Can Childhood Brain Injuries Be Remedied After Many Years?
Head injury during childhood? Is there a way to remedy the impact on cognitive abilities and memory caused by a brain injury sustained in childhood, even after more than a decade has passed?
Dr. Ding Xianwei Reply:
Hello: In principle, after more than ten years, the chances of recovery through medication are quite low. It is recommended to utilize rehabilitation methods or take notes to help remember important information. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Can Childhood Brain Injuries Be Remedied After Many Years?
Understanding Coma After Head Injury: What to Do Next?
My friend is unconscious and unresponsive? I'm not a doctor, but if your friend has sustained a head injury and is in a coma with signs of a hematoma and cerebral edema, it's crucial to seek immediate medical attention. The best course of action is to take him to the ne...
Dr. Qiu Yushu Reply:
Hello: A coma score of only 4 indicates a very severe brain injury, and I believe the hospital is actively providing treatment. Wishing you good health![Read More] Understanding Coma After Head Injury: What to Do Next?
Understanding Brain Recovery After Oxygen Deprivation: A Guide for Families
Brain Dear Doctor: My uncle was in a car accident in May, and during the transfer to another hospital, he experienced oxygen deprivation for nearly three hours. During this time, no surgeries were performed. I don't quite understand this situation—can the brain regenerate? I...
Dr. Qiu Yushu Reply:
Hello: Central nervous system cells hardly regenerate. Based on what you mentioned, your uncle seems to be in a vegetative state. Generally, if there is no improvement after six months, it is likely to remain that way. Wishing you good health![Read More] Understanding Brain Recovery After Oxygen Deprivation: A Guide for Families
Understanding Brain Injuries After a 4-Meter Fall: MRI and Recovery Insights
Fell from a height of four meters? Hello Doctor, my father recently fell from a height of about four meters from the roof and sustained a head injury. He had bleeding from his ears and was unconscious at the scene, but by the time he arrived at the hospital, his vital signs were ...
Dr. Ding Xianwei Reply:
Hello: The purpose of conducting CT and MRI examinations is to provide recommendations for further treatment plans. If the CT results do not reveal any blood clots, we refer to this as diffuse axonal injury, which has a poorer prognosis. The current medical goal is to minimize se...[Read More] Understanding Brain Injuries After a 4-Meter Fall: MRI and Recovery Insights
Diagnosing Olfactory Nerve Damage After Head Trauma: Key Insights
Olfactory nerve Hello Dr. Ding: A friend of mine was in a car accident and suffered a brain injury, suspected to be a subarachnoid hemorrhage, which may have caused damage to the olfactory nerve, leading to olfactory dysfunction. Since smell is a subjective perception, what metho...
Dr. Ding Xianwei Reply:
Hello: It is recommended to visit the neurology outpatient clinic for a detailed diagnosis. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Diagnosing Olfactory Nerve Damage After Head Trauma: Key Insights
Understanding Grade III Astrocytoma: Challenges and Care Options
Brain tumor My sister has been diagnosed with a grade III astrocytoma for the first time. Due to its deep location and large size, surgery is not an option. She is 36 years old and completed radiation therapy in May. From May to July, her condition was relatively stable, but over...
Dr. Ding Xianwei Reply:
Hello: If there are already brainstem metastases and radiation therapy has been performed, there may be no other treatment options available. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Grade III Astrocytoma: Challenges and Care Options
Best Treatment Options for Benign Astrocytoma: A Patient's Guide
Brain tumor Hello doctor, I was diagnosed with a brain tumor in August, and the biopsy showed it to be a benign astrocytoma. The physician recommended gamma knife treatment, but I found online information stating that gliomas are not suitable for radiation therapy. Could you plea...
Dr. Ding Xianwei Reply:
Hello, it is recommended to consult your attending physician for a clearer understanding of the patient's condition. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Best Treatment Options for Benign Astrocytoma: A Patient's Guide
Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment Options
Trigeminal neuralgia Hello Doctor, I have been experiencing facial twitching on the right side, with my right eyelid frequently twitching. When I touch the upper gums and palate with my tongue, I feel an electric shock sensation. There is also a constant drooling from the corner ...
Dr. Ding Xianwei Reply:
Hello: You may be experiencing trigeminal neuralgia. Oral medications can be taken for a period of time, and if they are ineffective, surgery can be considered. Additionally, procedures such as thermocoagulation and alcohol injection are options, and gamma knife surgery may also ...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment Options
Chronic Headaches After 10 Years of Brain Injury: Treatment Options
Chronic headaches caused by a traumatic brain injury sustained 10 years ago? Ten years ago, I fainted for about 20 seconds after hitting my motorcycle handle while standing up. Since then, I have experienced several episodes of severe headaches. Currently, if I suffer from insomn...
Dr. Ding Xianwei Reply:
Hello: You may be experiencing symptoms of a concussion, and the headache is likely a sequel. If it is a sequel, treatment generally focuses on symptom management. Cerebral angiography is performed to diagnose vascular diseases within the brain. After head trauma, it is essential...[Read More] Chronic Headaches After 10 Years of Brain Injury: Treatment Options
Neck Pain and Dizziness After Motorcycle Accident: What to Know
Neck pain and slight dizziness? About three weeks ago, I had a motorcycle accident while riding at a speed of over 50 km/h. At the time of the fall, I only sustained minor injuries to my elbows and knees, and there was no visible injury to my head. However, I am unsure if I hit m...
Dr. Qiu Yushu Reply:
Hello: Based on what you have described, please visit the outpatient clinic for an examination. Thank you! Wishing you good health.[Read More] Neck Pain and Dizziness After Motorcycle Accident: What to Know
Recognizing Brain Tumor Symptoms: What You Need to Know
Symptoms of brain tumors Hello Dr. Ding: I would like to ask, what are the obvious symptoms if someone has a brain tumor? Recently, I have been experiencing some pain in my head that feels different from regular headaches, and sometimes I also feel a bit nauseous. I am very worri...
Dr. Ding Xianwei Reply:
Hello: Generally speaking, the symptoms of a brain tumor are not very obvious, and headaches are common. However, many conditions can cause headaches, so there is no need to be overly anxious. Drinking plenty of water is a good way to address your issue. If you are still concerne...[Read More] Recognizing Brain Tumor Symptoms: What You Need to Know
Understanding Brain Aneurysms: Surgical Options and Concerns
Could you please provide more details or specify your question? Hello Dr. Chiu, I would like to ask you a few questions. I originally consulted an ophthalmologist, but since they couldn't find any issues, I was scheduled for an MRI recently. It revealed that I have a vascul...
Dr. Qiu Yushu Reply:
Hello: The Gamma Knife is not a universal solution. You can consult Dr. Chung Wen-Yu, a neurosurgeon at Veterans General Hospital, to explore its possibilities. Additionally, Professor Du Yong-Guang from National Taiwan University is quite experienced in this area of surgery (one...[Read More] Understanding Brain Aneurysms: Surgical Options and Concerns
Understanding Coma Levels and Neurosurgery Options for Brain Tumors
Issues related to brain tumors? Coma is a state of prolonged unconsciousness where a person cannot be awakened and fails to respond to stimuli. The levels of coma can vary, and they are often assessed using the Glasgow Coma Scale (GCS), which ranges from 3 to 15. A GCS score of 3...
Dr. Ding Xianwei Reply:
Hello: You can find information about the Glasgow Coma Scale online. Generally speaking, the prognosis for brainstem tumors is poor, and surgery is often not an option. The most that can be done is radiation therapy. If the patient is already in a coma, further evaluation may be ...[Read More] Understanding Coma Levels and Neurosurgery Options for Brain Tumors
Understanding Hydrocephalus: Risks and Alternatives to Surgery
Hydrocephalus My father is unable to walk due to hydrocephalus and underwent a ventriculostomy in the hospital. He tends to be drowsy when sitting but feels better when lying down. A CT scan revealed that the central part of his brain appears dry. The doctor mentioned that the ce...
Dr. Qiu Yushu Reply:
Hello: There are three types of ventricular drainage catheters, and there is a possibility of over-drainage occurring. Patients may experience dizziness and vomiting. If a CT scan reveals this phenomenon, the usual management is to switch to another type of drainage catheter. Thi...[Read More] Understanding Hydrocephalus: Risks and Alternatives to Surgery
Understanding Dizziness: Causes and When to Seek Medical Advice
Dizziness Hello, doctor. Yesterday, I accompanied the victim to the hospital for a follow-up appointment. He described his symptoms over the past week as dizziness, a feeling of pressure in his head, occasional numbness in his fingers, and stiffness in his neck. The doctor recomm...
Dr. Xiao Furen Reply:
These questions are better addressed directly with the physician during the outpatient visit. If the CT scan shows no issues and the symptoms are just dizziness and headaches, symptomatic treatment with medication should suffice, and one should be able to return to normal work. H...[Read More] Understanding Dizziness: Causes and When to Seek Medical Advice
Does Head Trauma Affect Intelligence? Insights and Tips for Brain Health
Enhancing Intelligence Dear Doctor, I experienced a light but noticeable blow to the back of my head during middle school from a classmate. At the time of the impact, I smelled a metallic scent, which seems to be common when the head is struck. I would like to know if this could ...
Dr. Ding Xianwei Reply:
Hello: Generally speaking, such issues do not affect intelligence. Sincerely, Dr. Ding Hsien-Wei, Neurosurgeon.[Read More] Does Head Trauma Affect Intelligence? Insights and Tips for Brain Health
Understanding Strong Reflexes: Neurological Concerns After a Car Accident
Strong reflexes Hello Doctor: A year ago, I was involved in a car accident, after which I experienced symptoms such as dizziness, nausea, and rapid muscle twitching, but I did not seek follow-up care. About 4 to 5 months later, I began to feel numbness in the left side of my brai...
Dr. Xiao Furen Reply:
Based solely on your description, it is indeed difficult to diagnose; part of it may be post-concussion syndrome. As for what the original physician meant, it would be best to ask him directly for clarification, as I cannot speculate. I recommend returning to your original physic...[Read More] Understanding Strong Reflexes: Neurological Concerns After a Car Accident
Understanding Mild Brain Degeneration: Causes, Concerns, and Next Steps
Mild cognitive decline Hello Doctor: I suffered a head injury and went to the hospital for treatment. Initially, I was diagnosed with a mild concussion. Over the past two weeks, I've experienced some dizziness and forgetfulness, but nothing serious. However, it was also disc...
Dr. Qiu Yushu Reply:
Hello: Due to the need for further understanding of your condition, a definitive judgment cannot be made based solely on your description. It is recommended that you visit the outpatient clinic for a thorough evaluation. Thank you.[Read More] Understanding Mild Brain Degeneration: Causes, Concerns, and Next Steps
Understanding Pituitary Tumors: Post-Surgery Complications and Recovery
Pituitary adenoma Hello Doctor, my husband was diagnosed with a pituitary tumor after experiencing weakness and numbness on the right side of his body in August of last year. The tumor was located above the brainstem, and the doctor informed me that it is classified as a benign t...
Dr. Xiao Furen Reply:
In medical terms, it is a benign tumor, but clinically it is considered a malignant tumor (as it poses a life-threatening risk when the tumor compresses the brain tissue)... This description does not sound like a typical pituitary adenoma, so it is advisable to consult the origin...[Read More] Understanding Pituitary Tumors: Post-Surgery Complications and Recovery
Risks and Concerns of Cranioplasty Surgery After Traumatic Brain Injury
Cranial vault surgery I was in a car accident last February, and I suffered a comminuted fracture of the right frontal bone. A month later, the doctor said I needed to have my skull cap replaced before being discharged, so I agreed to the surgery. During the procedure, the doctor...
Dr. Ding Xianwei Reply:
Hello: It is normal to wake up in the operating room after surgery, as the recovery room is primarily for monitoring the patient's condition once they are awake. The main concern with artificial skull surgery is the risk of infection; other risks are comparable to those of s...[Read More] Risks and Concerns of Cranioplasty Surgery After Traumatic Brain Injury