Understanding Long-Term Effects of Intracranial Hemorrhage
What are the sequelae of intracranial hemorrhage? Hello, Doctor: Over a decade ago, I was inexplicably assaulted by a group of street racers, resulting in intracranial hemorrhage and vomiting blood. I spent two months in the intensive care unit with no significant improvement, an...
Dr. Zhang Junwei Reply:
Theoretically, a brain hemorrhage that occurred over a decade ago should not pose any issues now, and further examinations are not necessary.[Read More] Understanding Long-Term Effects of Intracranial Hemorrhage
Concerns About Head Trauma: Is Skull Fracture Possible?
Head issues Doctor, I apologize for asking what may seem like a silly question. Two days ago, out of anger, I hit my head with my phone. The corner of the phone struck the right frontal bone near the hairline, and immediately, a soft indentation about 0.5 cm in diameter appeared ...
Dr. Zhao Shaoqing Reply:
Hello: You may have a mild concussion causing headaches and dizziness. If these symptoms worsen, you need to seek emergency care for a brain scan. For severe issues with your right ear, please visit an otolaryngologist to check for any bleeding or structural problems. Thank you f...[Read More] Concerns About Head Trauma: Is Skull Fracture Possible?
Head Injury Concerns: When to Seek Medical Attention for Symptoms
Head issues Hello Doctor, on Sunday night, while I was squatting down to place an item, I stood up and accidentally hit the left side of my head against the door of an upper cabinet with some force. It hurt for about five minutes. After checking, there was no visible swelling or ...
Dr. Zhao Shaoqing Reply:
Hello: You may have a mild concussion causing headaches and dizziness. If these symptoms worsen, you need to go to the emergency department for a brain scan. For severe issues with your right ear, you should see an otolaryngologist to check for any bleeding or structural problems...[Read More] Head Injury Concerns: When to Seek Medical Attention for Symptoms
Understanding Scalp Pain After Head Injury: Causes and Remedies
Head issues Hello, Doctor. I have recently noticed a painful area on my scalp that hurts when pressed, but there is no noticeable swelling. Back in early March, I bumped the left side of my head against the door of an overhead cabinet when I stood up from a squatting position. It...
Dr. Zhang Junwei Reply:
Typically, there is swelling and pain at the site of impact, which usually improves within about five days.[Read More] Understanding Scalp Pain After Head Injury: Causes and Remedies
Managing Dizziness and Headaches After Brain Hemorrhage: Treatment Options
Dizziness and headache after a cerebral hemorrhage? Hello, doctor. Last September, I accidentally fell from my balcony in February and was taken to the emergency room. The doctors assessed that the likelihood of survival was extremely low. At that time, the doctors mentioned that...
Dr. Zhang Junwei Reply:
If you experience frequent headaches accompanied by facial flushing or tinnitus, it is advisable to return to the neurosurgery outpatient clinic for a detailed examination, as sometimes brain hemorrhages or injuries can lead to structural abnormalities in the brain.[Read More] Managing Dizziness and Headaches After Brain Hemorrhage: Treatment Options
Is It Normal to Experience Head and Shoulder Pain After a Head Injury?
Head struck against the wall? Hello Doctor: I bumped the right side of my head against a wall on October 11th. It wasn't very painful on the day of the incident or the following day, but starting on October 13th, I've been experiencing pain from the right side of my hea...
Dr. Lai Zhaokang Reply:
Hello, you may have a cervical spine issue. If it persists for 1-2 weeks, it is advisable to consult a neurosurgeon. Best wishes to you from Dr. Lai Chao-Kang, the Director of Spine Neurosurgery at Changhua Hospital.[Read More] Is It Normal to Experience Head and Shoulder Pain After a Head Injury?
Child's Head Injury: Understanding Symptoms and When to Seek Help
Bleeding from the back of the head after hitting a stone step? Hello, doctor~~~ My child, who is over 6 years old, fell backward while sitting on the stone steps in Miaoli on October 21 and hit the back of his head, causing bleeding. We performed emergency first aid and called an...
Dr. Zhang Junwei Reply:
The sequelae of head trauma include headaches and dizziness. Children may exhibit decreased energy levels. It is important to closely monitor the child's level of consciousness; if they are lethargic and cannot be awakened, seek medical attention immediately.[Read More] Child's Head Injury: Understanding Symptoms and When to Seek Help
Understanding Post-Traumatic Headaches After Intracranial Hemorrhage
#148189 Response - Intracranial Hemorrhage Sequelae #148189 I have previously asked a question and received a doctor's advice: Essentially, there are sequelae, and it's not that one cannot write; it depends on the physician's professional judgment. I would like to ...
Dr. Zhang Junwei Reply:
I'm sorry, I'm in the south![Read More] Understanding Post-Traumatic Headaches After Intracranial Hemorrhage
Understanding Post-Traumatic Head Injuries: Symptoms and Medical Documentation
Post-traumatic intracranial hemorrhage sequelae following a car accident? Hello, doctor. I was in a car accident four months ago, during which I lost consciousness and have no memory of the incident. The diagnosis was: intracranial hemorrhage; cerebral contusion combined with sku...
Dr. Zhang Junwei Reply:
Basically, having sequelae does not mean one cannot write; it depends on the physician's professional judgment.[Read More] Understanding Post-Traumatic Head Injuries: Symptoms and Medical Documentation
Essential Considerations for Ventriculoperitoneal Shunt and Anti-Siphon Devices
I would like to inquire about the special considerations regarding the implantation of adjustable ventriculoperitoneal shunts and anti-siphon devices? Hello! I am a social worker serving individuals with disabilities. Recently, one of my clients has an implanted ventriculoperiton...
Dr. Zhang Junwei Reply:
Strong magnetic materials include powerful magnets (not regular magnets) and devices that generate strong magnetic fields, such as medical MRI machines, but do not include mobile phones or computers. However, areas with strong magnetic fields are usually marked, as otherwise, ite...[Read More] Essential Considerations for Ventriculoperitoneal Shunt and Anti-Siphon Devices
Experiencing Pain Four Years After Head Injury: Should You See a Doctor?
About four years ago, I had a head injury, and now I experience sharp pain? Hello, doctor. About four years ago, I had a motorcycle accident and hit my head. At that time, the doctor evaluated a CT scan and determined there were no issues. However, in recent days, I have been exp...
Dr. Zhang Junwei Reply:
The issues from four years ago should theoretically not cause headaches now; however, if there is persistent headache, it is still advisable to seek medical evaluation.[Read More] Experiencing Pain Four Years After Head Injury: Should You See a Doctor?
Understanding Pituitary Tumors and Post-Surgery Recovery Challenges
Regarding my father's pituitary tumor and related issues? Hello doctor, my father suddenly experienced severe headaches, high fever, and vomiting at the end of last month, which led to an emergency visit. It was discovered that he has a pituitary tumor. After a lumbar punctu...
Dr. Zhang Junwei Reply:
Although I would like to help you, your question is too complex, and without medical history and results from imaging studies such as CT scans, it is really difficult to provide an answer. I recommend scheduling an appointment with your father's attending physician to discus...[Read More] Understanding Pituitary Tumors and Post-Surgery Recovery Challenges
Understanding Head Injuries: Symptoms and Concerns After a Fall
Head issues About three weeks ago, while playing with my puppy, I hurriedly dove into a blanket and hit the top of my head hard. At that moment, it hurt a lot (I was immediately worried about a possible intracranial hemorrhage). Now, I am experiencing some dizziness, hand tremors...
Dr. Zhang Junwei Reply:
Chronic subdural hematoma is very rare in young individuals; I have personally never seen a case in someone under 15 years old, so there is no need to worry too much. However, if you are truly uncomfortable, please schedule an appointment with a neurosurgery clinic for an evaluat...[Read More] Understanding Head Injuries: Symptoms and Concerns After a Fall
Understanding Tarlov Cysts: Symptoms, Risks, and Treatment Options
2 cm Tarlov cyst Hello, I fell while skiing in Korea on February 26, landing on my buttocks. An X-ray taken in Korea indicated a coccygeal fracture. After returning home, I visited an orthopedic specialist and underwent an MRI. The MRI report stated: "Bone marrow edema-like ...
Dr. Zhang Junwei Reply:
Doctors base their recommendations on past experiences. Tarlov cysts may grow larger, but the rate is usually slow, and they may not grow at all. My suggestion is to have regular follow-ups. If the cyst does increase in size or if neurological symptoms worsen, then further interv...[Read More] Understanding Tarlov Cysts: Symptoms, Risks, and Treatment Options
Post-Traumatic Head Injury: When to Seek Further Medical Evaluation
Post-head trauma Doctor: Hello. My father, who is 80 years old, suffered a head injury from a car accident two months ago. He has been regularly visiting Mackay Memorial Hospital for follow-up. Initially, there was a slight amount of intracranial hemorrhage, and the doctor said i...
Dr. Zhang Junwei Reply:
1. If there are no issues after two months, then there is likely nothing to worry about, and theoretically, a CT scan is not necessary. 2. It could possibly be a normal anatomical structure.[Read More] Post-Traumatic Head Injury: When to Seek Further Medical Evaluation
Head Injury Concerns: When to Seek Medical Attention for Symptoms
Head issues? Three weeks ago, I hit my head on the top when I lay down with force. A few days later, I experienced dizziness and visited an ENT specialist, which helped improve my condition. Recently, I have been experiencing hand tremors and tinnitus, along with a dull, tight he...
Dr. Zhang Junwei Reply:
Continuous observation is necessary, as the symptoms of chronic subdural hematoma can vary. If there is no improvement with medication and rest, it is recommended to consult a neurosurgery outpatient clinic for further evaluation.[Read More] Head Injury Concerns: When to Seek Medical Attention for Symptoms
Understanding Brain Injections: Benefits, Risks, and Recovery After Surgery
Cerebrospinal fluid (CSF) shunt, hydrocephalus, brain tumor? Hello Doctor, my father underwent surgery last August due to a ruptured cerebral aneurysm. After the surgery, he developed hydrocephalus and underwent another procedure to have a drainage catheter installed. However, hi...
Dr. Zhang Junwei Reply:
Yes, there is no such thing as a "brain-stabilizing injection" in medicine. For headaches, pain relievers are administered, and for dizziness, antiemetics are given. The term "brain-stabilizing injection" was created to reassure the public.[Read More] Understanding Brain Injections: Benefits, Risks, and Recovery After Surgery
Understanding Post-Concussion Symptoms: When to Seek Medical Attention
Post-concussion syndrome? Hello, doctor. On January 2, 2019, I was involved in a motorcycle accident where I collided with another vehicle, causing me to be thrown off and hit my head. I don't remember whether my knee, buttocks, or head was the first point of impact. I did n...
Dr. Zhang Junwei Reply:
It is important to monitor whether the current symptoms worsen or persist without improvement. Generally, such symptoms tend to improve with adequate rest. If there is no improvement, a consultation with a neurosurgery outpatient clinic should be scheduled for further evaluation ...[Read More] Understanding Post-Concussion Symptoms: When to Seek Medical Attention
Managing Hyperhidrosis: Exploring Anticholinergic Medications and Alternatives
Hyperhidrosis (Excessive Sweating) Hello, Doctor! 1. I have been experiencing palmar and plantar hyperhidrosis for a long time. Currently, I am managing my hand sweating with iontophoresis, but it seems to have compensated with sweating all over my body and feet. I have tried t...
Dr. Lai Zhaokang Reply:
Hello: If you cannot coexist peacefully with hand sweating, you may consider trying medication short-term if you can accept the side effects. After that, reassess and decide whether to pursue long-term management. Wishing you well, Neurosurgeon Dr. Lai Chao-Kang. 1. Glycopyrrola...[Read More] Managing Hyperhidrosis: Exploring Anticholinergic Medications and Alternatives
Understanding Cervical Spine Surgery and Autonomic Nervous System Disorders
Cervical spine surgery (autonomic nervous system dysfunction) Last year, I fell from an aluminum ladder and injured my cervical spine, which led to back pain, headaches, dizziness, tinnitus, insomnia, blurred vision, palpitations, chest tightness, nausea, vomiting, memory loss, a...
Dr. Zhang Junwei Reply:
Without a complete medical history, patient history, and neurological examination, it is difficult to provide an accurate answer. I apologize![Read More] Understanding Cervical Spine Surgery and Autonomic Nervous System Disorders