Head, Neurosurgery FAQ - Page 32

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Head Injury from Door Frame: When to Seek Medical Attention?

Hit the head on the door frame? Hello Doctor, about two to three years ago, I hit my head on a door frame. At that time, I didn't pay much attention to it, and it healed on its own after a while. However, at the end of October (last month), I hit the same spot again. I didn&...


Dr. Zhang Yuanyi Reply:
Generally, after a head injury, common symptoms include headache and dizziness; the duration of these symptoms can vary from person to person. If the severity or frequency of dizziness increases, or if there are accompanying symptoms such as vomiting, limb weakness, or difficulty...

[Read More] Head Injury from Door Frame: When to Seek Medical Attention?


Understanding Peripheral Vestibular Dizziness: Causes and Concerns

Peripheral vertigo Yesterday morning, I suddenly experienced dizziness and vomiting upon waking up. I went to the emergency room, and the doctor said it was peripheral vertigo. Is there really such a medical term? What could cause these symptoms (I had a head injury about 7 years...


Dr. Qiu Yushu Reply:
Hello: Based on what you described, it seems to be an inner ear issue, specifically "Meniere's disease." If the symptoms persist, you should visit an otolaryngology clinic.

[Read More] Understanding Peripheral Vestibular Dizziness: Causes and Concerns


Managing Subdural Hematoma in Patients with Liver Disease: A Complex Case

Subdural hematoma Hello Dr. Ding, The patient is diagnosed with liver cancer, cirrhosis, thrombocytopenia, splenomegaly, and a subdural hematoma. Last year, the patient was found to have a subdural hematoma due to altered mental status and underwent a splenectomy, which was uns...


Dr. Ding Xianwei Reply:
Dear You: This situation can be divided into two parts. The first is the issue of headaches. If the subdural hematoma has been present for a long time and the CT scan shows that the hematoma is no longer visible, then this is a matter of sequelae, and only symptomatic treatment c...

[Read More] Managing Subdural Hematoma in Patients with Liver Disease: A Complex Case


Understanding Bouncing Head Sensations: Possible Neurological Causes

Head bump I feel like my entire head is covered by a layer of skin, with a bouncing sensation. Sometimes my scalp itches, I have difficulty hearing, and my eyelids feel heavy. I'm not sure what the cause of this is.


Dr. Ding Xianwei Reply:
Dear Gang: I recommend that you first consult with an ENT specialist regarding your hearing loss, and then proceed with further evaluation and treatment from neurosurgeon Dr. Ding Hsien-Wei. Respectfully,

[Read More] Understanding Bouncing Head Sensations: Possible Neurological Causes


Understanding Neck Pain: Causes, Symptoms, and When to Seek MRI

Cervical spine pain Hello, Doctor. In the past year or two, I have been experiencing significant pain, stiffness, and pulling sensations from my head down to my neck and back, particularly noticeable in my face and ears. Initially, during high school, I often felt stiffness in my...


Dr. Qiu Yushu Reply:
Hello: It is recommended to first undergo a physical examination at the outpatient clinic to determine whether an MRI is necessary. Best wishes, Dr. Yu-Shu Chiu.

[Read More] Understanding Neck Pain: Causes, Symptoms, and When to Seek MRI


Severe Neck Pain at Work: Understanding Disc Herniation and Treatment Options

Sudden severe stabbing pain in the neck while at work? Hello, I have been working as a delivery driver for a shipping company for two years. About a year ago, in August 2005, shortly after I joined the company (around 3-4 months in), I suddenly experienced severe neck pain while ...


Dr. Qiu Yushu Reply:
Hello: Based on your description, it is indeed a case of cervical disc herniation. If the imaging studies show significant symptoms, surgical treatment may be necessary. Whether this is classified as an occupational injury is something I cannot answer; it is not related to a spec...

[Read More] Severe Neck Pain at Work: Understanding Disc Herniation and Treatment Options


Is There a Connection Between Cervical Spine Issues and Sudden Hearing Loss?

Is there a relationship between hearing loss and cervical spine issues? Hello Doctor, I experienced sudden sensorineural hearing loss on October 13th last year. I visited hospitals including Tri-Service General Hospital, National Taiwan University Hospital, and Chang Gung Memoria...


Dr. Qiu Yushu Reply:
Hello: Sudden hearing loss is generally not related to cervical spine issues; it is usually due to vascular problems (similar to a stroke) and is considered an emergency in otolaryngology, requiring urgent treatment. There are many causes of headaches, and it cannot be determined...

[Read More] Is There a Connection Between Cervical Spine Issues and Sudden Hearing Loss?


Understanding Hemorrhagic Stroke: A Family's Journey Through Crisis

Hemorrhagic stroke Dear Dr. Ding, My mother suffered a hemorrhagic stroke on February 14. At the nursing station, I saw my father signing the physician's critical condition notice. My father mentioned that she was still asking him for tissue when she arrived at the hospital...


Dr. Ding Xianwei Reply:
Hello: If a patient can survive the critical period of one week after a hemorrhagic stroke, generally speaking, the chances of survival are higher. Your mother may have experienced an intracranial hemorrhage due to anticoagulant therapy, which is inherently a double-edged sword. ...

[Read More] Understanding Hemorrhagic Stroke: A Family's Journey Through Crisis


Should You Seek Medical Attention After a Head Injury in Basketball?

The back of the head struck the floor? Two days ago, while playing basketball, I was tripped during a layup and hit the back of my head on the floor. The impact wasn't too severe, as my lower body helped to support me. However, I started to experience a slight headache, a mi...


Dr. Ding Xianwei Reply:
Hello: If there is no loss of consciousness, generally, observation is sufficient. The symptoms you mentioned are more indicative of post-traumatic effects from a head injury. If you are still concerned, it is advisable to seek medical attention. Sincerely, Dr. Ding Hsien-Wei, Ne...

[Read More] Should You Seek Medical Attention After a Head Injury in Basketball?


Understanding Post-Trauma Neurological Symptoms: When to See a Specialist

Brain..? Hello doctor, I have a question. I was in a car accident in the past, and the physician issued a report stating: head trauma, cerebral edema, subarachnoid hemorrhage, and atlantoaxial dislocation without associated nerve root paralysis. It has been quite some time since ...


Dr. Qiu Yushu Reply:
Please visit the neurosurgery outpatient clinic. Dr. Yu-Shu Chiu.

[Read More] Understanding Post-Trauma Neurological Symptoms: When to See a Specialist


Understanding Post-Surgery Care for Infants with Dural Hemorrhage

Right-sided subdural hematoma? Hello Dr. Ding, My son, who is over 4 months old, underwent emergency surgery on October 27 due to a right-sided subdural hematoma. He was discharged on November 6 and is already able to wash his hair. While he was in the intensive care unit, he ex...


Dr. Ding Xianwei Reply:
Hello: The question you asked is a bit premature. Generally speaking, after a traumatic brain injury, there can sometimes be residual effects, with the most concerning being seizures. Therefore, the physician has prescribed you antiepileptic medication. It is currently unknown ho...

[Read More] Understanding Post-Surgery Care for Infants with Dural Hemorrhage


Understanding Post-Head Injury Swelling in Children: What to Know

Swelling after a head injury? My daughter (7 years old) bumped the back of her head while playing two weeks ago. That day, it was red, swollen, and painful. Three days later, since she felt a slight bulge at the injury site and it was still painful when pressed lightly, I took he...


Dr. Ding Xianwei Reply:
Hello: We recommend that you take her to our neurosurgery outpatient clinic for better assistance. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.

[Read More] Understanding Post-Head Injury Swelling in Children: What to Know


Understanding Dents in the Back of the Head: Causes and Concerns

There is a depression in the occipital region? Hello, doctor. Yesterday I suddenly noticed a shallow small dent in the back of my head. This area had a fall while ice skating about a year ago, and it hurts when I press on it. Could this be related? Can bones get dented from a fal...


Dr. Qiu Yushu Reply:
Hello: The occipital bone is quite thick, so it is unlikely to be depressed from a fall. However, it is best to have a check-up at the hospital. Best wishes, Dr. Chiu Yu-Shu.

[Read More] Understanding Dents in the Back of the Head: Causes and Concerns


Understanding Anxiety and Fatigue: A Journey Through Neurological Concerns

I'm not sure which department to see? Hello, doctor. Since my freshman year, I have been playing on the computer for an average of about 15 hours a day, and I often stay up late, sometimes going two or three days without sleep. I also binge on late-night snacks, and my weigh...


Dr. Qiu Yushu Reply:
Hello: Based on what you have mentioned, I think it would be beneficial for you to consult with a psychiatrist for a thorough discussion. Best wishes, Dr. Yu-Shu Chiu.

[Read More] Understanding Anxiety and Fatigue: A Journey Through Neurological Concerns


Is Dizziness After Epidural Hematoma Surgery Normal? When to Seek Help

Dizziness I would like to ask, I previously had an epidural hematoma due to a car accident and underwent surgery to remove the blood clot. It has been about a year since then. I experience dizziness approximately 4 to 5 times a month, and it always occurs in the morning upon waki...


Dr. Ding Xianwei Reply:
Hello: This is likely a post-traumatic sequela following a head injury. Typically, symptoms will improve over time; however, about 5% of patients may experience sequelae that affect their quality of life. It is recommended that you visit a hospital for evaluation and follow the p...

[Read More] Is Dizziness After Epidural Hematoma Surgery Normal? When to Seek Help


Head Injury Concerns: When to See a Neurosurgeon After Trauma

Head trauma Hello, I would like to ask about an incident that occurred three days ago. I was hit on the right front side of my head by an acrylic panel that fell from the ceiling of a restaurant. After being taken to the hospital, I had two steel staples placed in my scalp. Since...


Dr. Ding Xianwei Reply:
Hello: If you are only concerned about allergic reactions to contrast agents, you can opt for examinations that do not require contrast. However, you may go directly to the neurosurgery department for further consultation. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.

[Read More] Head Injury Concerns: When to See a Neurosurgeon After Trauma


Understanding Post-Concussion Symptoms: What to Watch For After a Head Injury

Concussion Hello Doctor: At the end of last month, I was in a car accident and hit my head, losing consciousness at the scene. My friends tried to wake me for a long time, and it was only when the person responsible for the accident picked me up that I slowly regained consciousne...


Dr. Ding Xianwei Reply:
Hello: The symptoms you mentioned could potentially be sequelae. However, numbness in the hands and neck pain may indicate a cervical spine injury. It is still necessary to have a personal consultation for a better diagnosis. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.

[Read More] Understanding Post-Concussion Symptoms: What to Watch For After a Head Injury


Understanding Eye and Brow Pain: Causes and Solutions

There is significant soreness around the eye socket? Your spouse often experiences soreness around the eyes and brow area after work or watching television, and feels the need to massage these areas vigorously for relief. This could be a sign of eye strain, also known as asthenop...


Dr. Qiu Yushu Reply:
Hello: Please have the gentleman undergo an ophthalmic examination to check if his intraocular pressure is elevated. Dr. Yu-Shu Chiu.

[Read More] Understanding Eye and Brow Pain: Causes and Solutions


Understanding Sudden Head Pain and Swelling: When to Seek Help

Swelling on the head with throbbing pain? On April 23, I suddenly experienced sharp pain in my head. By April 24, it returned to normal. Around April 26 and 27, the sharp pain started again, and I noticed a small bump on the top of my head at the site of the pain. The forehead ar...


Dr. Qiu Yushu Reply:
Hello: Tumors rarely grow rapidly within a few days, but based on your description, it is difficult to determine your exact condition. I recommend discussing this further with your physician or asking them for a referral for further evaluation. Thank you, Dr. Hong Hsu-Yi.

[Read More] Understanding Sudden Head Pain and Swelling: When to Seek Help


Understanding Neurological Symptoms After Medication Withdrawal

Feeling a bit off mentally? Doctor: I have been on medication at Chang Gung Memorial Hospital's psychiatry department for over two years, receiving long-acting injections every four weeks and taking two pills. However, I have stopped the medication for seven days, and I feel...


Dr. Ding Xianwei Reply:
Hello: Your symptoms are likely related to your psychiatric treatment. It is recommended that you follow up with your psychiatrist. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.

[Read More] Understanding Neurological Symptoms After Medication Withdrawal


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