Other, Neurosurgery FAQ - Page 29

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Head Injury: Understanding Risks, Symptoms, and Long-Term Effects

Head trauma Hello, I apologize for sending another message as the previous one was not completed. A few days ago, I had an accident while riding my motorcycle on a slippery road and hit my head. I was going at a relatively high speed but was wearing a helmet, so there were no ext...


Dr. Ding Xianwei Reply:
If a person is in a coma for more than 10 minutes, it is considered a concussion! However, intracranial bleeding can only be detected through a CT scan. The purpose of the examination is to inform medical care decisions. Since I cannot provide direct treatment, I can only share b...

[Read More] Head Injury: Understanding Risks, Symptoms, and Long-Term Effects


Understanding Thoracic Outlet Syndrome: Causes, Symptoms, and Treatment Options

Thoracic Outlet Syndrome My dad has a sensation from his right arm to his back, as if a rope is tightly bound. Initially, the doctor mentioned degeneration in the neck and suggested a cervical disc replacement, but there was no improvement. Later, an MRI revealed that the right s...


Dr. Ding Xianwei Reply:
Such questions cannot be answered online. It is recommended that you first consult a neurologist for a comprehensive examination before discussing further.

[Read More] Understanding Thoracic Outlet Syndrome: Causes, Symptoms, and Treatment Options


Minimally Invasive Surgery for Facial Blushing: Options in Taiwan

Surgery for treating facial blushing? Hello, doctor. I have been prone to blushing easily since childhood. I tend to blush during embarrassing situations or when I feel awkward, which causes me significant psychological stress. I often worry about whether I will blush uncontrolla...


Dr. Lai Zhaokang Reply:
1. Endoscopic sympathetic nerve block is typically performed under general anesthesia. Small incisions of approximately 1 cm are made on both sides of the axilla, through which an endoscope is inserted into the thoracic cavity to block specific sympathetic nerves located at the a...

[Read More] Minimally Invasive Surgery for Facial Blushing: Options in Taiwan


Post-Concussion Symptoms: What to Watch For After Head Trauma

Post-traumatic sequelae of head injury Hello, I was hit on the side of my head, just above my right ear, by a baseball three days ago. After the impact, I experienced swelling and pain, but no other symptoms for the first few days. However, since last night, I have been feeling d...


Dr. Ding Xianwei Reply:
The sequelae of head trauma include dizziness and headaches. Therefore, if you did not lose consciousness at the time, your symptoms are likely due to the aftermath of the head injury. You need to drink plenty of water and rest, and you should avoid vigorous exercise for the time...

[Read More] Post-Concussion Symptoms: What to Watch For After Head Trauma


Understanding Left Shoulder Blade Pain and Hand Numbness: A Guide

Pain in the left scapula accompanied by hand numbness? Hello doctor, I started experiencing back pain six months ago. Since I have a sedentary job, I began exercising and stretching to improve the situation. However, over two months ago, I started to feel numbness, tingling, and ...


Dr. Ding Xianwei Reply:
Based on the information provided, it appears that there may be issues with your cervical spine. However, just because the examination did not reveal any problems does not mean that there are none. What you should focus on is treatment rather than further examinations. Since you ...

[Read More] Understanding Left Shoulder Blade Pain and Hand Numbness: A Guide


Effective Treatments for Skull Base Pseudotumors: Chemotherapy, Surgery, and More

Chemotherapy, augmented with surgery? How should a physician treat a pseudotumor at the skull base, which is characterized by fibrosis (also known as scarring), in order to achieve healing? Is chemotherapy, radiation therapy, or surgery recommended? Thank you!


Dr. Xie Bojun Reply:
Hello, WANG~ Currently, our hospital does not offer chemotherapy combined with surgical procedures. We recommend that you consult with other medical centers. Thank you.

[Read More] Effective Treatments for Skull Base Pseudotumors: Chemotherapy, Surgery, and More


Understanding Foot Cramps: Causes and Solutions for Better Sleep

Leg twitching? Hello Dr. Ding, I often experience twitching in my right little toe while sleeping. Sometimes the twitching is severe, and I feel it extending to my lower back. Occasionally, I also feel discomfort in my head. This has been happening for about 5 to 6 years, and it ...


Dr. Ding Xianwei Reply:
Due to the lack of a personal examination, I can only provide suggestions based on the information you provided. If you are experiencing lower back pain that radiates to the right little toe, it may be caused by a herniated disc in the lumbar region compressing a nerve. If it is ...

[Read More] Understanding Foot Cramps: Causes and Solutions for Better Sleep


Understanding Concussions and Cervical Ligament Calcification: Key Insights

Concussion. Cervical spine calcification? A week ago, I was hit on the head by a striped object. The next day, I experienced dizziness, headaches, slight stiffness on the left side of my face, nausea (twice), and neck and shoulder pain. By the third day, I only had mild headaches...


Dr. Ding Xianwei Reply:
Due to the lack of a personal examination, I can only respond based on the information you provided. Generally speaking, a concussion is defined as a loss of consciousness for more than 10 minutes following a head injury, after which the individual regains consciousness. Some ind...

[Read More] Understanding Concussions and Cervical Ligament Calcification: Key Insights


Understanding Brain Growths: Tumors, Cysts, and Hydrocephalus Explained

Hello, how can I assist you? If there are growths in the brain, such as tumors, lesions, cysts, or conditions like hydrocephalus, are they all considered brain tumors, or do they have other names?


Dr. Ding Xianwei Reply:
Your question is unclear and cannot be answered!

[Read More] Understanding Brain Growths: Tumors, Cysts, and Hydrocephalus Explained


Understanding Spinal Fractures and Slips: Surgery Standards and Recovery

Vertebral fracture and spondylolisthesis? The X-ray shows a fracture of the fourth lumbar vertebra and a slippage with an intervertebral space remaining at 0.5 (the normal measurement is 1.6). I have been diagnosed by doctors at Mackay Memorial Hospital and Veterans General Hospi...


Dr. Lai Zhaokang Reply:
1. There are many considerations for surgery; the physician must personally examine the patient and collaborate with relevant imaging studies such as X-rays, MRI, and even nerve conduction studies and bone density tests before making a determination regarding the necessity of sur...

[Read More] Understanding Spinal Fractures and Slips: Surgery Standards and Recovery


Surgical Options and Risks for Thoracic AV Fistula Embolization in Elderly Patients

Surgical issues related to thoracic vertebral artery and vein embolization? Dear Dr. Lai, My father has been diagnosed with a vascular embolism in the thoracic spine and is scheduled for surgery. However, he is currently 79 years old and has been experiencing weakness in both le...


Dr. Lai Zhaokang Reply:
I do not fully understand the question you raised. Are you referring to your father's thoracic arteriovenous malformation? Did the physician recommend that a neuroradiologist arrange for embolization treatment, or did the physician suggest directly performing a surgical rese...

[Read More] Surgical Options and Risks for Thoracic AV Fistula Embolization in Elderly Patients


Understanding Left-Sided Numbness: Causes and Solutions for Young Adults

Body paralysis Hello, doctor. I am 20 years old and recently started to feel a slight tingling sensation on the left side of my body. Sometimes it's in my arm, and other times it's in my entire leg, but it's always on the left side. I began an internship this summe...


Dr. Xie Bojun Reply:
Hello: Your complaint is concerning, and simply inquiring with neurosurgery will not be able to address your questions. I recommend that you visit the neurology department at the hospital for an evaluation, as further diagnosis can only be made through examination.

[Read More] Understanding Left-Sided Numbness: Causes and Solutions for Young Adults


Is a CT Scan Necessary After a Head Injury? Understanding the Risks

Is there a necessity for a non-contrast CT scan of the brain? Hello Dr. Ding, My brother weighs about 100 kilograms and fell off his bike on a rainy, slippery road. He has a head injury with an external wound measuring approximately 7 to 10 centimeters. When bystanders brought h...


Dr. Ding Xianwei Reply:
If it is an emergency issue, you should go directly to the emergency department for evaluation and treatment by an emergency physician. Since I cannot examine you in person, I can only provide suggestions based on your description. It sounds like you may have experienced a concus...

[Read More] Is a CT Scan Necessary After a Head Injury? Understanding the Risks


Persistent Headaches and Dizziness: Seeking Solutions After Injury

Persistent dizziness and headache? Dear Doctor, I previously wrote to you regarding my condition, and since there has been no improvement, I would like to consult you again. On May 18, I accidentally bumped into a horizontal bar while walking, which led to dizziness and headache...


Dr. Ding Xianwei Reply:
Your issue is actually a consequence of head trauma. Many of my patients continue to experience dizziness and headaches even after three months, and many also report memory decline! This is an unfortunate reality! In fact, about 5% of patients will suffer from long-term sequelae ...

[Read More] Persistent Headaches and Dizziness: Seeking Solutions After Injury


Head Injury from Bar Impact: Persistent Dizziness and Pain Concerns

Head injury from hitting a horizontal bar? Hello Doctor: I would like to ask you about an incident that occurred on May 18 when I accidentally hit the left side of my head (temple) against a horizontal bar (there was no bleeding). After that, I felt fine from May 19 to May 20, bu...


Dr. Ding Xianwei Reply:
Based on your concerns, if there is intracranial bleeding or cerebrospinal fluid leakage, it would definitely be visible during examinations. However, CT scans and EEG tests may not provide any benefit for you. As for your dizziness and headaches, these are likely sequelae of the...

[Read More] Head Injury from Bar Impact: Persistent Dizziness and Pain Concerns


Could My Brother's Soccer Injury Lead to Brain Damage?

Will this lead to brain injury? Your ten-year-old brother frequently participates in soccer matches. A few days ago, during a community-organized friendly match, he was struck on the forehead by a ball kicked from close range. He experienced a headache and was taken to the hospit...


Dr. Ding Xianwei Reply:
Basically, if there is no loss of consciousness, an MRI is not necessary. As for the subsequent sequelae, continuous observation is required to understand them.

[Read More] Could My Brother's Soccer Injury Lead to Brain Damage?


Post-Surgery Care for Brain Hemorrhage: Understanding Treatment Options

Post-operative treatment for cerebral hemorrhage? Hello doctor, we are truly helpless and don’t know what else we can do… My father has severe Alzheimer's disease, Parkinson's disease, and hydrocephalus. In January, he experienced severe drowsiness, not eating or drinki...


Dr. Zhang Yuanyi Reply:
Hello: Generally speaking, the prognosis for left hemisphere hemorrhage is poor. If the patient's preoperative condition is not good, they are older, and their level of consciousness is quite low, the prognosis is likely to be unfavorable regardless of whether surgery is per...

[Read More] Post-Surgery Care for Brain Hemorrhage: Understanding Treatment Options


Do I Need Contrast for Cervical MRI? Understanding Risks and Accuracy

Cervical spine MRI Hello Dr. Ding: My mother underwent an examination for spinal nerve compression at the hospital, but the doctor indicated that she needs to have an MRI of the cervical spine with contrast injection. We are concerned about the potential side effects of the contr...


Dr. Ding Xianwei Reply:
Since it is unclear why your mother needs to undergo an MRI scan, it is difficult to determine whether the use of contrast agent is necessary. It is recommended that you discuss this with her attending physician to understand the risks and necessity before making a decision.

[Read More] Do I Need Contrast for Cervical MRI? Understanding Risks and Accuracy


Can Deep Brain Stimulation Improve Neural Circuits Beyond Parkinson's?

Deep brain stimulation issues? Can deep brain stimulation improve neural circuits in the brain? It seems that it is only applicable for Parkinson's disease; can this therapy be used for conditions like anorexia nervosa? Thank you, doctor.


Dr. Lai Zhaokang Reply:
1. "Deep Brain Stimulation (DBS)" has been approved by the FDA for the treatment of movement disorders such as Parkinson's disease and dystonia. In Taiwan, there are a few medical centers with complete medical teams and expensive equipment capable of performing the...

[Read More] Can Deep Brain Stimulation Improve Neural Circuits Beyond Parkinson's?


Exploring Pulsed Radiofrequency Electromagnetic Needling for Pain Relief

Pulsed radiofrequency electromagnetic needle, thermal coagulation therapy? Hello Dr. Lai, my right wrist has been in pain since I was injured on September 15, 2011. It still hurts and I cannot lift heavy objects. I often feel nerve pain. Can pulsed radiofrequency electromagnetic ...


Dr. Lai Zhaokang Reply:
Hello: Based on your description, if there are no fractures, the injury likely involves the surrounding tissues of the wrist and ankle joints, such as cartilage, ligaments, muscles, and tendons (of course, peripheral nerves may also be affected). The primary treatment is usually ...

[Read More] Exploring Pulsed Radiofrequency Electromagnetic Needling for Pain Relief


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