Concerns About Head Trauma: Is Skull Fracture Possible?
Head issues Doctor, I apologize for asking what may seem like a silly question. Two days ago, out of anger, I hit my head with my phone. The corner of the phone struck the right frontal bone near the hairline, and immediately, a soft indentation about 0.5 cm in diameter appeared ...
Dr. Zhao Shaoqing Reply:
Hello: You may have a mild concussion causing headaches and dizziness. If these symptoms worsen, you need to seek emergency care for a brain scan. For severe issues with your right ear, please visit an otolaryngologist to check for any bleeding or structural problems. Thank you f...[Read More] Concerns About Head Trauma: Is Skull Fracture Possible?
Head Injury Concerns: When to Seek Medical Attention for Symptoms
Head issues Hello Doctor, on Sunday night, while I was squatting down to place an item, I stood up and accidentally hit the left side of my head against the door of an upper cabinet with some force. It hurt for about five minutes. After checking, there was no visible swelling or ...
Dr. Zhao Shaoqing Reply:
Hello: You may have a mild concussion causing headaches and dizziness. If these symptoms worsen, you need to go to the emergency department for a brain scan. For severe issues with your right ear, you should see an otolaryngologist to check for any bleeding or structural problems...[Read More] Head Injury Concerns: When to Seek Medical Attention for Symptoms
Post-Accident Neurological Issues: Understanding Symptoms and Recovery
Regarding dizziness after a car accident, issues related to the frontal lobe of the brain, neck problems, and intracranial hemorrhage? Hello, Doctor: Regarding the topic in question, I suffered a head injury after a car accident while wearing a helmet, and I lost consciousness up...
Dr. Lai Zhaokang Reply:
1. Subarachnoid hemorrhage is a type of intracranial hemorrhage. 2. Observation and treatment may be possible for 3-6 months, with potential improvement. There is no specific medication, but acupuncture treatment in conjunction with traditional Chinese medicine can be considered....[Read More] Post-Accident Neurological Issues: Understanding Symptoms and Recovery
Managing Dizziness and Headaches After Brain Hemorrhage: Treatment Options
Dizziness and headache after a cerebral hemorrhage? Hello, doctor. Last September, I accidentally fell from my balcony in February and was taken to the emergency room. The doctors assessed that the likelihood of survival was extremely low. At that time, the doctors mentioned that...
Dr. Zhang Junwei Reply:
If you experience frequent headaches accompanied by facial flushing or tinnitus, it is advisable to return to the neurosurgery outpatient clinic for a detailed examination, as sometimes brain hemorrhages or injuries can lead to structural abnormalities in the brain.[Read More] Managing Dizziness and Headaches After Brain Hemorrhage: Treatment Options
Preoperative Assessments for Hydrocephalus Surgery: What You Need to Know
Hydrocephalus Surgery Evaluation My father suffered multiple fractures due to a car accident and is experiencing issues such as double vision and hydrocephalus. Although his overall health is gradually improving, the symptoms of hydrocephalus are becoming increasingly severe. We ...
Dr. Zhang Junwei Reply:
Before hydrocephalus surgery, a brain CT scan is essential to confirm the presence of hydrocephalus. As for whether a detailed evaluation is necessary prior to the surgery, it is theoretically required. This is because it relates to whether the patient's neurological deficit...[Read More] Preoperative Assessments for Hydrocephalus Surgery: What You Need to Know
Is Ventriculoperitoneal Shunt Surgery Suitable for Dementia from Brain Atrophy?
Cerebral atrophy leading to compensatory hydrocephalus with dementia symptoms, is it suitable for ventriculoperitoneal shunt surgery? Hello Doctor, my father is 66 years old and has a history of Parkinson's disease, epilepsy, diabetes, and mental illness. In October 2019, he...
Dr. Zhang Junwei Reply:
If a patient experiences compensatory ventricular enlargement due to cerebral atrophy, performing a ventriculoperitoneal shunt surgery is indeed not effective. It will not lead to significant improvement in the patient's dementia condition.[Read More] Is Ventriculoperitoneal Shunt Surgery Suitable for Dementia from Brain Atrophy?
Understanding Brain Edema Treatment Options After Tumor Surgery
Treatment of cerebral edema? My husband underwent brain tumor surgery four months ago and is currently experiencing hemiplegia and symptoms of cerebral edema (MRI shows infiltration of brain tissue with fluid accumulation, while the ventricles are normal). The attending physician...
Dr. Zhang Junwei Reply:
Cerebral edema and hydrocephalus are different conditions, and their management approaches are completely distinct. Cerebral edema typically improves gradually over time.[Read More] Understanding Brain Edema Treatment Options After Tumor Surgery
Understanding Skull Depression and Brain Hemorrhage After a Car Accident
Skull depression, cerebral hemorrhage? Hello, doctor. Here’s what happened: During the car accident, I was wearing a helmet, which showed no signs of impact or scratches, and I had no other bruises on my body. I remained conscious throughout. After arriving at the hospital, the d...
Dr. Zhang Junwei Reply:
A skull depression caused by impact and intracranial hemorrhage indicates that the force of the impact was significant. As for the recovery time, it cannot be determined without detailed medical history and information, and thus cannot be answered online.[Read More] Understanding Skull Depression and Brain Hemorrhage After a Car Accident
Understanding Persistent Dizziness: Causes, Tests, and When to Get an MRI
Dizziness for more than two months? Hello Doctor, I have been experiencing dizziness and shoulder and neck pain for the past two and a half months. The symptoms include a constant feeling of dizziness throughout the day, without a sensation of spinning, nausea, unsteadiness while...
Dr. Zhang Junwei Reply:
Your issue is complex, and it is difficult to provide a complete answer without a thorough physical examination and tests. I recommend consulting a neurology or neurosurgery outpatient clinic.[Read More] Understanding Persistent Dizziness: Causes, Tests, and When to Get an MRI
Understanding Nerve Issues: Exploring Causes of Leg and Hip Numbness
Numbness in the lower back, hips, and legs, unclear where the issue lies? On August 24, I had a pelvic adjustment, and for the week following, I did not experience any particular sensations and did not engage in any special activities. On September 1, I noticed swelling on the ou...
Dr. Zhang Junwei Reply:
It is not possible to diagnose the disease online; it is recommended to consult a neurosurgery outpatient clinic for examination.[Read More] Understanding Nerve Issues: Exploring Causes of Leg and Hip Numbness
Understanding Coma After Car Accident: Recovery and Potential Outcomes
Coma due to a car accident? In the case of a car accident where the ambulance arrived and there was no heartbeat or pulse, CPR was performed in the ambulance, successfully restoring the heartbeat. However, upon arrival at the hospital, the doctor indicated there was a brain hemor...
Dr. Zhang Junwei Reply:
The information is unclear and cannot be answered. Since there is bleeding, once a CT scan of the brain is performed, it will definitely identify the location of the bleeding. There will always be a Glasgow Coma Scale score, with a minimum of 3 and a maximum of 15. It cannot be a...[Read More] Understanding Coma After Car Accident: Recovery and Potential Outcomes
Understanding Neurological Issues: Exploring Oral Symptoms and MRI Findings
Brain issues Hello Doctor, I have been experiencing some discomfort in my oral cavity for over five months. I have consulted with specialists in oral and maxillofacial surgery, dentistry, otolaryngology, neurology, and rheumatology, but so far, none have been able to provide a co...
Dr. Zhang Junwei Reply:
To be honest, what you said is too complicated, and it's difficult to answer these questions online. I recommend discussing this with a neurosurgery outpatient clinic and a physician.[Read More] Understanding Neurological Issues: Exploring Oral Symptoms and MRI Findings
Understanding Spasticity and Pain Management After Neurosurgery
Stiff Person Syndrome Dear Dr. Chang Jun-Wei, I am a patient who has consulted at multiple hospitals and undergone a series of tests including blood biochemistry, 24-hour urine analysis, and peripheral nerve examinations, which included sensory and motor evoked potentials, senso...
Dr. Zhang Junwei Reply:
Your question is too complex to be answered online based solely on the information you provided.[Read More] Understanding Spasticity and Pain Management After Neurosurgery
Head Injury Concerns: When to Seek Medical Attention for Symptoms
Head issues? Three weeks ago, I hit my head on the top when I lay down with force. A few days later, I experienced dizziness and visited an ENT specialist, which helped improve my condition. Recently, I have been experiencing hand tremors and tinnitus, along with a dull, tight he...
Dr. Zhang Junwei Reply:
Continuous observation is necessary, as the symptoms of chronic subdural hematoma can vary. If there is no improvement with medication and rest, it is recommended to consult a neurosurgery outpatient clinic for further evaluation.[Read More] Head Injury Concerns: When to Seek Medical Attention for Symptoms
Post-Surgery Care for Brain Tumor Patients: Managing Complications and Medications
Post-operative care for brain tumor surgery? My father had surgery last May, and since then he has been experiencing severe diabetes insipidus (drinking nearly 10,000 cc of water daily). However, he also has heart failure, with blood pressure typically ranging from 180 to 200 mmH...
Dr. Zhang Junwei Reply:
If you have so many issues, I recommend visiting a hospital's integrative medicine department or a family medicine clinic. They will address your conditions comprehensively, rather than treating each symptom in isolation.[Read More] Post-Surgery Care for Brain Tumor Patients: Managing Complications and Medications
Understanding Brain Injections: Benefits, Risks, and Recovery After Surgery
Cerebrospinal fluid (CSF) shunt, hydrocephalus, brain tumor? Hello Doctor, my father underwent surgery last August due to a ruptured cerebral aneurysm. After the surgery, he developed hydrocephalus and underwent another procedure to have a drainage catheter installed. However, hi...
Dr. Zhang Junwei Reply:
Yes, there is no such thing as a "brain-stabilizing injection" in medicine. For headaches, pain relievers are administered, and for dizziness, antiemetics are given. The term "brain-stabilizing injection" was created to reassure the public.[Read More] Understanding Brain Injections: Benefits, Risks, and Recovery After Surgery
How Soon After Brain Surgery Can You Safely Scrub Your Scalp?
After intracranial hemorrhage surgery, how long can one exert force on the scalp? I had a craniotomy for intracranial hemorrhage seven years ago. Today, I went to a salon for a shampoo, and the stylist pulled my hair a bit too hard, which made me worried. Can I apply pressure to ...
Dr. Zhao Shaoqing Reply:
After the stitches are removed, observe the wound for 2 weeks. If the healing condition is good and there is no drainage, it is acceptable.[Read More] How Soon After Brain Surgery Can You Safely Scrub Your Scalp?
Understanding Vascular Malformations: When to Seek Medical Help
Hairy cell vascular lesions Hello, I am a rare disease patient. I underwent two cerebral vascular reconstruction surgeries 13.4 years ago. There are still issues in the lower right part of my brain, but my doctor does not recommend further surgery. I also have a chronic asthma co...
Dr. Zhang Junwei Reply:
It is recommended to first consult a pulmonologist to properly treat asthma.[Read More] Understanding Vascular Malformations: When to Seek Medical Help
Understanding Temporary Vision Loss After Concussion in Children
A concussion can cause temporary vision impairment in one eye? Hello, a 4-year-old child has sustained a concussion due to a head injury. A CT scan of the brain showed no bleeding, and an ophthalmologist confirmed that there are no issues with the optic nerve or retina. However, ...
Dr. Zhang Junwei Reply:
If there is no improvement, it is recommended to consult a neurosurgeon, as there may be an injury to the optic nerve, and an MRI may be necessary.[Read More] Understanding Temporary Vision Loss After Concussion in Children
Post-Surgery Complications of Acoustic Neuroma and AV Malformation Removal
Neurofibroma with arteriovenous malformation? My husband underwent a craniotomy for a left-sided vestibular schwannoma on January 15. During the surgery, the surgeon discovered an arteriovenous malformation beneath the dura mater, which was also removed. The surgery lasted approx...
Dr. Zhang Junwei Reply:
Because I am unclear about the situation during the surgery, various circumstances can occur during a craniotomy. The fact that eight bags of blood were transfused indicates a significant amount of blood loss, which may have led to ischemia and hypoxia in some brain tissue, poten...[Read More] Post-Surgery Complications of Acoustic Neuroma and AV Malformation Removal