Car accident, Neurosurgery FAQ

Understanding Intracranial Hemorrhage: Risks and Surgical Outcomes in Elderly Patients

Intracranial hemorrhage Dear Doctor, my grandfather is in his 80s and was involved in a car accident. Why is there a high risk of intracranial hemorrhage compressing the brainstem, leading to a low survival rate? If surgery is performed, what is the approximate survival rate?

Dr. Zhang Junwei Reply:
When external force is applied to the head, blood vessels can rupture, leading to bleeding. If this bleeding compresses the brainstem, it can pose a life-threatening risk!

Understanding Post-Car Accident Neurological Symptoms: Right-Sided Paralysis

Localized paralysis in the brain after a car accident? I had a car accident on November 16th of last year, during which I fractured my foot. My head did not hit anything at the time, but now that my foot has healed, I am experiencing numbness on the right side of my head and comp...

Dr. Zhang Junwei Reply:
It is recommended to undergo a detailed examination by a neurologist or neurosurgeon!

Understanding Concussion Diagnosis After an Accident: Key Insights

Determination of Concussion Doctor, my friend was in a car accident. The other party went for a medical evaluation immediately after the incident, and the doctor did not diagnose a concussion at that time. They went home to rest. However, the next day, after 24 hours, the other p...

Dr. Zhang Junwei Reply:
A concussion is defined as a state of temporary amnesia or loss of consciousness following a head injury. The diagnosis is entirely based on the patient's symptoms; if the patient does not clearly describe their symptoms to the physician, there is a possibility of an incorre...

Essential Assessments and Care for Brain and Neck Injuries After Car Accidents

Car accident resulting in head injury and cervical spine injury? What basic examinations will be conducted first? What nursing care is required?

Dr. Zhang Junwei Reply:
Start with a simple preliminary physical examination, and if there are any issues, then proceed with X-rays or a CT scan.

Recovery After Nerve Surgery: What to Expect and How to Support Healing

I'm sorry, but I need more context or specific content to provide a translation. Please provide the text you would like me to Hello, doctor... My friend was in a serious car accident and has a fractured right arm, which has resulted in the inability to move the fingers on hi...

Dr. Zhang Junwei Reply:
I apologize, but brachial plexus injuries belong to a very specialized subspecialty, and there are only a few surgeons in Taiwan who perform these surgeries. This is not my area of expertise, so I recommend consulting a specialist for answers. I'm sorry!

Post-Car Accident Numbness: When to See a Doctor?

Numbness in the legs after a car accident? Hello doctor, I was in a car accident at the end of November, and my head hit something, causing bleeding. The wound has healed, but it sometimes itches. Currently, I don't have any major issues, but recently I've started exper...

Dr. Lai Zhaokang Reply:
Hello, there are many reasons for numbness in the legs. If you have been experiencing numbness for more than two weeks, it is advisable to see a doctor. You may want to consult a neurologist or a neurosurgeon. Wishing you a speedy recovery. Dr. Lai Chao-Kang, Director of Spine Ne...

Head Injury After Car Accident: Signs You Shouldn't Ignore

I was in a car accident and hit my head; I'm not sure if I'm okay? Hello, I was in a car accident last Tuesday and hit my head. The swelling has gone down now, but it still hurts a little when I press on it. I'm not sure if there might be any issues.

Dr. Lai Zhaokang Reply:
Hello, if there is no loss of consciousness, headache, dizziness, nausea, or vomiting, there is generally no major issue; it may just be a scalp contusion. However, please seek evaluation at a nearby neurosurgery outpatient clinic. Wishing you a speedy recovery. Changhua Hospital...

Understanding Brachial Plexus Surgery: Recovery and Rehabilitation Insights

Brachial plexus reconstruction surgery Hello, I would like to ask about my situation. I had a car accident on September 28, where I skidded in the rain and crashed into a utility pole, resulting in multiple fractures. I am currently recovering, but I am particularly concerned abo...

Dr. Lai Zhaokang Reply:
Hello, you have already undergone surgery by Dr. Chuang, so you should follow his medical advice. Any concerns should be discussed with the surgical team, especially since you have just had reconstructive surgery. Recovery takes time, so please trust that the physician who perfor...

Understanding Nerve Repair Surgery: Recovery and Rehabilitation Insights

Arm nerve junction surgery Hello, I was in a car accident on September 28, which resulted in my right hand fingers being unable to move. I had surgery performed by Dr. Chuang Chih-Ching at Chang Gung Memorial Hospital in Taipei on January 5, and it has now been a week post-surger...

Dr. Zhang Junwei Reply:
Hello, what could be the reasons for the inability to move a finger? What kind of surgery was performed? Which area was injured? It's difficult for me to answer your questions like this!

Understanding Intracranial Hemorrhage After Car Accident: Key Questions Answered

Intracranial hemorrhage due to a car accident? Hello, doctor. My girlfriend was in a car accident on the morning of December 31, resulting in a pneumothorax and a brain hemorrhage, for which she underwent surgery to remove the blood clot and was admitted to the intensive care uni...

Dr. Zhang Junwei Reply:
Your situation is quite complex; it's best to consult your girlfriend's primary care physician and discuss her condition thoroughly.

Understanding Persistent Dizziness After Head Injury: A Neurological Perspective

Car accident, boating? Two years ago, I was involved in a car accident where my head directly struck the asphalt road. I was taken to the hospital by ambulance. At that time, X-rays and MRIs indicated that there was nothing wrong, and there were no obvious external injuries, so I...

Dr. Zhang Junwei Reply:
Hello: Essentially, the aftereffects of a concussion often include dizziness, but since it has been two years and you are still experiencing prolonged dizziness, this is quite uncommon. It is advisable to consult an otolaryngologist, as it may be related to an inner ear balance i...

Understanding Nerve Damage: Symptoms and Treatment After an Accident

Numbness and tingling? Hello, two years ago I was in a car accident where the left side of my buttocks and the outer thigh were possibly run over, and I have been experiencing a feeling of swelling ever since. The left side of my buttocks feels somewhat numb, and occasionally I e...

Dr. Zhang Junwei Reply:
The issue is a bit complex and difficult to address online; it is recommended to visit the outpatient clinic for a detailed consultation.

Post-Surgery Care for Brain Hemorrhage: What to Expect and How to Help

Post-operative care for a patient who has undergone surgery for a cerebral hemorrhage involves several key aspects: 1. **Monitoring Neurological Status**: Regularly assess the patient's level of consciousness, pupil response, and motor function to detect any changes that ma...

Dr. Zhang Junwei Reply:
The sequelae are not due to brain surgery, but rather from the brain hemorrhage injury. For detailed information, please visit the outpatient clinic for a clearer understanding.

Post-Car Accident: Morning Shoulder, Neck, and Back Pain Solutions

After the car accident, I woke up in the morning with soreness in my shoulders, neck, and lower back? Hello, doctor. I was in a car accident on January 27 of this year. My external injuries have healed, but I am experiencing residual symptoms. Every morning when I wake up, my sho...

Dr. Lai Zhaokang Reply:
Hello, based on your description, I cannot provide a definitive answer to your question. I recommend that you visit the outpatient clinic for a detailed examination, after which I will be able to provide a more comprehensive response to your concerns. Please discuss the specifics...

Understanding Ongoing Brain Bleeding After a Car Accident: A Patient's Journey

Continuous minor bleeding in the brain due to a car accident? Dr. Ding: Hello, my mother is 56 years old. She was involved in a car accident on October 5th and was discharged from the emergency room with a diagnosis of concussion. On October 8th, she complained of severe headache...

Dr. Ding Xianwei Reply:
Due to incomplete information and the lack of direct examination, the following advice is based solely on experience. The term "persistent bleeding" is difficult to understand; if there were truly persistent bleeding, it would indicate that coagulation function is sever...

Improving Oculomotor Nerve Injury: Treatment Options and Recommendations

Oculomotor nerve injury Hello Doctor: My mother is 64 years old and suffered an injury to her oculomotor nerve in a car accident, which has resulted in one eye being unable to move up and down. This has caused double vision, dizziness, and prolonged weakness from staying at home ...

Dr. Ding Xianwei Reply:
Due to the incomplete nature of your information, I can only provide advice based on experience. It is not uncommon for brain nerves to be damaged in head trauma; however, unless the specific location of the injury and whether there is a complete rupture can be determined, it is ...

Can Surgery for Clavicle Fracture Affect Recovery from Brain Hemorrhage?

Is it appropriate to perform other surgeries for brain hemorrhage due to a car accident? Hello Doctor: My friend suffered a brain hemorrhage due to a car accident. He was in the intensive care unit for three days and has recently been transferred to a regular ward, with his condi...

Dr. Ding Xianwei Reply:
Due to the incomplete nature of your information and the fact that you have not been evaluated in person, a comprehensive assessment regarding the surgery is still necessary. It is recommended that you discuss this thoroughly with your attending physician.

Post-Car Accident: Understanding Neurological Issues and Symptoms

Issues After a Car Accident I had a car accident in September where I fell hard, and I think I might have hit my head, but I don't remember if I did. Later, when I went to the hospital, they asked me if I had any pain, but I didn't feel much and I completely don't ...

Dr. Zhang Junwei Reply:
Head injuries and concussions can occasionally lead to symptoms similar to yours, and most cases tend to improve gradually. However, if the symptoms persist or worsen, it is advisable to visit a neurosurgery outpatient clinic for further evaluation.

Understanding Hydrocephalus After Head Injury: When is Surgery Necessary?

Head trauma Hello Dr. Chang! My mother was in a car accident at the end of July, resulting in a subdural hematoma and cerebral contusion. The attending physician mentioned that the contusion is not significant and can be absorbed naturally with rest. Later, during a follow-up vis...

Dr. Zhang Junwei Reply:
There are two types of hydrocephalus: subdural effusion and true hydrocephalus. They are different conditions. Which type is your mother's issue?

Managing Spinal Instability: Treatment Options for Complex Cases

How should instability of the 4th and 5th vertebrae be treated? Hello Doctor, I suffered a spinal injury in a car accident around 1996, which was not treated at the time. This has now led to accelerated degeneration and severe complications (spinal instability, bone spurs, and s...

Dr. Lai Zhaokang Reply:
Hello Miss Xiao Lin, based on your description, it seems you have done a lot of research. It is confirmed that you have instability due to spondylolisthesis. Just imagine, your spinal nerves are living in a house made of lumbar vertebrae that is shaking all the time; can you endu...

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