Other, Neurosurgery FAQ - Page 34

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Understanding Post-Surgery Nerve Issues After Oral Cancer Treatment

Cancer My mother had oral cancer surgery 9 years ago, and recently she was diagnosed with buccal mucosa cancer. It has been 7 days post-surgery without any treatment, and now she is experiencing numbness in her hands and feet. What could be the reason for this?


Dr. Zhang Yuanyi Reply:
Dear Xiaoling, There could be many possible reasons for your condition. It would be advisable to discuss this with your treating physician first. Wishing you safety and health, Dr. Zhang Yuanyi Attending Physician, Department of Neurosurgery Taoyuan Hospital, Ministry o...

[Read More] Understanding Post-Surgery Nerve Issues After Oral Cancer Treatment


Streamlined Medical Assessments for Seniors with Communication Challenges

Is there a place to assess the mobility of elderly individuals with poor communication skills? My mother is 76 years old and has experienced cognitive decline, making it difficult for her to express herself verbally. She has undergone bilateral knee replacement surgery nearly twe...


Dr. Qiu Yushu Reply:
Hello: Currently, our hospital does not have this program for inpatients. Your mother can first visit the orthopedic department.

[Read More] Streamlined Medical Assessments for Seniors with Communication Challenges


Understanding Cerebral Vascular Abnormalities: When to Seek Medical Advice

Cerebrovascular abnormalities Hello Dr. Chang: I have experienced unexplained headaches since childhood. In my third year of junior high, I underwent an MRI, and the doctor told me I had "cerebral vascular abnormalities." He said as long as I avoid strenuous exercise, t...


Dr. Zhang Yuanyi Reply:
Please have the physician review the images again and inform them of any new symptoms. Generally, abnormalities in cerebral blood vessels should be evaluated with MRI or angiography as needed. It is not possible to confirm any issues through this correspondence. Sincerely, Dr. Ch...

[Read More] Understanding Cerebral Vascular Abnormalities: When to Seek Medical Advice


Understanding Nerve Pain: When to Seek Specialized Care

Sour pain Hello, Doctor: I am an office worker who spends most of the day sitting at a computer and rarely exercises. My condition is that when I lie down to sleep, the front of my left thigh becomes sore to the point that I have trouble sleeping, but it feels fine during the day...


Dr. Qiu Yushu Reply:
Hello: Please visit the neurology department for examination. Best wishes, Dr. Yu-Shu Chiu.

[Read More] Understanding Nerve Pain: When to Seek Specialized Care


Understanding Lower Back Pain: Kidney or Muscle-Nerve Issues?

Is the "lower back pain" originating from the kidneys or the muscles and nerves? I am a 20-year-old female student. I have been experiencing lower back pain for two years, located just below the 12th rib, around the first and second lumbar vertebrae. Sometimes the pain ...


Dr. Zheng Zhong Reply:
It is recommended that you first visit the neurosurgery outpatient clinic to rule out any spinal pathology.

[Read More] Understanding Lower Back Pain: Kidney or Muscle-Nerve Issues?


Understanding Pituitary Tumors: Risks, Growth, and Pregnancy Concerns

Nine years ago, a pituitary tumor was removed? Recently, I met a 26-year-old woman through a matchmaking event. She underwent surgery for a pituitary tumor nine years ago, but the tumor could not be completely removed due to its pressure on the optic nerve. I have a few questions...


Dr. Qiu Yushu Reply:
Hello: Pituitary tumors can be functional (producing excessive hormones) or non-functional. After surgery 9 years ago, there should have been continuous follow-up and examinations. I am unsure if postoperative radiation therapy was administered. Long-term use of some supplemental...

[Read More] Understanding Pituitary Tumors: Risks, Growth, and Pregnancy Concerns


Understanding Postural Distortion After Waking: Causes and Solutions

Body distortion upon waking up? Hello: I have a history of sciatica for about two years. Over six months ago, I visited Cathay General Hospital, where the doctor suggested surgery. I underwent an MRI at your hospital, but I ultimately did not follow the doctor's recommendati...


Dr. Qiu Yushu Reply:
You may change your posture and distort your body to alleviate nerve compression, which is why the "Q" shape is a common occurrence in cases of sciatica. Our hospital has specialists in neurosurgery and orthopedics who treat lumbar spine issues: Dr. Zheng Zhong and Dr. ...

[Read More] Understanding Postural Distortion After Waking: Causes and Solutions


Excessive Sweating: Causes, Treatments, and Solutions

Excessive sweating Hello, doctor. I tend to sweat excessively all over my body. It's not just in hot weather; even in an air-conditioned room, getting up to move around or experiencing slight emotional changes like excitement, nervousness, or anticipation can trigger severe ...


Dr. Qiu Yushu Reply:
Hello: Generally speaking, your symptoms are likely due to excessive sympathetic nervous system activation. Currently, there is no pharmacological treatment available. Additionally, thyroid function should be evaluated. Best wishes, Dr. Chiu Yu-Shu.

[Read More] Excessive Sweating: Causes, Treatments, and Solutions


Understanding Foot Numbness: Causes and When to Seek Help

Numbness in the legs? Hello, since the year before last, my feet have frequently experienced numbness during the winter. I initially thought it was due to frostbite, so I didn't think much of it. However, last winter (around November to March-April of this year), my feet sta...


Dr. Qiu Yushu Reply:
Hello: I would like to schedule an appointment with the cardiology department. Thank you.

[Read More] Understanding Foot Numbness: Causes and When to Seek Help


Hyperbaric Oxygen Therapy for Hypertension-Induced Hemorrhage: Risks and Benefits

Hypertension can lead to cerebral hemorrhage, and you are considering hyperbaric oxygen therapy. What are the potential side effects or complications? Hello Dr. Chang, I have another question. A family member at home has high blood pressure that led to a cerebral hemorrhage, with...


Dr. Zhang Yuanyi Reply:
Dear Pipi, Hello. The side effects of hyperbaric oxygen therapy are as follows: 1. Temporary lens damage: 20% 2. Optic nerve damage: 3-20% 3. Middle ear effusion or hematoma 4. Tympanic membrane rupture 5. Pneumothorax 6. Lung function abnormalities due to oxygen toxicity 7. Se...

[Read More] Hyperbaric Oxygen Therapy for Hypertension-Induced Hemorrhage: Risks and Benefits


Understanding Finger Stiffness and Pain: Possible Causes and Solutions

Finger stiffness and pain inquiry? Hello Doctor, I would like to ask about my fingers. Initially, when I wake up in the morning, they feel stiff. After two weeks, the stiffness turned into pain, particularly around the nails and the first joint of my fingers. However, once I move...


Dr. Zhang Yuanyi Reply:
Hello, sometimes the sensation of stiffness in the hands may be related to cervical spine issues. Carpal tunnel syndrome commonly presents with numbness in the fingers or palm, and may occasionally extend to the forearm, but it is rare to manifest as localized joint tenderness. I...

[Read More] Understanding Finger Stiffness and Pain: Possible Causes and Solutions


Understanding Axillary Hyperhidrosis: Neurosurgery vs. Plastic Surgery Approaches

Axillary hyperhidrosis Hello, Doctor: In the department introductions of some hospitals, I see that both neurosurgery and plastic surgery list the treatment of "hyperhidrosis" (axillary sweating). Are the approaches of neurosurgery and plastic surgery the same? Is surgi...


Dr. Zhang Yuanyi Reply:
Dear Ah Xiang, Hello. The approaches of neurosurgery and plastic surgery are different. Neurosurgery involves endoscopic sympathectomy through the thoracic cavity, primarily targeting palmar hyperhidrosis. The success rate for controlling axillary sweating is lower than that for...

[Read More] Understanding Axillary Hyperhidrosis: Neurosurgery vs. Plastic Surgery Approaches


Understanding Unconscious Responses After Brain Hemorrhage: A Patient's Journey

A brain hemorrhage may result in the eyes being open, but the patient remains unconscious? Hello, doctor. I previously asked about my condition, and now I have improved a bit, so I'm reaching out again. I am a 45-year-old male who had a stroke in April, which caused a blood ...


Dr. Zhang Yuanyi Reply:
Dear Pipi: (1) Generally speaking, after a drainage surgery for a brain hemorrhage, the condition is mostly stable after one to two months. Whether there is consciousness will depend on the recovery in the coming months, and there is no way to confirm the chances of regaining co...

[Read More] Understanding Unconscious Responses After Brain Hemorrhage: A Patient's Journey


Understanding Lipomas: Risks, Symptoms, and Treatment Options

Questions about lipomas? Hello Doctor: I have been experiencing mild numbness in my left foot for a year, occasionally accompanied by a tingling sensation. After undergoing an MRI, it was discovered that I have a lipoma on my spine. The doctor mentioned that surgery is the only t...


Dr. Zhang Yuanyi Reply:
1. The chance of a lipoma shrinking is low; there may be other underlying reasons. 2. If the tumor enlarges and compresses the spine and nerves, it is indeed possible. 3. The risk considerations vary depending on the location and size of the tumor. Sincerely, Dr. Zhang Yuan-chi, ...

[Read More] Understanding Lipomas: Risks, Symptoms, and Treatment Options


Understanding Eye Venous Reflux: Causes, Symptoms, and Treatment Options

Ocular venous reflux Hello Doctor: I previously experienced a sudden spike in blood pressure to 185/115, which later caused me to see black shadows pulsating in my vision in sync with my heartbeat during episodes of increased heart rate and shortness of breath. After undergoing a...


Dr. Zhang Yuanyi Reply:
Dear QQ: Generally, in cases of superior oblique palsy (SOV), there may be retrograde visual impairment. Another possibility could involve the carotid-cavernous sinus fistula. Consider angiography; if the shadow is due to venous occlusion or vascular hemorrhage, it should be fixe...

[Read More] Understanding Eye Venous Reflux: Causes, Symptoms, and Treatment Options


Understanding Shoulder Blade Pain: Is It Related to Spinal Injury?

Localized pain in the scapula? Hello Doctor: My spinal injury is located at the fourth vertebra above the pelvis, which was discovered through X-ray examination following a car accident twelve years ago (no surgical intervention was performed). Over the years, I have only experie...


Dr. Qiu Yushu Reply:
Hello: Based on what you have described, it seems to be an orthopedic issue. If the pain persists, you may visit the outpatient clinic to see if further examination is necessary. Best wishes.

[Read More] Understanding Shoulder Blade Pain: Is It Related to Spinal Injury?


Safe Surgical Options for Meningioma in Diabetic Patients

Which type of surgery should be used for meningiomas? Dear Dr. Chang, My mother is 60 years old and has recently been diagnosed with a meningioma following an MRI examination. Additionally, she has calcification in her cervical spine, and the meningioma is severely compressing h...


Dr. Zhang Yuanyi Reply:
Meningiomas are generally benign tumors that typically grow quite slowly. In elderly patients with small meningiomas that do not present significant symptoms, observation with follow-up examinations every six months to a year may be considered. However, if there is compression of...

[Read More] Safe Surgical Options for Meningioma in Diabetic Patients


Uncontrolled Tongue Movement and Speech Issues After Brain Surgery: Causes and Insights

Involuntary movements of the tongue while speaking? I have a question to ask. About six months ago, my mother noticed that her speech became unclear, similar to having a "thick tongue," and her tongue would move involuntarily while speaking, which occurred quite frequen...


Dr. Zhang Yuanyi Reply:
After the removal of a lesion, although symptoms may be expected to improve or resolve, if the nerves (especially in the brain) were originally compressed or damaged, the nerve injury may remain irreversible even after the lesion has been excised. The removal of the lesion is int...

[Read More] Uncontrolled Tongue Movement and Speech Issues After Brain Surgery: Causes and Insights


Understanding Neurodisorders: Treatment Options Beyond Medications

Neurodisorder Hello Dr. Chiu: My condition seems to resemble a dysfunction of cortical excitation (not necessarily sexual) and inhibition, as well as a disturbance in subcortical central nervous system function. Aside from taking medications that inhibit the parasympathetic nervo...


Dr. Qiu Yushu Reply:
Hello, please visit the neurology outpatient clinic for an examination. Best wishes.

[Read More] Understanding Neurodisorders: Treatment Options Beyond Medications


Understanding Persistent Left Leg Pain: Possible Causes and Solutions

Left foot numbness? Hello Dr. Chiu, I have been experiencing frequent numbness and tingling in my left leg, extending from my buttocks to my heel, particularly in the heel area. The symptoms worsen when I stand still for a few minutes or squat down to use the toilet, but I have n...


Dr. Qiu Yushu Reply:
Hello: 1. Inferior vena cava obstruction may cause the reported symptoms. 2. MRI is very accurate for intervertebral disc diseases and spinal cord disorders, and there should be no blind spots. 3. Please consult a psychiatrist regarding whether antidepressants can cause periphera...

[Read More] Understanding Persistent Left Leg Pain: Possible Causes and Solutions


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