Understanding Brain Cell Damage After Nasopharyngeal Cancer Treatment
Head issues Hello, I would like to ask about my father, who previously underwent radiation therapy and chemotherapy due to nasopharyngeal cancer. It has been nearly three years since he completed his treatment, and during the follow-up period, a brain CT scan revealed that some b...
Dr. Zhang Junwei Reply:
Nerve cells in the brain cannot regenerate. If there are any issues, you may consult a neurosurgery outpatient clinic.[Read More] Understanding Brain Cell Damage After Nasopharyngeal Cancer Treatment
Discomfort in the Thigh: When to See an Orthopedist or Neurologist?
Discomfort due to thigh compression? Hello Doctor: I experience discomfort in the back of my left thigh while sitting in a chair, but my right leg is fine. However, if I sit like a soldier, only using one-third of the chair (with only my buttocks on the chair and my thighs not in...
Dr. Lai Zhaokang Reply:
Hello, you may be experiencing sciatica, muscle inflammation, or other conditions. It is recommended to have an evaluation at a neurosurgery clinic. Wishing you all the best.[Read More] Discomfort in the Thigh: When to See an Orthopedist or Neurologist?
Hydrocephalus Surgery: Understanding Treatment Options and Specialist Expertise
Hydrocephalus Surgery Dear Doctor, my mother had a minor car accident that resulted in a mild intracranial hemorrhage and subarachnoid hemorrhage. After the blood was absorbed, she continued to experience headaches, dizziness, eye fatigue, and some blurriness when looking upward ...
Dr. Zhang Junwei Reply:
If it is confirmed to be hydrocephalus, surgery is necessary. Typically, a ventriculoperitoneal shunt procedure is performed. This drainage surgery is quite simple and is commonly performed by neurosurgeons![Read More] Hydrocephalus Surgery: Understanding Treatment Options and Specialist Expertise
Child's Mysterious Fever After Soccer Incident: Is It Related to Concussion?
Two weeks ago, the child was hit by a ball during soccer class, and two weeks later, they developed a high fever for four days without any known cause? A seven-year-old child accidentally got hit by a soccer ball during a class on the morning of August 13th and fell to the ground...
Dr. Zhang Junwei Reply:
Hello, first you should know that there is still doubt regarding the concussion. If it were truly a brain-related illness causing the high fever, the child would likely have already been in a coma, so that possibility is extremely low. Furthermore, the fact that it occurred two w...[Read More] Child's Mysterious Fever After Soccer Incident: Is It Related to Concussion?
Understanding Head Pain: When to Seek Neurological Care
Headache Hello, Doctor. I am currently a second-year student in the evening program and work as an administrative assistant during the day, where I use a computer. Recently, I have been experiencing some mild headaches, which I initially didn't think much of. However, I have...
Dr. Zhang Junwei Reply:
Please schedule an appointment with the neurology department![Read More] Understanding Head Pain: When to Seek Neurological Care
Understanding Medulloblastoma Stage IV: A Family's Heartbreaking Journey
Medulloblastoma Stage IV My sister was being treated for a brain tumor at the hospital. After a biopsy, she underwent an emergency surgery for hydrocephalus drainage, and the biopsy revealed a fourth-stage medulloblastoma. The doctors said it was a curable brain tumor, so we held...
Dr. Zhang Junwei Reply:
Based on your description, it could be a respiratory obstruction, but to be honest, I don't know the exact cause. We can only determine what happened on-site.[Read More] Understanding Medulloblastoma Stage IV: A Family's Heartbreaking Journey
Understanding Post-Concussion Syndrome and Its Link to Brain Cysts
Post-Concussion Syndrome Hello Doctor: I was involved in a motorcycle accident where I sustained a head impact. I was wearing a helmet, and there were no external injuries to my head, nor did I lose consciousness. Upon examination at the hospital, there were no signs of a concuss...
Dr. Zhang Junwei Reply:
Cysts are usually congenital, but I cannot confirm this without seeing a CT scan![Read More] Understanding Post-Concussion Syndrome and Its Link to Brain Cysts
Head Trauma Concerns: Understanding Symptoms and When to Seek Help
Head issues A few days ago, I was hit on the left side of my head by a gun while practicing with the drill team at school. After applying ice, I felt a bit dizzy but continued practicing. By the afternoon, the dizziness worsened, and I felt slightly nauseous but couldn't vom...
Dr. Zhang Junwei Reply:
If you continue to experience headaches and dizziness, it is recommended to follow up at the outpatient clinic![Read More] Head Trauma Concerns: Understanding Symptoms and When to Seek Help
Understanding Shoulder and Neck Stiffness: When to See a Specialist
Symptoms of shoulder and neck stiffness? Hello Doctor, I have been experiencing sharp pain in my shoulder for several years. Later, I developed numbness in a patch of skin, and my neck became stiff and slightly swollen. The side of my face and my eyes feel weak. I initially thoug...
Dr. Zhang Junwei Reply:
Yes, please consult neurosurgery.[Read More] Understanding Shoulder and Neck Stiffness: When to See a Specialist
Post-Surgery Challenges: Managing Weakness, Appetite Loss, and Fatigue After Brain Tumor Removal
After brain tumor surgery, there are symptoms of mental fatigue, loss of appetite, and weakness? Hello Doctor: My mother is fifty-seven years old and has a 4 cm brain tumor in her left hemisphere. She underwent surgery on July 27, and the procedure successfully removed the tumor....
Dr. Zhang Junwei Reply:
Your question is difficult to answer without information on the location of the brain tumor, the preoperative condition, and the details of the surgery. It's challenging to provide a response without this information![Read More] Post-Surgery Challenges: Managing Weakness, Appetite Loss, and Fatigue After Brain Tumor Removal
Post-Surgery Concerns After Disc Herniation: What to Expect
Postoperative Issues Following Disc Rupture Surgery Hello Doctor, I had foot pain for two months, during which I continued rehabilitation with slight improvement. After that, I underwent an MRI, and the doctor said I had a herniated disc and advised me to have surgery, warning th...
Dr. Zhang Junwei Reply:
1. Not necessarily. 2. Unlikely. 3. If there is improvement after surgery, mild foot pain can be considered normal. 4. No.[Read More] Post-Surgery Concerns After Disc Herniation: What to Expect
Understanding Disc Herniation: Addressing Weakness and Numbness in Legs
I would like to inquire about issues related to herniated discs and leg weakness? A few years ago, I experienced back numbness and went to a large hospital where I was diagnosed with a herniated disc. The doctor advised me to be cautious during daily activities and to undergo reh...
Dr. Lai Zhaokang Reply:
Hello, you may be experiencing issues related to lumbar spine and sciatica, but it could also be other problems. It is advisable to seek a personal evaluation from a neurosurgeon. Wishing you a speedy recovery. // Dr. Lai Chao-Kang, Director of Spine Neurosurgery, Changhua Hospit...[Read More] Understanding Disc Herniation: Addressing Weakness and Numbness in Legs
Understanding Neck Pain and Numbness: When to See a Specialist
Numbness and tingling in the neck? Hello Dr. Lai, I have intermittent tingling and numbness in the left side of my neck, behind my ear, and at the back of my head. Sometimes my neck feels stiff and numb, but it tends to be less numb when I lie down. Could these symptoms be relate...
Dr. Lai Zhaokang Reply:
Hello, it could be a cervical spine issue or another problem. It is advisable to seek medical attention. Wishing you a speedy recovery. // Dr. Lai Chao-Kang, Chief of Spine Neurosurgery, Changhua Hospital.[Read More] Understanding Neck Pain and Numbness: When to See a Specialist
Understanding Pain After Vertebral Compression Fracture Treatment
Vertebral compression fracture The mother underwent vertebroplasty two weeks ago, and her discomfort has improved during this time. However, today she started experiencing pain again while turning over. It is unclear what might be causing this. She has been wearing a brace day an...
Dr. Lai Zhaokang Reply:
Hello, if you are experiencing significant pain that has not improved, it is recommended to return to the hospital early for evaluation by your original treating physician. Changhua Hospital cares about you. // Neurosurgery Dr. Lai Chao-Kang[Read More] Understanding Pain After Vertebral Compression Fracture Treatment
Persistent Dizziness After Head Injury: When to See a Neurosurgeon?
Persistent dizziness after a head injury? Hello Dr. Lai, I sustained a head injury while playing basketball at the beginning of April when I went for a rebound. Initially, I did not experience any discomfort, but the next day when I woke up, I started to feel dizzy and nauseous, ...
Dr. Lai Zhaokang Reply:
Hello, head injuries should prioritize seeing a neurosurgeon for more comprehensive treatment. Your symptoms resemble post-concussion syndrome and may also be associated with inner ear balance issues. It is recommended to consult both a neurosurgeon and an otolaryngologist at Cha...[Read More] Persistent Dizziness After Head Injury: When to See a Neurosurgeon?
Head Injury at Work: Understanding Dizziness and Potential Risks
Head injury at work? Yesterday, while I was working, I accidentally bumped my head against the wall, but it wasn't a very hard impact. There was no external injury, but this afternoon I suddenly felt dizzy. I took a nap, but it didn't improve much. Coincidentally, I am ...
Dr. Lai Zhaokang Reply:
Hello, your condition may involve other variables, so I cannot provide a direct answer. I recommend seeing a neurosurgeon for evaluation. Changhua Hospital cares about you. // Neurosurgery Dr. Lai Chao-Kang.[Read More] Head Injury at Work: Understanding Dizziness and Potential Risks
Understanding Post-Surgery Recovery: What to Expect After Neurological Trauma
Will the current condition improve after the surgery? Dr. Chang, I am really worried about my brother's condition. He is three years old and had a fever that led to polio; he could still walk with crutches. On the morning of the sixth day of the Lunar New Year, he was going ...
Dr. Zhang Junwei Reply:
The situation is complex, and without clinical examinations and CT scan images, it is really difficult to answer your question. I recommend consulting at an outpatient clinic![Read More] Understanding Post-Surgery Recovery: What to Expect After Neurological Trauma
Managing Disc Herniation: Tips for Students with Back Pain
Prolonged sitting for 90 minutes and resting in a prone position on the desk? Hello Doctor: A young female patient experienced prolonged lower back pain in mid-2014 and sought treatment from the rehabilitation department. Following the doctor's advice, she underwent rehabili...
Dr. Zhang Junwei Reply:
It is recommended that you consult a rehabilitation physician for better answers to your questions![Read More] Managing Disc Herniation: Tips for Students with Back Pain
Understanding Brain Injury Recovery: Key Questions and Treatment Options
Inquire about issues related to brain injury? Hello Doctor: Six days ago, I was involved in a car accident on my way to work and was sent to the hospital with a Glasgow Coma Scale (GCS) score of 8. A CT scan revealed intracranial hemorrhage, and while my intracranial pressure is ...
Dr. Zhang Junwei Reply:
1. It could be diffuse axonal injury, and the likelihood of waking up is uncertain; there is a possibility of not waking up at all! 2. There is no medical evidence supporting the clinical efficacy of hyperbaric oxygen therapy! 3. Essentially, we can only wait and should avoid inc...[Read More] Understanding Brain Injury Recovery: Key Questions and Treatment Options
Post-Surgery Treatment for Brain Tumor: Addressing Memory and Mobility Issues
Treatment for postoperative complications following brain tumor surgery? Hello Doctor: I would like to ask about my mother, who is 60 years old. She has experienced memory and judgment decline and was diagnosed with a 6 cm benign brain tumor in the left hemisphere. After surgery,...
Dr. Zhang Junwei Reply:
It is recommended to transfer to the rehabilitation department for further treatment, as acupuncture therapy has shown good results![Read More] Post-Surgery Treatment for Brain Tumor: Addressing Memory and Mobility Issues