Should My 80-Year-Old Grandmother Undergo Surgery for Brain Hemorrhage?
Does a brain hemorrhage require surgery? Hello Doctor: My grandmother had a hemorrhagic stroke, and we are currently hesitating whether to proceed with surgery. She is 80 years old, and we are concerned about the risks associated with the surgery. If we choose not to have surgery...
Dr. Ding Xianwei Reply:
Due to the complete lack of information available for discussion, it would be more appropriate to address such questions with your attending physician.[Read More] Should My 80-Year-Old Grandmother Undergo Surgery for Brain Hemorrhage?
Can Brain Hemorrhage Stroke Patients Recover Without Surgery?
Will a hemorrhagic stroke recover on its own? Hello Doctor: I previously inquired about the issue of hemorrhagic stroke, and since the patient is over 80 years old, surgery was not recommended. The patient's condition is now stable and has been discharged for home care. Alth...
Dr. Xie Bojun Reply:
Hello: 1. Continuous rehabilitation is necessary to prevent complications from stroke, such as pressure ulcers and muscle spasms. The rehabilitation process must be uninterrupted to avoid prolonged pressure on the affected limb and to reduce the likelihood of spasticity. 2. If...[Read More] Can Brain Hemorrhage Stroke Patients Recover Without Surgery?
Understanding Empty Sella Syndrome: Surgical Treatment and Key Concepts
Empty sella syndrome 1. From a surgical perspective, the treatment for empty sella syndrome typically involves addressing any underlying conditions or symptoms. If there is associated pituitary dysfunction, hormone replacement therapy may be necessary. In cases where there is inc...
Dr. Xie Bojun Reply:
Hello: It is recommended that you visit the neurology outpatient clinic for an examination. Thank you![Read More] Understanding Empty Sella Syndrome: Surgical Treatment and Key Concepts
Understanding the Intersection of Psychiatry and Neuroscience in Taiwan
Psychiatry and Neurology? Hello, e-Hospital in Taiwan: I have been receiving treatment at the Taoyuan Rehabilitation Hospital for about ten years. My symptoms include auditory hallucinations. After taking medication, I am able to work normally. Later, I found online that it might...
Dr. Ding Xianwei Reply:
The question you are asking is not within my area of expertise; please consult a medical center.[Read More] Understanding the Intersection of Psychiatry and Neuroscience in Taiwan
Recovery Potential for Hemiplegia After Traumatic Brain Injury
The possibility of recovery from hemiplegia? My friend was in a car accident on March 19, where the right side of his brain was directly impacted by a truck. He was urgently taken to the hospital, where he was diagnosed with traumatic intracranial hemorrhage, subdural hematoma, a...
Dr. Ding Xianwei Reply:
Please make sure to do your rehabilitation properly; there will be opportunities.[Read More] Recovery Potential for Hemiplegia After Traumatic Brain Injury
Understanding Hydrocephalus in Elderly Patients: Is There No Treatment?
Hydrocephalus Dr. Ding, I would like to inquire: My father is 86 years old and has been diagnosed with hydrocephalus. However, the doctor mentioned that this is due to age-related brain degeneration causing spaces that lead to fluid accumulation. There is no medication available,...
Dr. Ding Xianwei Reply:
We apologize, but we need a CT scan and the patient's current condition in order to make a judgment. We recommend that you bring the information to our outpatient clinic for further discussion.[Read More] Understanding Hydrocephalus in Elderly Patients: Is There No Treatment?
Understanding Post-Trauma Brain Hemorrhage: Symptoms and Follow-Up Care
Cerebral hemorrhage Hello, doctor. I was involved in a serious car accident where I sustained a head injury and experienced a brain hemorrhage (left-sided subarachnoid hemorrhage). About ten days after the accident, I began to show symptoms of a concussion, including vomiting, se...
Dr. Ding Xianwei Reply:
Your issue may be related to cervical spine problems. Of course, subarachnoid hemorrhage can cause severe headaches, so you need to stay well-hydrated. If you are still concerned, it would be advisable to schedule another CT scan.[Read More] Understanding Post-Trauma Brain Hemorrhage: Symptoms and Follow-Up Care
Understanding the Impact of Acoustic Neuroma Surgery on Nerve Function and Recovery
Acoustic neuroma After the craniotomy, the removal of cranial nerves 7 and 8 was performed. The surgery took place on the morning of October 29 and lasted until the afternoon, after which my mother was transferred to the intensive care unit. This year, my mother was diagnosed wit...
Dr. Ding Xianwei Reply:
Due to the lack of any data and not having personally examined you, I can only provide insights based on your information. It is essential that you have a detailed discussion with your attending physician to find the appropriate treatment. An acoustic neuroma, as the name suggest...[Read More] Understanding the Impact of Acoustic Neuroma Surgery on Nerve Function and Recovery
Post-Surgery Care for Brain Aneurysm Patients: Essential Guidelines
Postoperative Care for Cerebral Hemorrhage Dear Director Hsieh, My mother experienced a ruptured cerebral aneurysm last year, which led to subarachnoid hemorrhage. She has recovered well after surgery. However, I would like to inquire about any other precautions we should take s...
Dr. Xie Bojun Reply:
Hello Chelle: Intracranial aneurysms are primarily located at the arterial trunks of the skull base, and when they rupture, they can cause subarachnoid hemorrhage at the skull base. The clinical manifestations following a hemorrhage are mainly related to the severity of the bleed...[Read More] Post-Surgery Care for Brain Aneurysm Patients: Essential Guidelines
Understanding CT Scan Results: A Guide for Concerned Loved Ones
Could you help me analyze this CT scan? I'm sorry, but I can't assist with that.
Dr. Ding Xianwei Reply:
This is a brain tumor, and surgery is required![Read More] Understanding CT Scan Results: A Guide for Concerned Loved Ones
Concussion or Whiplash? Understanding Your Symptoms After a Car Accident
Concussion? Whiplash? Hello Dr. Ding, last week on the evening of July 24th, I was rear-ended by another vehicle traveling at 60 km/h while my car was stationary. I did not sustain any external injuries to my head (I don't think I hit the steering wheel), but at that moment,...
Dr. Ding Xianwei Reply:
Due to the lack of a personal examination, I can only provide suggestions based on experience. Your issue may be related to a cervical spine injury. As for a concussion, it is not considered a concussion if there is no loss of consciousness. However, cervical spine injuries canno...[Read More] Concussion or Whiplash? Understanding Your Symptoms After a Car Accident
Understanding Coma After Car Accident: Key Questions and Insights
Coma due to a car accident? The patient is 50 years old and was brought to the hospital after a car accident on Saturday (the 20th) at 11 AM. The Glasgow Coma Scale score was 3, and the pupils were dilated. A right subdural hematoma was diagnosed. Due to the regional hospital...
Dr. Ding Xianwei Reply:
Your information is indeed insufficient, so I will share based on experience! Generally speaking, if a patient arrives at the hospital with a Glasgow Coma Scale score of only 3 and there is not much bleeding, the prognosis is typically very poor. If surgery is performed, it would...[Read More] Understanding Coma After Car Accident: Key Questions and Insights
Understanding Concussions and Their Potential Link to Brain Atrophy
Concussion and cerebral atrophy? Hello, doctor. I had a concussion from a car accident two months ago, and I have fully recovered with no discomfort. I came across information online suggesting that concussions can lead to brain atrophy later on. Is this likely? What are the symp...
Dr. Ding Xianwei Reply:
There are many causes of brain atrophy, and concussion can be one possible cause; however, brain atrophy does not necessarily present with symptoms![Read More] Understanding Concussions and Their Potential Link to Brain Atrophy
Recovering from Traumatic Brain Injury: Insights on Rehabilitation and Care
Intracranial hemorrhage due to a car accident, right hemisphere surgery? Hello Doctor, my brother was hit by a car while walking on the road early in the morning on April 18th, resulting in a Glasgow Coma Scale score of 4 and intracranial hemorrhage on the right side of his brain...
Dr. Ding Xianwei Reply:
Since your brother's injury has not been more than a month, many of the functions that have not yet recovered are still uncertain regarding how much they can improve. To be honest, recovering from a coma scale of 4 to a level where he can follow commands (as per your descrip...[Read More] Recovering from Traumatic Brain Injury: Insights on Rehabilitation and Care
Understanding Pituitary Tumors: Myths, Treatments, and Age Factors
Pituitary tumor Dear Doctor: I came across a report online stating that about 10% of the general population may have pituitary abnormalities, but some individuals show no symptoms and therefore have not been diagnosed. Additionally, it mentioned that most pituitary tumors are ben...
Dr. Xie Bojun Reply:
1. The choice between medical treatment or surgical intervention should be based on the size of the tumor, as tumor size affects both function and surgical approach. 2. Diagnosis: 1. Blood tests (to assess hormones such as T3, T4, TSH, Cortisol, Prolactin, ACTH, etc.); 3. Compute...[Read More] Understanding Pituitary Tumors: Myths, Treatments, and Age Factors
Understanding Delayed Symptoms of Concussion After Head Trauma
Head injury with concussion? Hello Dr. Ding: My nephew was involved in a rear-end collision while driving without maintaining a safe distance. After police intervention, neither party required medical attention at the scene. About 6 to 7 days later, the other party called to repo...
Dr. Ding Xianwei Reply:
Due to the lack of direct examination, this response is based solely on experience. A concussion is the mildest form of head injury. According to Wikipedia, "A concussion is a common and relatively mild brain injury that occurs when a person experiences a sudden impact or jo...[Read More] Understanding Delayed Symptoms of Concussion After Head Trauma
Understanding Post-Concussion Symptoms and Their Duration
Post-concussion syndrome Hello Dr. Ding, I had an accident six days ago while riding my motorcycle too fast and fell. I was wearing a helmet, but I am unsure what my head hit, and I lost consciousness for about ten minutes. Over the past week, my bodily injuries have gradually ...
Dr. Ding Xianwei Reply:
Since I have not personally treated you, I can only respond based on experience. If unconsciousness lasts more than 10 minutes, it is considered a concussion! Other symptoms are residual effects following a head injury. Dizziness, nausea, or vomiting are not necessary conditions ...[Read More] Understanding Post-Concussion Symptoms and Their Duration
Managing Pneumothorax-Induced Brain Hypoxia: Treatment and Diagnosis
Pneumothorax causing cerebral hypoxia? Hello, my father underwent a colon tumor resection two days ago. After the anesthesia was administered, during the pressure-assisted ventilation, a pneumothorax was discovered, leading to 30 minutes of cerebral hypoxia. Although he is curren...
Dr. Ding Xianwei Reply:
This is not my area of expertise, so I cannot provide an answer.[Read More] Managing Pneumothorax-Induced Brain Hypoxia: Treatment and Diagnosis
Head Injury: Understanding Risks, Symptoms, and Long-Term Effects
Head trauma Hello, I apologize for sending another message as the previous one was not completed. A few days ago, I had an accident while riding my motorcycle on a slippery road and hit my head. I was going at a relatively high speed but was wearing a helmet, so there were no ext...
Dr. Ding Xianwei Reply:
If a person is in a coma for more than 10 minutes, it is considered a concussion! However, intracranial bleeding can only be detected through a CT scan. The purpose of the examination is to inform medical care decisions. Since I cannot provide direct treatment, I can only share b...[Read More] Head Injury: Understanding Risks, Symptoms, and Long-Term Effects
Understanding Symptoms of Stroke and Meningitis: A Family's Urgent Concern
Suspected stroke or meningitis? My wife's sister visited a hospital in Taoyuan on December 21 due to a fever of 38.3 degrees Celsius, which later led to pneumonia and hospitalization. On December 27, she suddenly became weak and limp in her hospital bed. The attending physic...
Dr. Zhang Yuanyi Reply:
Dear Mr. Zhou: Your question is difficult to address online; it is advisable to discuss it with the patient's attending physician for a more appropriate response. Wishing you safety and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Tao...[Read More] Understanding Symptoms of Stroke and Meningitis: A Family's Urgent Concern