Understanding Stroke Caused by Brain Hemorrhage: A Patient's Journey
Stroke caused by cerebral hemorrhage? Hello Dr. Chang, on July 2nd, my father fell in the bathroom. At that time, he was speaking unclearly and expressed that he could not move his left side. We immediately called an ambulance, and the initial assessment was a cerebral hemorrhage...
Dr. Zhang Junwei Reply:
In the acute phase of a cerebral hemorrhage, aside from standard treatment, there are not many good recommendations, as severe brain injury may result in the patient not regaining consciousness.[Read More] Understanding Stroke Caused by Brain Hemorrhage: A Patient's Journey
Understanding Disc Herniation: Symptoms, Treatment, and MRI Insights
Herniated disc I would like to consult Dr. Lai regarding my condition. I have cervical spine compression at levels C4, C5, and C6 affecting the spinal cord, and a ruptured intervertebral disc at the lumbar spine L5-S1. I underwent an anterior cervical discectomy on February 22. P...
Dr. Lai Zhaokang Reply:
Hello: 1. If there is severe preoperative compression of the cervical spinal cord that has already caused damage, some patients may experience abnormal sensations postoperatively and may require medication in conjunction with rehabilitation therapy. 2. It is also occasionally obs...[Read More] Understanding Disc Herniation: Symptoms, Treatment, and MRI Insights
Understanding Blurry Vision: Possible Causes and When to Seek Help
Blurred vision I would like to inquire about blurred vision. I can see clearly up close, but my distance vision is blurry. This phenomenon occurred about a month ago, and after resting my eyes, it improved. Recently, I have experienced blurred vision in one eye. An ophthalmologic...
Dr. Zhang Junwei Reply:
Blurred vision is mostly related to eye issues. If there are any concerns, it is advisable to consult a neurologist.[Read More] Understanding Blurry Vision: Possible Causes and When to Seek Help
From Neurological Emergency to Terminal Colon Cancer: A Patient's Journey
Admitted to neurosurgery, but diagnosed with terminal colorectal cancer? Hello, Doctor. I was admitted to Hospital A's emergency department due to dizziness and a fall, and examinations revealed bleeding in my brain. I was hospitalized in the neurosurgery department at Hospi...
Dr. Zhao Shaoqing Reply:
Hello: Since the above is a textual description of medical actions, it is difficult to make a judgment. You may need to consult a doctor from Kaohsiung Medical University for clarification. If it's inconvenient, you can also visit Changhua Hospital for treatment and bring th...[Read More] From Neurological Emergency to Terminal Colon Cancer: A Patient's Journey
Understanding Eyelid Twitching: Is It a Sign of Tumor Recurrence?
Eyelid twitching? Dear Doctor, my mother underwent surgery a few years ago to remove a brain tumor, but the doctors informed us that the tumor could recur. Recently, her lower eyelid has been twitching. If the tumor does indeed recur, will a second surgery be as successful as the...
Dr. Zhang Junwei Reply:
It depends on the condition of the brain tumor.[Read More] Understanding Eyelid Twitching: Is It a Sign of Tumor Recurrence?
Understanding Quadriceps Cramps: Causes and Solutions for Active Cyclists and Runners
Quadriceps muscle cramp Hello, doctor. I take personal days off and often ride my road bike up Yangmingshan, Erziping, or similar places in the evenings. I have also participated in several half marathons, so I consider myself to be quite active in sports. This exercise habit has...
Dr. Lai Zhaokang Reply:
Hello: Cramps while cycling uphill or running are quite common. The possible common causes are: 1. Dehydration and electrolyte loss due to sweating 2. Increased body temperature and lower limb muscle temperature after exercise 3. Increased oxygen consumption by muscles leading to...[Read More] Understanding Quadriceps Cramps: Causes and Solutions for Active Cyclists and Runners
Understanding Sudden Double Vision and Increased Eye Pressure: A Guide for Families
Sudden onset of double vision accompanied by an increase in flashes to 200 degrees? Hello Dr. Chang Jun-Wei, I would like to ask you a question. My father is 60 years old and about 1-2 weeks ago, he suddenly experienced double vision while driving during the day. The next day, he...
Dr. Zhang Junwei Reply:
Since the MRI has already been scheduled, we will wait for the examination results. There are too many differential diagnoses to detail individually.[Read More] Understanding Sudden Double Vision and Increased Eye Pressure: A Guide for Families
Post-Car Accident Symptoms: Understanding Dizziness and Head Trauma
Symptoms after a car accident? Hello doctor, I had a car accident at the end of October last year that resulted in a right-sided head injury (swelling on the right side of my face), along with mild subarachnoid hemorrhage on the left side and a concussion. I was recovering well a...
Dr. Zhang Junwei Reply:
Theoretically, the head trauma from last October is unrelated to the current headaches and dizziness occurring six months later. As for the underlying issue, it will depend on whether the symptoms persist and the results of further examinations.[Read More] Post-Car Accident Symptoms: Understanding Dizziness and Head Trauma
Can MRA Detect Hydrocephalus After Shunt Removal?
Can an MRA detect hydrocephalus? Hello, Doctor. I was diagnosed with hydrocephalus when I was 9 years old, and later had a shunt placed for drainage. Four years ago, the shunt was removed because I was frequently uncomfortable and my doctor determined that there would be no recur...
Dr. Zhang Junwei Reply:
MRA primarily examines blood vessels, but it is a brain scan, and it can also reveal the presence of hydrocephalus.[Read More] Can MRA Detect Hydrocephalus After Shunt Removal?
Can a Billiard Ball Attack Cause Mild Traumatic Brain Injury?
Hit by a billiard ball? Last week, I was attacked with a cue ball, and afterward, I experienced headaches and memory loss. I am currently suspected of having a mild traumatic brain injury. I would like to know if an attack with a cue ball could potentially cause this, especially ...
Dr. Zhao Shaoqing Reply:
You can go to the outpatient clinic for evaluation and examination.[Read More] Can a Billiard Ball Attack Cause Mild Traumatic Brain Injury?
Understanding Traumatic Brain Injury: Recovery and Treatment Insights
Traumatic brain injury from a car accident? Hello Doctor Zhang, my sister was in a car accident and suffered a brain hemorrhage. The doctors placed an intracranial monitor during surgery. In the ICU, her right leg has been moving uncontrollably, and it continues to do so even aft...
Dr. Zhang Junwei Reply:
It is unclear whether the involuntary movements of your right foot are due to epilepsy or another condition. Whether or not surgery is needed for the head will depend on the progression of the subsequent medical condition.[Read More] Understanding Traumatic Brain Injury: Recovery and Treatment Insights
Post-Accident Memory Loss and Headaches: Understanding Brain Injuries
Headache after amnesia due to a car accident? Hello Dr. Chang, my father (62 years old) was in a car accident on January 3rd. His reaction was slow at the time, and he was unable to answer my mother’s questions about how the accident happened over the phone. When we arrived at th...
Dr. Zhang Junwei Reply:
1. Yes, it is a concussion. 2. Chronic subdural hematoma cannot be predicted in advance; we can only respond to it as it arises.[Read More] Post-Accident Memory Loss and Headaches: Understanding Brain Injuries
Understanding Hypoxia in Neurological Emergencies: A Case Study
Cerebral hypoxia My boyfriend is 43 years old. On the morning of February 17, he suddenly became rigid all over, drooled, and after five minutes, his lips turned purple. When the ambulance arrived about five minutes later, he had no pulse. They used an AED but there was still no ...
Dr. Zhang Junwei Reply:
The probability is extremely low, and even if one wakes up, there are usually severe sequelae such as dementia, physical disabilities, and so on.[Read More] Understanding Hypoxia in Neurological Emergencies: A Case Study
Understanding Tongue Weakness After Brain Surgery: Causes and Recovery
Half of the tongue is flaccid? Hello, doctor. I underwent a resection surgery for an intracranial hemangioma last November, located in the cerebellum, which was compressing the brainstem and cerebellum. Before the surgery, I experienced symptoms such as hand numbness, left-sided ...
Dr. Zhang Junwei Reply:
Hemangiomas are benign, but they can affect the function of nearby nerves, and the specific functions impacted are related to the location of the hemangioma.[Read More] Understanding Tongue Weakness After Brain Surgery: Causes and Recovery
Head Injury from Door Frame: What to Watch For and Signs of Concern
What should you pay attention to after hitting a door frame? Hello, doctor. Earlier, I accidentally bumped the upper right side of my head against a door frame because I didn't pay attention to its height. My mom saw it and said it was quite a hard hit, but currently, there ...
Dr. Zhang Junwei Reply:
The likelihood of a brain hemorrhage is low, but if there are persistent symptoms such as headache, dizziness, nausea, vomiting, or altered consciousness, it is important to seek medical attention immediately.[Read More] Head Injury from Door Frame: What to Watch For and Signs of Concern
Understanding Pituitary Tumor Surgery: Insights on Risks and Recovery
Second Surgery for Pituitary Tumor Hello, thank you for your message. I would like to ask about my condition. I have a pituitary adenoma and am about to undergo my second surgery; the first surgery was in 2020. I have consistently attended follow-up appointments, including regula...
Dr. Zhao Shaoqing Reply:
You can visit the outpatient clinic for a detailed evaluation and examination. It is not possible to make a judgment based solely on written descriptions; a thorough explanation can be provided during the outpatient visit.[Read More] Understanding Pituitary Tumor Surgery: Insights on Risks and Recovery
Understanding Recovery Patterns After Brain Injury: A Patient's Journey
Recovery status after brain injury? Hello, doctor. My mother fell and suffered a subarachnoid hemorrhage about two weeks ago, primarily affecting the left frontal and temporal lobes. At that time, her Glasgow Coma Scale (GCS) score was 5-6. After undergoing craniotomy, her curren...
Dr. Zhang Junwei Reply:
1. Without a CT scan report and a detailed neurological assessment, it is difficult to answer this question. Based solely on your brief description, it is not possible to determine the extent of the patient's injuries. 2. The process of cognitive recovery can indeed exhibi...[Read More] Understanding Recovery Patterns After Brain Injury: A Patient's Journey
Could It Be a Brain Tumor? Understanding Head Pain Symptoms
Could it be a brain tumor? When I shake my head or nod, I feel a painful sensation inside my head as if something is moving around, but I don’t experience any pain when I'm not doing those movements. The pain is located in the upper back part of my head. Could this be a brai...
Dr. Zhang Junwei Reply:
It does not appear to be a brain tumor; a follow-up at the neurology outpatient clinic is recommended.[Read More] Could It Be a Brain Tumor? Understanding Head Pain Symptoms
Recovering from Subdural Hematoma After a Car Accident: Key Insights
Subdural hematoma caused by a car accident? Hello, Doctor. I was in a car accident on December 4th last year, which resulted in a subdural hematoma. The doctor said that surgery was not necessary and that it would be absorbed on its own. My Glasgow Coma Scale score was between 13...
Dr. Zhao Shaoqing Reply:
Hello; you can generally arrange for a computed tomography (CT) scan of the brain at the outpatient clinic to assess the status of blood absorption before evaluating the work.[Read More] Recovering from Subdural Hematoma After a Car Accident: Key Insights
Understanding Head Discomfort: When to Worry About Neurological Issues
Brain issues Hello, Doctor. One day, while washing my hair, the hot water ran out, so I had to use cold water. After finishing, I felt a slight swelling and discomfort on the lower left side of my head. I'm not sure if there's any issue. Additionally, I would like to as...
Dr. Zhao Shaoqing Reply:
In general, if headache symptoms are mismanaged and do not improve, there is no need to worry unless they persist without improvement, in which case a neurosurgical evaluation should be considered to check for any abnormalities.[Read More] Understanding Head Discomfort: When to Worry About Neurological Issues