Understanding Cervical Spine Fractures: Treatment and Recovery Insights
Cervical spine fracture Hello, Doctor. I was in a car accident on November 10th last year, where I was rear-ended by a car traveling at 14 km/h. At the time, I sustained abrasions on my right knee and shoulder. After nearly four months of follow-up, while driving on February 26th...
Dr. Lai Zhaokang Reply:
Hello: If you have a fracture of the odontoid process of the second cervical vertebra and surgery is not required, you will need to wear a SOMI (Sterno-Occipital-Mandibular Immobilizer) collar for about 3 to 6 months, even while sleeping. If your symptoms persist and MRI shows th...[Read More] Understanding Cervical Spine Fractures: Treatment and Recovery Insights
Post-Trauma Seizures: Managing Epilepsy After Head Injury
Post-traumatic epilepsy Hello Doctor: After a skull surgery due to a car accident, I have developed epilepsy. If I continue taking medication, will I recover? How long will I need to take the medication? I haven't had a seizure for about a year; can I return to normal work a...
Dr. Zhang Junwei Reply:
After skull surgery due to a car accident, epilepsy may persist. Continuous medication does not guarantee a cure. If there are no seizures for a year, you may consider discontinuing the medication. Each individual's condition is different, so please discuss this with your ne...[Read More] Post-Trauma Seizures: Managing Epilepsy After Head Injury
Managing Post-Trauma Seizures: When to Stop Medication?
Post-traumatic epilepsy Hello Doctor: After a car accident, I experienced intracranial hemorrhage and underwent skull surgery, which led to seizures (in March 2019). Since taking the medication prescribed by my doctor, I have not had any further seizures for almost a year. How lo...
Dr. Zhang Junwei Reply:
If a patient with epilepsy has not experienced a seizure for six months, it may be considered to discontinue medication. However, after stopping the medication, there is a possibility that seizures may recur, but they may also not occur.[Read More] Managing Post-Trauma Seizures: When to Stop Medication?
Understanding Intracranial Hemorrhage: Risks of Delayed Surgery
Intracranial hemorrhage Hello, Doctor: The person was conscious during the car accident but became unconscious after arriving at the hospital. The doctors confirmed intracranial hemorrhage and a hematoma that required surgery. If we, as parents, delayed the surgery due to the lon...
Dr. Zhang Junwei Reply:
It is possible, as intracranial hemorrhage can sometimes progress very rapidly![Read More] Understanding Intracranial Hemorrhage: Risks of Delayed Surgery
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
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 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
Impact of Skull Base Fractures on Hearing Loss and Balance Issues
Basilar skull fracture causing auditory nerve damage? I would like to ask about my recent car accident that resulted in a skull base fracture causing left ear leakage, as well as subdural and epidural bleeding. After the ear leakage stopped, I noticed persistent tinnitus on the l...
Dr. Zhang Junwei Reply:
For hearing loss, you should consult an otolaryngologist.[Read More] Impact of Skull Base Fractures on Hearing Loss and Balance Issues
Understanding Post-Traumatic Headaches After Intracranial Hemorrhage
#148189 Response - Intracranial Hemorrhage Sequelae #148189 I have previously asked a question and received a doctor's advice: Essentially, there are sequelae, and it's not that one cannot write; it depends on the physician's professional judgment. I would like to ...
Dr. Zhang Junwei Reply:
I'm sorry, I'm in the south![Read More] Understanding Post-Traumatic Headaches After Intracranial Hemorrhage
Understanding Chronic Subdural Hematoma After Car Accidents: Care and Recovery
Traumatic brain hemorrhage from a car accident? My grandfather was in a car accident in Pingtung on April 13 of this year. At the time, he didn't seem to have any serious injuries, only some minor abrasions. The local hospital in Pingtung only examined his external injuries ...
Dr. Zhang Junwei Reply:
Theoretically, as long as the initial neurological impairment is not severe, almost complete recovery is possible. Whether the patient can live independently or requires assistance from others needs to be assessed in detail; it is difficult to answer this question online.[Read More] Understanding Chronic Subdural Hematoma After Car Accidents: Care and Recovery
Understanding Post-Traumatic Head Injuries: Symptoms and Medical Documentation
Post-traumatic intracranial hemorrhage sequelae following a car accident? Hello, doctor. I was in a car accident four months ago, during which I lost consciousness and have no memory of the incident. The diagnosis was: intracranial hemorrhage; cerebral contusion combined with sku...
Dr. Zhang Junwei Reply:
Basically, having sequelae does not mean one cannot write; it depends on the physician's professional judgment.[Read More] Understanding Post-Traumatic Head Injuries: Symptoms and Medical Documentation
Post-Traumatic Head Injury: When to Seek Further Medical Evaluation
Post-head trauma Doctor: Hello. My father, who is 80 years old, suffered a head injury from a car accident two months ago. He has been regularly visiting Mackay Memorial Hospital for follow-up. Initially, there was a slight amount of intracranial hemorrhage, and the doctor said i...
Dr. Zhang Junwei Reply:
1. If there are no issues after two months, then there is likely nothing to worry about, and theoretically, a CT scan is not necessary. 2. It could possibly be a normal anatomical structure.[Read More] Post-Traumatic Head Injury: When to Seek Further Medical Evaluation
How Long Should a Young Adult Rest After a Mild Concussion?
A Grade 1 concussion typically requires a recovery period of about 7 to 10 days? Hello, Dr. Chang. May I ask: For a young person in their twenties or thirties who has sustained a Grade I concussion from a car accident, how long do general physicians typically recommend for rest?
Dr. Zhang Junwei Reply:
There are no specific grades for concussions; it is generally recommended to rest for one week.[Read More] How Long Should a Young Adult Rest After a Mild Concussion?
Minimally Invasive Surgery for Lumbar Spondylolisthesis: Treatment Options Explored
After undergoing two spinal surgeries, if you experience a slippage of the L4-L5 vertebrae seven years later, what treatment options are suitable for minimally invasive surgery? Hello Doctor: My mother underwent spinal surgery years ago due to complications from a car accident, a...
Dr. Lai Zhaokang Reply:
Hello: 1. There is a slippage at the L4-L5 vertebrae with a fracture. Additionally, there have been two spinal surgeries, and the screws have been removed. Without support, the lumbar region is definitely more unstable and uncomfortable. 2. If you have tried medications and rehab...[Read More] Minimally Invasive Surgery for Lumbar Spondylolisthesis: Treatment Options Explored
Understanding Intracranial Hemorrhage: What to Expect After Surgery
Intracranial hemorrhage Doctor, I would like to ask about my mother who had a car accident and suffered from intracranial hemorrhage. After the surgery, her brain did not show any signs of contraction, and her pupils remain dilated. The attending physician mentioned that the pupi...
Dr. Zhang Junwei Reply:
Without a complete medical history, patient history, and neurological examination, it is difficult to provide an accurate answer. I apologize![Read More] Understanding Intracranial Hemorrhage: What to Expect After Surgery
Understanding Arm Circulation Issues After a Car Accident: What to Do Next
Poor blood circulation in the right arm? Hello, doctor. I was hit by a taxi from the right rear on October 16 and fell to the ground, supporting myself with both hands. At the time of the incident, I only felt pain in my right thigh and calf. After an X-ray at the emergency room ...
Dr. Lai Zhaokang Reply:
Hello: It may be a cervical nerve issue. I recommend consulting a neurosurgeon. Best wishes to you. // Director of the Spine and Neurosurgery Department at Changhua Hospital, Dr. Lai Chao-Kang.[Read More] Understanding Arm Circulation Issues After a Car Accident: What to Do Next
Understanding Coma Recovery After a Car Accident: Key Insights
Unconscious due to a car accident? Hello Doctor, my younger brother is 21 years old. On June 12, he was in a car accident and arrived at the hospital with a Glasgow Coma Scale (GCS) score of 12. After intubation, the doctors assessed his GCS to be 7. They mentioned that his motor...
Dr. Zhang Junwei Reply:
Diffuse hemorrhage and diffuse axonal injury are not the same. One refers to diffuse hemorrhage, while the other refers to diffuse axonal injury.[Read More] Understanding Coma Recovery After a Car Accident: Key Insights
Post-Traumatic Recovery: Addressing Balance Issues After Spinal Surgery
Minimally invasive surgery for the first lumbar vertebra, subarachnoid hemorrhage? Hello Doctor, I previously had a car accident that resulted in subarachnoid hemorrhage. The doctor said it would absorb on its own, and I was in a coma in the intensive care unit for about two week...
Dr. Lai Zhaokang Reply:
Hello: I personally suggest that both the brain and spine need further evaluation. Please visit the neurosurgery outpatient clinic for a physician's assessment. Wishing you all the best. // Neurosurgeon Dr. Lai Chao-Kang[Read More] Post-Traumatic Recovery: Addressing Balance Issues After Spinal Surgery
Understanding Post-Trauma Walking Instability: Brain vs. Lumbar Spine Issues
Minimally invasive surgery for the first lumbar vertebra, subarachnoid hemorrhage? Hello Doctor, I previously had a car accident that resulted in subarachnoid hemorrhage. The doctor said it would absorb on its own, and I was in a coma in the intensive care unit for about two week...
Dr. Lai Zhaokang Reply:
Hello: I personally suggest that both the brain and spine need further evaluation. Please visit the neurosurgery outpatient clinic for a physician's assessment. Wishing you well. // Neurosurgeon Dr. Lai Chao-Kang[Read More] Understanding Post-Trauma Walking Instability: Brain vs. Lumbar Spine Issues
Post-Car Accident Head Pain: Understanding Risks and Recovery Tips
I was in a car accident and hit the back of my head. It's been two weeks, and sometimes I experience severe headaches? Hello, doctor. My nephew was involved in a car accident with a classmate on April 26, where the classmate sustained a blow to the back of the head. The emer...
Dr. Zhang Junwei Reply:
Post-traumatic symptoms from head injuries often include headaches and dizziness. It is important to rest, and with time, these symptoms typically resolve on their own.[Read More] Post-Car Accident Head Pain: Understanding Risks and Recovery Tips