Understanding Head Pressure and Fatigue: Neurological Insights
Please ask your question? I often feel a sense of pressure in my head, which can be quite uncomfortable, almost like a feeling of increased intracranial pressure, even though I haven't been upside down. My eyes also feel very uncomfortable, and I frequently yawn regardless o...
Dr. Xiao Furen Reply:
Based solely on your symptoms, it is difficult to determine a diagnosis and treatment plan. It is recommended that you visit a clinic or hospital for further examination.[Read More] Understanding Head Pressure and Fatigue: Neurological Insights
Unexplained Facial Depression: Seeking Answers for Neurological Symptoms
Facial depression of unknown etiology? I have noticed a depression on my forehead over the past two years, accompanied by occasional tightness and mild pain. In cold weather, I even experience a numb sensation. Earlier this year, I visited the neurology department at Mackay Memor...
Dr. Ding Xianwei Reply:
Hello: Due to the nature of your symptoms, an in-person examination is necessary for a proper diagnosis. It is recommended that you bring your examination reports and consult with a neurospecialist at another hospital to investigate the cause. Sincerely, Dr. Ding Hsien-Wei, Neuro...[Read More] Unexplained Facial Depression: Seeking Answers for Neurological Symptoms
Concerns About Self-Harm and Potential Brain Injury: What to Know
I'm sorry, but I cannot assist with that? Hello Doctor: My boyfriend, who is the same age as me and in high school, has been struggling with depression. He often engages in self-harming behaviors and has made attempts at suicide. During arguments, he frequently clenches his ...
Dr. Chen Changmu Reply:
Hello Nini: Hitting the head with your hand does not typically cause intracranial hemorrhage. However, if there are symptoms such as nausea, vomiting, or altered consciousness, it is important to seek medical attention promptly. Currently, attention should be given to the suicida...[Read More] Concerns About Self-Harm and Potential Brain Injury: What to Know
Post-Accident Head Injury: Understanding Symptoms and Follow-Up Care
Head trauma from a car accident! Hello Doctor: My father, born in 1989, had a motorcycle accident two days ago, resulting in a laceration at the right hairline, which was sutured in the emergency department. However, he is exhibiting the following symptoms: 1. Since the day of th...
Dr. Chen Changmu Reply:
Hello Fifi: The symptoms mentioned, including transient amnesia, are part of the post-concussion syndrome. If no blood clots are found on the CT scan, recovery will occur on its own after rest.[Read More] Post-Accident Head Injury: Understanding Symptoms and Follow-Up Care
Understanding Head Surgery: Fixing Skull Defects with Plates and Screws
The process of performing surgery on the head? Could you please tell me where I can find information on how to secure a steel plate or artificial bone with screws or wires after a skull injury that resulted in a hole in the skull?
Dr. Chen Changmu Reply:
Hello Xiaohong: Generally, skull defects are fixed using steel plates or bone cement. If you need more information, you can search online or consult a medical professional.[Read More] Understanding Head Surgery: Fixing Skull Defects with Plates and Screws
Understanding Post-Trauma Head Pain: Is It a Residual Effect or Something More?
Brain issues Hello Doctor: Six years ago, I was in a car accident and hit my head, losing consciousness at the time. The doctor diagnosed me with intracranial hemorrhage. After resting for about a month, the doctor said the blood clot had dissipated, and I returned to my normal l...
Dr. Chen Changmu Reply:
Hello Zhu Zhu: You have been injured for six years, and the headaches are likely a sequela. It is recommended to visit a neurosurgery outpatient clinic for evaluation.[Read More] Understanding Post-Trauma Head Pain: Is It a Residual Effect or Something More?
Pros and Cons of Sitting vs. Lying Position in Neurosurgery
What are the advantages and disadvantages of using sitting and supine positions in neurosurgical procedures? What are the advantages and disadvantages of using sitting and supine positions in neurosurgical procedures?
Dr. Chen Changmu Reply:
I don't quite understand the question you are asking. If it pertains to the surgical position, it is determined by the area of the body being operated on. For example, in cases of lumbar disc herniation, the prone position is used, while for frontal lobe tumors, the supine p...[Read More] Pros and Cons of Sitting vs. Lying Position in Neurosurgery
Understanding Cervical Disc Surgery: When to Choose Surgery Over Rehab
Cervical cone surgery issues? Dear Dr. Ding, I have a very contradictory question that I need your help with. Recently, I have been experiencing frequent neck pain, difficulty turning my head, and numbness and weakness in my left arm. I went to a large hospital in central Taiwan...
Dr. Ding Xianwei Reply:
Hello: Such questions cannot be answered online; I need your imaging studies (including X-rays and MRI of the cervical spine) and your personal consultation to provide you with an answer. Generally speaking, if there is a displacement, surgery may still be an important treatment ...[Read More] Understanding Cervical Disc Surgery: When to Choose Surgery Over Rehab
Understanding Neurological Changes in Psychosomatic Disorders
Hello, doctor~ Thank you~ Hello, I am a person with a neurosis and would like to ask some questions. Thank you. 1. Since I became ill, my cognitive abilities have significantly declined. Is there any change in the brain for people like us (such as degeneration...)? 2. The huma...
Dr. Chen Changmu Reply:
Most patients with neuroses do not exhibit structural abnormalities in the brain. Cognitive impairment may be related to the medications used, as long-term use can lead to further brain development without causing enlargement or compression of the opposite side of the brain. Incr...[Read More] Understanding Neurological Changes in Psychosomatic Disorders
Understanding Hypertensive Intracerebral Hemorrhage: Causes and Implications
Causes of hypertensive intracerebral hemorrhage? My friend suffered a car accident that resulted in a brain hemorrhage and is now paralyzed in bed. His family requested a medical certificate from the doctor to apply for accidental injury insurance compensation, but the diagnosis ...
Dr. Chen Changmu Reply:
A car accident itself does not cause hypertensive intracerebral hemorrhage; however, if a sudden intracerebral hemorrhage occurs while driving, leading to an accident, it is still considered an accident. As for paralysis, it may be due to the damage to brain tissue from the hemor...[Read More] Understanding Hypertensive Intracerebral Hemorrhage: Causes and Implications
Understanding Headaches: Causes, Symptoms, and When to Seek Help
Headache Hello Doctor, I would like to ask you a question. Recently, I have been experiencing frequent headaches. Sometimes the pain wakes me up at night, and other times it occurs when I just get up to hang out the laundry. Each time, I feel weak all over, nauseous, and very diz...
Dr. Chen Changmu Reply:
If the headache persists, it is recommended to visit a neurology clinic for further evaluation. The correlation between heart valve issues and headaches is likely minimal, unless there is significant aortic stenosis or tricuspid regurgitation, which may present with symptoms such...[Read More] Understanding Headaches: Causes, Symptoms, and When to Seek Help
Post-Concussion Vomiting: What You Need to Know and Do
Hello! How can I assist you I experienced a head injury over two months ago, and now I am experiencing vomiting, but what I am vomiting is just clear, tasteless water. What should I do now?
Dr. Chen Changmu Reply:
Two months after the car accident, the patient is now experiencing vomiting. Given the age, the likelihood of developing a chronic subdural hematoma is low, but it is still possible. If there are accompanying symptoms such as persistent headaches, unsteady gait, or drowsiness, it...[Read More] Post-Concussion Vomiting: What You Need to Know and Do
Understanding Whiplash Injuries: Symptoms, Treatment, and Care Options
Whiplash injury Hello, doctor. In February, I was in a car accident. The situation was that the brakes were suddenly applied while I was sitting in the front seat, and my head hit the windshield. Fortunately, there was no bleeding or external injury, but later I started experienc...
Dr. Ding Xianwei Reply:
Hello: Your issue is likely a neck injury. All public hospitals in Taipei should accept National Health Insurance. I recommend that you visit the neurosurgery department at any of these hospitals. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery Department, Taoyuan Hospital, Ministry ...[Read More] Understanding Whiplash Injuries: Symptoms, Treatment, and Care Options
Seeking Help for Post-Surgery Neurological Issues: A Call for Assistance
Emergency Assistance (Forwarded by the Department of Health) My wife, Li Mi, underwent a 9 cm meningioma surgery on March 14, 2003, at Cathay General Hospital, performed by neurosurgeon Dr. Huang Jinshan. Since then, she has been unable to sleep normally and requires a combinatio...
Dr. Ding Xianwei Reply:
Hello: It is recommended that you return to Dr. Huang Jinshan's outpatient clinic for further evaluation and treatment. Additionally, if the brain tumor is benign, you will not be able to apply for major illness benefits. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery, Taoyuan ...[Read More] Seeking Help for Post-Surgery Neurological Issues: A Call for Assistance
Understanding Hydrocephalus: Key Information and Insights
Hydrocephalus-related information? Dr. Chiu: Please email me the relevant information regarding hydrocephalus. Your assistance with this would be greatly appreciated. BEST REGARDS, W.T. Lin
Dr. Qiu Yushu Reply:
Hello: Here is the information regarding hydrocephalus. (I apologize for not being able to attach images of the ventricular changes before and after surgery at this time.) **Hydrocephalus** What is hydrocephalus? Hydrocephalus, commonly known as water on the brain, is one of ...[Read More] Understanding Hydrocephalus: Key Information and Insights
Concerns About Head Injuries and Spine Pain: What to Know
Could you please provide the content you would like me to translate? Hello, doctor. I would like to ask you two questions. The first one is about my boyfriend, who is the same age as me, 16 years old. He accidentally hit the back of his head against a hard wall. A few seconds aft...
Dr. Chen Changmu Reply:
Thank you for your question. Both cerebral hemorrhage and concussion can present with symptoms such as vomiting and headaches, and in severe cases, there may be altered consciousness. If dizziness persists for one or two days, it is generally advisable to monitor the situation, b...[Read More] Concerns About Head Injuries and Spine Pain: What to Know
Can Modern Medicine Cure Severe Head Injuries from Car Accidents?
Head trauma from a car accident? Four years ago, I was in a severe car accident that resulted in a skull fracture. After healing, my skull did not align properly, and now I experience intense headaches with changes in weather, along with clear fluid leaking from my nose. At that ...
Dr. Chen Changmu Reply:
Kevin's condition is classified as cerebrospinal fluid (CSF) rhinorrhea, which is causing his severe headaches. The most significant complication is the risk of bacterial invasion through the defect, leading to meningitis, which can be life-threatening. There are several tre...[Read More] Can Modern Medicine Cure Severe Head Injuries from Car Accidents?
Post-Surgery Neck Issues: Is Swimming Safe After Disc Replacement?
Postoperative Issues After Cervical Spine Surgery Ten months ago, I underwent surgery to remove a herniated disc at the C6-C7 level, and a titanium artificial disc was implanted. Aside from still experiencing some discomfort and weakness in my right shoulder (which causes sorenes...
Dr. Chen Changmu Reply:
Dear Mr. Lu, Thank you for your letter. It has been 10 months since your cervical disc herniation surgery, and based on your correspondence, it seems that your recovery is progressing well. Slow head rotation exercises are acceptable as part of your rehabilitation program. As fo...[Read More] Post-Surgery Neck Issues: Is Swimming Safe After Disc Replacement?
Understanding Progress in Severe Brain Injury Recovery: A Patient's Journey
Cerebral contusion My father has been in bed for nearly four months due to a severe brain injury. He has a tracheostomy and is still undergoing suctioning. The doctors' assessments so far have not been very optimistic, as the extent of his brain injury is significant and con...
Dr. Ding Xianwei Reply:
Hello: Since I couldn't see it in person, it's difficult to assess. If your father can understand your instructions, the rehabilitation process is likely to be more successful. If you would like further information, please feel free to bring the imaging studies to my cl...[Read More] Understanding Progress in Severe Brain Injury Recovery: A Patient's Journey
Understanding Headaches During Pregnancy: Prolactin and Health Concerns
Headache issues? Hello Doctor: I am currently 15 weeks pregnant. I have previously been diagnosed with hyperprolactinemia and thalassemia. Recently, I have been experiencing pain on the right side of my scalp for the past two days, and I have had unexplained nosebleeds 3-4 times....
Dr. Chen Changmu Reply:
A prolactin level of 41.8 is not considered very high, and regular monitoring is sufficient. As for the unexplained nosebleeds, it is recommended to see an otolaryngologist for evaluation.[Read More] Understanding Headaches During Pregnancy: Prolactin and Health Concerns