Other, Neurosurgery FAQ - Page 9

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Head Injury from Garbage Bin: Symptoms and Follow-Up Care

Head injury on May 30, 2022? Hello Dr. Chang, I would like to ask about an incident that occurred on May 30th. I was hit on the head by the lid of a large green garbage bin at a landfill, which fell at a 90-degree angle (I was trying to retrieve something I accidentally threw awa...


Dr. Zhang Junwei Reply:
Headaches and dizziness are common after head trauma. If symptoms persist, please visit a neurosurgery outpatient clinic for evaluation.

[Read More] Head Injury from Garbage Bin: Symptoms and Follow-Up Care


Understanding Arachnoid Cysts: Treatment, Growth, and Symptoms Explained

MRI of the brain revealed the presence of a cyst? Hello Doctor, I had a brain MRI at the end of March, and the report indicated a suspected arachnoid cyst or mega cisterna magna in the posterior fossa of the cerebellar tonsils. 1. What treatment options are available for this...


Dr. Lai Zhaokang Reply:
1. Arachnoid cysts are generally asymptomatic. When symptoms do occur, they can vary from person to person. They may include headaches, dizziness, nausea, vomiting, or seizures. Other symptoms depend on the location of the cyst and its pressure on the spinal cord or brain. These ...

[Read More] Understanding Arachnoid Cysts: Treatment, Growth, and Symptoms Explained


Understanding Head Injuries: Symptoms, Risks, and When to Seek Help

Head trauma I'm sorry to hear about your situation. Based on your description, it sounds like you may be experiencing symptoms that could be associated with a concussion, especially given the impact to your head and the subsequent headache, dizziness, and bruising near your ...


Dr. Zhao Shaoqing Reply:
If there is a pre-existing concussion, it is advisable to rest. If symptoms such as vomiting or nausea worsen, seek an outpatient evaluation.

[Read More] Understanding Head Injuries: Symptoms, Risks, and When to Seek Help


Understanding Head Injuries in Elderly: When to Seek Medical Attention

Head injury I would like to consult a doctor. My grandmother, who is 80 years old, fell at home on the morning of May 18, 2022, around 9 AM. She hit her head and developed a bump. When we helped her up, she mentioned that the area where she was hit felt numb and was slightly pain...


Dr. Zhang Junwei Reply:
Purple eyelids indicate a bruise. It is important to check for symptoms such as headache, dizziness, nausea, or vomiting; if any of these are present, medical attention should be sought.

[Read More] Understanding Head Injuries in Elderly: When to Seek Medical Attention


Understanding Post-Surgery Pain: Insights on Spine Surgery Recovery

Spinal surgery Hello Doctor: My father has been experiencing pain and numbness in his legs, which radiates from his lower back to the soles of his feet. He was diagnosed at the hospital with degeneration of the fourth and fifth lumbar vertebrae, causing nerve compression. He subs...


Dr. Lai Zhaokang Reply:
Hello: Based on your description, high-frequency thermal coagulation therapy can be considered; however, the patient needs to come in for an evaluation. Additionally, it is recommended to bring recent MRI and X-ray images from the original hospital, copied onto a disc. Best wishe...

[Read More] Understanding Post-Surgery Pain: Insights on Spine Surgery Recovery


Understanding Spine Surgery: Managing Pain and Recovery Challenges

Spinal surgery Hello Doctor: My father has been experiencing pain and numbness in his legs, which radiates from his lower back down to the soles of his feet. After being diagnosed at the hospital, it was determined that the degeneration of the fourth and fifth lumbar vertebrae wa...


Dr. Lai Zhaokang Reply:
Hello: Based on your description, high-frequency thermal coagulation therapy can be considered; however, the patient needs to come to the clinic for an evaluation. Additionally, it is recommended to bring recent MRI and X-ray images from the original hospital, copied onto a disc....

[Read More] Understanding Spine Surgery: Managing Pain and Recovery Challenges


Exploring Treatment Options for IDH-Mutant Glioma: A Patient's Guide

Is Dymista suitable for me? Hello Doctor: Below is my recent biopsy report. I was diagnosed with a grade II oligodendroglioma 18 years ago, and I have undergone surgery and radiation therapy. This time, the tumor has grown in the brainstem area, compressing the brainstem, and no ...


Dr. Zhang Junwei Reply:
I am not a brain tumor specialist; I recommend consulting a brain tumor specialist for an outpatient evaluation.

[Read More] Exploring Treatment Options for IDH-Mutant Glioma: A Patient's Guide


Managing Chronic Subdural Hematoma in an 85-Year-Old: Surgical Risks and Alternatives

An 85-year-old woman with chronic subdural hematoma? Dear Director Zhang, I apologize for troubling you. My mother-in-law has been suffering from dementia for a long time and is unable to express her pain. She fell in her backyard on April 23. The symptoms observed that day wer...


Dr. Zhang Junwei Reply:
Chronic subdural hematoma has a certain probability of worsening (the likelihood varies from person to person). Aside from surgical intervention, there are no other effective treatment options. Observation to see if it resolves spontaneously is also possible, but the likelihood o...

[Read More] Managing Chronic Subdural Hematoma in an 85-Year-Old: Surgical Risks and Alternatives


Understanding Brain Edema and Spinal Surgery: A Patient's Dilemma

Cerebral edema and spinal surgery? Hello: Eight months ago, a neurosurgeon told my mother that she had cerebral edema and needed surgery. At that time, my mother (80 years old) showed no symptoms, so we did not take it seriously. Now she is walking unsteadily and appears to be be...


Dr. Zhang Junwei Reply:
Without a complete physical assessment, this question cannot be answered.

[Read More] Understanding Brain Edema and Spinal Surgery: A Patient's Dilemma


Traumatic Intracranial Hemorrhage: Treatment and Long-Term Effects

Treatment and Sequelae of Traumatic Intracranial Hemorrhage Hello Doctor: The patient was involved in a car accident in Pingtung on April 28 and was required to be transferred to a hospital in the city with a neurosurgery department due to their residence in a mountainous area. T...


Dr. Zhang Junwei Reply:
Due to uncertainty about the extent of the injury, I cannot explain the current condition. I can only advise that if you are unable to care for yourself, please seek assistance and return to the neurosurgery outpatient clinic as soon as possible.

[Read More] Traumatic Intracranial Hemorrhage: Treatment and Long-Term Effects


Understanding Concussion Diagnosis and Medical Certificates After Head Injuries

Diagnosis Certificate Content Hello, doctor. My mother was in a car accident recently, resulting in a 5 cm laceration on her head that has been treated. During the emergency visit, the emergency physician clearly stated that she had a concussion, but the diagnosis certificate doe...


Dr. Zhang Junwei Reply:
A concussion has a specific definition, and not every head impact is classified as a concussion. The duration of recovery from a concussion varies depending on the symptoms, and there is no fixed recovery period.

[Read More] Understanding Concussion Diagnosis and Medical Certificates After Head Injuries


Understanding Rehabilitation Duration After Chronic Subdural Hematoma Surgery

The rehabilitation time after surgery for chronic subdural hematoma can vary depending on the individual patient's condition, the extent of the surgery, and any underlying health issues. Generally, patients may require several weeks to a few months of rehabilitation to regai...


Dr. Zhao Shaoqing Reply:
Hello: Whether chronic subdural hematoma requires rehabilitation treatment should primarily depend on clinical symptoms. You may consult your rehabilitation physician for an evaluation and discussion. Wishing you a speedy recovery. The Ministry of Health and Welfare Changhua Hosp...

[Read More] Understanding Rehabilitation Duration After Chronic Subdural Hematoma Surgery


Optimal Timing for Hydrocephalus Surgery: What You Need to Know

Hydrocephalus: Hello doctor, I would like to ask about the optimal timing for surgery in cases of hydrocephalus. I have seen information suggesting that it should be addressed as soon as possible, but due to the need to arrange for hospitalization, it has been three weeks and my ...


Dr. Zhang Junwei Reply:
There are varying degrees of water accumulation, but it is still recommended to address it as soon as possible.

[Read More] Optimal Timing for Hydrocephalus Surgery: What You Need to Know


Post-Surgery Complications: Persistent Pain and Numbness After Spinal Surgery

Postoperative condition not improved after posterior ligament surgery? Hello Doctor: I underwent surgery due to calcification of the posterior longitudinal ligament in my cervical spine, specifically at the C3-4-5 levels, where an artificial disc was placed at the C4 level. It ha...


Dr. Lai Zhaokang Reply:
Hello: I am not the doctor who performed your original surgery. I would like to help you, but your description is too brief for a professional assessment. I recommend that you first consult with the surgeon who performed your initial procedure. If you do not receive the explanati...

[Read More] Post-Surgery Complications: Persistent Pain and Numbness After Spinal Surgery


Navigating the Challenges of Neurological Care: A Patient's Journey

A long journey to seek medical care? Dear Dr. Lai, As previously mentioned (<a href="https://adoctor.tw/article/177636">#177636</a>), the patient's mother wishes to transfer to a nearby hospital for medication due to safety concerns. However, the patie...


Dr. Lai Zhaokang Reply:
Hello: A trusting relationship between doctors and patients is essential. Your convenience and peace of mind are the most important. It is a great decision that you have been seeing the same doctor at the children's hospital for many years. Wishing you all the best with Dr. ...

[Read More] Navigating the Challenges of Neurological Care: A Patient's Journey


Understanding Neurofibromas: Symptoms, Risks, and Connections to Glioblastoma

Neurofibromas are benign tumors that arise from the nerve sheath, primarily composed of Schwann cells, fibroblasts, and other cell types. They are commonly associated with neurofibromatos Hello, doctor. Previously, my mother was diagnosed with a primary glioblastoma after a brain...


Dr. Zhang Junwei Reply:
1. The two conditions are different diseases. 2. If you feel unwell, seek medical attention as soon as possible.

[Read More] Understanding Neurofibromas: Symptoms, Risks, and Connections to Glioblastoma


Can You Undergo Bilateral Carpal Tunnel Surgery? Key Considerations

Surgical Issues in Carpal Tunnel Syndrome Doctor, I previously asked about my carpal tunnel issue. If I decide to have surgery (I am currently undergoing rehabilitation), I have recently been experiencing pain that extends from my wrist to my arm. Today, I received an injection a...


Dr. Lai Zhaokang Reply:
Hello: Your question: <Can both hands be operated on at the same time?> My answer: Under health insurance, both hands can be operated on simultaneously. However, you need to evaluate your work/rest schedule and your private insurance coverage. Since you are only 25 years ol...

[Read More] Can You Undergo Bilateral Carpal Tunnel Surgery? Key Considerations


Can You Undergo Bilateral Carpal Tunnel Surgery? Key Considerations

Surgical Issues in Carpal Tunnel Syndrome Doctor, I previously inquired about my carpal tunnel issue. If I decide to undergo surgery (I am currently in rehabilitation), I have recently been experiencing pain extending from my wrist to my arm. Today, I received an injection and co...


Dr. Lai Zhaokang Reply:
Hello: Your question: <Can both hands be operated on at the same time?> My answer: Under health insurance, both hands can be operated on simultaneously. However, you need to evaluate your work/rest schedule and your private insurance coverage. Since you are only 25 years ol...

[Read More] Can You Undergo Bilateral Carpal Tunnel Surgery? Key Considerations


Understanding Complications After Craniotomy: A Patient's Journey

Clamping surgery Hello Doctor: My mother underwent a craniotomy on March 15, with the surgery performed on the 16th. After the surgery, the doctor reported that it was very successful, with no bleeding and the aneurysm was clipped. She was then moved to the intensive care unit fo...


Dr. Zhang Junwei Reply:
Without detailed medical history, I cannot provide an answer. Please consult the surgeon.

[Read More] Understanding Complications After Craniotomy: A Patient's Journey


Understanding Surgery Options for Carpal Tunnel Syndrome: What You Need to Know

Surgical Issues in Carpal Tunnel Syndrome Consulting a physician: If I have carpal tunnel syndrome but the symptoms are not yet severe (such as muscle atrophy, instability when holding objects, etc.), can I consider surgery? Both of my hands are affected (last year, nerve conduct...


Dr. Lai Zhaokang Reply:
Hello: Generally, conservative treatment is recommended, which includes adequate wrist rest, medication, physical rehabilitation, heat therapy, and wrist protection. However, if you do not experience any improvement and nerve conduction studies show abnormalities, surgery can be ...

[Read More] Understanding Surgery Options for Carpal Tunnel Syndrome: What You Need to Know


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