Understanding Post-Concussion Syndrome: Persistent Dizziness After Injury
Post-concussion syndrome and sequelae with dizziness symptoms lasting for 3 months? Hello, doctor. I was in a car accident on April 18, and I did not experience any loss of consciousness at the time. I was able to answer all the questions from the medical staff. However, after un...
Dr. Zhang Junwei Reply:
Head trauma can also cause vestibular dizziness. It is recommended that you visit an otolaryngologist for an examination.[Read More] Understanding Post-Concussion Syndrome: Persistent Dizziness After Injury
Understanding Concussions: Symptoms, Diagnosis, and Psychological Impact
The condition is uncertain whether it is a concussion or a psychological issue? On July 10th, around 9 AM, a foreign worker was operating a crane with a set of four small metal hooks attached, slightly larger than an adult's finger. The hooks tended to stop at head height, a...
Dr. Zhang Junwei Reply:
If there is persistent dizziness, headache, and nausea after a head injury, it indicates a concussion.[Read More] Understanding Concussions: Symptoms, Diagnosis, and Psychological Impact
Post-Spinal Surgery: Why Can't My Dad Move His Ankles and Toes?
Inability to move the ankle and toes following spinal surgery? Hello Doctor: My father underwent minimally invasive surgery for lumbar spondylolisthesis at levels L3, L4, and L5 on June 13, where screws were placed. However, since the surgery, he has been unable to move his legs,...
Dr. Lai Zhaokang Reply:
Hello: 1. The symptoms may suggest involvement of the L4 and L5 nerve roots, resembling a temporary malfunction, possibly due to nerve edema or adaptation issues to a new environment. 2. It is recommended to consult with the original surgeon regarding the need for further examina...[Read More] Post-Spinal Surgery: Why Can't My Dad Move His Ankles and Toes?
Understanding Stroke Caused by Brain Hemorrhage: A Patient's Journey
Stroke caused by cerebral hemorrhage? Hello Dr. Chang, on July 2nd, my father fell in the bathroom. At that time, he was speaking unclearly and expressed that he could not move his left side. We immediately called an ambulance, and the initial assessment was a cerebral hemorrhage...
Dr. Zhang Junwei Reply:
In the acute phase of a cerebral hemorrhage, aside from standard treatment, there are not many good recommendations, as severe brain injury may result in the patient not regaining consciousness.[Read More] Understanding Stroke Caused by Brain Hemorrhage: A Patient's Journey
Navigating Disability Claims for Multiple Health Issues: A Guide
Please consult regarding the application for disability due to multiple conditions such as scoliosis, temporomandibular joint disorder (TMJ), and psychological issues, along with related recommendations? # Medical History Summary Scoliosis: 58 degrees, unable to sit or stand for...
Dr. Lai Zhaokang Reply:
Hello: Based on your description, 1. It may be possible to assess the applicability of the "Disability Assessment Form," specifically Category I or Category VII. However, it is necessary to have a fixed long-term follow-up for a certain period before a specialist physic...[Read More] Navigating Disability Claims for Multiple Health Issues: A Guide
Post-Operative Issues After Lumbar Fusion Surgery: Common Symptoms and Solutions
Lumbar L345 fusion surgery, postoperative issues? Hello, Dr. Lai. I underwent a lumbar spinal fusion surgery at the L3-L5 levels on April 17. Monthly X-ray follow-ups have shown good recovery, but starting from the fifth week, I have been experiencing some soreness (not pain) on ...
Dr. Lai Zhaokang Reply:
Hello: 1. Some patients may experience discomfort within 2-4 weeks post-surgery. 2. Others may have delayed symptoms that appear 4-5 weeks later. 3. Initially, take medication, apply heat, and undergo rehabilitation. If there is no improvement, please consult the surgeon who perf...[Read More] Post-Operative Issues After Lumbar Fusion Surgery: Common Symptoms and Solutions
Post-Operative Issues After Lumbar Fusion Surgery: Common Symptoms and Solutions
Lumbosacral fusion surgery at the L3-L5 levels, postoperative complications? Hello, Dr. Lai. I underwent a lumbar spinal fusion surgery at the L3-L5 levels on April 17th. Monthly X-ray follow-ups have shown good recovery, but starting from the fifth week, I have been experiencing...
Dr. Lai Zhaokang Reply:
Hello: 1. Some patients may experience discomfort within 2-4 weeks post-surgery. 2. Others may have delayed symptoms that appear 4-5 weeks later. 3. Initially, take medication, apply heat, and undergo rehabilitation. If there is no improvement, please consult the surgeon who perf...[Read More] Post-Operative Issues After Lumbar Fusion Surgery: Common Symptoms and Solutions
Can a Removed Skull Bone Be Replaced by Another Hospital's Doctor?
Can the skull that was preserved in the hospital's freezer after a stroke be reattached by a doctor from a different hospital? Dear Deputy Director Zhang, My family member underwent a craniotomy due to a stroke, and the skull was removed and preserved in the hospital's...
Dr. Zhang Junwei Reply:
In theory, it is possible; however, since the skull is stored in a -80°C ultra-low temperature freezer, ensuring that the storage temperature remains unchanged during transfer to another hospital is crucial. This is to prevent an increased risk of infection, as the receiving phys...[Read More] Can a Removed Skull Bone Be Replaced by Another Hospital's Doctor?
Understanding Disc Herniation: Symptoms, Treatment, and MRI Insights
Herniated disc I would like to consult Dr. Lai regarding my condition. I have cervical spine compression at levels C4, C5, and C6 affecting the spinal cord, and a ruptured intervertebral disc at the lumbar spine L5-S1. I underwent an anterior cervical discectomy on February 22. P...
Dr. Lai Zhaokang Reply:
Hello: 1. If there is severe preoperative compression of the cervical spinal cord that has already caused damage, some patients may experience abnormal sensations postoperatively and may require medication in conjunction with rehabilitation therapy. 2. It is also occasionally obs...[Read More] Understanding Disc Herniation: Symptoms, Treatment, and MRI Insights
Understanding Blurry Vision: Possible Causes and When to Seek Help
Blurred vision I would like to inquire about blurred vision. I can see clearly up close, but my distance vision is blurry. This phenomenon occurred about a month ago, and after resting my eyes, it improved. Recently, I have experienced blurred vision in one eye. An ophthalmologic...
Dr. Zhang Junwei Reply:
Blurred vision is mostly related to eye issues. If there are any concerns, it is advisable to consult a neurologist.[Read More] Understanding Blurry Vision: Possible Causes and When to Seek Help
From Neurological Emergency to Terminal Colon Cancer: A Patient's Journey
Admitted to neurosurgery, but diagnosed with terminal colorectal cancer? Hello, Doctor. I was admitted to Hospital A's emergency department due to dizziness and a fall, and examinations revealed bleeding in my brain. I was hospitalized in the neurosurgery department at Hospi...
Dr. Zhao Shaoqing Reply:
Hello: Since the above is a textual description of medical actions, it is difficult to make a judgment. You may need to consult a doctor from Kaohsiung Medical University for clarification. If it's inconvenient, you can also visit Changhua Hospital for treatment and bring th...[Read More] From Neurological Emergency to Terminal Colon Cancer: A Patient's Journey
Can Nerve Repair Improve Vocal Cord Paralysis After Trauma?
Reinnervation of the recurrent laryngeal nerve in vocal cord paralysis? Hello Doctor, last March I was involved in a car accident and required an emergency tracheostomy. Two days later, the physician decided to reposition the tracheostomy due to concerns about its initial placeme...
Dr. Lai Zhaokang Reply:
Hello: 1. This field belongs to otolaryngology, and currently, most treatments can only target non-closure of the vocal cords through injection of fillers, such as hyaluronic acid or others. 2. There are few reports, both domestically and internationally, regarding the reconstruc...[Read More] Can Nerve Repair Improve Vocal Cord Paralysis After Trauma?
Long-Term Effects of Head Trauma: Understanding Post-Concussion Symptoms
Post-concussion syndrome? Hello, Doctor! I would like to ask about my mother's condition. Five years ago, she was driving and hit the left side of her head against the car window. At the time, there was no bleeding, but there was swelling, and she applied ice. She experience...
Dr. Lai Zhaokang Reply:
Hello: In theory, it is rare to have such long-lasting sequelae (five years), but it is still possible. If you are concerned, take her to the hospital to see a neurosurgeon for evaluation. Wishing you all the best. By Dr. Lai Chao-Kang, Neurosurgery.[Read More] Long-Term Effects of Head Trauma: Understanding Post-Concussion Symptoms
Understanding Eyelid Twitching: Is It a Sign of Tumor Recurrence?
Eyelid twitching? Dear Doctor, my mother underwent surgery a few years ago to remove a brain tumor, but the doctors informed us that the tumor could recur. Recently, her lower eyelid has been twitching. If the tumor does indeed recur, will a second surgery be as successful as the...
Dr. Zhang Junwei Reply:
It depends on the condition of the brain tumor.[Read More] Understanding Eyelid Twitching: Is It a Sign of Tumor Recurrence?
Post-Operative Consultation for L5-S1 Fusion Surgery Complications
Postoperative Consultation for L5-S1 Surgery Hello Dr. Lai, I previously underwent an anterior spinal fusion surgery due to grade II spondylolisthesis at the L5-S1 level. (Before the surgery, I experienced persistent pain on the left side, while the right side had no symptoms.)...
Dr. Lai Zhaokang Reply:
Hello: 1. Indeed, some individuals may experience symptoms on the opposite side after a dislocation is reduced, which could be due to temporary discomfort in the new environment following the renovation of an old house. 2. It would be advisable to discuss this further with the or...[Read More] Post-Operative Consultation for L5-S1 Fusion Surgery Complications
Understanding Sudden Double Vision and Increased Eye Pressure: A Guide for Families
Sudden onset of double vision accompanied by an increase in flashes to 200 degrees? Hello Dr. Chang Jun-Wei, I would like to ask you a question. My father is 60 years old and about 1-2 weeks ago, he suddenly experienced double vision while driving during the day. The next day, he...
Dr. Zhang Junwei Reply:
Since the MRI has already been scheduled, we will wait for the examination results. There are too many differential diagnoses to detail individually.[Read More] Understanding Sudden Double Vision and Increased Eye Pressure: A Guide for Families
Post-Car Accident Symptoms: Understanding Dizziness and Head Trauma
Symptoms after a car accident? Hello doctor, I had a car accident at the end of October last year that resulted in a right-sided head injury (swelling on the right side of my face), along with mild subarachnoid hemorrhage on the left side and a concussion. I was recovering well a...
Dr. Zhang Junwei Reply:
Theoretically, the head trauma from last October is unrelated to the current headaches and dizziness occurring six months later. As for the underlying issue, it will depend on whether the symptoms persist and the results of further examinations.[Read More] Post-Car Accident Symptoms: Understanding Dizziness and Head Trauma
Understanding Traumatic Brain Injury: Recovery and Treatment Insights
Traumatic brain injury from a car accident? Hello Doctor Zhang, my sister was in a car accident and suffered a brain hemorrhage. The doctors placed an intracranial monitor during surgery. In the ICU, her right leg has been moving uncontrollably, and it continues to do so even aft...
Dr. Zhang Junwei Reply:
It is unclear whether the involuntary movements of your right foot are due to epilepsy or another condition. Whether or not surgery is needed for the head will depend on the progression of the subsequent medical condition.[Read More] Understanding Traumatic Brain Injury: Recovery and Treatment Insights
Post-Accident Memory Loss and Headaches: Understanding Brain Injuries
Headache after amnesia due to a car accident? Hello Dr. Chang, my father (62 years old) was in a car accident on January 3rd. His reaction was slow at the time, and he was unable to answer my mother’s questions about how the accident happened over the phone. When we arrived at th...
Dr. Zhang Junwei Reply:
1. Yes, it is a concussion. 2. Chronic subdural hematoma cannot be predicted in advance; we can only respond to it as it arises.[Read More] Post-Accident Memory Loss and Headaches: Understanding Brain Injuries
Understanding Head Injuries: Risks of Intracranial Bleeding in Young Adults
Head injury Hello, Doctor. Today, while I was reading and preparing to take a nap, I accidentally bumped my head against the wall. At that moment, I only felt pain and did not experience loss of consciousness, dizziness, or blurred vision. I accidentally rubbed the impact area bu...
Dr. Zhang Junwei Reply:
1. Extremely low possibility. 2. Extremely low possibility.[Read More] Understanding Head Injuries: Risks of Intracranial Bleeding in Young Adults