Other, Neurosurgery FAQ - Page 2

Share to:
Exploring Surgical Options for Unusual Skull Shape and Thickness

The shape of the skull is abnormal at birth, featuring two prominent angles? Since birth, my head has been shaped like a square television. The bones on the top and sides of my skull feel particularly thick. I had a CT scan done at my own expense, and the doctor confirmed that my...


Dr. Zhang Junwei Reply:
I haven't encountered this issue either; I recommend seeking assistance at a medical center's neurosurgery outpatient clinic.

[Read More] Exploring Surgical Options for Unusual Skull Shape and Thickness


Understanding the Connection Between Neck Issues and Gastrointestinal Disorders

Please provide more context or specific information regarding the neck for further assistance? Hello, Deputy Director. Thank you for your response. However, why do some online medical articles suggest a connection between stomach issues and the cervical spine? I had a relapse in ...


Dr. Zhang Junwei Reply:
A small portion of the cervical spine may affect the autonomic nervous system, which is related to the gastrointestinal system.

[Read More] Understanding the Connection Between Neck Issues and Gastrointestinal Disorders


Should You Get Checked After a Basketball Hits Your Head?

Hit on the top of the head? This morning around 9:20, I was hit on the top of my head by a basketball. It hurt a little at the moment, but the pain went away after a minute or two. I haven't experienced any other symptoms since then. Do I need to get checked?


Dr. Zhang Junwei Reply:
If there are no further symptoms, no follow-up examinations are necessary.

[Read More] Should You Get Checked After a Basketball Hits Your Head?


Monitoring Intracranial Pressure After Ventriculostomy: Key Insights

How to monitor intracranial pressure after the placement of a ventriculostomy catheter? Hello Doctor: My father is currently in a vegetative state. Before he fell into a complete coma, he was still conscious and able to move his eyes. During that time, it was discovered that he h...


Dr. Zhang Junwei Reply:
To directly measure intracranial pressure, invasive procedures such as lumbar puncture are required. A CT scan can only indirectly detect ventricular enlargement and then infer elevated intracranial pressure.

[Read More] Monitoring Intracranial Pressure After Ventriculostomy: Key Insights


Should You Undergo Surgery for Heavy Legs Due to Nerve Compression?

Heavy sensation in the lower limbs? Since last year, I have been experiencing a heavy sensation in my lower limbs and a swaying feeling while walking. An MRI revealed compression at cervical levels 5, 6, and 7, as well as compression and a herniated disc at lumbar level 5. The ne...


Dr. Lai Zhaokang Reply:
Hello: It is suspected that your unsteady gait is due to cervical spinal cord pathology. If an MRI confirms spinal cord compression and the symptoms are significant, surgery for decompression may be recommended. As for nerve conduction studies, they are later indicators that can ...

[Read More] Should You Undergo Surgery for Heavy Legs Due to Nerve Compression?


Risks of Spine Surgery in Patients with VRE Infection

VRE Infection and Spinal Surgery My mother has a compression fracture that is pressing on her spinal nerves, resulting in paralysis of her lower body. She has been hospitalized for over a month. The doctor has recommended a decompression surgery with the placement of bone screws....


Dr. Lai Zhaokang Reply:
Hello: Performing surgery in the presence of an infection increases the risk of wound infection and bacterial dissemination, potentially leading to sepsis. However, if there is nerve compression resulting in lower limb paralysis, surgery may be the only option for improvement. Fr...

[Read More] Risks of Spine Surgery in Patients with VRE Infection


Post-Surgery Recovery Challenges After Lumbar Disc Rupture: Seeking Solutions

Postoperative care after lumbar disc herniation surgery? Dear Doctor, I underwent two surgeries in 2020 for L3-4-5 lumbar spine stabilization with interbody fusion devices. My recovery was good, and three months post-surgery, I returned to delivering food. After nearly a year, ...


Dr. Lai Zhaokang Reply:
Hello: If the damage is severe before surgery, the postoperative recovery may not be ideal. Your condition is more complex. We need to review MRI and other imaging studies to provide you with a clearer assessment and recommendations. You can bring a series of MRIs for a consultat...

[Read More] Post-Surgery Recovery Challenges After Lumbar Disc Rupture: Seeking Solutions


Understanding Hypoxia in Neurological Emergencies: A Case Study

Cerebral hypoxia My boyfriend is 43 years old. On the morning of February 17, he suddenly became rigid all over, drooled, and after five minutes, his lips turned purple. When the ambulance arrived about five minutes later, he had no pulse. They used an AED but there was still no ...


Dr. Zhang Junwei Reply:
The probability is extremely low, and even if one wakes up, there are usually severe sequelae such as dementia, physical disabilities, and so on.

[Read More] Understanding Hypoxia in Neurological Emergencies: A Case Study


Understanding Subarachnoid Hemorrhage and Low Potassium After Car Accident

Subarachnoid hemorrhage from a car accident? Hello, doctor. My mother is 61 years old and had a car accident on February 4th. She sustained a 7 cm laceration on the left side of her head and multiple abrasions on her body. A CT scan showed subarachnoid hemorrhage, but the emergen...


Dr. Zhang Junwei Reply:
Hypokalemia is usually not related to cerebral hemorrhage; it is likely a renal issue.

[Read More] Understanding Subarachnoid Hemorrhage and Low Potassium After Car Accident


Understanding Recovery Patterns After Brain Injury: A Patient's Journey

Recovery status after brain injury? Hello, doctor. My mother fell and suffered a subarachnoid hemorrhage about two weeks ago, primarily affecting the left frontal and temporal lobes. At that time, her Glasgow Coma Scale (GCS) score was 5-6. After undergoing craniotomy, her curren...


Dr. Zhang Junwei Reply:
1. Without a CT scan report and a detailed neurological assessment, it is difficult to answer this question. Based solely on your brief description, it is not possible to determine the extent of the patient's injuries. 2. The process of cognitive recovery can indeed exhibi...

[Read More] Understanding Recovery Patterns After Brain Injury: A Patient's Journey


Recovering from Subdural Hematoma After a Car Accident: Key Insights

Subdural hematoma caused by a car accident? Hello, Doctor. I was in a car accident on December 4th last year, which resulted in a subdural hematoma. The doctor said that surgery was not necessary and that it would be absorbed on its own. My Glasgow Coma Scale score was between 13...


Dr. Zhao Shaoqing Reply:
Hello; you can generally arrange for a computed tomography (CT) scan of the brain at the outpatient clinic to assess the status of blood absorption before evaluating the work.

[Read More] Recovering from Subdural Hematoma After a Car Accident: Key Insights


Understanding Why Aneurysms May Go Undetected After Subarachnoid Hemorrhage

The cause of hemangiomas is not fully understood? Hello doctor, my family member was hospitalized on January 2nd due to subarachnoid hemorrhage. They underwent a CT scan and angiography, and although they have been continuously examined, no aneurysm has been found. The attending ...


Dr. Zhang Junwei Reply:
That's approximately the reason mentioned above.

[Read More] Understanding Why Aneurysms May Go Undetected After Subarachnoid Hemorrhage


Understanding Neck Pain: Seeking Answers for Chronic Discomfort

Neck problems Hello Doctor, I am Xiao Yang, and I live in Taichung. I often feel that the bones in my cervical spine are misaligned, which I believe is compressing my breathing and causing difficulty in respiration. My neck feels very tight, as if someone is choking me. This symp...


Dr. Zhang Junwei Reply:
It feels like a case of autonomic nervous system dysfunction or other psychosomatic issues. You may discuss with a neurologist whether it is appropriate to undergo a cervical MRI.

[Read More] Understanding Neck Pain: Seeking Answers for Chronic Discomfort


Post-Surgery Recovery: Why Can't My Father Get Out of Bed?

There has been improvement after the surgery, but the patient is still unable to get out of bed? Last September, my father underwent spinal surgery due to a car accident, which involved two vertebrae slipping and one fractured vertebra. During the surgery, screws and bone cement ...


Dr. Lai Zhaokang Reply:
Hello: Generally, improvement is expected within 3 to 6 months post-surgery. If it has been nearly 3 months since November and there has been limited improvement despite rehabilitation exercises, it is advisable to discuss with your physician the possibility of follow-up imaging ...

[Read More] Post-Surgery Recovery: Why Can't My Father Get Out of Bed?


Post-Surgery Recovery: Why Can't My Father Get Out of Bed?

There has been improvement after the surgery, but the patient is still unable to get out of bed? Last September, my father underwent spinal surgery due to a car accident, which involved two vertebrae slipping and one fractured. During the procedure, screws and bone cement were us...


Dr. Lai Zhaokang Reply:
Hello: Generally, improvement occurs gradually within 3 to 6 months post-surgery. If it has been nearly 3 months since November and the improvement is limited despite rehabilitation exercises, it is advisable to discuss with your physician whether to pursue follow-up imaging to a...

[Read More] Post-Surgery Recovery: Why Can't My Father Get Out of Bed?


Understanding Brain Hemorrhage: Why Angiography Might Miss the Bleeding Point

Cerebral hemorrhage underwent cerebral angiography, but no bleeding source (aneurysm) was found? Hello doctor, my sister was hospitalized on the night of January 2 due to a cerebral hemorrhage and underwent a craniotomy for drainage. She is currently in the intensive care unit, a...


Dr. Zhao Shaoqing Reply:
This needs to be evaluated based on the report and the judgment at that time. You can visit the outpatient clinic for consultation.

[Read More] Understanding Brain Hemorrhage: Why Angiography Might Miss the Bleeding Point


Understanding Recovery After Brain Injury: Hope for a Normal Life

Recovery period issues My younger brother suffered a brain hemorrhage after a car accident. The doctor said to let him go. However, I see that all four limbs are functioning normally and he is conscious. Does this mean there is a chance for my brother to recover and lead a normal...


Dr. Zhao Shaoqing Reply:
You need to have regular follow-up appointments.

[Read More] Understanding Recovery After Brain Injury: Hope for a Normal Life


Understanding Upper Back and Rib Pain After COVID-19: Causes and Solutions

Pain in the upper back and rib area? Hello, my mother is 66 years old. She was first diagnosed with COVID-19 on December 9, 2022, and tested negative on December 19. During her infection, she experienced severe throat pain and loss of smell, which have not yet recovered. She has ...


Dr. Lai Zhaokang Reply:
Hello: It is suspected that there may be a thoracolumbar compression fracture or other conditions. It is recommended to consult a spine specialist surgeon. An MRI evaluation is advised. Wishing you a speedy recovery. By Dr. Lai Chao-Kang, Department of Spine Surgery, Changhua Hos...

[Read More] Understanding Upper Back and Rib Pain After COVID-19: Causes and Solutions


Post-Surgery Concerns: Managing Headaches and Dizziness After Intracranial Hemorrhage

Post-intracranial hemorrhage surgery Hello Doctor, my son fell and suffered a right brain hemorrhage at the age of 2 years and 3 months. He underwent surgery, and the wound is approximately 5-8 cm long, with noticeable metal screws in the skull. During a follow-up visit, I inquir...


Dr. Zhang Junwei Reply:
It is recommended to return to the neurosurgery outpatient clinic.

[Read More] Post-Surgery Concerns: Managing Headaches and Dizziness After Intracranial Hemorrhage


Understanding Recovery After Aneurysm Rupture and Coiling Surgery

Ruptured cerebral aneurysm, subarachnoid hemorrhage, has undergone embolization surgery? Hello Doctor, thank you very much for taking the time to respond. On Day 0, my father experienced a sudden severe headache on the morning of December 2nd. He was taken to the hospital half ...


Dr. Zhang Junwei Reply:
1. Hyperbaric oxygen therapy does not have a specific intervention time; it can begin once the condition is stable. 2. After regaining consciousness, a physician can reassess the situation. 3. It's really difficult to say.

[Read More] Understanding Recovery After Aneurysm Rupture and Coiling Surgery


Previous|Page Next