Is Brain Hemorrhage Due to Congenital or Acquired Vascular Malformation?
Cerebral hemorrhage Hello Doctor: I have a friend who has been diagnosed with arteriovenous malformation (AVM) accompanied by intracerebral hemorrhage. Is this condition congenital or acquired? Thank you.
Dr. Zhang Junwei Reply:
Congenital.[Read More] Is Brain Hemorrhage Due to Congenital or Acquired Vascular Malformation?
Understanding Concussion Syndrome: Causes, Diagnosis, and Objectivity in Assessment
Regarding post-concussion syndrome? Excuse me, may I ask if a concussion syndrome only occurs when there is trauma to the head, or are there other causes as well? Additionally, what are the criteria for diagnosing concussion syndrome? If a car accident victim insists on experienc...
Dr. Zhao Shaoqing Reply:
Hello: A concussion is defined as a change in mental status due to an injury that may or may not involve loss of consciousness. If there is a clinical history of head trauma with symptoms such as headache, it can be classified as concussion syndrome. This may result from a blow t...[Read More] Understanding Concussion Syndrome: Causes, Diagnosis, and Objectivity in Assessment
Managing Persistent Dizziness After Concussion in Seniors
Dizziness after a concussion? My mother, who is 70 years old, fell and injured the back of her head before the Lunar New Year this year, resulting in a laceration that required three stitches. A CT scan and X-ray revealed that there was no injury or bleeding in the skull or brain...
Dr. Zhang Junwei Reply:
Typically, a concussion should not cause dizziness for such an extended period. It is recommended to consult an otolaryngologist to check for inner ear imbalance or Meniere's disease.[Read More] Managing Persistent Dizziness After Concussion in Seniors
Post-Surgery Cognitive Decline: Navigating Life After Brain Tumor Removal
Cognitive and behavioral dysfunction after brain surgery, leading to an inability to perform activities of daily living? Hello Doctor, my father experienced symptoms such as tremors, fainting, and general weakness in January, leading to multiple hospital visits. Initially, an EEG...
Dr. Zhang Junwei Reply:
First, I'm not sure how old your father is, but many elderly individuals who have undergone brain surgery may experience symptoms similar to dementia and stroke. Your father's condition is complex, and it is advisable to follow up with a neurologist for treatment.[Read More] Post-Surgery Cognitive Decline: Navigating Life After Brain Tumor Removal
Understanding Language and Personality Changes in Brain Tumor Patients
Issues related to patients' verbal expression, responses, and changes in personality? Doctor: Hello. I am one of the primary caregivers for the patient. The patient has a tumor in the left temporal lobe measuring 7.69 cm, which was surgically removed and confirmed to be a gl...
Dr. Zhang Junwei Reply:
The patient's clinical neurological function is closely related to the progression of the brain tumor (size, location, recurrence, etc.). It is recommended to return to the outpatient clinic and have a thorough discussion with your attending physician.[Read More] Understanding Language and Personality Changes in Brain Tumor Patients
Can Ventriculoperitoneal Shunt Surgery Help Wake Up a Patient in Coma?
Is performing a ventriculoperitoneal shunt surgery helpful for regaining consciousness in a patient who has been in a semi-comatose state for nearly four months? My father is 69 years old and underwent surgery for a meningioma nearly four months ago. After the surgery, he experie...
Dr. Zhang Junwei Reply:
1. The duration of ventriculoperitoneal shunt placement is short, considered a minor procedure. 2. The drainage catheter for ventriculoperitoneal shunt does not need to be removed. 3. If the drainage catheter becomes obstructed and the patient has hydrocephalus, it may require re...[Read More] Can Ventriculoperitoneal Shunt Surgery Help Wake Up a Patient in Coma?
Understanding Skull Surgery and Recovery After Severe Head Injury
Skull, unresponsive? Hello, doctor. My husband fell to the ground at work, landing on his head. At first, he was able to stand up and walk, but within three minutes, he started to have a nosebleed and fainted. He underwent emergency surgery to remove part of his skull on the left...
Dr. Zhang Junwei Reply:
Generally speaking, returning the skull to its original position can aid in the recovery of the patient's neurological function. Using the patient's own bone does carry a higher risk of infection, while artificial cranial implants present a lower risk of infection as an...[Read More] Understanding Skull Surgery and Recovery After Severe Head Injury
Post-Surgery Recovery Concerns After Brain Hemorrhage: What to Expect
What are the recovery issues after brain hemorrhage surgery? Hello, doctor. I would like to ask about my mother, who is 64 years old. At the beginning of the month, she suffered a hemorrhagic stroke and was taken to the hospital, where surgery was required. The surgery went smoot...
Dr. Zhang Junwei Reply:
Based on your description, the patient may not have fully regained consciousness yet. Since each patient's condition varies, it is advisable to consult your attending physician.[Read More] Post-Surgery Recovery Concerns After Brain Hemorrhage: What to Expect
Understanding Treatment Options for Hydrocephalus in Elderly Patients
Management of Hydrocephalus Hello Doctor, my father-in-law is currently about 75 years old. He suffered a brain injury and hydrocephalus from a car accident in 2004, and underwent ventriculoperitoneal shunt placement (initially with an adjustable shunt that was removed due to inf...
Dr. Zhang Junwei Reply:
Pleural cavity drainage is primarily concerned with pleural effusion. The extent to which symptoms improve after drainage is not guaranteed. While drainage can alleviate hydrocephalus, it cannot assist patients who already exhibit symptoms of dementia.[Read More] Understanding Treatment Options for Hydrocephalus in Elderly Patients
Understanding Post-Concussion Symptoms: Pain and Numbness Explained
Post-concussion syndrome may involve symptoms such as pain and numbness? Hello, Doctor. On the night of October 1st last year, I slightly bumped the upper right side of my head against a car door after slipping. It hurt a lot at the moment, and I instinctively rubbed it. Later, I...
Dr. Zhang Junwei Reply:
It doesn't sound like post-concussion syndrome; it's just a general bruise and cervical strain. It's recommended to take anti-inflammatory medication and get plenty of rest.[Read More] Understanding Post-Concussion Symptoms: Pain and Numbness Explained
Impact of Skull Deformities on Brain Development and Neurological Health
Head issues My skull is growing towards the right rear, and the right side is larger than the left. I suspect this may be due to a twisting force I experienced during elementary school. Is it possible that this type of external force causing skull deformation could affect my nerv...
Dr. Zhang Junwei Reply:
Without a physical and neurological examination, it is unclear how severe the head shape deformity is. If it is not too severe, it generally does not have any significant impact.[Read More] Impact of Skull Deformities on Brain Development and Neurological Health
Post-Surgery Intracranial Hemorrhage: Understanding Pupil Size Differences
Post-intracranial hemorrhage surgery Hello, my mother had an emergency craniotomy for a brain hemorrhage at the end of September last year. When she arrived at the hospital, both of her pupils were dilated, and the injury was to her right hemisphere. After the surgery, her left p...
Dr. Zhang Junwei Reply:
Some people are born with unequal pupil sizes, making it difficult to determine if this is normal. It is recommended to consult a professional neurologist for an examination.[Read More] Post-Surgery Intracranial Hemorrhage: Understanding Pupil Size Differences
Understanding Concussions: Symptoms, Risks, and When to Seek Help
Concussion / Head Injury Hello, doctor. On the evening of December 21, I accidentally slipped and hit my head outside the bathroom. At the moment, I did not lose consciousness, but I felt a lot of pain at the impact site. The next day, I only experienced nausea without any loss o...
Dr. Zhang Junwei Reply:
Basically, if you are asking this question, the likelihood of a brain hemorrhage is very low. Brain hemorrhages typically present with severe headaches, dizziness, nausea, vomiting, and even loss of consciousness.[Read More] Understanding Concussions: Symptoms, Risks, and When to Seek Help
Understanding Head Trauma: Risks of Brain Bleeding After Impact
Head trauma Hello, doctor. This afternoon, on November 24th, I was playing around with my classmates and accidentally bumped into the wall behind me. The pain lasted only a few minutes, but at that moment, I noticed a metallic taste of blood in my mouth. I went to the health cent...
Dr. Zhang Junwei Reply:
The probability of a brain hemorrhage is extremely low; typically, brain hemorrhages occur due to incidents such as car accidents or falls.[Read More] Understanding Head Trauma: Risks of Brain Bleeding After Impact
Is It Safe to Exercise After a Head Injury? Expert Insights
Exercise after a head injury? Hello, doctor. Two days ago in the afternoon, I bumped my head while playfully pushing back with a friend. At that moment, my consciousness was normal, but it hurt a bit, so I went to the health center for ice treatment. It seems to have swollen a li...
Dr. Zhang Junwei Reply:
Exercise can increase uncomfortable symptoms. Typically, this is observed for about a week.[Read More] Is It Safe to Exercise After a Head Injury? Expert Insights
Understanding Weakness and Gastrointestinal Bleeding After Brain Tumor Biopsy
Brain tumor biopsy Doctor, I would like to ask about a family member who underwent a biopsy surgery for a brain tumor. The patient has been experiencing persistent weakness and has also developed gastrointestinal bleeding. Could you please explain what might be causing the weakne...
Dr. Zhang Junwei Reply:
Weakness may be due to the brain tumor itself, while gastrointestinal bleeding could be caused by a stress ulcer.[Read More] Understanding Weakness and Gastrointestinal Bleeding After Brain Tumor Biopsy
Understanding Diminished Responses in Brain Injury Patients
The mother's reactions are becoming increasingly diminished? My mother, who is 58 years old, was diagnosed with breast cancer metastasis to the brain at the end of April this year. On November 13, she fell at home, hitting the left side of her head, resulting in a wound with...
Dr. Zhang Junwei Reply:
Based solely on your description and without seeing the brain CT scan, I cannot answer your question![Read More] Understanding Diminished Responses in Brain Injury Patients
Understanding Cerebellar AVM: Recovery from Bleeding and Dizziness
Cerebellar arteriovenous malformation (AVM) One day, I suddenly experienced bleeding and was taken to the hospital, where it was determined that I had a hemorrhage due to an arteriovenous malformation (AVM). After surgery on the cerebellum, it has been over 10 days. I can hold on...
Dr. Zhang Junwei Reply:
The cerebellum regulates balance, and injuries to the brain can cause dizziness. The duration of symptoms can vary, and there is no definitive answer to how long they will last.[Read More] Understanding Cerebellar AVM: Recovery from Bleeding and Dizziness
Understanding Coma Recovery After Traumatic Brain Injury from Car Accidents
Coma due to traumatic brain injury from a car accident? Hello, Director. My father is 50 years old and was hit by a car running a red light on August 19 this year. He was hospitalized due to excessive blood loss, hypoxia, and shock, with multiple fractures and injuries. After two...
Dr. Zhao Shaoqing Reply:
Hello: 1. The process of hyperbaric oxygen therapy has shown benefits for brain injury patients, and they can be evaluated at our hyperbaric oxygen center. 2. The writing of the diagnosis will depend on the situation; if neurological symptoms remain stable after six months, an as...[Read More] Understanding Coma Recovery After Traumatic Brain Injury from Car Accidents
Considerations for Air Travel After Acute Brain Hemorrhage: A Patient's Guide
Returning to Taiwan by plane? I would like to inquire about a patient who experienced an acute intracerebral hemorrhage abroad. Currently, the patient has no sensation in the left hand, and the left leg has progressed from no sensation to slight awareness. Since the incident, the...
Dr. Zhang Junwei Reply:
Such issues are too complex to be addressed solely based on the limited information you provided. To avoid giving you incorrect answers, I recommend that you bring your medical records and consult a physician in the neurosurgery outpatient clinic in person.[Read More] Considerations for Air Travel After Acute Brain Hemorrhage: A Patient's Guide