Understanding the Impact of Hypertension on Brain Hemorrhage Recovery
Hypertension Hello, doctor. A 45-year-old male with hypertension has suffered a cerebral hemorrhage and has undergone two drainages. His Glasgow Coma Scale score has improved from 5 to 8, but he has undergone a tracheostomy, so there is no score for the verbal response. Currently...
Dr. Zhang Yuanyi Reply:
I apologize, but I am unsure about the term "腦椎體" (which may refer to the "thalamus" or "brainstem" depending on the context) due to translation issues. The ventricles in a CT scan appear black under normal conditions, indicating no abnormalities. Ge...[Read More] Understanding the Impact of Hypertension on Brain Hemorrhage Recovery
Uncontrolled Tongue Movement and Speech Issues After Brain Surgery: Causes and Insights
Involuntary movements of the tongue while speaking? I have a question to ask. About six months ago, my mother noticed that her speech became unclear, similar to having a "thick tongue," and her tongue would move involuntarily while speaking, which occurred quite frequen...
Dr. Zhang Yuanyi Reply:
After the removal of a lesion, although symptoms may be expected to improve or resolve, if the nerves (especially in the brain) were originally compressed or damaged, the nerve injury may remain irreversible even after the lesion has been excised. The removal of the lesion is int...[Read More] Uncontrolled Tongue Movement and Speech Issues After Brain Surgery: Causes and Insights
Post-Operative Follow-Up for Brain Aneurysm: Key Questions Answered
Postoperative follow-up issues for cerebral aneurysm? Dear Dr. Ding, Thank you very much for your response on September 1 regarding my questions about the recovery time from double vision after my brain aneurysm surgery on August 28. I appreciate it! The reason I inquired about ...
Dr. Ding Xianwei Reply:
Dear Mr. Hong: I recommend that you discuss this matter with your attending physician. Sincerely, Dr. Ding Hsien-Wei, Attending Neurosurgeon, Taoyuan General Hospital, Department of Health.[Read More] Post-Operative Follow-Up for Brain Aneurysm: Key Questions Answered
Understanding Brain Aneurysms: Recovery, Risks, and Care Tips
Cerebral aneurysm Dear Dr. Ding, On July 19, I was hospitalized due to dizziness and vomiting, and it was discovered that there was a 1 cm vascular malformation in my brainstem that had hemorrhaged. However, by the time I was admitted, the bleeding had stopped. The neurosurgeon ...
Dr. Ding Xianwei Reply:
Dear Mr. Hong, 1. The likelihood of a clip dislodging is quite low, and we have not heard of any such cases so far. 2. 3. Please discuss this with your surgeon. 4. It is not necessary. 5. In principle, if the surgical clip has been properly placed, there is no need to worry abo...[Read More] Understanding Brain Aneurysms: Recovery, Risks, and Care Tips
Managing Subdural Hematoma in Patients with Liver Disease: A Complex Case
Subdural hematoma Hello Dr. Ding, The patient is diagnosed with liver cancer, cirrhosis, thrombocytopenia, splenomegaly, and a subdural hematoma. Last year, the patient was found to have a subdural hematoma due to altered mental status and underwent a splenectomy, which was uns...
Dr. Ding Xianwei Reply:
Dear You: This situation can be divided into two parts. The first is the issue of headaches. If the subdural hematoma has been present for a long time and the CT scan shows that the hematoma is no longer visible, then this is a matter of sequelae, and only symptomatic treatment c...[Read More] Managing Subdural Hematoma in Patients with Liver Disease: A Complex Case
Can Brain Tumors Undergo Second Radiation Therapy?
Can a brain tumor be treated with radiation therapy twice? My father is 71 years old and was diagnosed with lung cancer a few years ago at Kaohsiung Veterans General Hospital. After undergoing chemotherapy for the lungs, the cancer metastasized to the brain. He then received radi...
Dr. Qiu Yushu Reply:
Hello: It is best to discuss with the radiation oncologist regarding the initial dosage, as it is unknown. If it is a single lesion, surgery may be considered. Best wishes, Dr. Yu-Shu Chiu.[Read More] Can Brain Tumors Undergo Second Radiation Therapy?
Understanding Hemorrhagic Stroke: A Family's Journey Through Crisis
Hemorrhagic stroke Dear Dr. Ding, My mother suffered a hemorrhagic stroke on February 14. At the nursing station, I saw my father signing the physician's critical condition notice. My father mentioned that she was still asking him for tissue when she arrived at the hospital...
Dr. Ding Xianwei Reply:
Hello: If a patient can survive the critical period of one week after a hemorrhagic stroke, generally speaking, the chances of survival are higher. Your mother may have experienced an intracranial hemorrhage due to anticoagulant therapy, which is inherently a double-edged sword. ...[Read More] Understanding Hemorrhagic Stroke: A Family's Journey Through Crisis
Understanding Post-Trauma Neurological Symptoms: When to See a Specialist
Brain..? Hello doctor, I have a question. I was in a car accident in the past, and the physician issued a report stating: head trauma, cerebral edema, subarachnoid hemorrhage, and atlantoaxial dislocation without associated nerve root paralysis. It has been quite some time since ...
Dr. Qiu Yushu Reply:
Please visit the neurosurgery outpatient clinic. Dr. Yu-Shu Chiu.[Read More] Understanding Post-Trauma Neurological Symptoms: When to See a Specialist
Understanding Post-Surgery Care for Infants with Dural Hemorrhage
Right-sided subdural hematoma? Hello Dr. Ding, My son, who is over 4 months old, underwent emergency surgery on October 27 due to a right-sided subdural hematoma. He was discharged on November 6 and is already able to wash his hair. While he was in the intensive care unit, he ex...
Dr. Ding Xianwei Reply:
Hello: The question you asked is a bit premature. Generally speaking, after a traumatic brain injury, there can sometimes be residual effects, with the most concerning being seizures. Therefore, the physician has prescribed you antiepileptic medication. It is currently unknown ho...[Read More] Understanding Post-Surgery Care for Infants with Dural Hemorrhage
Understanding Brain Hemorrhage: Surgical Options and Recovery Concerns
Intracerebral hemorrhage I experienced dizziness for a week, and then suddenly lost peripheral vision. I went to the hospital for a CT scan, MRI, and angiography, which indicated an arteriovenous malformation and bleeding (suboccipital hemorrhage). The doctor recommended surgery,...
Dr. Ding Xianwei Reply:
Hello: Arteriovenous malformations (AVMs) should be addressed, and there are currently three treatment options available. The first is surgical intervention, which carries significant risks and potential complications, but the advantage is that it immediately prevents further ble...[Read More] Understanding Brain Hemorrhage: Surgical Options and Recovery Concerns
Understanding Mild Hallucinations After Cerebellar Hemorrhage Recovery
Cerebellar hemorrhage has gradually improved, but there are occurrences of mild hallucinations? Hello Doctor: My mother experienced cerebellar hemorrhage and brainstem hemorrhage on July 25 (I have previously asked about this). She is gradually improving now (although she still h...
Dr. Ding Xianwei Reply:
Hello: Your issue is likely not closely related to cerebellar hemorrhage. Her symptoms resemble those of dementia, and a detailed examination and treatment may be necessary to understand the true cause. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Mild Hallucinations After Cerebellar Hemorrhage Recovery
Is Hair Dye Safe for Patients with Brain Tumors?
Can I dye my hair if I have a tumor on my head? Doctor: Hello! I was diagnosed with a tumor on my scalp over 10 years ago, but the doctor said it could be removed or left alone for now. Can I dye my hair? (Because I have more gray hair, and the mix of black and gray looks odd.) W...
Dr. Ding Xianwei Reply:
Hello: Hair dyes contain chemical ingredients, so it's best to avoid dyeing if possible. Wishing you good health.[Read More] Is Hair Dye Safe for Patients with Brain Tumors?
Understanding Cerebellar and Brainstem Hemorrhage: A Patient's Journey
Cerebellar and brainstem hemorrhage Hello Doctor: My mother, who requires dialysis three times a week, was admitted to the intensive care unit at Xindian Gengxin Hospital on July 25 due to near-fainting. She was diagnosed with a small amount of bleeding in the cerebellum and brai...
Dr. Ding Xianwei Reply:
Hello: For your symptoms of limb weakness, it is recommended that you consult a rehabilitation specialist. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Cerebellar and Brainstem Hemorrhage: A Patient's Journey
Understanding Post-Head Injury Swelling in Children: What to Know
Swelling after a head injury? My daughter (7 years old) bumped the back of her head while playing two weeks ago. That day, it was red, swollen, and painful. Three days later, since she felt a slight bulge at the injury site and it was still painful when pressed lightly, I took he...
Dr. Ding Xianwei Reply:
Hello: We recommend that you take her to our neurosurgery outpatient clinic for better assistance. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Post-Head Injury Swelling in Children: What to Know
Understanding Hydrocephalus: Recovery, Treatment Options, and Prognosis
About hydrocephalus? Dear Doctor, My uncle underwent a minor surgery where a programmable valve was implanted in his brain. It has been less than two months, and his condition seems to have shown no progress; he still appears to have low energy. He developed hydrocephalus due t...
Dr. Qiu Yushu Reply:
Hello: As you mentioned, I am not aware of his detailed medical condition. It is best to visit the outpatient clinic for an examination to understand his condition and arrange for further tests. Best wishes. Dr. Yu-Shu Chiu[Read More] Understanding Hydrocephalus: Recovery, Treatment Options, and Prognosis
Understanding Muscle Control Issues: When Brain Power is Needed for Strength
Muscles have difficulty exerting force regularly? I usually have difficulty exerting muscle strength, and I need to use my brain to control my movements. When I stand, only my calves are firm, while my thighs and glutes are completely soft. The softness is such that when I press ...
Dr. Qiu Yushu Reply:
Hello: Based on what you have reported, you still have room for improvement. Being able to do push-ups and ride a bike indicates that your muscle strength should be fine. Otherwise, please visit a neurologist for an electromyography (EMG) examination. Best wishes, Dr. Yu-Shu Chiu...[Read More] Understanding Muscle Control Issues: When Brain Power is Needed for Strength
Understanding Neurological Symptoms After Medication Withdrawal
Feeling a bit off mentally? Doctor: I have been on medication at Chang Gung Memorial Hospital's psychiatry department for over two years, receiving long-acting injections every four weeks and taking two pills. However, I have stopped the medication for seven days, and I feel...
Dr. Ding Xianwei Reply:
Hello: Your symptoms are likely related to your psychiatric treatment. It is recommended that you follow up with your psychiatrist. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Neurological Symptoms After Medication Withdrawal
Managing Hand Numbness After Brain Tumor Surgery: Expert Tips
Numbness in the hands? Hello Doctor: After my brain tumor surgery, my hand has been numb and even lacks sensation for a long time. What can I do to improve this condition?
Dr. Ding Xianwei Reply:
Hello: Your question could not be answered due to insufficient information regarding your brain tumor condition. It is recommended that you consult your attending physician. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Managing Hand Numbness After Brain Tumor Surgery: Expert Tips
Understanding Central Brain Swelling: Symptoms and When to Seek Help
Cerebral edema Hello! I recently discovered a coin-sized area in the center of my head that feels slightly raised. When I press on it, it feels watery and swollen, but it is not painful. I am unsure what this symptom might indicate. If I want to seek medical attention, which spec...
Dr. Ding Xianwei Reply:
Hello: Due to the unclear description, I recommend that you seek diagnosis and treatment from a neurosurgeon. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Central Brain Swelling: Symptoms and When to Seek Help
Unexpected Discovery of Meningioma: What You Need to Know
Incidental discovery of meningioma? Hello, doctor. About a month ago, I bent my head down for about 30 seconds and felt as if blood was rushing to my head. After I lifted my head, I noticed a clear, light yellow fluid coming from my nose (as I had a mild cold at that time). I wen...
Dr. Ding Xianwei Reply:
Hello: Generally speaking, meningiomas have a 55% chance of undergoing malignant transformation if they are benign. If this is the case, surgery is still the most important recommendation. You may want to drink more water to see if it alleviates your headache, or you can bring yo...[Read More] Unexpected Discovery of Meningioma: What You Need to Know