen in younger individuals. ...[Read More] Understanding Chronic Headaches: Causes and Concerns in Neurology
Understanding Right-Sided Head Pain: Causes and Concerns
Head pressure can be painful? About a year ago, I felt like something hit or bumped into the right side of my head. Since then, whenever I apply pressure to that area, it hurts—it's a sharp, nerve pain sensation. Only that specific area hurts, and after pressing on it, I fee...
Dr. Lin Zijing Reply:
Brain damage typically results in symptoms on the contralateral side of the body (e.g., right hemisphere damage leading to weakness in the left limbs). Intracranial hemorrhage will usually see the blood clot being broken down and absorbed after a period of time; it should not per...[Read More] Understanding Right-Sided Head Pain: Causes and Concerns
Can Past Brain Hemorrhage Cause Chronic Headaches?
Cerebral hemorrhage Hello, I had a car accident 15 years ago that resulted in symptoms of intracranial hemorrhage (epidural hematoma, approximately 3 cm). At that time, my family chose not to undergo surgery. Over the past 15 years, I have been in several more car accidents, most...
Dr. Lin Zijing Reply:
Subdural hematomas can gradually be broken down and absorbed over time, and simple epidural hematomas do not typically cause these headache symptoms after absorption. You mentioned that you have experienced several car accidents over the past 15 years that involved head trauma, w...[Read More] Can Past Brain Hemorrhage Cause Chronic Headaches?