Other, Neurosurgery FAQ - Page 28

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Should My 80-Year-Old Grandmother Undergo Surgery for Brain Hemorrhage?

Does a brain hemorrhage require surgery? Hello Doctor: My grandmother had a hemorrhagic stroke, and we are currently hesitating whether to proceed with surgery. She is 80 years old, and we are concerned about the risks associated with the surgery. If we choose not to have surgery...


Dr. Ding Xianwei Reply:
Due to the complete lack of information available for discussion, it would be more appropriate to address such questions with your attending physician.

[Read More] Should My 80-Year-Old Grandmother Undergo Surgery for Brain Hemorrhage?


Can Brain Hemorrhage Stroke Patients Recover Without Surgery?

Will a hemorrhagic stroke recover on its own? Hello Doctor: I previously inquired about the issue of hemorrhagic stroke, and since the patient is over 80 years old, surgery was not recommended. The patient's condition is now stable and has been discharged for home care. Alth...


Dr. Xie Bojun Reply:
Hello: 1. Continuous rehabilitation is necessary to prevent complications from stroke, such as pressure ulcers and muscle spasms. The rehabilitation process must be uninterrupted to avoid prolonged pressure on the affected limb and to reduce the likelihood of spasticity. 2. If...

[Read More] Can Brain Hemorrhage Stroke Patients Recover Without Surgery?


Is It Really a Herniated Disc? Understanding Your Back Pain

Is it really a herniated disc? Doctor, I would like to ask you about something. In April, when I woke up, I sneezed and ended up with such severe lower back pain that I couldn't stand up straight. At the beginning of May, I went to the hospital to see an orthopedic specialis...


Dr. Ding Xianwei Reply:
Due to the inability to conduct a personal examination, I can only provide advice based on past experiences and existing information. Generally, simple lower back pain should not last more than a month; therefore, if the pain persists beyond this period, other organic issues must...

[Read More] Is It Really a Herniated Disc? Understanding Your Back Pain


Understanding Empty Sella Syndrome: Surgical Treatment and Key Concepts

Empty sella syndrome 1. From a surgical perspective, the treatment for empty sella syndrome typically involves addressing any underlying conditions or symptoms. If there is associated pituitary dysfunction, hormone replacement therapy may be necessary. In cases where there is inc...


Dr. Xie Bojun Reply:
Hello: It is recommended that you visit the neurology outpatient clinic for an examination. Thank you!

[Read More] Understanding Empty Sella Syndrome: Surgical Treatment and Key Concepts


Understanding Numbness and Pain in the Upper Back: When to Seek Help

Frequently experiencing numbness in the back? Hello doctor, I have a problem that has been bothering me for about a year or two. I often feel a tingling sensation in the area of my back near the left armpit (approximately the area where my palms would touch when I wrap my arms ar...


Dr. Ding Xianwei Reply:
I recommend that you visit the outpatient clinic for a personal evaluation and treatment.

[Read More] Understanding Numbness and Pain in the Upper Back: When to Seek Help


Understanding High-Frequency Thermal Coagulation for Disc Herniation Relief

I would like to inquire about high-frequency thermal coagulation therapy? Hello: My grandmother has undergone surgery for a herniated lumbar disc and subsequently had a second procedure to remove a blood clot that was causing compression. Although her neurological symptoms have i...


Dr. Ding Xianwei Reply:
I am not familiar with this and cannot provide you with advice.

[Read More] Understanding High-Frequency Thermal Coagulation for Disc Herniation Relief


Understanding Lumbar Disc Issues: Surgery Options and Long-Term Effects

Lumbar intervertebral disc Last year, I underwent surgery for an L4/L5 herniated disc and had a soft screw implanted. After the surgery, I felt my body leaning to the right, and my right leg became weak and fatigued. The longer I walked, the more uncomfortable I felt (even sittin...


Dr. Ding Xianwei Reply:
Due to the absence of imaging studies and neurological examinations, I am unable to provide you with recommendations. I suggest that you bring all your imaging results to our hospital so that I can personally examine you and then provide you with advice.

[Read More] Understanding Lumbar Disc Issues: Surgery Options and Long-Term Effects


Understanding Post-Trauma Brain Hemorrhage: Symptoms and Follow-Up Care

Cerebral hemorrhage Hello, doctor. I was involved in a serious car accident where I sustained a head injury and experienced a brain hemorrhage (left-sided subarachnoid hemorrhage). About ten days after the accident, I began to show symptoms of a concussion, including vomiting, se...


Dr. Ding Xianwei Reply:
Your issue may be related to cervical spine problems. Of course, subarachnoid hemorrhage can cause severe headaches, so you need to stay well-hydrated. If you are still concerned, it would be advisable to schedule another CT scan.

[Read More] Understanding Post-Trauma Brain Hemorrhage: Symptoms and Follow-Up Care


Understanding Right Hippocampal Cystic Lesions: Tumor or Not?

A right hippocampal cystic lesion refers to a tumor in the hippocampal region? Hello doctor, I underwent an MRI scan during a health check-up in mainland China, and I currently only have the diagnosis without any other information. I have no discomfort or symptoms in my body. Cou...


Dr. Ding Xianwei Reply:
Since I haven't seen your data, I am unable to provide recommendations.

[Read More] Understanding Right Hippocampal Cystic Lesions: Tumor or Not?


Managing Sciatica Pain: Insights on Recovery and Treatment Options

Lumbar spine injury 6? 1. There has been some improvement, but will it relapse again? I went to an orthopedic examination, and at that time, the doctor did not take an X-ray. He diagnosed me through palpation and told me it was sciatica located between L3 and S1. I still experien...


Dr. Xie Bojun Reply:
Hello: Your issue is quite complex and requires a consultation with a neurosurgeon, as well as a lumbar X-ray examination. If rehabilitation is ineffective or worsens your symptoms, there is no need to continue with it!

[Read More] Managing Sciatica Pain: Insights on Recovery and Treatment Options


Is Surgery Necessary for 37-Degree Scoliosis? Exploring Treatment Options

Does scoliosis require surgery? Dear Director Hsieh, I was diagnosed with a 37-degree lumbar scoliosis at the orthopedic outpatient clinic. Although I currently do not have any discomfort, the physician has recommended surgery. I feel a bit scared and hesitant because it seems li...


Dr. Xie Bojun Reply:
Dear Zhu Zhu: Scoliosis does not necessarily require surgical correction, especially since you do not have any discomfort symptoms. What is the purpose of the surgery?

[Read More] Is Surgery Necessary for 37-Degree Scoliosis? Exploring Treatment Options


Understanding Mild Concussions: Symptoms and Recovery After a Fall

Injury at the end of October - mild concussion!? On October 25, I accidentally fell off my bicycle and hit my head. I did not lose consciousness, but afterwards, I experienced difficulty concentrating, dizziness, and some incoherent speech. There was a noticeable bump on the uppe...


Dr. Ding Xianwei Reply:
If you did not lose consciousness at the time of the injury, it cannot be classified as a concussion. Essentially, there is no term for "mild" concussion; the definition of a concussion is loss of consciousness for more than 10 minutes after the injury, followed by a re...

[Read More] Understanding Mild Concussions: Symptoms and Recovery After a Fall


Understanding the Impact of Acoustic Neuroma Surgery on Nerve Function and Recovery

Acoustic neuroma After the craniotomy, the removal of cranial nerves 7 and 8 was performed. The surgery took place on the morning of October 29 and lasted until the afternoon, after which my mother was transferred to the intensive care unit. This year, my mother was diagnosed wit...


Dr. Ding Xianwei Reply:
Due to the lack of any data and not having personally examined you, I can only provide insights based on your information. It is essential that you have a detailed discussion with your attending physician to find the appropriate treatment. An acoustic neuroma, as the name suggest...

[Read More] Understanding the Impact of Acoustic Neuroma Surgery on Nerve Function and Recovery


Post-Surgery Care for Brain Aneurysm Patients: Essential Guidelines

Postoperative Care for Cerebral Hemorrhage Dear Director Hsieh, My mother experienced a ruptured cerebral aneurysm last year, which led to subarachnoid hemorrhage. She has recovered well after surgery. However, I would like to inquire about any other precautions we should take s...


Dr. Xie Bojun Reply:
Hello Chelle: Intracranial aneurysms are primarily located at the arterial trunks of the skull base, and when they rupture, they can cause subarachnoid hemorrhage at the skull base. The clinical manifestations following a hemorrhage are mainly related to the severity of the bleed...

[Read More] Post-Surgery Care for Brain Aneurysm Patients: Essential Guidelines


Concussion or Whiplash? Understanding Your Symptoms After a Car Accident

Concussion? Whiplash? Hello Dr. Ding, last week on the evening of July 24th, I was rear-ended by another vehicle traveling at 60 km/h while my car was stationary. I did not sustain any external injuries to my head (I don't think I hit the steering wheel), but at that moment,...


Dr. Ding Xianwei Reply:
Due to the lack of a personal examination, I can only provide suggestions based on experience. Your issue may be related to a cervical spine injury. As for a concussion, it is not considered a concussion if there is no loss of consciousness. However, cervical spine injuries canno...

[Read More] Concussion or Whiplash? Understanding Your Symptoms After a Car Accident


Understanding Neck Pain After Concussion: Recovery Timeline and Concerns

Neck discomfort or soreness? Hello, doctor. About 50 days ago, I had a motorcycle accident and experienced a concussion at that time. After more than 50 days, other injuries have lessened, and my dizziness has improved by about half. However, I still have some soreness in the rig...


Dr. Ding Xianwei Reply:
Since I have not personally treated you, I can only provide suggestions based on your information. Approximately 15-17% of patients with head trauma may have cervical spine injuries, and sometimes symptoms may take about six weeks to three months to manifest. Therefore, it is pos...

[Read More] Understanding Neck Pain After Concussion: Recovery Timeline and Concerns


Recovering from Traumatic Brain Injury: Insights on Rehabilitation and Care

Intracranial hemorrhage due to a car accident, right hemisphere surgery? Hello Doctor, my brother was hit by a car while walking on the road early in the morning on April 18th, resulting in a Glasgow Coma Scale score of 4 and intracranial hemorrhage on the right side of his brain...


Dr. Ding Xianwei Reply:
Since your brother's injury has not been more than a month, many of the functions that have not yet recovered are still uncertain regarding how much they can improve. To be honest, recovering from a coma scale of 4 to a level where he can follow commands (as per your descrip...

[Read More] Recovering from Traumatic Brain Injury: Insights on Rehabilitation and Care


Post-Surgery Complications: Managing Neck Pain and Weakness

Postoperative complications of cervical spine surgery? Dear Dr. Ding, I went to the emergency room at the end of May last year due to physical discomfort, during which I experienced some numbness in my right hand. After resting in the hospital, my condition improved, and followi...


Dr. Ding Xianwei Reply:
Due to the incomplete nature of your information and the fact that you have not been seen in person, I can only provide suggestions based on experience. Your description could potentially indicate symptoms of hand numbness caused by a minor stroke, which may not have been detecte...

[Read More] Post-Surgery Complications: Managing Neck Pain and Weakness


Understanding Delayed Symptoms of Concussion After Head Trauma

Head injury with concussion? Hello Dr. Ding: My nephew was involved in a rear-end collision while driving without maintaining a safe distance. After police intervention, neither party required medical attention at the scene. About 6 to 7 days later, the other party called to repo...


Dr. Ding Xianwei Reply:
Due to the lack of direct examination, this response is based solely on experience. A concussion is the mildest form of head injury. According to Wikipedia, "A concussion is a common and relatively mild brain injury that occurs when a person experiences a sudden impact or jo...

[Read More] Understanding Delayed Symptoms of Concussion After Head Trauma


Understanding Post-Concussion Symptoms and Their Duration

Post-concussion syndrome Hello Dr. Ding, I had an accident six days ago while riding my motorcycle too fast and fell. I was wearing a helmet, but I am unsure what my head hit, and I lost consciousness for about ten minutes. Over the past week, my bodily injuries have gradually ...


Dr. Ding Xianwei Reply:
Since I have not personally treated you, I can only respond based on experience. If unconsciousness lasts more than 10 minutes, it is considered a concussion! Other symptoms are residual effects following a head injury. Dizziness, nausea, or vomiting are not necessary conditions ...

[Read More] Understanding Post-Concussion Symptoms and Their Duration


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