Other, Neurosurgery FAQ - Page 14

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Navigating Hydrocephalus Treatment Options: Drainage vs. Shunt Surgery

Hydrocephalus Consultation My mother, who is 50 years old, has been diagnosed with hydrocephalus. One hospital suggested performing a lumbar puncture to drain fluid first, followed by a shunt placement, arguing that the pathway from the brain to the lumbar spine is obstructed, ma...


Dr. Zhang Junwei Reply:
Patients have different conditions, and the management approaches vary accordingly. It is advisable to visit a medical center or consult multiple hospitals.

[Read More] Navigating Hydrocephalus Treatment Options: Drainage vs. Shunt Surgery


Understanding Multiple Sclerosis: Managing Anxiety and Health Concerns

About Multiple Sclerosis? Hello, Doctor. A couple of months ago, I was worried about having Sjögren's syndrome due to dry mouth and dry throat, and after a few days of finger and toe pain, I became even more anxious and consulted a rheumatologist. The result was that everyth...


Dr. Lai Zhaokang Reply:
I recommend that you consult a neurologist and arrange for relevant examinations to confirm whether it is the condition you are concerned about. If it is not, focus on living your life without attributing symptoms to yourself. Your future is long, so concentrate on your studies a...

[Read More] Understanding Multiple Sclerosis: Managing Anxiety and Health Concerns


Post-Surgery Nerve Pain: Struggling to Walk After Spinal Fusion

Post-operative nerve pain from the groin to the right leg, resulting in inability to walk? Hello Doctor, I am 49 years old and have undergone my third spinal surgery. (The date of the second surgery was August 7, 2017, at Linkou Chang Gung Memorial Hospital.) Diagnosis: M4806 lu...


Dr. Zhang Junwei Reply:
This cannot be answered; if symptoms that were not present before the surgery appear after the procedure, it should still be considered a physician-related issue. It is advisable to seek a consultation at another hospital for further evaluation.

[Read More] Post-Surgery Nerve Pain: Struggling to Walk After Spinal Fusion


Head Injury from Basketball: When to Observe or Seek Medical Attention

Head trauma? Hello doctor, yesterday while playing basketball, I was hit on the side of my head by another person's elbow. The area that was struck has been experiencing mild pain for the past day or two, but I do not have symptoms such as dizziness, vomiting, or weakness. I...


Dr. Zhang Junwei Reply:
Just continue to observe for now.

[Read More] Head Injury from Basketball: When to Observe or Seek Medical Attention


Understanding Brain Hemorrhage Risks in Young Adults: Causes and Prevention

The back of my head feels swollen and somewhat weak? 1. What is the likelihood and causes of young people experiencing a brain hemorrhage? 2. How can the risk of brain hemorrhage be reduced? 3. What is the relationship between staying up late and brain hemorrhage? 4. Beside...


Dr. Zhang Junwei Reply:
Common cerebral hemorrhage is usually associated with a history of hypertension. Properly managing one's blood pressure can reduce the risk of cerebral hemorrhage.

[Read More] Understanding Brain Hemorrhage Risks in Young Adults: Causes and Prevention


Understanding Left Leg Nerve Sensitivity: Causes and Solutions

The nerves in the left leg are particularly sensitive? Recently, I have been feeling a lightness in my left leg every day. Compared to my right leg, it feels particularly sensitive, with intermittent sensations that are neither painful nor numb. It feels like my left leg is const...


Dr. Lai Zhaokang Reply:
Hello: It may be a lumbar nerve issue. I recommend consulting with a neurosurgeon. Best wishes to you at Changhua Hospital, Neurosurgery Department, Dr. Lai Chao-Kang.

[Read More] Understanding Left Leg Nerve Sensitivity: Causes and Solutions


Understanding Venous Laser Therapy for Post-Surgery Recovery

Venous laser therapy Hello, I would like to ask about my condition. I previously had a cerebral vascular arteriovenous malformation, which was surgically removed about five months ago. Currently, the most noticeable sequela is central facial nerve paralysis, and I am undergoing r...


Dr. Zhang Junwei Reply:
Venous laser treatment is not within the scope of neurosurgery. It is recommended to consult a rehabilitation physician for inquiries.

[Read More] Understanding Venous Laser Therapy for Post-Surgery Recovery


Understanding Post-Concussion Syndrome: Symptoms and Recovery Challenges

Post-concussion syndrome Last month, I was in a car accident and suffered a laceration on my head that required eight stitches, along with a concussion. After being discharged from the hospital, I returned to work. Initially, I experienced a lot of dizziness and found it difficul...


Dr. Zhang Junwei Reply:
It is indeed common to experience headaches and dizziness after a concussion. It is important to rest after the injury, as overexertion can exacerbate the symptoms of the concussion.

[Read More] Understanding Post-Concussion Syndrome: Symptoms and Recovery Challenges


Should You Seek Further Evaluation After a Head Injury?

Head trauma A week or two ago, I was playfully hit in the back of the head while messing around with friends. Initially, I went to the hospital to see a doctor, who said a CT scan wasn't necessary and that I should just monitor my condition. I felt a bit better at first, but...


Dr. Zhang Junwei Reply:
Headaches and dizziness are common after a concussion, so it is important to rest after the injury. Overexertion or excessive physical activity can only exacerbate the symptoms of the concussion.

[Read More] Should You Seek Further Evaluation After a Head Injury?


Understanding Pituitary Tumors: Surgery, Recovery, and Risks Explained

Pituitary tumor Recently, during a medical examination at the hospital, a pituitary tumor approximately 1.7 cm in size was discovered. Blood tests showed prolactin levels at 29 and growth hormone levels at 79, with other results being normal. I would like to ask if, in general, c...


Dr. Zhao Shaoqing Reply:
In Taiwan, this technique is very advanced, allowing for the removal of tumors through the nasal cavity using an endoscope. Navigation guidance significantly enhances the precision of the surgery. After a successful operation, hormone levels can return to normal ranges. A small n...

[Read More] Understanding Pituitary Tumors: Surgery, Recovery, and Risks Explained


Challenges and Hope: Navigating Post-Surgery Hydrocephalus Recovery

Recurrence after hydrocephalus surgery? Hello, doctor. My father is 84 years old. He was in a car accident at the age of 79, which resulted in a brain injury and a Glasgow Coma Scale score of 8. At that time, his language abilities were impaired, and he could only speak a maximum...


Dr. Zhao Shaoqing Reply:
In the case of the father, his condition requires ongoing rehabilitation therapy for improvement. The situation regarding the hydrocephalus can be reassessed, or adjustments to the hydrocephalus shunt valve may be necessary, which should be evaluated in an outpatient setting befo...

[Read More] Challenges and Hope: Navigating Post-Surgery Hydrocephalus Recovery


Post-Surgery Challenges: Understanding Nerve Compression After Cervical Decompression

After cervical decompression surgery, the condition fluctuates? Due to a fall while hiking, my father experienced cervical spinal cord compression. He underwent cervical decompression surgery on May 18. Initially, after the surgery, he was able to sit up from the hospital bed ind...


Dr. Lai Zhaokang Reply:
Hello: The so-called situation is that the intervertebral discs between the cervical vertebrae C6 and C7 collapsed, and the vertebrae collapsed backward, causing nerve compression. The doctor mentioned that this could be due to osteoporosis or a bacterial infection... There is in...

[Read More] Post-Surgery Challenges: Understanding Nerve Compression After Cervical Decompression


Understanding Lumbar Spine Issues: Addressing Nerve Compression and Surgical Options

Questions regarding adjacent segments of the lumbar spine? Hello, Doctor: I have the following questions that I hope you can clarify: The patient is a 59-year-old female who underwent successful lumbar spine surgery at the L5 and S1 levels in 2012 (with interbody fusion and screw...


Dr. Lai Zhaokang Reply:
Hello: 1. It is important to determine if the compressed nerve root corresponds to the patient's symptoms. Generally, compression at the L4-5 segment affects the L5 nerve root, which typically presents as pain radiating from the buttock down to the lateral aspect of the calf...

[Read More] Understanding Lumbar Spine Issues: Addressing Nerve Compression and Surgical Options


Understanding Trigeminal Neuralgia in Multiple Sclerosis: A Patient's Journey

Multiple sclerosis with trigeminal neuralgia Hello Doctor, about five days ago, I experienced pain when pressing on the bone above my right eyebrow, which occasionally persists as a dull ache. Recently, the tenderness has decreased, but it still remains, and the continuous pain h...


Dr. Lai Zhaokang Reply:
Hello: 1. Multiple sclerosis is a rare disease with diverse symptoms. It is essential to consult a neurologist and undergo thorough examinations for an accurate diagnosis. Please do not self-diagnose or assume you have the condition without a proper evaluation from a neurologis...

[Read More] Understanding Trigeminal Neuralgia in Multiple Sclerosis: A Patient's Journey


Post-Spinal Surgery Pain: Should You Remove Screws After One Year?

Postoperative pain and issues related to the removal of spinal screws? I would like to ask you, I underwent lumbar fusion surgery at L4, L5, and S1 last year, where two support devices and six screws were implanted. After the surgery, I have been experiencing persistent soreness ...


Dr. Lai Zhaokang Reply:
Hello: 1. If it has been 6 months post-surgery and you are still experiencing <postoperative soreness in the lower back>, it may indicate poor fusion or other segmental pathology. 2. I recommend that you first consult with your original surgeon; if there is no improvement, ...

[Read More] Post-Spinal Surgery Pain: Should You Remove Screws After One Year?


Persistent Finger Numbness: Causes and When to Seek Help

Numbness in the fingers of both hands? Dear Doctor: After taking a shower tonight, I started experiencing numbness in my fingers (all fingers except the thumb) that lasted for over an hour. I have had episodes of hand numbness in the past, but they would usually resolve quickly o...


Dr. Lai Zhaokang Reply:
Hello: It is suspected to be carpal tunnel syndrome or other conditions. It is recommended to consult a neurosurgeon. Best wishes to you. // Changhua Hospital, Department of Neurosurgery, Dr. Lai Chao-Kang.

[Read More] Persistent Finger Numbness: Causes and When to Seek Help


Numbness in Left Thumb and Index Finger: Possible Causes and Relief Tips

Numbness in the left thumb and index finger? Initially, I thought the neck stiffness was nothing serious. After a week, the pain in my neck has decreased, but I am experiencing some numbness in my left thumb and index finger. When I massage my shoulders, the left shoulder feels l...


Dr. Lai Zhaokang Reply:
Hello: 1. It is suspected to be a cervical spine issue, most commonly a cervical disc herniation that compresses the nerves. 2. Reduce the forward head posture. Temporarily wear a cervical collar. Apply heat to the shoulders and neck daily, and perform neck rehabilitation exercis...

[Read More] Numbness in Left Thumb and Index Finger: Possible Causes and Relief Tips


Understanding Temporary Finger Pain: Possible Causes and Concerns

Transient finger pain Two weeks ago, I was tested for Sjögren's syndrome and also checked for some other complications, and all the results came back normal. However, during those days, I was pressing on the tissues of my fingers quite a bit (as I was worried about rheumatoi...


Dr. Lai Zhaokang Reply:
Hello: 1. First, stop the repetitive pressure on your fingers. 2. Soak your hands and feet in warm water daily (at a temperature that won't cause burns). 3. If there is no improvement after 2 weeks, it is advisable to consult a physician. Best wishes. // Neurosurgery Dr. Lai...

[Read More] Understanding Temporary Finger Pain: Possible Causes and Concerns


Understanding Chronic Headaches and Swelling: Seeking Solutions

Headache and scalp lump? I often experience sudden, intense headaches that can become so severe that my head swells. I have seen doctors and undergone EEG and X-ray examinations, and this has been happening for at least 3 to 5 years. However, the symptoms have been worsening rece...


Dr. Zhao Shaoqing Reply:
Hello! Due to the uniqueness of your symptoms and condition, we recommend that you visit an outpatient clinic for evaluation and treatment. Thank you.

[Read More] Understanding Chronic Headaches and Swelling: Seeking Solutions


Stroke Recovery: Key Questions About Brain Hemorrhage Healing

Stroke and intracerebral hemorrhage recovery-related issues? Hello, Doctor. Five days ago, my father suddenly lost the ability to move his right side. He was urgently taken to the hospital, and the CT scan revealed a brain hemorrhage with a blood clot approximately the size of a ...


Dr. Zhang Junwei Reply:
1. The absorption of the blood clot typically takes about 2-3 weeks. 2. The focus is not on the blood clot, but rather on the brain damage caused by the bleeding that has already resulted in limb weakness. 3. No, it is not necessary. 4. It depends on the severity of the neurologi...

[Read More] Stroke Recovery: Key Questions About Brain Hemorrhage Healing


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