Chronic Pain After Testicular Surgery: Understanding Nerve Damage
Neuropathic pain after testicular surgery? Hello, I would like to ask about my father's symptoms. Three years ago, he visited a hospital where the doctor diagnosed him with "folliculitis and cellulitis," and he was immediately scheduled for surgery. It has been ove...
Dr. Zhang Junwei Reply:
Please find a urologist![Read More] Chronic Pain After Testicular Surgery: Understanding Nerve Damage
Understanding Ventricular Drainage: Risks and Safety Precautions
Abdominal drainage tube My mother has a ventriculoperitoneal shunt (Medtronic Strata) due to hydrocephalus, which was self-funded. The doctors advised that she can live normally but should avoid strong magnetic fields. However, a few months ago, after she used a hairdryer for the...
Dr. Zhang Junwei Reply:
Please return to the original surgical hospital for a follow-up appointment and consult with the physician in detail![Read More] Understanding Ventricular Drainage: Risks and Safety Precautions
Understanding Lumbar Artificial Discs: Benefits and Recovery for Active Lifestyles
Artificial intervertebral disc Hello, I would like to ask about my previous lumbar disc surgery, which I found online is referred to as "lumbar spinal fusion surgery." Recently, I came across another procedure called "lumbar artificial disc replacement," which...
Dr. Lai Zhaokang Reply:
Hello, the lumbar spine consists of many segments. If the <old> segments have already fused, they cannot be replaced with a <lumbar artificial disc>. However, for other <new> segments that are affected, it can be assessed based on the condition to determine if i...[Read More] Understanding Lumbar Artificial Discs: Benefits and Recovery for Active Lifestyles
Is It Normal to Feel Pain After Hitting Your Head on a Bed?
Hit the head against the headboard? It is not uncommon to experience mild pain after a minor head injury, such as bumping your head against a bed. This discomfort can occur due to bruising or strain in the surrounding tissues. However, if the pain persists, worsens, or is accompa...
Dr. Zhang Junwei Reply:
It is a normal phenomenon; if symptoms worsen, please schedule an appointment with the neurosurgery outpatient clinic.[Read More] Is It Normal to Feel Pain After Hitting Your Head on a Bed?
Understanding Concussion Symptoms After a Minor Motorcycle Accident
Concussion issues If you were hit by a motorcycle and fell on your buttocks without hitting your head, but are now experiencing dizziness that has become more frequent over the past two weeks, it is possible that you could be experiencing a concussion, especially if there was any...
Dr. Lai Zhaokang Reply:
Hello, as mentioned: "There was no direct impact to the head, but I feel dizzy and lightheaded. Initially, it was just a little dizziness, but after two weeks, it has become more frequent." Since there was no direct trauma to the head and no external injury, it cannot b...[Read More] Understanding Concussion Symptoms After a Minor Motorcycle Accident
Understanding Hydrocephalus in Infants: To Shunt or Not to Shunt?
Hydrocephalus in infants Dear Director Zhang, I would like to consult regarding my baby who is currently eight months old. At one month old, due to unknown reasons, there was inflammation and bleeding in the ventricles, which ultimately led to a blockage and the placement of a d...
Dr. Zhang Junwei Reply:
I apologize, pediatric neurosurgery is a very specialized field, and I cannot answer your question. However, I can recommend you to consult Dr. Kuo Meng-Fei at National Taiwan University Hospital, who is an expert in pediatric neurosurgery in Taiwan![Read More] Understanding Hydrocephalus in Infants: To Shunt or Not to Shunt?
Is My Leg Numbness a Sign of Disc Herniation Recurrence?
Is this a recurrence of a herniated disc? Six years ago, I underwent minimally invasive surgery to remove a portion of a herniated disc at the L4/L5 level due to pain and numbness in my left leg, and I recovered well. However, two months ago, after sneezing, I noticed numbness fr...
Dr. Lai Zhaokang Reply:
1. Does this count as a recurrence of a herniated disc? A: It is possible. Please arrange for further examinations such as X-rays and MRI to confirm. 2. Is the numbness in the foot due to nerve compression? A: It is possible, but it could also be due to other issues. 3. If th...[Read More] Is My Leg Numbness a Sign of Disc Herniation Recurrence?
Understanding Brainstem Hemorrhage: What to Do When Hope Seems Lost
Brainstem hemorrhage My brother, 44 years old, suddenly vomited blood and was taken to Cathay General Hospital in Hsinchu, where he was diagnosed with brainstem hemorrhage. His Glasgow Coma Scale score is 3, and he is unable to breathe on his own. Resuscitation efforts have been ...
Dr. Zhang Junwei Reply:
If the coma scale is only three points, the prognosis is poor, and it is recommended to discuss the treatment plan further with the attending physician.[Read More] Understanding Brainstem Hemorrhage: What to Do When Hope Seems Lost
Post-Car Accident: Understanding Nerve Issues from Minor Cuts
Nerve issues following lacerations from a car accident? Hello Doctor: Four months ago, I sustained a 2 cm laceration on the dorsum of my foot from a car license plate in a car accident. The wound is not deep. However, I went swimming that afternoon, and the waterproof bandage cam...
Dr. Zhang Junwei Reply:
Based on your description, it seems that there is no nerve injury, as you do not experience numbness, weakness, or other neurological deficits![Read More] Post-Car Accident: Understanding Nerve Issues from Minor Cuts
Understanding Concussion Diagnosis After an Accident: Key Insights
Determination of Concussion Doctor, my friend was in a car accident. The other party went for a medical evaluation immediately after the incident, and the doctor did not diagnose a concussion at that time. They went home to rest. However, the next day, after 24 hours, the other p...
Dr. Zhang Junwei Reply:
A concussion is defined as a state of temporary amnesia or loss of consciousness following a head injury. The diagnosis is entirely based on the patient's symptoms; if the patient does not clearly describe their symptoms to the physician, there is a possibility of an incorre...[Read More] Understanding Concussion Diagnosis After an Accident: Key Insights
Understanding Cauda Equina Syndrome: Risks and Recovery Options
Cauda equina Recently diagnosed with a herniated disc, which has been ongoing for two to three years without active rehabilitation. During this time, I have also lifted heavy objects and engaged in intense exercise. Is there a significant chance of cauda equina syndrome leading t...
Dr. Lai Zhaokang Reply:
Hello, 1. Is there a significant chance that a herniated disc is compressing the cauda equina and causing erectile dysfunction? It is possible, but it is recommended to visit a clinic for an MRI and other examinations for proper assessment. 2. Severe injuries are more commonl...[Read More] Understanding Cauda Equina Syndrome: Risks and Recovery Options
Understanding Post-Trauma Brain Hemorrhage: Symptoms and Care
Traumatic brain hemorrhage from a car accident? Hello doctor, my boyfriend had a motorcycle accident last Friday and is currently hospitalized. Throughout the process, he has not shown any signs of unconsciousness. He has been in the intensive care unit for about four days. The d...
Dr. Zhang Junwei Reply:
Typically, this situation requires an examination of the patient's brain CT scan and an assessment of neurological function in order to make a determination. I cannot answer your question without that information.[Read More] Understanding Post-Trauma Brain Hemorrhage: Symptoms and Care
Understanding Post-Traumatic Symptoms After Brain Injury
Post-acute sequelae of brain injury? Hello, doctor. I apologize for bothering you, but I would like to ask: "I was in a motorcycle accident where I collided head-on with another vehicle that made an illegal left turn. However, that's not important; I just want to mainta...
Dr. Zhang Junwei Reply:
Yes, frontal lobe damage can lead to deterioration and changes in memory, cognition, and personality, while cerebellar injury can result in balance issues.[Read More] Understanding Post-Traumatic Symptoms After Brain Injury
Headache After Motorcycle Accident: Should You Seek Medical Attention?
Headache after a car accident? I was hit by a motorcycle from the left while crossing the street. I don't remember if I flew up; in an instant, I have no recollection of the moment of impact, only the memory of lying on the ground. At that moment, I wanted to get up but wasn...
Dr. Lai Zhaokang Reply:
Hello, your symptoms are similar to those of a head injury or concussion. It is recommended that you visit a nearby neurosurgery outpatient clinic for evaluation. Wishing you a speedy recovery. Dr. Lai Chao-Kang, Director of the Spine Neurosurgery Department, Changhua Hospital.[Read More] Headache After Motorcycle Accident: Should You Seek Medical Attention?
Choosing Surgery for Cervical Disc Herniation: Risks and Alternatives
Options for Cervical Disc Rupture Surgery My mother is 56 years old and has been experiencing severe pain in her neck and arms, requiring steroid injections for pain relief. After an MRI, the doctor diagnosed her with a herniated disc at the C3-C4 level and a slipped disc at the ...
Dr. Lai Zhaokang Reply:
Hello, based on your description, I infer that 1. it may increase wear on adjacent segments, referred to as adjacent segment disease. To overcome this, it would be necessary to replace the fixed PEEK cage with a mobile artificial disc, although this option is more expensive. 2. G...[Read More] Choosing Surgery for Cervical Disc Herniation: Risks and Alternatives
Post-Accident Nausea and Head Pain: When to Seek Medical Attention?
After a car accident with no obvious external injuries, but experiencing nausea and a feeling of wanting to vomit, is further examination necessary? Hello, two days ago in the evening, I was involved in a collision with a motorcycle. I only have a slight abrasion on my left eyeli...
Dr. Zhang Junwei Reply:
Hello, it is common to experience headaches and dizziness after a head injury. It is recommended to stop working and rest for two to three days. If discomfort persists, it is advisable to schedule an appointment with a neurosurgery clinic for evaluation.[Read More] Post-Accident Nausea and Head Pain: When to Seek Medical Attention?
Understanding Brachial Plexus Surgery: Recovery and Rehabilitation Insights
Brachial plexus reconstruction surgery Hello, I would like to ask about my situation. I had a car accident on September 28, where I skidded in the rain and crashed into a utility pole, resulting in multiple fractures. I am currently recovering, but I am particularly concerned abo...
Dr. Lai Zhaokang Reply:
Hello, you have already undergone surgery by Dr. Chuang, so you should follow his medical advice. Any concerns should be discussed with the surgical team, especially since you have just had reconstructive surgery. Recovery takes time, so please trust that the physician who perfor...[Read More] Understanding Brachial Plexus Surgery: Recovery and Rehabilitation Insights
Post-Aneurysm Rupture: Air Travel Safety for Elderly Patients
Issues Related to Ruptured Cerebral Aneurysms Dear Dr. Chang, I have an elderly family member who is 81 years old (born in 1934). On Lunar New Year's Eve this year, she experienced a ruptured aneurysm (subarachnoid hemorrhage) and was sent to the hospital in a coma. After e...
Dr. Zhang Junwei Reply:
Hello: The physicians performing aneurysm embolization surgery in the country may be neurosurgeons or interventional radiologists. Make sure to confirm who your surgical physician is and schedule an outpatient appointment to discuss your concerns thoroughly. If the physician does...[Read More] Post-Aneurysm Rupture: Air Travel Safety for Elderly Patients
Understanding Brain Hemorrhage Surgery: Key Questions and Insights
Regarding surgery for cerebral hemorrhage? On Tuesday, a family member suddenly experienced dizziness, vomiting, and overall weakness, so they were immediately taken to the emergency room. Upon arrival at the hospital, they were conscious, but after receiving an injection, they f...
Dr. Zhang Junwei Reply:
Hello: There are many situations regarding cerebral hemorrhage, and based solely on your description, it is not possible to assess the condition. Please discuss your situation in detail with your attending physician.[Read More] Understanding Brain Hemorrhage Surgery: Key Questions and Insights
Understanding Intracranial Hemorrhage After Car Accident: Key Questions Answered
Intracranial hemorrhage due to a car accident? Hello, doctor. My girlfriend was in a car accident on the morning of December 31, resulting in a pneumothorax and a brain hemorrhage, for which she underwent surgery to remove the blood clot and was admitted to the intensive care uni...
Dr. Zhang Junwei Reply:
Your situation is quite complex; it's best to consult your girlfriend's primary care physician and discuss her condition thoroughly.[Read More] Understanding Intracranial Hemorrhage After Car Accident: Key Questions Answered