How Often Should You Monitor a Pituitary Tumor Without Medication?
How often should a pituitary tumor be monitored if medication is not being taken? Twelve years ago, I developed hyperprolactinemia due to medication for a peptic ulcer, which led to an MRI revealing a pituitary tumor measuring less than 1 cm. The neurosurgeon who initially examin...
Dr. Zhang Junwei Reply:
It is recommended to follow up every one to three years.[Read More] How Often Should You Monitor a Pituitary Tumor Without Medication?
Persistent Head Pain After Wall Impact: What You Need to Know
Head injury with pain lasting for several days after hitting a wall? Hello Doctor: Last Wednesday, I accidentally bumped into a corner of the wall at home. At the time, there was no bleeding, but a large bump formed, and it has been throbbing and painful for almost a week now. I ...
Dr. Zhang Junwei Reply:
It is recommended to visit the neurosurgery outpatient clinic for an examination.[Read More] Persistent Head Pain After Wall Impact: What You Need to Know
Understanding Dizziness and Nausea: Insights on AVMs and Neurological Concerns
Dizziness and nausea? 1. How can one distinguish projectile vomiting? 2. Is arteriovenous malformation of the brain a rare disease? 3. What is the probability of developing a brain arteriovenous malformation? 4. What is the cost of a brain MRI? 5. If someone has a brain a...
Dr. Lai Zhaokang Reply:
Hello: If the physician deems it appropriate, an MRI of the brain can be applied for under the National Health Insurance. If you are concerned about having related conditions, it is advisable to consult a nearby neurologist or neurosurgeon for evaluation. Regarding your other que...[Read More] Understanding Dizziness and Nausea: Insights on AVMs and Neurological Concerns
Understanding Dizziness and Headaches: Risks and Symptoms of Brain Disorders
Slight dizziness accompanied by a headache? 1. What is the probability of a cerebral arteriovenous malformation? 2. Are there any methods to reduce the risk of cerebral hemorrhage? 3. What are the signs and symptoms of a cerebral hemorrhage? 4. What does it feel like when t...
Dr. Zhang Junwei Reply:
Arteriovenous malformation (AVM) is a congenital condition that cannot be specifically prevented. If a patient experiences severe headaches, neurological deficits, or loss of consciousness, it is recommended to seek medical attention as soon as possible.[Read More] Understanding Dizziness and Headaches: Risks and Symptoms of Brain Disorders
Understanding Pituitary Tumors: Headaches, Seizures, and Vision Issues
Pituitary tumor Hello Doctor: I have been experiencing sudden headaches and dizziness since the beginning of this year, which led to hospitalization, but the cause has not been identified. The frequency and nature of my headaches are completely different from before; I have heada...
Dr. Zhang Junwei Reply:
A pituitary tumor smaller than one centimeter, with normal blood tests, is usually a benign adenoma. Since it is less than one centimeter in size, it typically does not cause neurological compression; therefore, the usual recommendation from physicians is to monitor it. As for th...[Read More] Understanding Pituitary Tumors: Headaches, Seizures, and Vision Issues
Understanding Pituitary Tumors: Surgery, Recovery, and Risks Explained
Pituitary tumor Recently, during a medical examination at the hospital, a pituitary tumor approximately 1.7 cm in size was discovered. Blood tests showed prolactin levels at 29 and growth hormone levels at 79, with other results being normal. I would like to ask if, in general, c...
Dr. Zhao Shaoqing Reply:
In Taiwan, this technique is very advanced, allowing for the removal of tumors through the nasal cavity using an endoscope. Navigation guidance significantly enhances the precision of the surgery. After a successful operation, hormone levels can return to normal ranges. A small n...[Read More] Understanding Pituitary Tumors: Surgery, Recovery, and Risks Explained
Understanding CT Scan Results: Calcium Deposits and Teflon Concerns After Surgery
Computed Tomography (CT) scan of the brain? Hello, doctor. I underwent a decompression surgery for left-sided facial spasms at the end of 2016. At that time, the physician informed me that the surgical method involved creating an opening in the left posterior part of the brain an...
Dr. Lai Zhaokang Reply:
Hello: 1. Generally, it is unlikely. 2. It depends on the actual imaging. 3. An MRI of the cervical spine should be performed to assess whether the symptoms are caused by cervical nerve compression. 4. Cerebral calcifications can be classified into physiological and pathological ...[Read More] Understanding CT Scan Results: Calcium Deposits and Teflon Concerns After Surgery
Spinal Tumor Surgery in Children: Risks and Post-Operative Considerations
Spinal tumor surgery and subsequent issues with hardware (screws)? Hello Doctor, my child is currently 5 years and 7 months old. A spinal tumor was detected at birth, and initially, we were just monitoring it regularly. During this time, we learned that the tumor had grown into t...
Dr. Zhang Junwei Reply:
Since the child is only 5 years old and there is no detailed medical history, this issue is too specialized and complex, falling under the scope of pediatric neurosurgery. It is recommended to consult a physician in an outpatient setting.[Read More] Spinal Tumor Surgery in Children: Risks and Post-Operative Considerations
Understanding Facial Nerve Disorders: Treatment Options and Insights
Facial nerve spasms? Hello, doctor... I have been experiencing facial nerve issues for over six years. I previously consulted traditional Chinese medicine, but my mouth continues to twitch and hasn't fully recovered. Is it really impossible to treat? Would switching to a pla...
Dr. Lai Zhaokang Reply:
Hello: 1. Your symptoms are likely indicative of facial nerve spasms. It is recommended to consult a senior neurosurgeon at a medical center. 2. Common causes include compression of the facial nerve in the brain by nearby blood vessels, leading to abnormal electrical short-circui...[Read More] Understanding Facial Nerve Disorders: Treatment Options and Insights
Understanding Visual Field Defects: When to Consult a Neurologist
Visual field defect Hello, doctor. I am currently a sophomore. Four years ago, I started experiencing flashes and defects in part of my right eye's visual field. At that time, I was also dealing with a condition that caused white spots in my eyes. After two months of examina...
Dr. Zhang Junwei Reply:
You can first schedule an appointment with an ophthalmologist for an examination![Read More] Understanding Visual Field Defects: When to Consult a Neurologist
Understanding Brain Edema Treatment Options After Tumor Surgery
Treatment of cerebral edema? My husband underwent brain tumor surgery four months ago and is currently experiencing hemiplegia and symptoms of cerebral edema (MRI shows infiltration of brain tissue with fluid accumulation, while the ventricles are normal). The attending physician...
Dr. Zhang Junwei Reply:
Cerebral edema and hydrocephalus are different conditions, and their management approaches are completely distinct. Cerebral edema typically improves gradually over time.[Read More] Understanding Brain Edema Treatment Options After Tumor Surgery
Understanding Nerve Issues: Exploring Causes of Leg and Hip Numbness
Numbness in the lower back, hips, and legs, unclear where the issue lies? On August 24, I had a pelvic adjustment, and for the week following, I did not experience any particular sensations and did not engage in any special activities. On September 1, I noticed swelling on the ou...
Dr. Zhang Junwei Reply:
It is not possible to diagnose the disease online; it is recommended to consult a neurosurgery outpatient clinic for examination.[Read More] Understanding Nerve Issues: Exploring Causes of Leg and Hip Numbness
Understanding Left Neck Pain: Causes, Diagnosis, and Treatment Options
Left neck pain? Four years ago, I experienced numbness in my left fingers and pain in my arm. After an MRI examination, it was found that there was a herniated disc at the levels of C3-C4, C4-C5, C5-C6, and C6-C7, with the C5-C6 level being more severe. I did not undergo surgery ...
Dr. Zhang Junwei Reply:
X-rays cannot visualize intervertebral discs, let alone nerves. If there is a suspicion of worsening disc herniation with nerve compression, it is best to perform an MRI again.[Read More] Understanding Left Neck Pain: Causes, Diagnosis, and Treatment Options
Understanding Neurological Issues: Exploring Oral Symptoms and MRI Findings
Brain issues Hello Doctor, I have been experiencing some discomfort in my oral cavity for over five months. I have consulted with specialists in oral and maxillofacial surgery, dentistry, otolaryngology, neurology, and rheumatology, but so far, none have been able to provide a co...
Dr. Zhang Junwei Reply:
To be honest, what you said is too complicated, and it's difficult to answer these questions online. I recommend discussing this with a neurosurgery outpatient clinic and a physician.[Read More] Understanding Neurological Issues: Exploring Oral Symptoms and MRI Findings
Understanding Spasticity and Pain Management After Neurosurgery
Stiff Person Syndrome Dear Dr. Chang Jun-Wei, I am a patient who has consulted at multiple hospitals and undergone a series of tests including blood biochemistry, 24-hour urine analysis, and peripheral nerve examinations, which included sensory and motor evoked potentials, senso...
Dr. Zhang Junwei Reply:
Your question is too complex to be answered online based solely on the information you provided.[Read More] Understanding Spasticity and Pain Management After Neurosurgery
Understanding Pituitary Tumors and Post-Surgery Recovery Challenges
Regarding my father's pituitary tumor and related issues? Hello doctor, my father suddenly experienced severe headaches, high fever, and vomiting at the end of last month, which led to an emergency visit. It was discovered that he has a pituitary tumor. After a lumbar punctu...
Dr. Zhang Junwei Reply:
Although I would like to help you, your question is too complex, and without medical history and results from imaging studies such as CT scans, it is really difficult to provide an answer. I recommend scheduling an appointment with your father's attending physician to discus...[Read More] Understanding Pituitary Tumors and Post-Surgery Recovery Challenges
Post-Surgery Care for Brain Tumor Patients: Managing Complications and Medications
Post-operative care for brain tumor surgery? My father had surgery last May, and since then he has been experiencing severe diabetes insipidus (drinking nearly 10,000 cc of water daily). However, he also has heart failure, with blood pressure typically ranging from 180 to 200 mmH...
Dr. Zhang Junwei Reply:
If you have so many issues, I recommend visiting a hospital's integrative medicine department or a family medicine clinic. They will address your conditions comprehensively, rather than treating each symptom in isolation.[Read More] Post-Surgery Care for Brain Tumor Patients: Managing Complications and Medications
Understanding Brain Tumors: A Case Study of Severe Complications
The brain tumor has affected the brainstem? (My mom has diabetes) My mom went to the emergency room at midnight due to a headache. A CT scan revealed a 7 cm tumor at the front of her brain. An MRI was performed, and she was admitted to the hospital at 6 PM the same day. During he...
Dr. Zhang Junwei Reply:
Without seeing the brain CT scan and the actual medical history, I cannot provide you with an accurate answer, but it does not seem optimistic.[Read More] Understanding Brain Tumors: A Case Study of Severe Complications
Traveling with a Pituitary Tumor: Safety Tips and Dietary Advice
Precautions Regarding Pituitary Tumors Hello Dr. Chang: I would like to ask if having a 0.2 cm benign tumor above the pituitary gland (currently being monitored without surgery) would affect flying abroad. Aside from monitoring examinations, are there any specific dietary (nutrit...
Dr. Zhang Junwei Reply:
There is no impact, and there are no specific precautions needed in daily life.[Read More] Traveling with a Pituitary Tumor: Safety Tips and Dietary Advice
Is Scalp Tingling a Sign of Brain Tumor Recurrence?
Experiencing numbness in the head raises concerns about the possibility of a brain tumor recurrence? My daughter had a germ cell tumor in her brain last year. After a year of treatment, the tumor has shrunk significantly. However, recently she has been experiencing tingling and p...
Dr. Zhang Junwei Reply:
Unable to determine, it is recommended to return to the outpatient clinic for examination.[Read More] Is Scalp Tingling a Sign of Brain Tumor Recurrence?