Understanding Post-Surgery Complications from Intracranial Hemorrhage
Intracranial hemorrhage. Postoperative complications? Doctor: Hello! I would like to ask a question. My daughter is 4 years old. She had a car accident in April, resulting in a skull fracture and subdural hematoma in the left frontal region. Three days later, she underwent a cran...
Dr. Ding Xianwei Reply:
It is important to clarify that generally, it is intracranial hemorrhage that leads to sequelae, while complications from the surgery itself are relatively rare. Due to the lack of complete data, potential sequelae are predicted based on experience. Many injuries may not be visib...[Read More] Understanding Post-Surgery Complications from Intracranial Hemorrhage
Understanding Head Injury Symptoms After a Car Accident
Symptoms of head trauma after a car accident? Hello doctor, a few days ago my girlfriend and I were in a car accident. Initially, I had no external injuries to my head, but after a day, I noticed a small bruise and slight swelling at the back of my head, which hurts when pressed....
Dr. Ding Xianwei Reply:
Since you did not visit in person, all suggestions are for reference only. Generally, head injuries can result in lingering symptoms such as dizziness and headaches, which may sometimes persist for more than three months. Therefore, it is recommended that you drink plenty of wate...[Read More] Understanding Head Injury Symptoms After a Car Accident
Urgent Concerns: Family's Struggle with Father's Neurological Condition
A family member's inquiry about a patient with an urgent medical condition? Dear Dr. Ding, I am a family member of a patient. My surname is Lai, and I live in Miaoli. I would like to ask some questions regarding my father's condition. Two weeks ago, my father fell at h...
Dr. Ding Xianwei Reply:
Due to the lack of clarity in your description, it would be helpful if you could bring all imaging data, a list of medications previously taken, and a summary of the medical case directly to my clinic. This would assist in making further decisions. Since the information is incomp...[Read More] Urgent Concerns: Family's Struggle with Father's Neurological Condition
Recovering from Severe Brain Injury: Navigating Rehabilitation Options
Severe brain injury from a car accident? Hello Dr. Ding, my brother had a serious car accident on October 16, 2010, which resulted in severe damage to his right brain. After surgery, he developed a blood clot in the left brain and was transferred to another hospital around Octobe...
Dr. Ding Xianwei Reply:
It seems that health insurance regulations state that after six months, rehabilitation cannot be claimed as a reason for hospitalization. In fact, if rehabilitation can continue at home or in a nursing facility, it would be beneficial for the patient. Rehabilitation does not nece...[Read More] Recovering from Severe Brain Injury: Navigating Rehabilitation Options
Chronic Back Pain: Seeking the Right Specialist for Effective Treatment
Chronic back pain? Hello Doctor: My mother is 64 years old. She worked as a hairdresser when she was younger and has been suffering from back pain for 30 years. Recently, the pain has worsened to the point where she feels pain even while walking, and only feels more comfortable w...
Dr. Zheng Zhong Reply:
Please visit the neurosurgery outpatient clinic for further examination. Thank you.[Read More] Chronic Back Pain: Seeking the Right Specialist for Effective Treatment
Understanding Hearing Loss After Brain Injury: Causes and Treatment Options
Hearing impairment caused by brain injury? Hello Dr. Chang, my father is 72 years old and suffered a left brain injury due to a fall. He has been discharged from the hospital, but he is experiencing hearing loss in his left ear. He describes that if the surrounding noise is a bit...
Dr. Zhang Junwei Reply:
Hello Gloria: Head trauma can sometimes be associated with hearing loss. Please have a detailed examination by an otolaryngologist to ensure there are no injuries to the eardrum or other parts of the ear before reasonably suspecting that it is related to brain nerve damage. Howev...[Read More] Understanding Hearing Loss After Brain Injury: Causes and Treatment Options
Understanding Spinal Compression: Risks, Treatments, and Lifestyle Tips
Cervical spine compression Today (March 28), during the outpatient clinic, patient Chen X. Feng inquired about spinal compression. Is the recommendation against surgery due to high risks or a lack of urgency for surgical intervention? Does medication help alleviate nerve pain and...
Dr. Ding Xianwei Reply:
In your case, it indicates that the condition has not yet progressed to the point where surgery is necessary. Posture is fundamentally the most important method for treating cervical spine degeneration. As for other treatments, including surgery, they only address the current iss...[Read More] Understanding Spinal Compression: Risks, Treatments, and Lifestyle Tips
Finding the Right Surgeon for Facial Nerve Issues: A Patient's Guide
Facial surgery I have facial nerve issues and have undergone multiple surgeries without satisfactory results. I would like to switch doctors and would appreciate recommendations for skilled surgeons at National Taiwan University Hospital, Veterans General Hospital, Chang Gung Mem...
Dr. Ding Xianwei Reply:
Due to the lack of sufficient information you provided, I am unable to understand your situation. Please gather all the records of your past surgeries and consult the neurosurgery departments at medical centers such as National Taiwan University, Veterans General Hospital, Chang ...[Read More] Finding the Right Surgeon for Facial Nerve Issues: A Patient's Guide
Understanding Chewing-Related Swelling and Ear Ringing: A Medical Inquiry
Swelling (tinnitus) occurs after chewing between the upper edges of both ears and the temples? The symptom of swelling between the upper jaw and the temples after chewing started occurring about ten years ago during a meal. Initially, there were bloodshot eyes and difficulty chew...
Dr. Ding Xianwei Reply:
Your issue cannot be resolved online. I recommend that you come to the outpatient clinic for further advice.[Read More] Understanding Chewing-Related Swelling and Ear Ringing: A Medical Inquiry
Understanding the Rigid State of Vegetative Patients: Causes and Treatments
The state of a vegetative patient with rigidity? Dear Dr. Chang, Two years ago, my father fell from the roof, resulting in a frontal lobe injury. After surgery, his consciousness improved (although his physical condition was poor, he kept complaining about stomach pain and wanti...
Dr. Zhang Junwei Reply:
Hello Jay: Patients with severe brain injuries may experience spasticity due to damage to the brain and brainstem. Additionally, as you mentioned, hydrocephalus could also lead to this condition. In terms of treatment, it is generally important to first assess whether there are a...[Read More] Understanding the Rigid State of Vegetative Patients: Causes and Treatments
Understanding Pain from Ear to Collarbone: When to Seek Medical Help
Sharp pain under the left ear, radiating down the neck to the clavicle? Hello, doctor. For the past two days, I have been experiencing sharp pain under the left ear, radiating down the neck to the clavicle, while the right side is unaffected. The sensation is intermittent, descri...
Dr. Ding Xianwei Reply:
Regarding your issue, it may be a sternocleidomastoid muscle strain. It is advised not to keep your neck in a fixed position for too long. Another possible cause could be neuropathic pain, in which case heat therapy and rest are recommended. It is suggested that you first consult...[Read More] Understanding Pain from Ear to Collarbone: When to Seek Medical Help
Understanding Neurogenic Bladder After L4-L5 Disc Surgery: What to Do?
I have been unable to urinate on my own since my surgery for L4 and L5 disc herniation? In September 2010, I went to a hospital in Changhua due to foot pain. After examination, the doctor diagnosed me with a herniated disc at the L4 and L5 vertebrae and recommended surgery. The p...
Dr. Ding Xianwei Reply:
Due to the incomplete nature of your information, I can only provide suggestions based on past experiences and theoretical knowledge. Generally speaking, if you have a herniated disc, internal fixation surgery is not typically required, so your condition may not solely be a herni...[Read More] Understanding Neurogenic Bladder After L4-L5 Disc Surgery: What to Do?
Understanding Concussion Symptoms and Long-Term Effects After Head Injury
Concussion I would like to ask the doctor about an incident that occurred at the end of December when I was hit in the head while playing softball. At the moment of impact, I felt a sharp pain, but I was able to stand and move, and my consciousness was clear. I only felt slight s...
Dr. Ding Xianwei Reply:
A concussion is defined as a loss of consciousness lasting at least 10 minutes; therefore, you do not have a concussion. After a head injury, it is common to experience symptoms such as dizziness, headaches, and memory impairment as residual effects. Your symptoms are indeed resi...[Read More] Understanding Concussion Symptoms and Long-Term Effects After Head Injury
Do All Brain Hemorrhages Require Surgery? Risks and Alternatives Explained
Surgical intervention for cerebral hemorrhage? Hello, doctor: Is surgery always necessary for hemorrhage in the lateral ventricles and the fourth ventricle? Is the risk of surgery significant? Are there other methods for treatment?
Dr. Zhang Yuanyi Reply:
Hello, if there is associated hydrocephalus or a low level of consciousness, surgery is usually required. Generally, brain surgery carries risks; however, if a drainage procedure is performed for hydrocephalus, the risks are considered lower compared to other types of brain surge...[Read More] Do All Brain Hemorrhages Require Surgery? Risks and Alternatives Explained
Understanding Intracranial Hemorrhage: Care Tips After a Car Accident
Please have Dr. Ding answer my question! Thank you very much? Hello Dr. Ding, my sister was in a car accident yesterday and is currently in a general ward at Lin Shin Hospital in Taichung. Her attending physician diagnosed her with intracranial hemorrhage, but the bleeding is exp...
Dr. Ding Xianwei Reply:
Regarding your dietary questions, it is advised to avoid tobacco, alcohol, tea, coffee, and certain stimulating foods. Other than that, any food that does not cause choking can be considered. Additionally, be mindful that food should not be too hot or too cold, as it may affect h...[Read More] Understanding Intracranial Hemorrhage: Care Tips After a Car Accident
Understanding Lower Back Pain: When to Seek Neurosurgical Advice
Lower back pain issues Hello Doctor: Seven years ago, I had a minor impact on my lower back during a car accident. At that time, the pain was not significant, and I did not go to the hospital for an examination. Since then, I have experienced significant pain in my lower back (ne...
Dr. Ding Xianwei Reply:
Since you have not been examined in person, I can only provide general advice based on common experience. Generally speaking, your lower back pain seems to be more like simple low back pain, which is often caused by prolonged standing or sitting, lifting heavy objects, and poor p...[Read More] Understanding Lower Back Pain: When to Seek Neurosurgical Advice
Numbness in Both Big Toes: When to Seek Medical Help?
Numbness in the big toes of both feet? Hello doctor, I have been experiencing numbness in both of my big toes recently, and I am not sure what the cause is. My family has only suggested soaking my feet in hot water, but it hasn't helped. Could you please advise me on what ki...
Dr. Xie Bojun Reply:
Generally, numbness in a single toe is caused by prolonged local pressure leading to ischemia of the local nerves. Once the cause is identified, recovery typically occurs within about two weeks. Other potential causes of toe numbness, especially when multiple toes are affected, m...[Read More] Numbness in Both Big Toes: When to Seek Medical Help?
Understanding Thumb Numbness: Causes and When to Seek Help
Finger numbness Dear Dr. Hsieh: Today I suddenly felt numbness in my right thumb, and it doesn't have much sensation. Even when I tap it, I don't feel much. I also don't feel the cooling effect of a topical medication I applied. What could be the reason for this, a...
Dr. Xie Bojun Reply:
Generally, numbness in a single finger is caused by prolonged local pressure leading to ischemia of the local nerves. Once the cause is identified, recovery typically occurs within about two weeks. Other potential causes of finger numbness, especially when multiple fingers are in...[Read More] Understanding Thumb Numbness: Causes and When to Seek Help
Seeking Compensation for Surgical Errors in Spinal Surgery
Leftward displacement of the spine? Hello Dr. Ding: I would like to ask about my father. Four years ago, he underwent surgery to correct a leftward displacement of his spine, during which two metal screws were inserted. Since the surgery, he has experienced persistent pain. Durin...
Dr. Ding Xianwei Reply:
Your question may not be something we can address here. We recommend having a thorough discussion with your original physician to better understand the issue. If you wish to seek advice from another doctor, it is advisable to gather all relevant information beforehand to facilita...[Read More] Seeking Compensation for Surgical Errors in Spinal Surgery
Persistent Dizziness After Head Injury: When to Seek Medical Imaging?
Head trauma has resulted in dizziness persisting for over a week? Hello, doctor: My father (almost sixty years old) was struck on the left side of his head by a golf club about ten days ago. He went to the emergency room that day, and the hospital said he could go home for observ...
Dr. Ding Xianwei Reply:
Generally, the sequelae of head trauma include dizziness and headaches, which may persist for three to five months. Therefore, it is possible that your father is currently experiencing the aftereffects of head trauma. If he is only experiencing dizziness and has no other symptoms...[Read More] Persistent Dizziness After Head Injury: When to Seek Medical Imaging?