Can Hydrocephalus Worsen Over Time? Seeking Expert Advice
Does hydrocephalus cause the brain to enlarge? Hello Doctor: I visited the neurology department at Yunji Hospital over ten years ago. At that time, my symptoms included hand tremors and numbness. Since no definitive cause was found (I underwent nerve and EEG tests but with no sig...
Dr. Zhang Junwei Reply:
You are likely referring to a blister or fluid accumulation, which can potentially increase in size. If there are any concerns, it is advisable to consult a neurosurgeon for evaluation.[Read More] Can Hydrocephalus Worsen Over Time? Seeking Expert Advice
Managing Intracerebral Hemorrhage: A Case Study of 80cc Blood Accumulation
Cerebral hemorrhage of 80cc? Hello Doctor: On June 27, 2023, my brother was brought to the hospital, where he was diagnosed with a left-sided intracerebral hemorrhage with an initial volume of 68cc, which increased to 80cc after 6 hours. He has impaired mobility on the right side...
Dr. Zhang Junwei Reply:
There are no right or wrong choices, only what is suitable or not. Given the patient's special condition (coagulation dysfunction), a thorough discussion with the physician is necessary to make a decision.[Read More] Managing Intracerebral Hemorrhage: A Case Study of 80cc Blood Accumulation
Can Brain Aneurysms Disappear? Insights from a Neurology Case
Arterial aneurysm Hello Dr. Chang, I was diagnosed with a cerebral aneurysm after experiencing severe headaches and undergoing a CT scan in 2017. Subsequently, I had MRI and angiography arranged. Over the past few years, I have had two follow-up MRIs, and the results indicated th...
Dr. Zhang Junwei Reply:
Theoretically, it is unlikely for it to disappear, but nothing is absolute. It may be necessary to inquire in detail with the physician about the size and type of the aneurysm, among other factors.[Read More] Can Brain Aneurysms Disappear? Insights from a Neurology Case
Understanding Gunshot Wounds to the Head: Causes and Effects
Curious question? When a bullet penetrates the head, the reason for blood spattering is due to the high velocity and energy of the bullet causing significant damage to blood vessels and brain tissue, leading to a rapid release of blood. The term "blowout" refers to a si...
Dr. Zhao Shaoqing Reply:
Unable to answer this question.[Read More] Understanding Gunshot Wounds to the Head: Causes and Effects
Challenges in Managing Hydrocephalus: When Shunt Drainage Fails
The patient has symptoms of hydrocephalus and has had a shunt installed. The drainage is set to maximum, but the results are not satisfactory? Dear Dr. Zhang, My mother is 67 years old. In 2018, she underwent surgery for a carotid artery aneurysm that was compressing her brainst...
Dr. Zhang Junwei Reply:
Without detailed examination reports and imaging studies, it is difficult to answer such questions. If the drainage has been maximized and the condition has not improved, it may not be a problem related to hydrocephalus. Whether there is an improvement in hydrocephalus can be det...[Read More] Challenges in Managing Hydrocephalus: When Shunt Drainage Fails
Understanding Persistent Vegetative State After Brain Tumor Surgery: Key Insights
Brain issues Hello doctor, I would like to ask about a relative who underwent a biopsy surgery for a brain tumor. They were originally scheduled for discharge, but before leaving the hospital, they experienced seizures, vomiting, and loss of bowel and bladder control. Subsequentl...
Dr. Zhang Junwei Reply:
Magnetic resonance imaging (MRI) cannot detect all brain issues; a normal scan does not mean there are no problems in the brain. There may be other causes for the patient's coma.[Read More] Understanding Persistent Vegetative State After Brain Tumor Surgery: Key Insights
Head Injury After a Fall: When to Seek Medical Attention?
Head trauma Yesterday, I was practicing a handstand at home, but instead of balancing on my hands, I ended up hitting my head on the floor because my arms gave out. It hurt a lot when I fell, and afterward, I experienced a headache and some dizziness. During class, I also felt a ...
Dr. Zhao Shaoqing Reply:
It is more reassuring to be able to see a doctor in an outpatient setting.[Read More] Head Injury After a Fall: When to Seek Medical Attention?
Post-Surgery Vision Loss: Can It Be Reversed After Brain Tumor Removal?
Postoperative issues following brain tumor surgery? Hello, Director Zhang. Recently, a family member underwent surgery to remove three tumors near the occipital lobe and the vertex, with a preliminary diagnosis of metastatic lung cancer. Before the surgery, they experienced doubl...
Dr. Zhang Junwei Reply:
It's hard to say; it depends on the situation. We can only continue to monitor it.[Read More] Post-Surgery Vision Loss: Can It Be Reversed After Brain Tumor Removal?
Post-Surgery Recovery Insights for Glioblastoma Patients: Understanding Symptoms and Prognosis
Postoperative care for brain tumors? I would like to ask the doctor about my family member who fell ill in mid-March and was sent to the emergency room, where they were diagnosed with glioblastoma and intracranial hemorrhage. An emergency surgery was performed, with the first sta...
Dr. Zhang Junwei Reply:
The growth location of a brain tumor and the presence of bleeding can lead to significantly different clinical outcomes. Without detailed medical history and examination reports, it is not possible to provide an answer.[Read More] Post-Surgery Recovery Insights for Glioblastoma Patients: Understanding Symptoms and Prognosis
Understanding Hand Numbness: When to Seek Urgent Medical Attention
Numbness in the hands? Hello doctor, on Wednesday I experienced a tingling sensation in my hands that felt like an electric shock. Now only the fingertips of both hands are numb, and when I wash my hands, it feels like I'm being shocked. Even touching things causes numbness....
Dr. Lai Zhaokang Reply:
Hello, general finger numbness may be related to peripheral circulation, peripheral nerves (such as the median nerve or ulnar nerve), cervical spine issues, or even brain conditions. It is essential for a physician to assess your symptoms comprehensively to make an initial diagno...[Read More] Understanding Hand Numbness: When to Seek Urgent Medical Attention
Understanding Post-Concussion Syndrome: Risks and Recovery Insights
Post-Concussion Syndrome Consultation Hello Dr. Zhao, I was hospitalized in the emergency department for 3 days due to a head injury 4 months ago (I was 19 years old at the time). I lost consciousness until I regained it after the ambulance arrived, and there were no seizures at ...
Dr. Zhao Shaoqing Reply:
Hello: After a brain injury, seizures may occur. It is recommended that patients maintain a regular and normal lifestyle to reduce the frequency of seizures. You have currently returned to a normal life and your postoperative condition is good. Many symptoms will improve, and mai...[Read More] Understanding Post-Concussion Syndrome: Risks and Recovery Insights
Understanding Communication Challenges After Brain Injury: Is It Aphasia?
Brain injury - auditory comprehension (communication difficulties) and visual comprehension levels? Hello Doctor: Since the car accident two months ago, I have been experiencing strange phenomena. Over the past two months, I have noticed that when I answer phone calls, I often ha...
Dr. Zhao Shaoqing Reply:
Hello: Brain injuries can have many sequelae, and the symptoms will vary depending on the location of the injury. Most patients clinically show continuous improvement and can benefit from rehabilitation therapy. Hyperbaric oxygen therapy may also be consulted to aid in brain reco...[Read More] Understanding Communication Challenges After Brain Injury: Is It Aphasia?
Understanding Recovery from Brainstem Injury: A Case Study
Brainstem injury My boyfriend, who is 26 years old and working across the strait, was involved in a car accident where he was rear-ended. He suffered from intracranial hemorrhage and brainstem injury, along with multiple fractures. He underwent minimally invasive craniotomy surge...
Dr. Zhao Shaoqing Reply:
Hello: Will your boyfriend return to Taiwan for medical treatment? A detailed explanation and assessment can be provided after an evaluation at the outpatient clinic. Changhua Hospital is concerned about you.[Read More] Understanding Recovery from Brainstem Injury: A Case Study
Managing Post-Surgery Neurological Scarring After Brain Tumor Removal
Neurogenic scar tissue after brain tumor surgery? Hello Dr. Chang, I had a brain tumor removed in mid-last year, and I have been experiencing persistent symptoms such as tinnitus, diplopia, facial numbness, and trigeminal nerve issues as postoperative sequelae. I would like to kn...
Dr. Zhang Junwei Reply:
The term "scarring in the central nervous system" refers to the formation of scar tissue following nerve damage. It appears similar to nerve injury, and currently, there are no particularly effective treatment options available.[Read More] Managing Post-Surgery Neurological Scarring After Brain Tumor Removal
Understanding Delayed Brain Hemorrhage After Car Accidents: A Patient's Guide
Concussion or delayed intracranial hemorrhage from a car accident? Hello Dr. Zhao! My mother was involved in a car accident six years ago, where her left posterior brain impacted the left side window. The force was significant, but the airbags did not deploy. At that time, we app...
Dr. Zhao Shaoqing Reply:
Hello: Generally, delayed intracerebral hemorrhage is most likely to occur within one week of an acute bleed, while chronic bleeding may occur within three months. The likelihood of occurrence is significantly lower after six years. However, if there has been a history of trauma,...[Read More] Understanding Delayed Brain Hemorrhage After Car Accidents: A Patient's Guide
Post-Surgery Concerns: AVM Patients and Birth Control Risks
Postoperative care for arteriovenous malformation (AVM) surgery? Hello Dr. Lai, I discovered an arteriovenous malformation two years ago and recovered well after surgery. I took a contraceptive pill the day before yesterday; the last time I took one was over 20 years ago when I f...
Dr. Lai Zhaokang Reply:
Hello: Oral contraceptives can increase blood viscosity, which poses a potential risk for cardiovascular and cerebrovascular occlusion. Regarding patients with arteriovenous malformations, there are sporadic case reports in the literature, but they do not constitute a significant...[Read More] Post-Surgery Concerns: AVM Patients and Birth Control Risks
Should Skull Reconstruction Be Done for Comatose Patients After Severe Head Injury?
In cases of severe head trauma from a car accident where the patient has been in a coma for several months, is it necessary to first repair the skull? My mother is in her 50s and was involved in a serious car accident in mid-October, resulting in severe head trauma and coma, alon...
Dr. Zhao Shaoqing Reply:
Hello: For general traumatic brain injuries, early assessment and reduction of swelling are important. If possible, skull fractures can be repaired early, which can be beneficial for brain recovery. You may want to consult with a neurosurgeon for evaluation at Changhua Hospital, ...[Read More] Should Skull Reconstruction Be Done for Comatose Patients After Severe Head Injury?
Understanding Your Brain CT Results: What They Mean for Your Health
Head issues Hello, the findings from the CT scan of the brain without contrast indicate the following: - There is no evidence of intracranial hemorrhage (ICH), subdural hematoma (SDH), epidural hematoma (EDH), or subarachnoid hemorrhage (SAH). - The skull is intact. - There are...
Dr. Zhao Shaoqing Reply:
The above is a patient privacy report, and it is not appropriate to respond here. You may inquire with the doctor during the outpatient visit.[Read More] Understanding Your Brain CT Results: What They Mean for Your Health
Could It Be Subarachnoid Hemorrhage? Understanding Severe Headaches
Is it a subarachnoid hemorrhage? I started experiencing high blood pressure and severe headaches after eating pork the day before yesterday. The pain is worse than before, as if there is a stone pressing on my head. Sometimes I feel a bit better and manage to sleep, but I still w...
Dr. Zhang Junwei Reply:
Neurology.[Read More] Could It Be Subarachnoid Hemorrhage? Understanding Severe Headaches
Managing Post-Car Accident Head Pain: Effective Relief Strategies
Post-traumatic sequelae from a car accident? Hello, doctor. I would like to ask about an incident on January 16 where I sustained a head injury in a car accident. At the time, I did not feel nauseous, and the emergency department assessed that there was no concussion. However, si...
Dr. Zhang Junwei Reply:
It is recommended to schedule a consultation with a neurosurgeon.[Read More] Managing Post-Car Accident Head Pain: Effective Relief Strategies