Post-Traumatic Intracranial Hemorrhage: Follow-Up Care and Concerns
Follow-up for traumatic intracranial hemorrhage? On May 22, my mother was involved in a car accident and was sent to the hospital. She suffered a right skull fracture, traumatic intracranial hemorrhage, subarachnoid hemorrhage, subdural hematoma, and contusion with hemorrhage in ...
Dr. Zhang Junwei Reply:
Blood clots will be absorbed, and the chance of rebleeding is low; prevention is not possible.[Read More] Post-Traumatic Intracranial Hemorrhage: Follow-Up Care and Concerns
Understanding Dizziness Duration After Brain Hemorrhage: What to Expect
Duration of dizziness in cerebral hemorrhage? Hello Doctor, my mother was in a car accident on June 17th in the afternoon. She suffered a direct impact to her head, and after an emergency CT scan, it was found that she had slight intracranial hemorrhage. After evaluation by the e...
Dr. Zhang Junwei Reply:
Increasing dizziness is abnormal. Generally, dizziness can alleviate within 1-2 weeks.[Read More] Understanding Dizziness Duration After Brain Hemorrhage: What to Expect
Understanding Brain Cysts: Management and Risks in Adolescents
Brain cyst A 13-year-old has experienced a cerebral hemorrhage and underwent external drainage. During surgery, a benign cyst was discovered but was ruptured by the blood. The doctor recommended placing a ventriculoperitoneal shunt, which would be a lifelong procedure. After care...
Dr. Zhang Junwei Reply:
Without detailed medical history and imaging studies, it is not possible to answer such questions.[Read More] Understanding Brain Cysts: Management and Risks in Adolescents
Head Injury from Garbage Bin: Symptoms and Follow-Up Care
Head injury on May 30, 2022? Hello Dr. Chang, I would like to ask about an incident that occurred on May 30th. I was hit on the head by the lid of a large green garbage bin at a landfill, which fell at a 90-degree angle (I was trying to retrieve something I accidentally threw awa...
Dr. Zhang Junwei Reply:
Headaches and dizziness are common after head trauma. If symptoms persist, please visit a neurosurgery outpatient clinic for evaluation.[Read More] Head Injury from Garbage Bin: Symptoms and Follow-Up Care
Understanding Post-Extraction Cognitive Issues: Is Tooth Removal to Blame?
Abnormal brain function? 1. Can tooth extraction lead to the aforementioned brain issues? 2. Could the extraction of two molars at once have caused damage to the brain? 3. If tooth extraction does not cause any brain damage, what could explain my current condition? I was very...
Dr. Zhang Junwei Reply:
Theoretically, tooth extraction should not cause brain-related issues. If there are any neurological symptoms, please consult a neurologist or psychiatrist. I am unable to address dental issues such as tooth extraction.[Read More] Understanding Post-Extraction Cognitive Issues: Is Tooth Removal to Blame?
Understanding Arachnoid Cysts: Treatment, Growth, and Symptoms Explained
MRI of the brain revealed the presence of a cyst? Hello Doctor, I had a brain MRI at the end of March, and the report indicated a suspected arachnoid cyst or mega cisterna magna in the posterior fossa of the cerebellar tonsils. 1. What treatment options are available for this...
Dr. Lai Zhaokang Reply:
1. Arachnoid cysts are generally asymptomatic. When symptoms do occur, they can vary from person to person. They may include headaches, dizziness, nausea, vomiting, or seizures. Other symptoms depend on the location of the cyst and its pressure on the spinal cord or brain. These ...[Read More] Understanding Arachnoid Cysts: Treatment, Growth, and Symptoms Explained
Exploring Treatment Options for IDH-Mutant Glioma: A Patient's Guide
Is Dymista suitable for me? Hello Doctor: Below is my recent biopsy report. I was diagnosed with a grade II oligodendroglioma 18 years ago, and I have undergone surgery and radiation therapy. This time, the tumor has grown in the brainstem area, compressing the brainstem, and no ...
Dr. Zhang Junwei Reply:
I am not a brain tumor specialist; I recommend consulting a brain tumor specialist for an outpatient evaluation.[Read More] Exploring Treatment Options for IDH-Mutant Glioma: A Patient's Guide
Understanding Brain Edema and Spinal Surgery: A Patient's Dilemma
Cerebral edema and spinal surgery? Hello: Eight months ago, a neurosurgeon told my mother that she had cerebral edema and needed surgery. At that time, my mother (80 years old) showed no symptoms, so we did not take it seriously. Now she is walking unsteadily and appears to be be...
Dr. Zhang Junwei Reply:
Without a complete physical assessment, this question cannot be answered.[Read More] Understanding Brain Edema and Spinal Surgery: A Patient's Dilemma
Understanding MRI Results: Concerns About Pituitary Gland Changes
Brain MRI report Due to a high prolactin level of 54, I underwent an MRI, which reported "No definite brain mass including the sella region. Upward bulging appearance of the pituitary gland probably indicates some hypertrophy or physiological change." This second senten...
Dr. Zhang Junwei Reply:
The report has indicated that it is a physiological change, which is normal.[Read More] Understanding MRI Results: Concerns About Pituitary Gland Changes
Can Brain Tumors Cause Pressure in the Nasal Cavity?
Can a brain tumor compress the nasal cavity? Since October 2021, I have been experiencing a feeling of pressure and tightness in the right nasal cavity (without pain). I have consulted with an otolaryngologist and a dentist to rule out issues such as nasopharyngeal cancer or dent...
Dr. Zhang Junwei Reply:
Under normal circumstances, brain tumors do not compress the nasal cavity.[Read More] Can Brain Tumors Cause Pressure in the Nasal Cavity?
Risks and Aftereffects of Craniopharyngioma Surgery: What to Expect
Surgical issues Is the risk of surgery high for a craniopharyngioma after a craniotomy? What are the potential postoperative complications?
Dr. Lai Zhaokang Reply:
Hello: Brain tumor surgery carries certain risks. I want to help you, but the information you provided is too brief for a professional neurosurgeon. I recommend that you have a thorough discussion with your surgical team preparing for the brain tumor surgery. The issues you are f...[Read More] Risks and Aftereffects of Craniopharyngioma Surgery: What to Expect
Understanding Neurofibromas: Symptoms, Risks, and Connections to Glioblastoma
Neurofibromas are benign tumors that arise from the nerve sheath, primarily composed of Schwann cells, fibroblasts, and other cell types. They are commonly associated with neurofibromatos Hello, doctor. Previously, my mother was diagnosed with a primary glioblastoma after a brain...
Dr. Zhang Junwei Reply:
1. The two conditions are different diseases. 2. If you feel unwell, seek medical attention as soon as possible.[Read More] Understanding Neurofibromas: Symptoms, Risks, and Connections to Glioblastoma
Managing Swelling and Bruising After a Car Accident: A Guide
Car accident, hematoma on the left occipital region and left forehead? On the evening of February 27, a car accident occurred, resulting in a collision with a utility pole. The emergency diagnosis indicated a concussion, with significant hematomas on the left posterior region of ...
Dr. Zhao Shaoqing Reply:
Hello: It is common to experience localized hematoma and bruising at the site of head trauma a few days after the injury. If you experience any loss of consciousness or weakness in your limbs, you can apply ice packs for the first three days, followed by heat therapy after that. ...[Read More] Managing Swelling and Bruising After a Car Accident: A Guide
Possibility of Removing a Drain Tube After Neurosurgery: What to Know
The possibility of removing the drainage tube? Hello Doctor: I would like to ask, last November I underwent surgery to place a drainage tube from my right brain to my stomach to address the issue of hydrocephalus. I would like to know if it is possible to remove this drainage tub...
Dr. Zhang Junwei Reply:
The removal is straightforward. However, what was the reason for placing the drainage tube initially? After removal, is there a possibility of developing hydrocephalus again? These are considerations you need to take into account.[Read More] Possibility of Removing a Drain Tube After Neurosurgery: What to Know
Post-Craniotomy Care: How Long Should Follow-Up Treatment Last?
How long should follow-up treatment be after brain surgery due to a car accident? Hello Doctor: I would like to ask about my 8-year-old child who suffered a skull fracture on the left side due to a car accident. Emergency surgery was performed to remove the fractured bone, and tw...
Dr. Zhang Junwei Reply:
The sequelae are not related to the surgery but are associated with the initial brain injury. It depends on the severity of the brain injury at that time.[Read More] Post-Craniotomy Care: How Long Should Follow-Up Treatment Last?
Can Patients with Ventriculoperitoneal Shunts Undergo Peritoneal Dialysis?
Can a patient with a ventriculoperitoneal shunt undergo peritoneal dialysis treatment? Hello doctor, my family member had a car accident two years ago and has a ventriculoperitoneal shunt. Recently, their kidney function has worsened and they need dialysis treatment. I saw online...
Dr. Zhao Shaoqing Reply:
Hello: The ventricular-peritoneal shunt is a drainage system that involves placing a catheter from the ventricles of the brain into the peritoneal cavity, allowing cerebrospinal fluid to drain from the ventricles into the abdominal cavity. Peritoneal dialysis is performed by inse...[Read More] Can Patients with Ventriculoperitoneal Shunts Undergo Peritoneal Dialysis?
How Long Should Patients with Intracranial Hemorrhage Be Observed?
Observation period for intracranial hemorrhage? Dear Dr. Lai, I would like to inquire about the observation and management protocols in the hospital. My classmate, a 20-year-old, was involved in a car accident on February 12th around 4 PM. He was conscious upon arrival at the ho...
Dr. Lai Zhaokang Reply:
Hello: Intracerebral hemorrhage is most dangerous in the first 8 hours. After that, continuous observation is required for 24-48-72 hours. As time passes, the risk of worsening and expansion of the hemorrhage gradually decreases. It is speculated that your classmate may have had ...[Read More] How Long Should Patients with Intracranial Hemorrhage Be Observed?
Understanding Chronic Subdural Hematoma: Risks and Recovery Insights
Chronic subdural hematoma Hello Doctor: My father underwent a chronic subdural hematoma on January 22, initially receiving an external ventricular drain placement. On January 26, the hospital informed us that there was still a significant amount of cerebrospinal fluid, and consid...
Dr. Zhang Junwei Reply:
1. The placement of a drainage tube is recommended to not exceed one week. 2. This requires a comprehensive assessment of neurological function and a CT scan; it cannot be answered online.[Read More] Understanding Chronic Subdural Hematoma: Risks and Recovery Insights
Understanding the Risks of Multiple Concussions and Cognitive Decline
Multiple concussions Hello Doctor, I have experienced five mild concussions over the past two years, with the most recent one occurring in mid-November. Since my third concussion in March, I have been experiencing ongoing issues with attention, judgment, and memory. A CT scan sho...
Dr. Lai Zhaokang Reply:
Hello: Repeated head injuries can potentially cause subtle brain damage and may lead to functional impairments in the brain, which may not be visible on a CT scan. A CT scan provides information to the physician regarding the presence of bleeding, brain tumors, or other condition...[Read More] Understanding the Risks of Multiple Concussions and Cognitive Decline
Understanding Memory Loss and Complications After Skull Fracture
Brain issues I would like to inquire about a relative of mine who has been hospitalized for over a month due to a skull fracture. This relative is experiencing strange symptoms; every time they wake up, their memory seems to be different. The first time they woke up, their memory...
Dr. Zhao Shaoqing Reply:
Hello: Head trauma causing intracranial hemorrhage may lead to short-term or long-term memory loss, or the possibility of short-term memory impairment due to contusions. If there is a need for surgery or if there are blood clots, the likelihood of needing a second surgery after a...[Read More] Understanding Memory Loss and Complications After Skull Fracture