Understanding Head Injuries: What to Do After a Fall
Fell and hit the back of the head? Hello, doctor. Yesterday, I accidentally fell and hit the back of my head. It immediately swelled up significantly, and aside from the redness, swelling, and pain at the impact site, there were no other unusual symptoms that day. I applied ice, ...
Dr. Zhao Shaoqing Reply:
Hello: Common symptoms of head trauma include concussion symptoms, headache, dizziness, nausea, and vomiting. Typically, these symptoms will gradually improve. If there are any changes, you can follow up at a neurosurgery outpatient clinic. Generally, after 48 hours, you may appl...[Read More] Understanding Head Injuries: What to Do After a Fall
Post-Surgery Back Pain: Understanding Ongoing Discomfort After Disc Surgery
Postoperative back pain persists for one to two years? Hello, doctor! My mother is 59 years old. Two years ago, she suffered from severe lower back and leg pain, and no pain medication was effective. The doctor diagnosed her with a herniated disc compressing the nerves, and after...
Dr. Lai Zhaokang Reply:
Hello: 1. The report you provided indicates: L3-4 and L4-5 lumbar disc bulging, and L5-S1 disc herniation with compression of the dural sac... this suggests the presence of nerve compression. 2. I recommend that you copy the disc and bring the MRI images (not just the text) for t...[Read More] Post-Surgery Back Pain: Understanding Ongoing Discomfort After Disc Surgery
Understanding the Causes of Arm Numbness Upon Waking Up
The causes of waking up with numbness in the arm? Hello, Doctor! Recently, I have noticed that sometimes while sleeping, I unconsciously raise one arm above my head (resting it on the pillow behind my head rather than pressing it underneath). When I wake up, the entire arm feels ...
Dr. Lai Zhaokang Reply:
Hello: 1. It is suspected that you may have issues related to cervical nerve, shoulder and neck, or even brachial plexus, which could lead you to unconsciously sleep in this position to relieve pressure in those areas. This posture can affect blood circulation in the shoulder a...[Read More] Understanding the Causes of Arm Numbness Upon Waking Up
Post-Surgery Numbness in Feet: Causes and Recommended Actions
The occurrence of foot numbness after bone cement surgery, with the numbness gradually spreading from the toes upwards, could potentially be related to the surgery. It is important to assess whether this numbness is due to nerve compression, vascular issues, or other postoperativ...
Dr. Lai Zhaokang Reply:
Hello: 1. It is suspected that there is a lesion in the spinal nerves. 2. Why was a spinal neurosurgeon not chosen to address the spinal fracture issue initially? 3. Seeking consultation from another specialty after experiencing discomfort post-surgery may cause some confusion fo...[Read More] Post-Surgery Numbness in Feet: Causes and Recommended Actions
Understanding Hydrocephalus: Why Spinal Drainage May Fail
Cerebral edema with inadequate drainage? The mother underwent a CT scan and was diagnosed with cerebral edema. The doctor arranged for spinal drainage, but was unable to extract any fluid. Is this due to obstruction or are there other factors involved?
Dr. Zhang Junwei Reply:
Cerebral edema cannot be drained, while hydrocephalus can.[Read More] Understanding Hydrocephalus: Why Spinal Drainage May Fail
Can Brain Aneurysms Disappear? Insights from a Neurology Case
Arterial aneurysm Hello Dr. Chang, I was diagnosed with a cerebral aneurysm after experiencing severe headaches and undergoing a CT scan in 2017. Subsequently, I had MRI and angiography arranged. Over the past few years, I have had two follow-up MRIs, and the results indicated th...
Dr. Zhang Junwei Reply:
Theoretically, it is unlikely for it to disappear, but nothing is absolute. It may be necessary to inquire in detail with the physician about the size and type of the aneurysm, among other factors.[Read More] Can Brain Aneurysms Disappear? Insights from a Neurology Case
Challenges in Managing Hydrocephalus: When Shunt Drainage Fails
The patient has symptoms of hydrocephalus and has had a shunt installed. The drainage is set to maximum, but the results are not satisfactory? Dear Dr. Zhang, My mother is 67 years old. In 2018, she underwent surgery for a carotid artery aneurysm that was compressing her brainst...
Dr. Zhang Junwei Reply:
Without detailed examination reports and imaging studies, it is difficult to answer such questions. If the drainage has been maximized and the condition has not improved, it may not be a problem related to hydrocephalus. Whether there is an improvement in hydrocephalus can be det...[Read More] Challenges in Managing Hydrocephalus: When Shunt Drainage Fails
Understanding Persistent Vegetative State After Brain Tumor Surgery: Key Insights
Brain issues Hello doctor, I would like to ask about a relative who underwent a biopsy surgery for a brain tumor. They were originally scheduled for discharge, but before leaving the hospital, they experienced seizures, vomiting, and loss of bowel and bladder control. Subsequentl...
Dr. Zhang Junwei Reply:
Magnetic resonance imaging (MRI) cannot detect all brain issues; a normal scan does not mean there are no problems in the brain. There may be other causes for the patient's coma.[Read More] Understanding Persistent Vegetative State After Brain Tumor Surgery: Key Insights
Understanding Head Injuries: Symptoms, Risks, and Recovery After a Fall
Head trauma Yesterday, my sister was playing basketball and during a struggle for the ball, her opponent applied excessive force, causing her to be thrown to the ground, resulting in a direct impact to the right side of her head. The affected area swelled significantly, and she f...
Dr. Zhang Junwei Reply:
Obvious concussion symptoms typically improve within one to two weeks, and generally, there are rarely any long-term sequelae.[Read More] Understanding Head Injuries: Symptoms, Risks, and Recovery After a Fall
Understanding Spinal Compression: When to See a Neurosurgeon or Rehab Specialist
Spinal compression Hello, doctor. My mother fell on her buttocks at the beginning of February and experienced incontinence and inability to move. After an X-ray in the emergency department, it was determined that she had a spinal compression and needed to rest. If her condition d...
Dr. Zhao Shaoqing Reply:
You can consult a neurologist for evaluation.[Read More] Understanding Spinal Compression: When to See a Neurosurgeon or Rehab Specialist
Understanding Pituitary and Craniopharyngioma Tumors: Symptoms and Next Steps
Pituitary tumor or craniopharyngioma Hello Doctor, since June 2022, I have been experiencing blurred peripheral vision in my left eye. I underwent an examination at a major hospital's ophthalmology department, where the results indicated narrowed visual fields and visual fie...
Dr. Zhang Junwei Reply:
First, confirm whether the tumor is indeed compressing the optic nerve. If it is, even if the tumor is small, you can discuss with your physician the possibility of surgery.[Read More] Understanding Pituitary and Craniopharyngioma Tumors: Symptoms and Next Steps
Head Injury in Toddlers: When to Seek Medical Attention After a Fall
Follow-up after a 3-year-old child falls and hits their head? A 3-year-old child (100 cm) fell and hit their head yesterday morning at 9 AM. There were no external injuries or swelling. The child cried for over an hour while clinging to their mother, but then returned to normal p...
Dr. Lai Zhaokang Reply:
Hello: The first 72 hours after a head injury are the most critical; as time passes, the risk decreases. If a child is alert, has normal vision, is active, and can eat and play without any specific complaints, they can be monitored further. However, if there is confusion, unstead...[Read More] Head Injury in Toddlers: When to Seek Medical Attention After a Fall
Unexplained Finger Pain: Understanding Possible Causes and Solutions
Unexplained pain in the fingers occurring in different locations? Hello Doctor, I don't have any significant health issues, but I've been feeling quite tense and stressed lately. I've started to notice unexplained pain in my fingers that occurs in different locatio...
Dr. Lai Zhaokang Reply:
Hello, there are several possible reasons, but please do not speculate. I recommend that you see a doctor in person for a thorough evaluation. Wishing you a speedy recovery. By Dr. Lai Chao-Kang, Neurosurgeon.[Read More] Unexplained Finger Pain: Understanding Possible Causes and Solutions
Is Golf Safe for Patients with Lumbar Spondylolisthesis?
Spondylolisthesis Doctor, I would like to ask if it is suitable for me to play golf with my lumbar vertebrae 3, 4, and 5 having a slippage. Are there other exercises that are more appropriate for someone with lumbar spine issues? Thank you.
Dr. Lai Zhaokang Reply:
Hello: Lumbar spondylolisthesis may not necessarily present with symptoms. If you play golf and do not experience any lower back pain during the activity, it may not be necessary to refrain from it. Suitable exercises for the lumbar spine include stretching, pull-ups, swimming, a...[Read More] Is Golf Safe for Patients with Lumbar Spondylolisthesis?
Understanding Post-Concussion Syndrome: Risks and Recovery Insights
Post-Concussion Syndrome Consultation Hello Dr. Zhao, I was hospitalized in the emergency department for 3 days due to a head injury 4 months ago (I was 19 years old at the time). I lost consciousness until I regained it after the ambulance arrived, and there were no seizures at ...
Dr. Zhao Shaoqing Reply:
Hello: After a brain injury, seizures may occur. It is recommended that patients maintain a regular and normal lifestyle to reduce the frequency of seizures. You have currently returned to a normal life and your postoperative condition is good. Many symptoms will improve, and mai...[Read More] Understanding Post-Concussion Syndrome: Risks and Recovery Insights
Understanding Communication Challenges After Brain Injury: Is It Aphasia?
Brain injury - auditory comprehension (communication difficulties) and visual comprehension levels? Hello Doctor: Since the car accident two months ago, I have been experiencing strange phenomena. Over the past two months, I have noticed that when I answer phone calls, I often ha...
Dr. Zhao Shaoqing Reply:
Hello: Brain injuries can have many sequelae, and the symptoms will vary depending on the location of the injury. Most patients clinically show continuous improvement and can benefit from rehabilitation therapy. Hyperbaric oxygen therapy may also be consulted to aid in brain reco...[Read More] Understanding Communication Challenges After Brain Injury: Is It Aphasia?
Understanding Recovery from Brainstem Injury: A Case Study
Brainstem injury My boyfriend, who is 26 years old and working across the strait, was involved in a car accident where he was rear-ended. He suffered from intracranial hemorrhage and brainstem injury, along with multiple fractures. He underwent minimally invasive craniotomy surge...
Dr. Zhao Shaoqing Reply:
Hello: Will your boyfriend return to Taiwan for medical treatment? A detailed explanation and assessment can be provided after an evaluation at the outpatient clinic. Changhua Hospital is concerned about you.[Read More] Understanding Recovery from Brainstem Injury: A Case Study
Understanding Delayed Brain Hemorrhage After Car Accidents: A Patient's Guide
Concussion or delayed intracranial hemorrhage from a car accident? Hello Dr. Zhao! My mother was involved in a car accident six years ago, where her left posterior brain impacted the left side window. The force was significant, but the airbags did not deploy. At that time, we app...
Dr. Zhao Shaoqing Reply:
Hello: Generally, delayed intracerebral hemorrhage is most likely to occur within one week of an acute bleed, while chronic bleeding may occur within three months. The likelihood of occurrence is significantly lower after six years. However, if there has been a history of trauma,...[Read More] Understanding Delayed Brain Hemorrhage After Car Accidents: A Patient's Guide
Post-Spinal Surgery Pain: Treatment Options and Recovery Insights
Postoperative pain after spinal surgery I have rheumatoid arthritis and after undergoing L4-L5 spinal surgery last July, I still experience soreness, numbness, pain, stiffness, tightness, and weakness from my right hip to my calf, and I still need a walker. Is this a phenomenon o...
Dr. Lai Zhaokang Reply:
Hello: Your condition of neural adhesion is just one possible cause. There may be other reasons as well. I recommend that you bring your pre-operative and post-operative X-rays and MRI for an in-person consultation. If it is not convenient for you to come to Changhua Hospital, pl...[Read More] Post-Spinal Surgery Pain: Treatment Options and Recovery Insights
Post-Discectomy Pain: Understanding Recovery and Future Risks
Postoperative care for herniated disc surgery? I apologize, I had spinal disc surgery three months ago, where only part of the disc was removed and nothing was implanted. Sometimes I still experience pain in my buttocks, and when sitting, if my back is not straight and my head is...
Dr. Lai Zhaokang Reply:
Hello: 1. Your condition may indicate that the nerves have not fully healed. It is also possible that scar tissue is adhering to the nerves, or it could be a sign of recurrence. Of course, there may be other reasons as well. I recommend that you bring your pre-operative and pos...[Read More] Post-Discectomy Pain: Understanding Recovery and Future Risks