Brain, Neurosurgery FAQ - Page 10

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Understanding Extracranial Aneurysms: Risks and Treatment Options

Extracranial aneurysm Hello Dr. Chang: Recently, an elder in my family underwent a vascular imaging examination and was found to have two extracranial aneurysms, each measuring 0.5 cm. Since they are extracranial, is it generally the case that no treatment is required? If an extr...


Dr. Zhang Junwei Reply:
Cerebral aneurysms generally do not cause immediate effects on brain tissue when they rupture, so they typically do not require intervention. However, the management may depend on the location and size of the aneurysm, so it is advisable to discuss this with your neurosurgeon or ...

[Read More] Understanding Extracranial Aneurysms: Risks and Treatment Options


Sinusitis or Eye Pressure? Navigating Chronic Pain and Diagnosis

Sinusitis or ocular pressure? Hello, Doctor. The patient has been experiencing pressure and dull pain in the upper part of the eyeball and between the eyebrows, along with eye fatigue and a desire to rest. They have undergone MRI of the brain by a neurologist multiple times, but ...


Dr. Zhang Junwei Reply:
If you have already consulted with neurology and ENT specialists without finding any issues, it is advisable to consider a consultation with a neurosurgery clinic.

[Read More] Sinusitis or Eye Pressure? Navigating Chronic Pain and Diagnosis


Understanding Intracranial Hemorrhage: What to Expect After Surgery

Intracranial hemorrhage Doctor, I would like to ask about my mother who had a car accident and suffered from intracranial hemorrhage. After the surgery, her brain did not show any signs of contraction, and her pupils remain dilated. The attending physician mentioned that the pupi...


Dr. Zhang Junwei Reply:
Without a complete medical history, patient history, and neurological examination, it is difficult to provide an accurate answer. I apologize!

[Read More] Understanding Intracranial Hemorrhage: What to Expect After Surgery


Addressing Leg Issues: Seeking Solutions for Neurological Conditions

Leg problems Hello, I would like to ask a question. I experienced a period of oxygen deprivation at birth, which has led to some walking difficulties and a slight leg length discrepancy. I would like to know if there are any treatment options available for this condition. Additio...


Dr. Zhang Junwei Reply:
If the neurological damage is caused by brain hypoxia, rehabilitation is currently the only option available.

[Read More] Addressing Leg Issues: Seeking Solutions for Neurological Conditions


Understanding Low-Grade Fever After Stroke Surgery: Causes and Concerns

Causes of low-grade fever after stroke surgery? Hello Dr. Chang, My husband (36 years old) underwent brain surgery in early July due to a hemorrhagic stroke, which left the left side of his body immobile. After the surgery, he has been experiencing low-grade fevers (around 37.0-...


Dr. Zhang Junwei Reply:
Generally speaking, after a stroke, low-grade fever is often associated with excessive pulmonary secretions and difficulty in clearing cough. If there is a dysfunction in the temperature regulation center following a cerebral stroke, it typically results in high fever.

[Read More] Understanding Low-Grade Fever After Stroke Surgery: Causes and Concerns


Managing Neurological Issues After Tracheostomy: Key Considerations

Brain issues What should I do if I am unable to speak after a tracheostomy?


Dr. Zhao Shaoqing Reply:
Patients requiring tracheostomy typically need a period of training to improve their respiratory function before entering the respiratory care system. They undergo a gradual and progressive respiratory training process, and if the brain injury is not too severe, further improveme...

[Read More] Managing Neurological Issues After Tracheostomy: Key Considerations


Concerns After a Slip and Fall: Understanding Head Injury Symptoms

Slip backward? Hello Doctor, I slipped and fell backward the day before yesterday due to a wet floor. I had my hair in a ponytail, and I’m not sure if the back of my head hit the ground. At that moment, I experienced some tinnitus and dizziness, but I did not have any significant...


Dr. Zhao Shaoqing Reply:
If there is persistent clear nasal discharge, and the possibility of a skull base fracture has been ruled out, it is necessary to go to a major hospital for examination.

[Read More] Concerns After a Slip and Fall: Understanding Head Injury Symptoms


Optimal Time Interval Between Two Neurosurgery Procedures for Aneurysm Removal

Interval between two surgeries on the same limb? Doctor: Hello, I am a 50-year-old office worker. In December of last year, a health check revealed through MRI that I have a brain aneurysm on both the left and right sides of the cerebral cavity, each measuring 1 cm. In March of t...


Dr. Zhang Junwei Reply:
There is no specific regulation on how long one must wait before undergoing another procedure, but it is advisable to rest for at least three months. Alternatively, if craniotomy is not performed, embolization can also be utilized.

[Read More] Optimal Time Interval Between Two Neurosurgery Procedures for Aneurysm Removal


Post-Surgery Numbness and Pain: When to Seek Medical Attention?

One and a half months after brain surgery, there is a sudden sensation of numbness in the head? Hello, doctor. I underwent brain aneurysm surgery on June 7, 2018, and my recovery has been quite good; my bodily functions are generally normal. However, the left side of my head wher...


Dr. Zhang Junwei Reply:
It is common to experience numbness at the surgical site after a craniotomy. As long as there is no redness, swelling, heat, or discharge of pus, there is no need to be overly concerned.

[Read More] Post-Surgery Numbness and Pain: When to Seek Medical Attention?


Understanding Headaches: Post-Injury Symptoms and Eye Health Concerns

Headache issues? I have had migraine issues since childhood, where fatigue and exposure to wind can trigger headaches. However, I never sought any medical evaluation. At the end of last year, I fell down the stairs without using my hands to brace myself, landing face-first. I was...


Dr. Zhang Junwei Reply:
You can first visit the neurosurgery outpatient clinic!

[Read More] Understanding Headaches: Post-Injury Symptoms and Eye Health Concerns


Persistent Head Issues After Injury: When to Seek Medical Attention?

Head issues Hello, doctor. I am currently a senior in college. When I was in the third year of junior high, I was playing in the restroom and kicked water, causing myself to fly up and hit my head on the ground. At that moment, I couldn't hear anything and was dazed for a wh...


Dr. Zhang Junwei Reply:
It is impossible for a blood clot from the third year of junior high to remain until now; it can only be said that this is a consequence of head trauma. Alternatively, you may want to consult an otolaryngologist to check if there is an issue with your inner ear causing your dizzi...

[Read More] Persistent Head Issues After Injury: When to Seek Medical Attention?


Post-Traumatic Recovery: Addressing Balance Issues After Spinal Surgery

Minimally invasive surgery for the first lumbar vertebra, subarachnoid hemorrhage? Hello Doctor, I previously had a car accident that resulted in subarachnoid hemorrhage. The doctor said it would absorb on its own, and I was in a coma in the intensive care unit for about two week...


Dr. Lai Zhaokang Reply:
Hello: I personally suggest that both the brain and spine need further evaluation. Please visit the neurosurgery outpatient clinic for a physician's assessment. Wishing you all the best. // Neurosurgeon Dr. Lai Chao-Kang

[Read More] Post-Traumatic Recovery: Addressing Balance Issues After Spinal Surgery


Understanding Post-Trauma Walking Instability: Brain vs. Lumbar Spine Issues

Minimally invasive surgery for the first lumbar vertebra, subarachnoid hemorrhage? Hello Doctor, I previously had a car accident that resulted in subarachnoid hemorrhage. The doctor said it would absorb on its own, and I was in a coma in the intensive care unit for about two week...


Dr. Lai Zhaokang Reply:
Hello: I personally suggest that both the brain and spine need further evaluation. Please visit the neurosurgery outpatient clinic for a physician's assessment. Wishing you well. // Neurosurgeon Dr. Lai Chao-Kang

[Read More] Understanding Post-Trauma Walking Instability: Brain vs. Lumbar Spine Issues


Understanding Skull Fractures: Healing and Risks to the Brain

Hello, I would like to inquire about issues related to skull fractures. Thank you? Hello: If there is a fracture in the frontal part of the skull due to blunt force trauma, with a gap of approximately 0.5 to 0.5 centimeters at the fracture site, will the fracture heal and reconne...


Dr. Zhang Junwei Reply:
Theoretically, it can regenerate on its own.

[Read More] Understanding Skull Fractures: Healing and Risks to the Brain


Post-Accident Head Pain: When to Seek Neurological Evaluation?

Car accident, head injury, experiencing headaches 4 months later? Hello doctor, I was in a car accident four months ago and lost consciousness upon impact. My helmet flew off, and my head hit the ground. I woke up in the hospital while the nurse was stitching my head, and I recei...


Dr. Zhang Junwei Reply:
It is normal to feel some pain after a wound has been sutured.

[Read More] Post-Accident Head Pain: When to Seek Neurological Evaluation?


Concerns About Delayed Brain Hemorrhage in a Toddler After a Fall

A 1 year and 5 month old baby fell and hit their head, and currently cannot put weight on their left foot properly? Hello Doctor: My baby girl (1 year and 5 months) fell on the afternoon of April 9th and has been unable to stand normally since then. When she tries to stand, her l...


Dr. Lai Zhaokang Reply:
Hello: CT scans involve radiation, so please return to Taiwan for a consultation. It is best to visit a large hospital that is a medical center with a pediatric neurosurgery department. Wishing you well, Neurosurgeon Dr. Lai Chao-Kang.

[Read More] Concerns About Delayed Brain Hemorrhage in a Toddler After a Fall


Recovery Timeline for Skull Fractures in Children: What to Expect

Recovery from a skull fracture? Hello, I would like to consult a physician. An eight-year-old child experienced a severe head injury while playing, resulting in a skull fracture and underwent surgery for hemostasis (epidural hematoma). It has been three months post-surgery, and c...


Dr. Lai Zhaokang Reply:
Hello: Generally, it takes about three months for a fracture to heal, and the brain should also be more stable by then. For exercise, it is recommended to start with gentle activities. If you want to engage in high-impact exercises like jumping rope or running, which can cause si...

[Read More] Recovery Timeline for Skull Fractures in Children: What to Expect


Post-Surgery Memory Confusion: Understanding Behavioral Changes After Hydrocephalus Surgery

After the surgery for hydrocephalus, there is confusion and a constant desire to go home? Hello Dr. Lai, My father suffered a head injury due to a work accident in late October last year, resulting in a skull fracture, intracranial hemorrhage, subarachnoid hemorrhage, and fronta...


Dr. Lai Zhaokang Reply:
Hello: I would like to answer your question directly, but your records indicate that the surgeries were performed at other hospitals, so I cannot provide you with a definitive answer. Wishing you all the best.

[Read More] Post-Surgery Memory Confusion: Understanding Behavioral Changes After Hydrocephalus Surgery


Understanding Stroke Causes: Are They Exclusively CNS Disorders?

Causes of Stroke Is a stroke always classified as a disorder of the central nervous system? Are there other potential causes, or is it 100% a problem related to the central nervous system?


Dr. Zhang Junwei Reply:
The brain is part of the central nervous system, so a stroke in the brain is certainly a central nervous system disorder!

[Read More] Understanding Stroke Causes: Are They Exclusively CNS Disorders?


Head Injury Concerns: Do I Need to Worry About Brain Bleeding?

Head issues Hello doctor, I accidentally hit my head while taking the bus last Sunday. Since it was a long trip, I only applied ice about an hour later. At the moment of impact, I felt pain briefly but had no other sensations. Over the past few days, I've occasionally felt a...


Dr. Zhang Junwei Reply:
The likelihood of bleeding is very low.

[Read More] Head Injury Concerns: Do I Need to Worry About Brain Bleeding?


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