Understanding Stroke and Spinal Cord Injury in ICU Patients
Currently in the intensive care unit, experiencing a stroke affecting the right side of the body, with spinal cord injury? Hello, currently in the intensive care unit, the patient has suffered a stroke affecting the right side of the body, with right pupil dilation and cerebellar...
Dr. Lai Zhaokang Reply:
Hello: If a malignant tumor has invaded the brain, including the cerebrum and cerebellum, and there is unilateral pupil dilation, along with a craniotomy for decompression already performed... the patient's condition is actually quite pessimistic, and the chances of recovery...[Read More] Understanding Stroke and Spinal Cord Injury in ICU Patients
Understanding Spinal Surgery: Insights on Atypical Recovery and Symptoms
Spinal surgery Hello Doctor: I have ankylosing spondylitis and suffered compression fractures of the T10 and T11 vertebrae due to a car accident in 2017. The fractures were not detected at the time of the accident, and it wasn't until two months later that I experienced numb...
Dr. Zhang Junwei Reply:
The key factor is not the number of spinal surgeries, but rather the extent of spinal cord injury. Severe spinal cord damage is irreversible. It is possible that nerve compression and injury occur at the moment of injury. The earlier the surgery is performed before irreversible d...[Read More] Understanding Spinal Surgery: Insights on Atypical Recovery and Symptoms
Understanding Post-Surgery Symptoms After Cervical Spine Injury
Questions After Cervical Spine Surgery Due to Car Accident Hello Doctor: Due to a car accident last November, I experienced compression of the cervical spine from the helmet, resulting in a herniated disc at C3-C7 and spinal cord edema. I underwent a discectomy and fusion surgery...
Dr. Zhang Junwei Reply:
Nerve conduction studies can help clarify your concerns.[Read More] Understanding Post-Surgery Symptoms After Cervical Spine Injury
Understanding Cervical Spine Surgery: Key Considerations for Recovery
Cervical spine spinal cord injury, laminectomy decompression surgery, discectomy, mobile artificial intervertebral disc? The mother is 62 years old and has diabetes, but it is uncertain whether she has osteoporosis. She fell off her bike on the road and was urgently taken to the ...
Dr. Lai Zhaokang Reply:
Hello: A. The principles of surgical treatment for cervical spinal cord injury are 1. Decompression 2. Reconstruction. You have already undergone posterior decompression (without fixation), but if your symptoms have not improved and follow-up MRI shows significant anterior compre...[Read More] Understanding Cervical Spine Surgery: Key Considerations for Recovery
Post-Car Accident: Understanding Tingling in Hands and Feet
After the car accident, there is a tingling sensation in the arms and legs? A family member was in a car accident and is experiencing a tingling sensation in their arms and legs, but their grip strength is normal. An X-ray of the hand was taken and no issues were found. Initially...
Dr. Zhang Junwei Reply:
You can schedule an appointment at the neurosurgery outpatient clinic.[Read More] Post-Car Accident: Understanding Tingling in Hands and Feet
Spinal Fracture and Spinal Cord Injury Disability Assessment Guidelines
Assessment of Disability Due to Spinal Fractures and Spinal Cord Injury I previously underwent spinal surgery at your hospital and spent about a month in inpatient rehabilitation. After that, I have been hospitalized for rehabilitation at other hospitals for approximately 10 mont...
Dr. Lai Zhaokang Reply:
Hello: For general agricultural labor insurance disability assessment or the physical and mental disability handbook, it is required to wait 6 months to 1 year post-surgery, depending on the condition, before applying. I suggest you: 1. First, apply for a diagnosis certificate/me...[Read More] Spinal Fracture and Spinal Cord Injury Disability Assessment Guidelines
Understanding Lumbar Spine Fractures and Severe Injury Claims
Lumbar spine issues A burst fracture of the second lumbar vertebra with spinal cord injury resulting in paralysis of both lower limbs is considered a severe injury. It is also possible to apply for a major disability card in this case.
Dr. Lai Zhaokang Reply:
Hello: Paralysis of both lower limbs is considered serious. However, whether it qualifies as a "severe injury" or for "application for major illness" requires returning to the original hospital for consultation with the attending physician and reviewing the me...[Read More] Understanding Lumbar Spine Fractures and Severe Injury Claims
How to Apply for Disability Assessment After Spinal Injury from Accident
Disability assessment In July 2019, due to a car accident, I sustained a compression fracture of the 11th thoracic vertebra with spinal cord injury, fractures of the 5th, 6th, and 7th ribs on the left side with pneumothorax, and a pelvic fracture. Subsequently, I underwent surger...
Dr. Lai Zhaokang Reply:
Hello, please return to the original surgical hospital. May I ask about the original surgeon? (You can try calling to inquire with the nursing staff during the surgeon's clinic hours.) Best wishes // Changhua Hospital, Department of Neurosurgery, Dr. Lai Chao-Kang.[Read More] How to Apply for Disability Assessment After Spinal Injury from Accident
Understanding T9 Compression Fractures: Symptoms and Treatment Options
Compression fracture of the ninth thoracic vertebra (T9) with nerve compression? Hello Dr. Lai, my mother is 75 years old. Six months ago, she began experiencing cramping pain in the upper abdomen and near the sides of her rib cage. After undergoing a spinal MRI at Chang Gung Mem...
Dr. Lai Zhaokang Reply:
Hello: 1. The nerve at T9 is compressed, which can lead to back pain, followed by radicular chest and abdominal intercostal pain. Additionally, vertebral collapse and kyphosis can cause visceral compression discomfort, and in severe cases, spinal cord injury and paralysis, as wel...[Read More] Understanding T9 Compression Fractures: Symptoms and Treatment Options
Can Spinal Cord Injury Lead to Paralysis After a Month?
Is it still possible to experience paralysis nearly a month after a spinal injury close to the end of the spine? It doesn't hurt, but I'm very afraid of becoming paralyzed.
Dr. Zhang Junwei Reply:
If there are no obvious discomforts, there is a 99.9% chance that it will not happen![Read More] Can Spinal Cord Injury Lead to Paralysis After a Month?
Understanding C3-C4 Spinal Cord Injury: Treatment Options and Recovery
Spinal cord injury Hello doctor, I would like to ask about my family member who suffered a C3 and C4 spinal cord injury due to a car accident. They are paralyzed below the neck and are fully conscious but can only move their head. They feel like a living dead... Are there any met...
Dr. Zhang Junwei Reply:
This is quite complex; it is recommended to consult Dr. Zheng Hongzhi from the Department of Neurorepair at Taipei Veterans General Hospital.[Read More] Understanding C3-C4 Spinal Cord Injury: Treatment Options and Recovery
Understanding Neurological Disorders: A Case Study of Sensory Loss in a Young Girl
Loss of sensation in the body? A 12-year-old girl experienced an unexplained fall down the stairs at the beginning of January this year, initially reporting only back pain. Two hours later, she began to feel numbness in her toes. After being taken to the emergency room, she was d...
Dr. Zhang Junwei Reply:
This case is complex, and Taipei Veterans General Hospital and Chang Gung Memorial Hospital are already the best hospitals in the country. I'm not sure how to proceed with the treatment, I apologize![Read More] Understanding Neurological Disorders: A Case Study of Sensory Loss in a Young Girl
Understanding Spinal Cord Injury and Its Impact on Sexual Function
Issues related to spinal cord injury? Hello, doctor. I have some questions to ask you. After the Lunar New Year this year, I found that I couldn't achieve an erection while watching adult films, so I sought consultation from a urologist. During the New Year period, I moved h...
Dr. Zhang Junwei Reply:
My answer is also: If there is a problem with the spine, it will not only result in sexual dysfunction but may also be accompanied by symptoms such as limb numbness and urinary or fecal incontinence. Please consult a urologist for evaluation first.[Read More] Understanding Spinal Cord Injury and Its Impact on Sexual Function
Post-Spinal Surgery Complications: Understanding Cardiac Arrest and Coma
Two days after spinal surgery, the patient experienced cardiac arrest and became comatose? I have a relative who sustained a spinal cord injury due to a crush injury on August 17. On August 22, he underwent surgery to replace an artificial bone joint and was transferred to a gene...
Dr. Ding Xianwei Reply:
Due to incomplete information, the question you asked may not receive the assistance you need. Rapid heartbeat leading to cessation may also be caused by cardiac issues. Therefore, we may not be able to provide the assistance you require.[Read More] Post-Spinal Surgery Complications: Understanding Cardiac Arrest and Coma
Understanding Spinal Cord Injury: Treatment Options and Clinical Trials
Spinal cord injury Hello Doctor; I have a 32-year-old male friend who has been hospitalized for over three months due to a car accident. He currently requires respiratory support and cannot undergo further examinations, so we do not know the extent of his neurological injuries. H...
Dr. Zheng Zhong Reply:
Based on your description, your friend likely has a high cervical spinal cord injury resulting in quadriplegia, respiratory muscle paralysis, and incontinence. Due to cervical instability, a cervical collar is still being used. To assess the condition of the cervical spinal cord ...[Read More] Understanding Spinal Cord Injury: Treatment Options and Clinical Trials
Understanding Spinal Cord Injuries and Nerve Compression Symptoms
Spinal Cord and Nerves Hello, doctor. Could you please explain the symptoms of spinal cord injury and nerve compression due to herniated discs? I previously experienced a neck injury that caused me to lose consciousness, and some of my cervical ligaments have calcified. Recently,...
Dr. Qiu Yushu Reply:
Hello: Symptoms of herniated disc include: Head: numbness in the upper limbs, shooting pain, and diminished reflexes (as assessed by the physician). Lumbar region: numbness in the lower limbs, shooting pain, and diminished reflexes (as assessed by the physician). Please visit the...[Read More] Understanding Spinal Cord Injuries and Nerve Compression Symptoms
Exploring Treatment Options for Spinal Cord Injury After Trauma
Please consult a physician for questions? Hello Doctor! My colleague (male, 40 years old) was involved in a car accident on May 8th of this month, resulting in a compression fracture of the thoracic vertebra (specifically at the eighth thoracic vertebra). He also sustained an inj...
Dr. Xiao Furen Reply:
In general, there are no effective treatments for spinal cord injuries, and rehabilitation is the primary focus. Surgery is mostly limited to decompression and stabilization to prevent further damage to the spinal cord. There are reports indicating that corticosteroids may be eff...[Read More] Exploring Treatment Options for Spinal Cord Injury After Trauma
Understanding Neck Injuries: Risks of Playful Strikes and Brain Damage
Neck I used to playfully hit my friends on the neck, but I recently saw a report stating that this could cause brain injuries, which has made me very concerned. I’m unsure if this is true, and it has led me to question whether my intelligence has been affected. I would like to un...
Dr. Hong Xuyi Reply:
Severe neurological impairments that may result from external force trauma to the neck include varying degrees of cervical spinal cord injury and carotid artery injury leading to intimal dissection, which can cause insufficient blood supply to the brain and subsequently result in...[Read More] Understanding Neck Injuries: Risks of Playful Strikes and Brain Damage