Understanding Hearing Loss After Brain Injury: Causes and Treatment Options
Hearing impairment caused by brain injury? Hello Dr. Chang, my father is 72 years old and suffered a left brain injury due to a fall. He has been discharged from the hospital, but he is experiencing hearing loss in his left ear. He describes that if the surrounding noise is a bit...
Dr. Zhang Junwei Reply:
Hello Gloria: Head trauma can sometimes be associated with hearing loss. Please have a detailed examination by an otolaryngologist to ensure there are no injuries to the eardrum or other parts of the ear before reasonably suspecting that it is related to brain nerve damage. Howev...[Read More] Understanding Hearing Loss After Brain Injury: Causes and Treatment Options
Is a 0.6 cm Changing Mole on My Scalp a Cause for Concern?
A 0.6 cm mole has been found on the scalp, and it has changed color? Today, a friend noticed a large mole on the top of my head, near the back of my skull. It has a diameter of about 0.6 centimeters, with a brownish outer edge and a black center that is neither raised nor sunken....
Dr. Zheng Zhong Reply:
You need to see a neurosurgery or plastic surgery outpatient clinic. A direct examination is necessary for diagnosis. Thank you.[Read More] Is a 0.6 cm Changing Mole on My Scalp a Cause for Concern?
Understanding Concussion Symptoms and Long-Term Effects After Head Injury
Concussion I would like to ask the doctor about an incident that occurred at the end of December when I was hit in the head while playing softball. At the moment of impact, I felt a sharp pain, but I was able to stand and move, and my consciousness was clear. I only felt slight s...
Dr. Ding Xianwei Reply:
A concussion is defined as a loss of consciousness lasting at least 10 minutes; therefore, you do not have a concussion. After a head injury, it is common to experience symptoms such as dizziness, headaches, and memory impairment as residual effects. Your symptoms are indeed resi...[Read More] Understanding Concussion Symptoms and Long-Term Effects After Head Injury
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
Persistent Dizziness After Head Injury: When to Seek Medical Imaging?
Head trauma has resulted in dizziness persisting for over a week? Hello, doctor: My father (almost sixty years old) was struck on the left side of his head by a golf club about ten days ago. He went to the emergency room that day, and the hospital said he could go home for observ...
Dr. Ding Xianwei Reply:
Generally, the sequelae of head trauma include dizziness and headaches, which may persist for three to five months. Therefore, it is possible that your father is currently experiencing the aftereffects of head trauma. If he is only experiencing dizziness and has no other symptoms...[Read More] Persistent Dizziness After Head Injury: When to Seek Medical Imaging?
Understanding Post-Surgery Coma and Brain Injury Recovery
Coma after brain surgery due to a car accident? My mother was hit by a motorcycle while crossing the street and suffered a severe intracranial hemorrhage. She was urgently taken to the hospital, where the doctor reported extensive bleeding and significant edema in the posterior p...
Dr. Ding Xianwei Reply:
I'm sorry to hear about your mother's condition, and I hope she can turn her misfortune into good fortune. Generally speaking, in cases of head trauma, if surgery is performed to remove a hematoma, it is likely that the hematoma was compressing the brain, necessitating ...[Read More] Understanding Post-Surgery Coma and Brain Injury Recovery
Understanding Intracranial Hemorrhage and Coma: Hope and Options
Intracranial hemorrhage with coma? Hello doctor, my father-in-law fell from a height of about three meters yesterday and hit the back of his head directly on the ground, resulting in intracranial hemorrhage. He is currently in a coma, with a Glasgow Coma Scale score of 4 and is n...
Dr. Ding Xianwei Reply:
Hello: Due to the lack of complete information regarding your father-in-law's condition, including details about the bleeding and other related data, I can only make general assessments. Therefore, a detailed diagnosis and treatment should be based on the patient's comp...[Read More] Understanding Intracranial Hemorrhage and Coma: Hope and Options
Understanding Intracranial Hemorrhage: Causes, Risks, and Safety Concerns
Medical consultation Hello, Doctor: I would like to consult a specialist regarding the following questions: 1. What is ventricular hemorrhage? What is intracerebral hemorrhage? 2. If both ventricular hemorrhage and intracerebral hemorrhage are diagnosed simultaneously, what cou...
Dr. Zhang Yuanyi Reply:
Dear Mr. Cheng: Hello, (1) The ventricles are cavities within the brain that contain cerebrospinal fluid; bleeding within these cavities is referred to as ventricular hemorrhage, while intracerebral hemorrhage refers to bleeding within the brain tissue itself. (2) The simultane...[Read More] Understanding Intracranial Hemorrhage: Causes, Risks, and Safety Concerns
Post-Concussion Care: Key Considerations After Intracranial Hemorrhage
excuse me? After experiencing intracranial hemorrhage, there are several important considerations to keep in mind during recovery. Since the injury occurred from a fall while riding a bike, and there was a reported hematoma of nearly 1 cm, likely a subdural hematoma, it is crucia...
Dr. Zhang Yuanyi Reply:
Hello, 1. How long does it take for the bleeding to be absorbed by the body? Will it be completely absorbed? → It can take anywhere from 1 to 3 months, and it is possible for it to be completely absorbed. 2. He experienced headaches a few days ago, but not recently. Could thi...[Read More] Post-Concussion Care: Key Considerations After Intracranial Hemorrhage
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
Recovering from Skull Base Fracture: Tips for Healing and Support
Basilar skull fracture Dear Dr. Hsieh, I have suffered a skull base fracture and was in a coma for about 7 days. It took around 20 days for me to fully regain consciousness and recognize people, with only some vague memories. Now, nearly 3 months have passed, and I am recovering...
Dr. Xie Bojun Reply:
Hello, Xiao Gui: 1. Since you do not have a CT scan report of the brain, your diagnosis based on your complaints is a skull base fracture, possibly accompanied by mild to moderate concussion (due to your loss of consciousness). Recovery from brain injuries typically takes longer...[Read More] Recovering from Skull Base Fracture: Tips for Healing and Support
Choosing Between Surgery and Gamma Knife for AVM Treatment: A Patient's Dilemma
Concerns about surgery or gamma knife treatment? I was hospitalized at the end of December last year due to bleeding from an arteriovenous malformation. At that time, the doctor administered medication to reduce intracranial pressure. After I regained consciousness, I noticed tha...
Dr. Ding Xianwei Reply:
Since you have not provided detailed information about the arteriovenous malformation, I am currently unable to offer specific advice. Generally speaking, the complications associated with embolization are fewer; however, there is a risk of rebleeding within one to two years afte...[Read More] Choosing Between Surgery and Gamma Knife for AVM Treatment: A Patient's Dilemma
Are Flashing Lights in Vision Linked to Arteriovenous Malformation?
Is the presence of persistent flashes of light related to arteriovenous malformations? Hello, Doctor! I was hospitalized last December due to bleeding from an arteriovenous malformation. After receiving medication to lower intracranial pressure, I regained consciousness, but my l...
Dr. Zheng Zhong Reply:
After gamma knife radiosurgery for arteriovenous malformations (AVMs), it typically takes about 2-3 years (depending on the size of the malformation) for the abnormal blood vessels to undergo embolization, eliminating the risk of bleeding. You discovered the cerebrovascular abnor...[Read More] Are Flashing Lights in Vision Linked to Arteriovenous Malformation?
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
After a Fall: Understanding Head Injuries and When to Seek Help
Slipped and hit the back of the head? Hello, my husband slipped on a thin layer of ice on an asphalt road and fell, hitting the back of his head hard against the ground. I immediately called out to him, but he did not respond at all. I saw him lying on the ground with his eyes wi...
Dr. Ding Xianwei Reply:
The patient should be taken directly to the emergency room for evaluation and management. The attending specialist will assess the situation and provide the best possible care.[Read More] After a Fall: Understanding Head Injuries and When to Seek Help
Understanding Hydrocephalus Surgery: Options and Risks Explained
Surgical Methods for Hydrocephalus Hello Dr. Chang! My father is 70 years old and was previously paralyzed in bed due to a stroke. He currently has hydrocephalus (which existed before the stroke but was untreated due to the stroke) and is experiencing seizures. He is taking antic...
Dr. Zhang Yuanyi Reply:
Hello, Miss Chun-Ying. It is commonly said that hydrocephalus can occur in two situations: one is ventricular enlargement leading to hydrocephalus, and the other is subdural hematoma. The surgical approach for the former involves the placement of a ventriculoperitoneal shunt, wit...[Read More] Understanding Hydrocephalus Surgery: Options and Risks Explained
Understanding Subdural Hematoma: Insights and Prognosis After Brain Injury
Subdural hematoma Dear Dr. Ding, My father is 54 years old. On December 13, he fell from a 2-foot high ladder, landing on his left side. He was conscious during the fall and attempted to speak but was unable to. He even tried to get up. When the ambulance arrived, the paramedics...
Dr. Ding Xianwei Reply:
I apologize, your questions are quite complex, so I will provide an introduction based on my personal experience regarding your inquiries: 1. Given the current condition of my father, can he be classified as a persistent vegetative state (PVS) or does it require several months f...[Read More] Understanding Subdural Hematoma: Insights and Prognosis After Brain Injury
Understanding Intracranial Noises: Potential Neurological Conditions Explained
Intracranial noise Hello, could you please tell me what diseases might cause intracranial noises in my head? PS: It's not auditory hallucinations and there are no ENT-related issues. Thank you for your clarification!
Dr. Ding Xianwei Reply:
Your issue may require an in-person consultation to resolve. My guess is that your skull might have some unique characteristics that increase resonance. This is the only explanation I can think of at the moment.[Read More] Understanding Intracranial Noises: Potential Neurological Conditions Explained
Understanding Whiplash Injuries: Symptoms, Diagnosis, and Treatment Options
Whiplash injury? Hello Dr. Chiu, I would like to ask the following questions. On September 24th, while I was waiting at a red light with both feet on the ground, someone ran the red light and hit me from the left rear. The car did not overturn, but it was damaged. Since both of m...
Dr. Qiu Yushu Reply:
Please copy the MRI images and schedule an appointment with neurosurgeons Dr. Cheng Zhong or Dr. Hong Xu-Yi for further examination and evaluation.[Read More] Understanding Whiplash Injuries: Symptoms, Diagnosis, and Treatment Options
Understanding Pituitary Tumors: Symptoms, Diagnosis, and Treatment Options
Pituitary tumor Hello Dr. Ding: I underwent an MRI examination... In September, the results indicated a pituitary tumor (the January examination showed pituitary hyperplasia). The neurologist mentioned that there is slight pressure on the optic nerve and the vomiting center. My p...
Dr. Ding Xianwei Reply:
If your prolactin level is only 88, it is possible that your pituitary tumor is not very large. However, without seeing your MRI, I cannot provide a well-informed recommendation. Symptoms such as dizziness, headaches, nausea, and weakness in the hands are not always necessarily c...[Read More] Understanding Pituitary Tumors: Symptoms, Diagnosis, and Treatment Options