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 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
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
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?
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
Understanding Headaches After Meningioma Surgery: Insights and Solutions
Headache Hello, Director: I underwent surgery two years ago for multiple meningiomas. Due to the size and depth of the sellar meningioma, it was removed in two stages: first, the majority was excised, and then I underwent stereotactic radiosurgery. In April, an MRI showed a reduc...
Dr. Zheng Zhong Reply:
Common types of headaches include tension-type headaches and migraines. You have multiple meningiomas, but they are all small, which should not cause headaches due to increased intracranial pressure. However, tumors in the sella turcica (which should be referred to as the sphenoi...[Read More] Understanding Headaches After Meningioma Surgery: Insights and Solutions
Why Sleeping on Your Back Might Be Harmful: A Neurosurgical Perspective
It is not advisable to sleep on your back? Thank you, doctor, for taking the time to answer my questions. Two years ago, I had a habit of sleeping on my back, which allowed me to fall asleep easily. Recently, I have changed my sleeping habits and now sleep on my side. As a result...
Dr. Zhang Yuanyi Reply:
Dear Cats: In response to your inquiry, please find the following: 1. Uncertain. 2. Cervical spine issues are also a possibility. At this moment, it is not possible to determine the need for examination based solely on the description of the problem. Please visit a nearby outpati...[Read More] Why Sleeping on Your Back Might Be Harmful: A Neurosurgical Perspective
Understanding Left-Sided Pain: When to See a Neurosurgeon
Left-sided pain issues? Hello Dr. Cheng, I would like to consult you regarding the issue of "left-sided pain." My mother is 56 years old and has been experiencing body pain for the past year. The areas where she feels pain include her neck, back, lower back, calves, an...
Dr. Zheng Zhong Reply:
Your mother is experiencing pain that ranges from her neck and back down to her lower limbs, and it is localized to the left side of her body. If the pain is caused by neuropathy, the issue may be in the brain or neck; however, brain lesions are often accompanied by headaches, di...[Read More] Understanding Left-Sided Pain: When to See a Neurosurgeon
Persistent Headache After a Fall: When to Seek Medical Attention?
Headache Hello: I have been experiencing persistent headaches for almost a week after slipping down the stairs. Should I seek medical attention? The pain is only severe when I move my head; otherwise, it feels dull and not as intense. Thank you!
Dr. Qiu Yushu Reply:
Hello: If you experience headaches that cause you concern and affect your daily life, it is best to seek medical evaluation. Best wishes, Dr. Chiu Yu-Shu.[Read More] Persistent Headache After a Fall: When to Seek Medical Attention?
Understanding Headaches: Why Intense Vibrations Cause Pain
Headache Why does the head hurt under strong vibrations? Thank you for your explanation!
Dr. Zhang Yuanyi Reply:
Dear Xiao Zhen: The phenomenon may arise from the meninges, periosteum, muscles, bones, etc., making it impossible to determine whether it is normal or abnormal. Wishing you peace and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Taoyuan Ge...[Read More] Understanding Headaches: Why Intense Vibrations Cause Pain
Understanding Cerebral Vascular Abnormalities: When to Seek Medical Advice
Cerebrovascular abnormalities Hello Dr. Chang: I have experienced unexplained headaches since childhood. In my third year of junior high, I underwent an MRI, and the doctor told me I had "cerebral vascular abnormalities." He said as long as I avoid strenuous exercise, t...
Dr. Zhang Yuanyi Reply:
Please have the physician review the images again and inform them of any new symptoms. Generally, abnormalities in cerebral blood vessels should be evaluated with MRI or angiography as needed. It is not possible to confirm any issues through this correspondence. Sincerely, Dr. Ch...[Read More] Understanding Cerebral Vascular Abnormalities: When to Seek Medical Advice
Understanding Hard Bumps on the Back of the Head: When to Seek Help
Occipital bone lump Hello, a family member has had a hard, protruding area at the lower left back of the head (near the neck) for many years, which they thought was just a prominent skull feature since it wasn't painful. However, they recently noticed that the protrusion has...
Dr. Qiu Yushu Reply:
Hello, please visit the neurosurgery outpatient clinic for examination. Best wishes, Dr. Yu-Shu Chiu.[Read More] Understanding Hard Bumps on the Back of the Head: When to Seek Help
Understanding Parlodel Side Effects and Alternatives for Pituitary Tumors
Parlodel medication Taking one tablet of Parlodel daily to treat a 0.2 cm pituitary tumor can cause side effects such as dizziness, nausea, nasal congestion, and rapid heartbeat. These are considered common side effects. There are alternative medications available, and it may be ...
Dr. Zhang Yuanyi Reply:
Parlodel may have side effects such as nausea, vomiting, abdominal pain, dizziness, facial flushing, orthostatic hypotension, insomnia, headache, nasal congestion, tinnitus, and abnormal liver function. The usual dosage of Parlodel is 2.5 mg, with a recommended daily dose of 2.5 ...[Read More] Understanding Parlodel Side Effects and Alternatives for Pituitary Tumors
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?
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
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?
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-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