Understanding Intracranial Hemorrhage: Care Tips After a Car Accident
Please have Dr. Ding answer my question! Thank you very much? Hello Dr. Ding, my sister was in a car accident yesterday and is currently in a general ward at Lin Shin Hospital in Taichung. Her attending physician diagnosed her with intracranial hemorrhage, but the bleeding is exp...
Dr. Ding Xianwei Reply:
Regarding your dietary questions, it is advised to avoid tobacco, alcohol, tea, coffee, and certain stimulating foods. Other than that, any food that does not cause choking can be considered. Additionally, be mindful that food should not be too hot or too cold, as it may affect h...[Read More] Understanding Intracranial Hemorrhage: Care Tips After a Car Accident
Understanding Lower Back Pain: When to Seek Neurosurgical Advice
Lower back pain issues Hello Doctor: Seven years ago, I had a minor impact on my lower back during a car accident. At that time, the pain was not significant, and I did not go to the hospital for an examination. Since then, I have experienced significant pain in my lower back (ne...
Dr. Ding Xianwei Reply:
Since you have not been examined in person, I can only provide general advice based on common experience. Generally speaking, your lower back pain seems to be more like simple low back pain, which is often caused by prolonged standing or sitting, lifting heavy objects, and poor p...[Read More] Understanding Lower Back Pain: When to Seek Neurosurgical Advice
Understanding Skull Fractures and Subarachnoid Hemorrhage in Children
Skull fracture and subarachnoid hemorrhage? My child was in a car accident on September 9th. He is only two months old and is currently hospitalized at Far Eastern Memorial Hospital. He has a fracture of the right cranial bone and subarachnoid hemorrhage. The bleeding has stopped...
Dr. Ding Xianwei Reply:
Generally speaking, if there is a recent injury with a compressive skull fracture, surgery is required. However, if the skull fracture has stabilized, surgery may be considered unnecessary. It is important to monitor for the potential risk of seizures associated with skull fractu...[Read More] Understanding Skull Fractures and Subarachnoid Hemorrhage in Children
Understanding Lumbar and Sacral Fractures: Treatment Options and Costs
Lumbar and sacral vertebral fractures! Hello Dr. Hsieh, I have been wanting to see you since September, but I heard you were abroad. I would like to ask if you have referred me to Dr. Chao Shao-Ching for consultation. Due to a car accident, I have sustained fractures in my lumbar...
Dr. Xie Bojun Reply:
Hello Ms. Lu: I have reviewed your imaging. I believe there may have been a misunderstanding regarding the physician's explanation. I recommend that you visit the neurosurgery clinic of Dr. Hsieh Po-Chun, who will provide you with a more detailed explanation. Neurosurgery, D...[Read More] Understanding Lumbar and Sacral Fractures: Treatment Options and Costs
Understanding Hypertensive Intracerebral Hemorrhage: Causes and Insights
Medical consultation Hello, Dr. Ding: 1. What is hypertensive intracerebral hemorrhage? 2. What are the causes of hypertensive intracerebral hemorrhage?
Dr. Ding Xianwei Reply:
Hello, Mr. Zheng: Hypertension is a chronic condition that requires long-term management. The most significant acute risk associated with hypertension is intracerebral hemorrhage, which is a type of stroke. It is possible for hypertensive intracerebral hemorrhage to occur after a...[Read More] Understanding Hypertensive Intracerebral Hemorrhage: Causes and Insights
Understanding Spinal Cord Injury: Treatment Options and Clinical Trials
Spinal cord injury Hello Doctor; I have a 32-year-old male friend who has been hospitalized for over three months due to a car accident. He currently requires respiratory support and cannot undergo further examinations, so we do not know the extent of his neurological injuries. H...
Dr. Zheng Zhong Reply:
Based on your description, your friend likely has a high cervical spinal cord injury resulting in quadriplegia, respiratory muscle paralysis, and incontinence. Due to cervical instability, a cervical collar is still being used. To assess the condition of the cervical spinal cord ...[Read More] Understanding Spinal Cord Injury: Treatment Options and Clinical Trials
Post-Surgery Care and Medications for Right Frontal Lobe Injury
What medications or precautions should be considered for damage to the right frontal lobe? Hello Doctor, my father (67 years old) sustained a contusion on the contralateral frontal lobe due to a car accident one week ago. After four days of observation, the doctor decided to perf...
Dr. Ding Xianwei Reply:
Your father's head injury is currently in a critical phase, so it is not possible to assess the prognosis at this time. I would like to highlight two important points to pay attention to: First, your father's condition is still unstable, and he should still be in the in...[Read More] Post-Surgery Care and Medications for Right Frontal Lobe Injury
Understanding Subarachnoid Hemorrhage: Long-term Effects After Trauma
Subarachnoid hemorrhage (SAH) refers to bleeding in the space between the brain and the tissues covering it, known as the subarachnoid space. This condition can occur due to various causes, including the rupture of an aneurysm, head trauma, or other vascular malformations? In the...
Dr. Zhang Yuanyi Reply:
Dear Ah-Hsien: Post-traumatic stress disorder, chronic bleeding, or new neurological conditions must all be considered, especially taking into account age and any related medical conditions. It is best to have a physician evaluate and make a diagnosis. Wishing you peace and healt...[Read More] Understanding Subarachnoid Hemorrhage: Long-term Effects After Trauma
Understanding Traumatic Brain Injury After a Car Accident: Guidance for Caregivers
Traumatic brain injury from car accidents? Hello Doctor: My brother, who is 37 years old, suffered a traumatic brain injury with intracranial fractures and bleeding (damage to the right frontal lobe) due to a car accident. After surgery, he was temporarily placed in a nursing hom...
Dr. Ding Xianwei Reply:
Hello: Regarding your brother's intracranial hemorrhage from the car accident, although his symptoms may be caused by the head trauma, there are many causes related to mental illness, which are actually two sides of the same coin. Therefore, it is important to investigate wh...[Read More] Understanding Traumatic Brain Injury After a Car Accident: Guidance for Caregivers
Neck Injury from Car Accident: Surgery Risks for 63-Year-Old Patient
Cervical vertebrae C3 and C4 injured in a car accident? In a car accident, the cervical vertebrae C3 and C4 have been damaged, causing nerve compression (Taichung). I am unsure which physician to consult. The patient is 63 years old, has diabetes, and fatty liver. Is surgery an o...
Dr. Zhang Yuanyi Reply:
Dear James, 1. You can consult any neurosurgeon. 2. Whether surgery is necessary depends on the severity of the compression and the presence of related symptoms. 3. There are always risks associated with surgery. Wishing you safety and health. Sincerely, Dr. Zhang Yuan-yi ...[Read More] Neck Injury from Car Accident: Surgery Risks for 63-Year-Old Patient
Severe Brainstem Injury from Car Accident: Risks and Recovery Options
Severe brainstem injury caused by a car accident? Question 1: What are the potential sequelae of brainstem injury? Question 2: What current treatments are available to promote recovery of the brainstem? Question 3: If she regains consciousness, what potential sequelae might s...
Dr. Zheng Zhong Reply:
The brainstem is the center of life; if the brainstem is damaged and the coma scale is only 3 points, it indicates that the patient is close to brain death (brainstem failure), and the patient will ultimately die. The determination of brain death follows a rigorous protocol and m...[Read More] Severe Brainstem Injury from Car Accident: Risks and Recovery Options
Post-Accident Urinary Issues: Understanding Bladder Dysfunction After Brain Injury
The father experienced a brain hemorrhage due to a car accident and is unable to urinate successfully after the removal of the urinary catheter? Dear Dr. Chiu, My father, who is 55 years old, was involved in a car accident three months ago. He sustained a head injury that result...
Dr. Qiu Yushu Reply:
Hello: Generally, catheter training can be successful. You may go to the rehabilitation department for further evaluation. Best wishes, Dr. Yu-Shu Chiu.[Read More] Post-Accident Urinary Issues: Understanding Bladder Dysfunction After Brain Injury
Understanding Shoulder Blade Pain: Is It Related to Spinal Injury?
Localized pain in the scapula? Hello Doctor: My spinal injury is located at the fourth vertebra above the pelvis, which was discovered through X-ray examination following a car accident twelve years ago (no surgical intervention was performed). Over the years, I have only experie...
Dr. Qiu Yushu Reply:
Hello: Based on what you have described, it seems to be an orthopedic issue. If the pain persists, you may visit the outpatient clinic to see if further examination is necessary. Best wishes.[Read More] Understanding Shoulder Blade Pain: Is It Related to Spinal Injury?
Understanding Tracheostomy Healing After a Car Accident: Key Considerations
Regarding tracheostomy? I would like to ask if there are specific conditions that must be met for tracheostomy healing after a car accident, specifically if it is necessary to expectorate mucus from the mouth.
Dr. Zhang Yuanyi Reply:
I apologize for not being able to fully understand the issue based on the statement provided, making it difficult to respond. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Taoyuan Hospital, Department of Health.[Read More] Understanding Tracheostomy Healing After a Car Accident: Key Considerations
Post-Surgery Pain and Complications from L4-L5, L5-S1 Disc Herniation
The intervertebral discs at L4-L5 and L5-S1 have herniated and have been surgically treated? Hello, Dr. Zhang. I have suffered from a car accident resulting in herniation of the intervertebral discs at L4-L5 and L5-S1, which severely affects my daily life. I have undergone rehabi...
Dr. Zhang Yuanyi Reply:
Dear Chen: Regarding your questions, my responses are as follows: 1. Both the fixation screws and the support frame are methods for stabilizing the spine; they simply have different developmental timelines, and there is no theoretical error in this. 2. It is not possible to deter...[Read More] Post-Surgery Pain and Complications from L4-L5, L5-S1 Disc Herniation
Understanding Post-Trauma Neurological Symptoms: When to See a Specialist
Brain..? Hello doctor, I have a question. I was in a car accident in the past, and the physician issued a report stating: head trauma, cerebral edema, subarachnoid hemorrhage, and atlantoaxial dislocation without associated nerve root paralysis. It has been quite some time since ...
Dr. Qiu Yushu Reply:
Please visit the neurosurgery outpatient clinic. Dr. Yu-Shu Chiu.[Read More] Understanding Post-Trauma Neurological Symptoms: When to See a Specialist
Understanding Recurrence Risk of Spinal Injuries After Surgery
The recurrence rate of spinal injuries from car accidents? Hello, Dr. Ding. Three years ago, I had spinal surgery due to an injury from a car accident. Now, I only experience leg soreness when I exert myself too much, but it improves with rehabilitation. Should I avoid excessive ...
Dr. Ding Xianwei Reply:
Hello: Due to insufficient information available online for assessment, it is advised not to exert yourself excessively after the injury, and to avoid prolonged standing or sitting. We recommend that you visit our outpatient clinic for a further evaluation by a physician. Sincere...[Read More] Understanding Recurrence Risk of Spinal Injuries After Surgery
Is Dizziness After Epidural Hematoma Surgery Normal? When to Seek Help
Dizziness I would like to ask, I previously had an epidural hematoma due to a car accident and underwent surgery to remove the blood clot. It has been about a year since then. I experience dizziness approximately 4 to 5 times a month, and it always occurs in the morning upon waki...
Dr. Ding Xianwei Reply:
Hello: This is likely a post-traumatic sequela following a head injury. Typically, symptoms will improve over time; however, about 5% of patients may experience sequelae that affect their quality of life. It is recommended that you visit a hospital for evaluation and follow the p...[Read More] Is Dizziness After Epidural Hematoma Surgery Normal? When to Seek Help
Understanding Post-Concussion Symptoms: What to Watch For After a Head Injury
Concussion Hello Doctor: At the end of last month, I was in a car accident and hit my head, losing consciousness at the scene. My friends tried to wake me for a long time, and it was only when the person responsible for the accident picked me up that I slowly regained consciousne...
Dr. Ding Xianwei Reply:
Hello: The symptoms you mentioned could potentially be sequelae. However, numbness in the hands and neck pain may indicate a cervical spine injury. It is still necessary to have a personal consultation for a better diagnosis. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Post-Concussion Symptoms: What to Watch For After a Head Injury
Understanding Sciatica and Disc Herniation: When to Consider Surgery
Lower back pain Hello Doctor: After a car accident at the age of 18, I have experienced persistent lower back pain, numbness in the sole of my right foot, and difficulty standing or sitting for long periods, as well as walking for extended durations. Walking for a while causes a ...
Dr. Qiu Yushu Reply:
Hello: The symptoms you described do seem to indicate spinal stenosis. An MRI should clearly reveal the areas of narrowing. If the symptoms are severe and affecting your daily life, surgery is the best solution. Best wishes, Dr. Yu-Shu Chiu.[Read More] Understanding Sciatica and Disc Herniation: When to Consider Surgery