Recovery Potential for Hemiplegia After Traumatic Brain Injury
The possibility of recovery from hemiplegia? My friend was in a car accident on March 19, where the right side of his brain was directly impacted by a truck. He was urgently taken to the hospital, where he was diagnosed with traumatic intracranial hemorrhage, subdural hematoma, a...
Dr. Ding Xianwei Reply:
Please make sure to do your rehabilitation properly; there will be opportunities.[Read More] Recovery Potential for Hemiplegia After Traumatic Brain Injury
Recovering from Traumatic Brain Injury: Insights on Rehabilitation and Care
Intracranial hemorrhage due to a car accident, right hemisphere surgery? Hello Doctor, my brother was hit by a car while walking on the road early in the morning on April 18th, resulting in a Glasgow Coma Scale score of 4 and intracranial hemorrhage on the right side of his brain...
Dr. Ding Xianwei Reply:
Since your brother's injury has not been more than a month, many of the functions that have not yet recovered are still uncertain regarding how much they can improve. To be honest, recovering from a coma scale of 4 to a level where he can follow commands (as per your descrip...[Read More] Recovering from Traumatic Brain Injury: Insights on Rehabilitation and Care
Is a CT Scan Necessary After a Head Injury? Understanding the Risks
Is there a necessity for a non-contrast CT scan of the brain? Hello Dr. Ding, My brother weighs about 100 kilograms and fell off his bike on a rainy, slippery road. He has a head injury with an external wound measuring approximately 7 to 10 centimeters. When bystanders brought h...
Dr. Ding Xianwei Reply:
If it is an emergency issue, you should go directly to the emergency department for evaluation and treatment by an emergency physician. Since I cannot examine you in person, I can only provide suggestions based on your description. It sounds like you may have experienced a concus...[Read More] Is a CT Scan Necessary After a Head Injury? Understanding the Risks
Post-Accident Headaches and Nausea: Understanding Possible Causes
Headache and vomiting? My girlfriend was in a car accident a while ago and had some stitches on her forehead. It has been over two weeks now, and she only experiences dizziness when lying down to sleep and slight dizziness with certain movements. She saw a doctor a few weeks ago,...
Dr. Ding Xianwei Reply:
Due to the incomplete information available online, based solely on your content, if you need further information regarding the intracranial region, it is recommended that you visit a neurosurgery outpatient clinic. Generally speaking, the likelihood of delayed intracranial hemor...[Read More] Post-Accident Headaches and Nausea: Understanding Possible Causes
Understanding Post-Surgery Complications from Intracranial Hemorrhage
Intracranial hemorrhage. Postoperative complications? Doctor: Hello! I would like to ask a question. My daughter is 4 years old. She had a car accident in April, resulting in a skull fracture and subdural hematoma in the left frontal region. Three days later, she underwent a cran...
Dr. Ding Xianwei Reply:
It is important to clarify that generally, it is intracranial hemorrhage that leads to sequelae, while complications from the surgery itself are relatively rare. Due to the lack of complete data, potential sequelae are predicted based on experience. Many injuries may not be visib...[Read More] Understanding Post-Surgery Complications from Intracranial Hemorrhage
Is 1 cm Hydrocephalus Serious? When Is Surgery Necessary?
Is 1 centimeter of hydrocephalus serious? Is surgery necessary? Hello Dr. Chang, My baby experienced an unexplained intracranial hemorrhage at 3 and a half months old (without any trauma or vigorous shaking). A CT scan was performed on the day of the hemorrhage, and the hospital...
Dr. Zhang Yuanyi Reply:
Dear Ken, Hello, it is unclear whether the hydrocephalus you mentioned refers to communicating hydrocephalus or chronic subdural hematoma. Generally, if there is a significant amount of blood clot, it typically takes more than a month to be absorbed. The resolution of hydrocepha...[Read More] Is 1 cm Hydrocephalus Serious? When Is Surgery Necessary?
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?
Key Indicators for Deciding on Tracheostomy in Neurological Patients
Inquiry about reference values regarding tracheostomy or not? Hello Doctor: My father (70 years old) underwent emergency surgery for intracranial hemorrhage and has been in the intensive care unit for a week. After discontinuing sedatives and other medications, he has not yet reg...
Dr. Ding Xianwei Reply:
There are common misconceptions about tracheostomy among the general public. In fact, tracheostomy is a necessary procedure that increases the chances of recovery for patients. Generally, if a patient is expected to be unable to be weaned off the ventilator or endotracheal tube f...[Read More] Key Indicators for Deciding on Tracheostomy in Neurological Patients
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
How Long Does It Take for Neurosurgeons to Respond to Patient Inquiries?
How long does it take from the time a question is asked until the physician responds? Dr. Ding, is it appropriate to use an Ommaya CSF Reservoir or a Medtronic CSF-Ventricular Reservoir for drainage and pressure relief in cases of intracranial hemorrhage? Additionally, how long d...
Dr. Ding Xianwei Reply:
I apologize for not receiving your question a week ago. Due to the lack of information regarding the patient's condition, we are unable to provide an answer regarding your inquiry about the choice between the Ommaya CSF Reservoir or the Medtronic CSF-Ventricular Reservoir. S...[Read More] How Long Does It Take for Neurosurgeons to Respond to Patient Inquiries?
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 Traumatic Brain Injury After a Car Accident: Guidance for Caregivers
Traumatic brain injury from car accidents? Hello Doctor: My brother, who is 37 years old, suffered a traumatic brain injury with intracranial fractures and bleeding (damage to the right frontal lobe) due to a car accident. After surgery, he was temporarily placed in a nursing hom...
Dr. Ding Xianwei Reply:
Hello: Regarding your brother's intracranial hemorrhage from the car accident, although his symptoms may be caused by the head trauma, there are many causes related to mental illness, which are actually two sides of the same coin. Therefore, it is important to investigate wh...[Read More] Understanding Traumatic Brain Injury After a Car Accident: Guidance for Caregivers
Is Epilepsy Caused by Brain Aneurysms Considered Functional Disorder?
What is functional disorder? (Does epilepsy count?) Consulting a physician: Is intracranial hemorrhage caused by a cerebral aneurysm leading to epilepsy considered a functional disorder?
Dr. Zhang Yuanyi Reply:
Dear Mr. Huang: Intracranial hemorrhage does carry the possibility of seizures. May I ask what the definition of functional disorder is? Wishing you peace and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Taoyuan General Hospital, Ministry ...[Read More] Is Epilepsy Caused by Brain Aneurysms Considered Functional Disorder?
Understanding Intracranial Hemorrhage: Recovery and Communication Challenges
Intracranial hemorrhage Hello Doctor: My father was admitted to the hospital on April 29 due to intracranial hemorrhage and underwent surgery to remove the hematoma. He woke up on May 1. The nurse said that his intracranial pressure and everything else were normal. We have been t...
Dr. Zhang Yuanyi Reply:
Dear Yin, Hello. Based on the current information, it is difficult for me to provide an accurate answer, as the perception of whether he has truly regained consciousness may differ between the general public and medical professionals. From the content of the article, it appears ...[Read More] Understanding Intracranial Hemorrhage: Recovery and Communication Challenges
Can a Person Appear Conscious While Actually Unconscious After Head Trauma?
Is it possible for a person to appear conscious despite having suffered a severe head injury and actually be unconscious? Hello Dr. Chang: I suffered a severe blow to the back of my head and was subsequently taken to the hospital by ambulance. Afterward, I saw the ambulance repor...
Dr. Zhang Yuanyi Reply:
Dear Mr. Song: In medical terms, a coma is simply a coma, and there are specific assessment methods for it. Wishing you safety and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Can a Person Appear Conscious While Actually Unconscious After Head Trauma?
Understanding Minor Brain Bleeds: When to Seek Further Medical Help
Can a small amount of cerebral hemorrhage cause this? My father fell off his motorcycle on the morning of the 15th. He felt dizzy and couldn't get up, but he had no external injuries. He managed to ride home afterward. That same day, he started to speak unclearly, had diffic...
Dr. Zheng Zhong Reply:
Hello: Please bring a copy of your father's brain CT scan to the outpatient clinic for a detailed examination. Outpatient hours: Monday afternoon, Wednesday morning. Best regards, Dr. Zheng.[Read More] Understanding Minor Brain Bleeds: When to Seek Further Medical Help