Managing Non-Healing Wound After Screw Loss in Neurosurgery Patients
After the appearance of serous fluid in the head, the screw fell out. The wound was cleaned with saline and Betadine, but serous fluid still appeared and the wound has not healed? Twenty years ago, I had a car accident that required one surgery to perform a craniotomy to remove a...
Dr. Zhang Junwei Reply:
It doesn't matter what medication is applied; it's important to have a physician identify the underlying cause of the non-healing wound.[Read More] Managing Non-Healing Wound After Screw Loss in Neurosurgery Patients
Recovery Concerns After Head Trauma: Medication, Symptoms, and Safety Gear
Issues Related to the Recovery Period of Head Trauma Hello Doctor: I previously asked a question regarding my condition after a car accident, where I sustained a right-sided head injury (swelling on the right side of my face), along with mild subarachnoid hemorrhage on the left s...
Dr. Zhang Junwei Reply:
Recovery time varies from person to person and depends on the severity of the injury, so it cannot be generalized. Most individuals will see significant improvement within two weeks.[Read More] Recovery Concerns After Head Trauma: Medication, Symptoms, and Safety Gear
Understanding Delayed Symptoms After Head Injury: When to Seek Medical Attention
Head injury Hello Doctor: On the evening of November 29th, I accidentally bumped the left side of my head against a doorknob while in the bathroom. At the moment of impact, I did not feel pain, dizziness, swelling, or bleeding, and I remained fully alert and continued to take a s...
Dr. Zhang Junwei Reply:
It is indeed important to be cautious. If there are persistent headaches and dizziness, it is recommended to seek treatment at a neurosurgery outpatient clinic.[Read More] Understanding Delayed Symptoms After Head Injury: When to Seek Medical Attention
Head Injury and Clear Nasal Discharge: What You Need to Know
Head injury with nasal discharge? Hello, doctor. I would like to ask about an incident that happened today. While playing with my boyfriend, the bed moved and he hit the back of his head against the bed frame. At that moment, a large amount of clear, slightly yellow fluid flowed ...
Dr. Zhang Junwei Reply:
If you have not encountered a similar situation, it is recommended to visit the outpatient clinic to inquire about the medical history in detail if there are any issues.[Read More] Head Injury and Clear Nasal Discharge: What You Need to Know
Understanding Post-Traumatic Symptoms After Head Injury: When to Seek Help
Head trauma-related issues? Hello Doctor: I sustained a brain injury from a car accident (head trauma with right cheek contusion and mild subarachnoid hemorrhage on the left side) and have been resting for about a month. Recently, while preparing to sleep, I've been experien...
Dr. Zhao Shaoqing Reply:
You can visit a neurosurgery clinic.[Read More] Understanding Post-Traumatic Symptoms After Head Injury: When to Seek Help
Hard Bump on Right Back of Head: Causes and Treatment Options
There is a protrusion in the right posterior part of the brain? There is a hard protrusion on the right side of the back of my head that feels like bone. It hurts when I press on it while sleeping, and it feels tight. The entire area feels uncomfortable, similar to a stiff neck, ...
Dr. Zhang Junwei Reply:
Unable to perform a physical examination, cannot make a diagnosis, please schedule an appointment with the neurosurgery outpatient clinic.[Read More] Hard Bump on Right Back of Head: Causes and Treatment Options
Understanding Recovery After a Car Accident: Brain Injury and Medication Concerns
Hello, doctor! I have questions regarding brain injuries caused by car accidents? Hello, Doctor! I sustained a right-sided head injury (with swelling on the right side of my face) due to a car accident, along with mild subarachnoid hemorrhage on the left side and a concussion. Af...
Dr. Zhang Junwei Reply:
1. Not taking medication will not affect recovery. 2. The most important aspect of a concussion is rest; it will naturally recover over time.[Read More] Understanding Recovery After a Car Accident: Brain Injury and Medication Concerns
Concerns About Neck Injuries in Children from Playful Lifting
Cervical spine issues in children caused by pulling on the head? Hello, doctor. I would like to ask about an adult friend who, while playing with a 10-year-old child, held the sides of the child's head with their hands and lifted it up for 1-2 seconds before putting it down....
Dr. Lai Zhaokang Reply:
Hello: 1. This is indeed a very dangerous action. Please avoid it. 2. Currently, if the child is observed for 2 weeks and shows no signs of altered consciousness or abnormal limb activity, it is likely that no harm has been done. Best wishes to you all. By Dr. Lai Chao-Kang, Neur...[Read More] Concerns About Neck Injuries in Children from Playful Lifting
Understanding Brain Hemorrhage After Falls: A Case Study
Cerebral hemorrhage caused by a fall? Dear Deputy Director, My grandfather is 71 years old and has high blood pressure, but he is physically strong. On November 4th, he slipped on gravel while trying to catch a dog that had run out of the house and collided with a post. While wa...
Dr. Zhang Junwei Reply:
I would like to offer my support, but without detailed CT scan reports and neurological examinations, it is difficult to provide accurate advice and prognosis for the patient. I recommend consulting the original treating physician for further inquiries.[Read More] Understanding Brain Hemorrhage After Falls: A Case Study
Understanding Head Injuries: When to Seek Medical Attention After a Fall
Head injury, with pain at the site of impact? Hello, doctor. On August 26, while playing on a water slide, I may have slid down incorrectly and hit the back of my head against the slide. At that moment, I felt pain, but there were no other obvious discomforts. Later, the impact p...
Dr. Zhang Junwei Reply:
The primary concern with head trauma is intracranial hemorrhage. If there are accompanying symptoms of nausea and vomiting, it is advisable to seek treatment at a neurosurgery outpatient clinic.[Read More] Understanding Head Injuries: When to Seek Medical Attention After a Fall
Head Injury from Baseball: Understanding Eye Symptoms and Recovery
A baseball hit on the top of the head? Three days ago, I was hit on the forehead just above the hairline (toward the right) by a high fly ball. At the moment of impact, the upper half of my right eye's field of vision was normal, while the lower half was completely black and...
Dr. Zhang Junwei Reply:
Head trauma often accompanies headaches and dizziness, but the more concerning issue is intracranial hemorrhage. If dizziness is accompanied by nausea and vomiting, it is advisable to seek treatment at a neurosurgery outpatient clinic.[Read More] Head Injury from Baseball: Understanding Eye Symptoms and Recovery
Post-Spinal Surgery Concerns: Recovery, Complications, and Future Work
Post-operative issues related to spinal surgery (sequelae, functional roles, uncertain recovery status) Hello Doctor, I suffered a burst fracture of the lumbar spine at L3-L4 at the end of June. Due to the loosening of the screw at L4, I need to return to the hospital for surgery...
Dr. Lai Zhaokang Reply:
Hello: 1. Lifting heavy objects, standing for long periods, and squatting for extended durations can harm the lumbar spine and increase your risk of recurrence. It is advisable to adjust the nature of your work. 2. You will not become incapacitated. After the fusion of the spine,...[Read More] Post-Spinal Surgery Concerns: Recovery, Complications, and Future Work
Can Massage Therapy Affect Intracranial Aneurysm Coils and Stents?
Intracranial dural arteriovenous fistula Hello Dr. Chang: My husband (37 years old) previously had an intracranial dural arteriovenous fistula and underwent surgery (with coils and stents placed in the cerebral vasculature). Recently, he has been experiencing pain in his shoulder...
Dr. Zhang Junwei Reply:
Due to the uncertainty regarding the exact location and size of the intracranial vascular stent, it is recommended to consult with Dr. Yuan Qiu for further evaluation.[Read More] Can Massage Therapy Affect Intracranial Aneurysm Coils and Stents?
Understanding Head Injuries: When to Seek Medical Attention
Head injury Doctor, I bumped the area around my temple against a classmate's forehead while playing basketball yesterday. At the moment of impact, I was fully conscious, and there hasn't been any swelling since then. However, when I got home, my entire head started to f...
Dr. Zhang Junwei Reply:
If you experience persistent headaches and dizziness, it is recommended to consult a neurosurgery outpatient clinic for evaluation.[Read More] Understanding Head Injuries: When to Seek Medical Attention
Head Injury: Can Swelling Resolve on Its Own and Is There a Risk of Bleeding?
I hit the upper left side of my head; is there a possibility of a brain hemorrhage, and can the swelling be reduced? Doctor, I apologize for the interruption! Last night around 9 PM, while bending down to return the communal laundry basket in the laundry room of my dormitory, I a...
Dr. Zhang Junwei Reply:
1. The swelling should resolve on its own. 2. The likelihood of intracranial hemorrhage is low; however, if there is persistent headache, dizziness, nausea, or vomiting, seek immediate evaluation from a neurosurgeon or go to the emergency department.[Read More] Head Injury: Can Swelling Resolve on Its Own and Is There a Risk of Bleeding?
Understanding Head Injuries: Concerns About Skull Indentation
Head issues Hello Doctor, two years ago at school, I was struck twice on the right side of my head near the frontal bone by an emotionally agitated classmate using a wooden broom, which broke in the process. At the time, I only experienced bleeding and no other discomfort. After ...
Dr. Zhang Junwei Reply:
It is difficult to say whether it is related to the present, as it happened two years ago. If there are any concerns, it is recommended to seek consultation at a neurosurgery outpatient clinic.[Read More] Understanding Head Injuries: Concerns About Skull Indentation
Understanding Post-Concussion Symptoms After a Bathroom Fall
Slipped in the bathroom and hit the back of the head? On July 22, I went on a two-day pilgrimage. On the first night, I slipped and fell in the bathroom, hitting the back of my head. I went to Asia University Hospital for evaluation and was diagnosed with a mild concussion. Three...
Dr. Zhang Junwei Reply:
It has been a month, and the likelihood of a brain hemorrhage is low. However, if discomfort persists, it is advisable to seek treatment at a neurosurgery outpatient clinic.[Read More] Understanding Post-Concussion Symptoms After a Bathroom Fall
How Long Does Head Pain Last After a Bump? Insights from Neurosurgery
How long will the headache last after hitting the head? Hello, doctor. I would like to ask about my head injury. I bumped the top of my head against a door, and for the first two to three days, I applied ice followed by heat. There was no swelling at the impact site. During the d...
Dr. Zhao Shaoqing Reply:
Hello: Most symptoms will change around January, and some may persist for about a year. You can visit the outpatient clinic at Changhua Hospital for further evaluation.[Read More] How Long Does Head Pain Last After a Bump? Insights from Neurosurgery
Understanding Stroke and Spinal Cord Injury in ICU Patients
Currently in the intensive care unit, experiencing a stroke affecting the right side of the body, with spinal cord injury? Hello, currently in the intensive care unit, the patient has suffered a stroke affecting the right side of the body, with right pupil dilation and cerebellar...
Dr. Lai Zhaokang Reply:
Hello: If a malignant tumor has invaded the brain, including the cerebrum and cerebellum, and there is unilateral pupil dilation, along with a craniotomy for decompression already performed... the patient's condition is actually quite pessimistic, and the chances of recovery...[Read More] Understanding Stroke and Spinal Cord Injury in ICU Patients
Understanding Thoracic Disc Herniation and Scoliosis: What You Need to Know
Thoracic disc herniation and scoliosis? Hello Doctor, three years ago I was diagnosed with a tumor in my thoracic spine during examinations for another specialty, which was confirmed as a benign hemangioma through MRI. Recently, a follow-up MRI showed no changes in the hemangioma...
Dr. Lai Zhaokang Reply:
Hello: 1. As we age, natural aging will occur. 2. Avoid slouching, bending over to lift heavy objects, keep your head up and chest out, engage in more stretching exercises, or consider activities like hanging from a pull-up bar or swimming, or consult a physical therapist for per...[Read More] Understanding Thoracic Disc Herniation and Scoliosis: What You Need to Know