Understanding Traumatic Brain Injury: Recovery and Treatment Insights
Traumatic brain injury from a car accident? Hello Doctor Zhang, my sister was in a car accident and suffered a brain hemorrhage. The doctors placed an intracranial monitor during surgery. In the ICU, her right leg has been moving uncontrollably, and it continues to do so even aft...
Dr. Zhang Junwei Reply:
It is unclear whether the involuntary movements of your right foot are due to epilepsy or another condition. Whether or not surgery is needed for the head will depend on the progression of the subsequent medical condition.[Read More] Understanding Traumatic Brain Injury: Recovery and Treatment Insights
Why Does My Skull Feel Thick After Brain Surgery? Recovery Insights
After a craniotomy, why does the skull feel thick? Due to ineffective control of epilepsy with medication, a craniotomy was performed to remove the right temporal lobe. It has been 1 month and 25 days since the surgery. I would like to ask the doctor why there is still a thick se...
Dr. Zhao Shaoqing Reply:
Please consult a medical professional for treatment.[Read More] Why Does My Skull Feel Thick After Brain Surgery? Recovery Insights
Understanding Seizure Management: When to Seek Neurological Care
Epilepsy issues Hello, doctor. Here's the situation: I had an accident in the third grade, which resulted in hemiplegia and I have epilepsy that is being managed with medication. It has been well controlled, but in the past three months, I have experienced around 10 seizures...
Dr. Lai Zhaokang Reply:
Hello: It is recommended to consult a neurosurgeon or neurologist again, informing them of your recent recurrent episodes. Please have the doctor evaluate whether further follow-up with a CT scan or EEG is necessary, and perhaps medication adjustments may also be needed. Best wis...[Read More] Understanding Seizure Management: When to Seek Neurological Care
Understanding Concussion Symptoms and When to Seek Neurological Care
Concussion status On the afternoon of the 25th, while I was out, I collapsed at a convenience store. According to witnesses, I hit my head, but I regained consciousness after about three minutes during my first fainting episode. I was initially alert, but then fainted again and t...
Dr. Zhao Shaoqing Reply:
Hello: The occurrence of fainting may be a manifestation of epilepsy. If the EEG results are inconclusive, you may consider consulting a neurosurgeon. It is advisable to undergo relevant examinations, including a CT scan, for further evaluation. The Changhua Hospital of the Minis...[Read More] Understanding Concussion Symptoms and When to Seek Neurological Care
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 Baby Tremors: Causes, Concerns, and When to Seek Help
Baby's hand tremors issue? Hello, Doctor. 1. My baby is currently 6 months and 21 days old. On December 20th of last year, he accidentally fell from an 80 cm changing table, resulting in intracranial hemorrhage. A CT and MRI performed by the doctor showed a hematoma in the...
Dr. Zhang Junwei Reply:
It's hard to determine whether the tremors you see are due to epilepsy. It is recommended to record a video on your phone during the episode and then consult a physician in an outpatient setting for evaluation and management.[Read More] Understanding Baby Tremors: Causes, Concerns, and When to Seek Help
Understanding Pituitary Tumors: Headaches, Seizures, and Vision Issues
Pituitary tumor Hello Doctor: I have been experiencing sudden headaches and dizziness since the beginning of this year, which led to hospitalization, but the cause has not been identified. The frequency and nature of my headaches are completely different from before; I have heada...
Dr. Zhang Junwei Reply:
A pituitary tumor smaller than one centimeter, with normal blood tests, is usually a benign adenoma. Since it is less than one centimeter in size, it typically does not cause neurological compression; therefore, the usual recommendation from physicians is to monitor it. As for th...[Read More] Understanding Pituitary Tumors: Headaches, Seizures, and Vision Issues
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
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 Memory Loss After a Motorcycle Accident: Is It Concussion?
Amnesia due to a car accident? On December 2, 2017, I had a motorcycle accident and I can't clearly remember what happened at that time. The possible cause of the accident might be slipping due to the rain, which led to a fall. I realized I had an accident because there was ...
Dr. Lai Zhaokang Reply:
Hello: In cases of head trauma, the most important factors to assess in the first three days are whether there is any loss of consciousness, limb weakness, fatigue, seizures, or epilepsy, as these may indicate the risk of intracranial hemorrhage. However, if none of these symptom...[Read More] Understanding Memory Loss After a Motorcycle Accident: Is It Concussion?
Do Seizures After a Car Accident Always Follow the Incident?
Seizures occurred at the time of the car accident? Will there definitely be epilepsy after a car accident if seizures occur at the time of the accident?
Dr. Zhang Junwei Reply:
Not necessarily.[Read More] Do Seizures After a Car Accident Always Follow the Incident?
Understanding Head Pain After Cold: When to Seek Medical Advice
The headache associated with a cold can be sharp or throbbing? Hello, recently I had a fever and cold, so I went to see a doctor and took some medication. However, I'm not sure if it's related to the medication, but for the past few days, I've been experiencing int...
Dr. Ding Xianwei Reply:
Since we are not aware of your past medical history, it is recommended that you schedule a follow-up appointment. For epilepsy medication, it is advisable to consult with the physician who originally treated you. However, it is important to note that headaches can be a common sym...[Read More] Understanding Head Pain After Cold: When to Seek Medical Advice
Understanding Post-Concussion Symptoms and Their Duration
Post-concussion syndrome Hello Dr. Ding, I had an accident six days ago while riding my motorcycle too fast and fell. I was wearing a helmet, but I am unsure what my head hit, and I lost consciousness for about ten minutes. Over the past week, my bodily injuries have gradually ...
Dr. Ding Xianwei Reply:
Since I have not personally treated you, I can only respond based on experience. If unconsciousness lasts more than 10 minutes, it is considered a concussion! Other symptoms are residual effects following a head injury. Dizziness, nausea, or vomiting are not necessary conditions ...[Read More] Understanding Post-Concussion Symptoms and Their Duration
Understanding Epilepsy Surgery: Is It the Right Choice for You?
Epilepsy surgery Hello, doctor. I was diagnosed with a brain tumor due to both generalized and focal seizures. I have undergone Gamma Knife radiosurgery, 30 sessions of IMRT, and traditional surgery. Since starting medication, I have not experienced any generalized seizures, but ...
Dr. Ding Xianwei Reply:
Due to the incomplete nature of your information, I cannot provide you with specific advice. I recommend discussing your situation with both a neurologist and a neurosurgeon before making a decision. Generally speaking, epilepsy surgery involves resecting the epileptic focus rath...[Read More] Understanding Epilepsy Surgery: Is It the Right Choice for You?
Is Epilepsy Caused by Brain Aneurysms Considered Functional Disorder?
What is functional disorder? (Does epilepsy count?) Consulting a physician: Is intracranial hemorrhage caused by a cerebral aneurysm leading to epilepsy considered a functional disorder?
Dr. Zhang Yuanyi Reply:
Dear Mr. Huang: Intracranial hemorrhage does carry the possibility of seizures. May I ask what the definition of functional disorder is? Wishing you peace and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Taoyuan General Hospital, Ministry ...[Read More] Is Epilepsy Caused by Brain Aneurysms Considered Functional Disorder?
Understanding Epilepsy Treatment Options: A Patient's Journey
Epilepsy Treatment My description may be somewhat complex, but I kindly ask all physicians to provide me with detailed answers and suggestions. My birthday is October 11, 1970. During the summer vacation of my second grade in elementary school (around 1978), I accidentally fell d...
Dr. Zheng Zhong Reply:
Hello: Regarding your inquiry about medication, it is beyond the scope of neurosurgery. I recommend that you consult a neurologist for a more appropriate response. Thank you, Dr. Zheng.[Read More] Understanding Epilepsy Treatment Options: A Patient's Journey
Understanding Tourette Syndrome: Symptoms, Diagnosis, and Treatment Options
Tourette Syndrome Dr. Ding: Hello, I sincerely seek your advice. My seven-year-old nephew has a history of asthma and allergies, which are currently being managed with medication. Recently, he has been experiencing symptoms such as a crooked mouth, eyes rolling back, and involunt...
Dr. Ding Xianwei Reply:
Hello: Since Tourette syndrome is not my area of expertise, I recommend that you consult a pediatric neurologist. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Tourette Syndrome: Symptoms, Diagnosis, and Treatment Options
Can Epilepsy Patients Engage in Intense Sports Safely?
Epilepsy Hello doctor, I saw in the news today that a patient with epilepsy died suddenly while playing basketball. Are epilepsy patients not allowed to engage in vigorous exercise? Or was it due to an underlying issue? I only know that one should be cautious with dangerous activ...
Dr. Xiao Furen Reply:
In general, epilepsy patients who adhere to their medication regimen and have good control of their condition can engage in regular exercise. However, it is still advisable to avoid driving, riding a bike, or swimming to prevent potential seizures that could lead to tragic incide...[Read More] Can Epilepsy Patients Engage in Intense Sports Safely?