Understanding Neck and Arm Pain: When to Seek Neurological Help
There is soreness, pain, and numbness from the shoulder and neck down to the fingertips? Hello, doctor! Recently, my husband has been experiencing some very uncomfortable symptoms, and I'm not sure which specialty he should see. I hope you can take some time to provide an an...
Dr. Qiu Yushu Reply:
Hello: The symptoms you described are not indicative of a stroke; they may be related to cervical spine issues or myofascial pain syndrome. You may visit our outpatient clinic for further evaluation. Thank you! Wishing you good health![Read More] Understanding Neck and Arm Pain: When to Seek Neurological Help
Understanding Brain Aneurysms: Surgical Options and Concerns
Could you please provide more details or specify your question? Hello Dr. Chiu, I would like to ask you a few questions. I originally consulted an ophthalmologist, but since they couldn't find any issues, I was scheduled for an MRI recently. It revealed that I have a vascul...
Dr. Qiu Yushu Reply:
Hello: The Gamma Knife is not a universal solution. You can consult Dr. Chung Wen-Yu, a neurosurgeon at Veterans General Hospital, to explore its possibilities. Additionally, Professor Du Yong-Guang from National Taiwan University is quite experienced in this area of surgery (one...[Read More] Understanding Brain Aneurysms: Surgical Options and Concerns
Risks and Concerns of Cranioplasty Surgery After Traumatic Brain Injury
Cranial vault surgery I was in a car accident last February, and I suffered a comminuted fracture of the right frontal bone. A month later, the doctor said I needed to have my skull cap replaced before being discharged, so I agreed to the surgery. During the procedure, the doctor...
Dr. Ding Xianwei Reply:
Hello: It is normal to wake up in the operating room after surgery, as the recovery room is primarily for monitoring the patient's condition once they are awake. The main concern with artificial skull surgery is the risk of infection; other risks are comparable to those of s...[Read More] Risks and Concerns of Cranioplasty Surgery After Traumatic Brain Injury
Understanding Pediatric Head Injuries: Concerns and Recovery Tips
Pediatric Head Trauma (Email Correction) Dr. Chiu: Hello! My daughter is 5 years old and approximately 120 cm tall. Recently, she fell while running and hit the back left side of her head on the ground. At that moment, there was a loud noise (the impact must have been significant...
Dr. Qiu Yushu Reply:
Hello: I recommend that you take your child to the outpatient clinic for a more detailed examination. Thank you! Wishing you good health.[Read More] Understanding Pediatric Head Injuries: Concerns and Recovery Tips
Why Does the Brain Develop Indentations After Surgery for Head Injuries?
Why does the brain become sunken after surgery for a brain injury? Hello Doctor, my grandmother (76 years old) had a car accident four months ago, resulting in a traumatic brain injury. The doctors diagnosed her with intracranial hemorrhage, and she underwent two brain surgeries....
Dr. Ding Xianwei Reply:
Hello: It may be the reservoir of the drainage tube, but since I cannot see it in person, I am unable to provide an answer. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Why Does the Brain Develop Indentations After Surgery for Head Injuries?
Understanding Head Surgery: Fixing Skull Defects with Plates and Screws
The process of performing surgery on the head? Could you please tell me where I can find information on how to secure a steel plate or artificial bone with screws or wires after a skull injury that resulted in a hole in the skull?
Dr. Chen Changmu Reply:
Hello Xiaohong: Generally, skull defects are fixed using steel plates or bone cement. If you need more information, you can search online or consult a medical professional.[Read More] Understanding Head Surgery: Fixing Skull Defects with Plates and Screws
Understanding Neurological Changes in Psychosomatic Disorders
Hello, doctor~ Thank you~ Hello, I am a person with a neurosis and would like to ask some questions. Thank you. 1. Since I became ill, my cognitive abilities have significantly declined. Is there any change in the brain for people like us (such as degeneration...)? 2. The huma...
Dr. Chen Changmu Reply:
Most patients with neuroses do not exhibit structural abnormalities in the brain. Cognitive impairment may be related to the medications used, as long-term use can lead to further brain development without causing enlargement or compression of the opposite side of the brain. Incr...[Read More] Understanding Neurological Changes in Psychosomatic Disorders
Understanding Hydrocephalus: Key Information and Insights
Hydrocephalus-related information? Dr. Chiu: Please email me the relevant information regarding hydrocephalus. Your assistance with this would be greatly appreciated. BEST REGARDS, W.T. Lin
Dr. Qiu Yushu Reply:
Hello: Here is the information regarding hydrocephalus. (I apologize for not being able to attach images of the ventricular changes before and after surgery at this time.) **Hydrocephalus** What is hydrocephalus? Hydrocephalus, commonly known as water on the brain, is one of ...[Read More] Understanding Hydrocephalus: Key Information and Insights
Minimally Invasive Brain Tumor Surgery: Navigating New Techniques
Surgery Hello, doctor. I am a brain tumor patient. After undergoing gamma knife treatment, I experienced a worsening of my condition. The intensity-modulated radiation therapy was also ineffective, and I continue to have fluid accumulation. The physician has now suggested surgery...
Dr. Qiu Yushu Reply:
Hello: Navigation system microsurgery still requires craniotomy, allowing for precise spatial localization of brain tumors while protecting normal brain tissue, making the surgery more precise.[Read More] Minimally Invasive Brain Tumor Surgery: Navigating New Techniques
Understanding Cerebrospinal Fluid Leaks: Risks and Treatment Options
Cerebrospinal fluid rhinorrhea Dr. Chen: I would like to ask if the condition of cerebrospinal fluid (CSF) rhinorrhea can lead to death due to the gradual loss of cerebrospinal fluid. Recently, I have noticed that my complexion has been poor, with some darkening. Additionally, if...
Dr. Chen Changmu Reply:
Thank you for the question. The body continuously produces cerebrospinal fluid (CSF) daily, so one would not die from the loss of CSF; the symptoms are primarily caused by changes in intracranial pressure. The skull fracture associated with CSF rhinorrhea is located at the base o...[Read More] Understanding Cerebrospinal Fluid Leaks: Risks and Treatment Options
Can Modern Medicine Cure Severe Head Injuries from Car Accidents?
Head trauma from a car accident? Four years ago, I was in a severe car accident that resulted in a skull fracture. After healing, my skull did not align properly, and now I experience intense headaches with changes in weather, along with clear fluid leaking from my nose. At that ...
Dr. Chen Changmu Reply:
Kevin's condition is classified as cerebrospinal fluid (CSF) rhinorrhea, which is causing his severe headaches. The most significant complication is the risk of bacterial invasion through the defect, leading to meningitis, which can be life-threatening. There are several tre...[Read More] Can Modern Medicine Cure Severe Head Injuries from Car Accidents?
Understanding Post-Surgery Recovery in Neurosurgery: Key Questions Answered
ICH Hello Dr. Chen: My classmate was involved in a motorcycle accident on February 9, 2004, where he sustained significant head trauma and bleeding from both ears. He was rushed to the hospital, where the doctors performed an emergency craniotomy on the left side of his brain, fo...
Dr. Ding Xianwei Reply:
Hello Miss Yu-Chen: I do not have outpatient services in Taipei. If it is inconvenient for you to come to Taoyuan, you can visit Dr. Huang Jun-Yi at the Neurosurgery Department of Taipei Veterans General Hospital. Wishing you and your family peace, health, and happiness.[Read More] Understanding Post-Surgery Recovery in Neurosurgery: Key Questions Answered
Understanding Skull Deformities: When to Seek a Second Opinion in Neurosurgery
Cranial atrophy and depression? The doctor suggested that the issue with the brain tumor may have improved, leading to bone depression, and recommended that I consult the original surgeon for an examination. I really want to go back and ask that doctor, but... his response made m...
Dr. Chen Changmu Reply:
Hello Ms. Huang: Cranial reshaping surgery is a method to address skull depressions, but it also carries risks. This procedure is typically recommended only when symptoms are very pronounced or there is a strong desire for aesthetic improvement. Symptoms such as dizziness, headac...[Read More] Understanding Skull Deformities: When to Seek a Second Opinion in Neurosurgery
Understanding Skull Deformities After Trauma: Causes and Medical Insights
Cranial atrophy and depression? After a car accident, due to intracranial hemorrhage, the skull was removed and placed in the hospital for six months before being reattached. A year after the reattachment, it led to skull atrophy and depression. What could be the cause of this? I...
Dr. Chen Changmu Reply:
It is possible that the original issue with the brain tumor has improved, leading to bone depression. It is recommended to consult the original surgeon for an evaluation.[Read More] Understanding Skull Deformities After Trauma: Causes and Medical Insights
Understanding Brain Tumors: Surgery Success Rates and Risks
Brain tumor Dear Doctor, My father is 53 years old and has been diagnosed with a brain tumor for nearly a year. Since the diagnosis, the tumor has not grown, but the cerebral edema has worsened. His symptoms primarily include headaches, pulsatile tinnitus, tinnitus, unsteady gai...
Dr. Shao Guoning Reply:
Hello: In response to your question, meningiomas are, in very rare cases, benign tumors. In other words, they do not metastasize, and as long as they are completely surgically removed, they will not recur. Although meningiomas grow slowly, the brain is encased in the skull, leavi...[Read More] Understanding Brain Tumors: Surgery Success Rates and Risks
Understanding Intracranial Hemorrhage: Recovery and Care Insights
Intracranial hemorrhage Hello Dr. Shao: My friend had a motorcycle accident on December 4, 2003, resulting in an intracranial hemorrhage (ICH). He underwent a craniotomy the next day, and a piece of his skull was preserved in cold storage. He had an endotracheal tube and a nasoga...
Dr. Shao Guoning Reply:
Hello: In response to your question, I appreciate your deep concern for this patient. It is rare for someone other than close relatives to observe so attentively, and I am truly touched. (1) He has a traumatic brain hemorrhage and has undergone a right craniectomy due to injury...[Read More] Understanding Intracranial Hemorrhage: Recovery and Care Insights
Head Injury from Domestic Violence: When to See a Neurosurgeon?
Head injury? Hello, doctor: My girlfriend was injured on her head by her father after drinking (domestic violence). As a result, there is a dent in her skull, and she is experiencing pain, dizziness, and some nausea. Should I take her to see a neurosurgeon or a neurologist? Thank...
Dr. Hong Xuyi Reply:
Hello: In response to your question, she must see a neurosurgeon immediately and arrange for a cranial X-ray or a brain CT scan.[Read More] Head Injury from Domestic Violence: When to See a Neurosurgeon?
Head Trauma: Understanding the Impact on Brain Cells
hit I bumped my head hard yesterday, and I would like to ask about the connection between the skull and the brain. With such a strong impact, did I potentially damage a lot of brain cells? I often experience head injuries; could this be a concern?
Dr. Shao Guoning Reply:
Mr. Jog's brain is protected within the skull, which safeguards it from cell death due to minor impacts. An objective standard for assessing the severity of head trauma is the presence or absence of initial loss of consciousness. If there is an initial loss of consciousness,...[Read More] Head Trauma: Understanding the Impact on Brain Cells
Understanding MRI for Head Injuries: Coverage and Availability in Taiwan
Brain I often bump my head and want to get checked, but I'm concerned about the radiation from a CT scan. I would like to know where I can get an MRI and whether it is covered by health insurance.
Dr. Shao Guoning Reply:
Hello Mr. PP, when you can think of this issue, it indicates that your brain's higher cortical functions are normal, and there is no need for special examinations. Generally, a CT scan of the head is required only in the following situations after head trauma: 1. Loss of con...[Read More] Understanding MRI for Head Injuries: Coverage and Availability in Taiwan