Understanding Brain Hemorrhage Risks After Trauma: Key Insights
Possible conditions of intracerebral hemorrhage? Hello, doctor. I apologize for the interruption. In mid-June, my husband was involved in a collision with a woman nearly 60 years old. At that time, the woman only had an abrasion on her elbow, and she was sitting on the ground wit...
Dr. Zhang Junwei Reply:
It is possible for intracranial hemorrhage to occur after a car accident, even if there were no immediate injuries at the time of the incident. However, the pattern of the hemorrhage observed on a CT scan can help determine whether the bleeding was caused by trauma or if it was a...[Read More] Understanding Brain Hemorrhage Risks After Trauma: Key Insights
Understanding Nerve Block Procedures: Recovery and Pain Management
Nerve block procedure Hello Dr. Lai: My cervical vertebrae C4 and C5 were injured in a car accident in May, and after surgery, I have been experiencing pain and weakness extending from my left shoulder to my fingers, especially in my left middle and ring fingers, which not only h...
Dr. Lai Zhaokang Reply:
Hello: You should consult with your original surgeon and the physician who performed the nerve block to assess whether a repeat MRI is necessary. However, if you wish to seek a second opinion from another physician, it is advisable to bring your MRI and X-ray images. It is best t...[Read More] Understanding Nerve Block Procedures: Recovery and Pain Management
Understanding Nerve Block Procedures: Recovery and Pain Management
Nerve block technique Hello Dr. Lai: My cervical vertebrae C4 and C5 were injured in a car accident in May, and after surgery, I have been experiencing pain and weakness extending from my left shoulder to my fingers, particularly in my left middle and ring fingers, which not only...
Dr. Lai Zhaokang Reply:
Hello: You should consult with your original surgeon and the physician who performed the nerve block to assess whether a repeat MRI is necessary. However, if you wish to seek a second opinion from another physician, it is advisable to bring your MRI and X-ray images. It is best t...[Read More] Understanding Nerve Block Procedures: Recovery and Pain Management
Symptoms After Head Injury: What to Expect in 72 Hours
Symptoms 72 hours after being struck on the head by an object? On the first day, I was hit on the forehead by an object falling from a height. At that moment, the pain wasn't very intense, and I only experienced occasional tenderness at the impact site without any other symp...
Dr. Zhang Junwei Reply:
Get plenty of rest. If symptoms persist, it is recommended to consult a neurosurgery outpatient clinic for evaluation.[Read More] Symptoms After Head Injury: What to Expect in 72 Hours
Why Does Hyperhidrosis Return After Surgery? Understanding Recurrence
Will hyperhidrosis recur after surgery? Hello, doctor. I had surgery for palmar hyperhidrosis about 10 to 20 years ago (it's been so long that I don't remember the exact time), and for over a decade, my hand sweating improved significantly. However, now the sweating has...
Dr. Lai Zhaokang Reply:
Hello: 1. I personally speculate that you likely underwent endoscopic sympathectomy of the axilla years ago. After many years post-surgery, the previously severed nerve fibers may have regrown and resumed conduction. 2. I do not recommend another surgery due to higher risks as...[Read More] Why Does Hyperhidrosis Return After Surgery? Understanding Recurrence
Understanding Finger Pain and Weakness After Neck Injury: A Patient's Journey
Finger soreness and weakness? Hello Dr. Lai, I had an injury to my cervical vertebrae C4 and C5 from a car accident in May. After surgery, I have been experiencing pain and weakness extending from my left shoulder down to my hand, particularly in my left middle and ring fingers,...
Dr. Lai Zhaokang Reply:
Hello: You asked three times, so I will respond all at once. 1. You can copy the pre-operative and post-operative X-rays and MRIs and place them here (if you have no privacy concerns) or bring them for discussion during the outpatient visit. 2. A referral is certainly possible, b...[Read More] Understanding Finger Pain and Weakness After Neck Injury: A Patient's Journey
Can You Fly After Subarachnoid Hemorrhage Without Surgery?
Can a person who has experienced a subarachnoid hemorrhage without surgery fly on an airplane? Hello, doctor. Here are the details: I experienced a subarachnoid hemorrhage (the exact name I'm not very sure about) after a car accident. The doctor said it would heal on its own...
Dr. Zhang Junwei Reply:
Subarachnoid hemorrhage is usually not very severe, and if there have been no issues for a year, it is typically considered healed.[Read More] Can You Fly After Subarachnoid Hemorrhage Without Surgery?
Is Scalp Tingling a Sign of Brain Tumor Recurrence?
Experiencing numbness in the head raises concerns about the possibility of a brain tumor recurrence? My daughter had a germ cell tumor in her brain last year. After a year of treatment, the tumor has shrunk significantly. However, recently she has been experiencing tingling and p...
Dr. Zhang Junwei Reply:
Unable to determine, it is recommended to return to the outpatient clinic for examination.[Read More] Is Scalp Tingling a Sign of Brain Tumor Recurrence?
Post-Car Accident: Decreased Appetite and When to Seek Medical Help
Car accident, decreased appetite? A couple of days ago, I was involved in a minor car accident where I was thrown forward. I instinctively protected my face and head with my hands, and my helmet did not come off. I was able to get up immediately without experiencing dizziness or ...
Dr. Zhang Junwei Reply:
Neurosurgery or Gastroenterology outpatient clinic.[Read More] Post-Car Accident: Decreased Appetite and When to Seek Medical Help
Understanding Thoracic Disc Herniation: Risks, Recovery, and Treatment Options
Thoracic intervertebral disc herniation Hello doctor, I have been experiencing upper back pain and left anterior chest pain for six months. I consulted with a neurosurgeon at a large teaching hospital and underwent an MRI, which showed a herniated disc at the T4-T5 level compress...
Dr. Lai Zhaokang Reply:
Hello, thoracic disc surgery is relatively risky. If your original physician is not confident, you may consider bringing your MRI to consult with another neurosurgeon. Wishing you the best.[Read More] Understanding Thoracic Disc Herniation: Risks, Recovery, and Treatment Options
Post-Surgery Sleepiness and Coordination Issues After Brain Tumor Removal
Post-operative drowsiness, refusal to eat or drink, and left-sided incoordination following brain tumor surgery? Hello Doctor, my younger brother is 23 years old. Before the surgery, he only exhibited symptoms of left eyelid ptosis and mild hearing impairment in the left ear. Thi...
Dr. Zhang Junwei Reply:
It is recommended to continue monitoring, and it should gradually improve.[Read More] Post-Surgery Sleepiness and Coordination Issues After Brain Tumor Removal
Post-Surgery Complications After Cervical Spine Injury: What to Expect
Cervical spine surgery complications? While stopped at a red light, I was struck from behind by a truck, resulting in injuries to my cervical spine at levels C4 and C5. I underwent cervical spine surgery and had metal screws inserted. After the surgery, I received traditional Chi...
Dr. Lai Zhaokang Reply:
Hello: You have repeated questions, so I will answer them here. 1. If you have improved after surgery, it indicates that your nerves were severely damaged before the procedure. You will need to be patient, take medication, and undergo rehabilitation, with follow-up from your ph...[Read More] Post-Surgery Complications After Cervical Spine Injury: What to Expect
Understanding Whiplash Injuries: Recovery After Car Accident Neck Surgery
Cervical spine surgery due to a car accident? Over two months ago, I was hit directly from behind by a truck while waiting at a red light. After initial treatment for my external injuries, I was about to go home, but I started experiencing persistent pain in my neck. The orthoped...
Dr. Lai Zhaokang Reply:
Hello: You have repeated your question, so I will answer it here. 1. If you have improved after surgery, it indicates that your nerves were more severely damaged before the procedure. You will need to be patient and continue with medication and rehabilitation, while your physicia...[Read More] Understanding Whiplash Injuries: Recovery After Car Accident Neck Surgery
Should You Worry? Head Injury Symptoms in Teens After a Fall
The back of the head hit the floor? Hello Dr. Chang: My son turned 16 in September. Last night, he was playing with his brother in their room and was lying on a mattress on the floor. He didn't realize that his head extended beyond the mattress and hit the ground. This morni...
Dr. Zhang Junwei Reply:
Observe first, and if there is severe and persistent vomiting, then schedule an outpatient appointment.[Read More] Should You Worry? Head Injury Symptoms in Teens After a Fall
Post-Surgery Complications After Intracranial Hemorrhage: What to Watch For
Post-operative complications after surgery for intracerebral hemorrhage? I apologize for bothering you, doctor. My father fell from a height last August and suffered fractures on both sides of his skull, along with intracranial hemorrhage. He underwent surgery and was discharged ...
Dr. Zhang Junwei Reply:
If you have an itchy scalp, please see a dermatologist. There isn't much to be particularly concerned about; however, if you notice anything unusual or different about the patient, follow up with a neurosurgery clinic for monitoring.[Read More] Post-Surgery Complications After Intracranial Hemorrhage: What to Watch For
Understanding the Lifespan and Risks of Ventriculoperitoneal Shunt Systems
Dr. Chang, does the ventricular-peritoneal shunt system have a lifespan or can it become damaged? Hello Dr. Chang, my mother is currently 57 years old. At the end of 2015, she underwent surgery for a cerebral hemorrhage at Linkou Chang Gung Memorial Hospital, where a cerebral ane...
Dr. Zhang Junwei Reply:
Basically, the likelihood of damage to the ventricular-peritoneal shunt system is low, but there is a possibility of incorrect pressure or blockage. Please visit the neurosurgery outpatient clinic for a physician evaluation.[Read More] Understanding the Lifespan and Risks of Ventriculoperitoneal Shunt Systems
Is Catheterization Necessary for Pituitary Tumor Surgery?
Is it necessary to insert a urinary catheter for pituitary tumor surgery? Hello, doctor. I am preparing to undergo surgery for a pituitary tumor, and I've been reading articles from other patients. I noticed that some of them had to have a urinary catheter inserted, which ma...
Dr. Zhang Junwei Reply:
1. Prolonged general anesthesia during surgery requires the insertion of a urinary catheter, which is unrelated to pituitary gland surgery. 2. Diabetes insipidus refers to the production of large volumes of urine in a short period of time.[Read More] Is Catheterization Necessary for Pituitary Tumor Surgery?
Improving Shoulder Asymmetry and Recovery After Left Arm Fracture
Left arm fracture, left shoulder is lower, and the person has not regained consciousness for two months, with the left hand constantly pressing against the left chest? I have a left arm fracture, and my left shoulder is lower than the right. I was injured two months ago and have ...
Dr. Lai Zhaokang Reply:
Hello: Based on what you described: 1. When I stand straight and have someone look at me, they notice that my shoulders are uneven, with one higher than the other. 2. Additionally, I have been told that my left breast is smaller than my right, and I need a different cup size when...[Read More] Improving Shoulder Asymmetry and Recovery After Left Arm Fracture
Understanding Lumbar Disc Rupture: Surgery and Future Pregnancy Considerations
Herniated disc Hello Dr. Lai, I have been diagnosed by an overseas physician with a severe L4 disc rupture that requires surgery. I would like to ask: 1) After the surgery to remove the herniated disc material, what methods can be employed to prevent the remaining disc from furth...
Dr. Lai Zhaokang Reply:
Hello: Based on your description: 1) After surgically removing the compressive mass, what methods can be employed to prevent the remaining intervertebral disc from further rupturing and causing recurrent compression? 2) Considering future pregnancy, which places significant strai...[Read More] Understanding Lumbar Disc Rupture: Surgery and Future Pregnancy Considerations
Post-Spinal Surgery: Understanding Urinary and Bowel Dysfunction
Post-spinal surgery, there may be difficulties with bowel and bladder function? In June 2017, I went to the hospital for an examination, and the doctor diagnosed me with a herniated disc at the L4 and L5 levels, recommending surgery. The procedure involved removing the damaged di...
Dr. Lai Zhaokang Reply:
Based on what you described: What is my current condition? I would like to understand my situation. Can I know which nerve is damaged? Is there a possibility of recovery? I plan to go to the hospital for further examination, but which department should I start with? Response: 1. ...[Read More] Post-Spinal Surgery: Understanding Urinary and Bowel Dysfunction