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
Severe Head Pain After Forceful Pressure: Possible Causes and Treatments
Head compression? Hello, doctor. I was pressed hard on the top of my head for 20 minutes, and it has been five days since then. I have been experiencing severe headaches in my forehead, both sides of my head, the back of my skull, neck, and temples, with a constant feeling of my ...
Dr. Ke Fangxu Reply:
If there is no trauma, it is mostly not traumatic intracranial hemorrhage. Spontaneous intracranial hemorrhage, such as from a ruptured aneurysm, would not present with headache symptoms alone. It is recommended that you consult a neurologist for a more professional answer.[Read More] Severe Head Pain After Forceful Pressure: Possible Causes and Treatments
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
Persistent Pain in the Right Back of the Head: Causes and Solutions
Persistent pain in the right posterior part of the brain? Hello Doctor: I would like to ask you a question. I have been experiencing persistent pain in the right posterior part of my head for over a week. Sometimes the pain feels like something is constantly banging inside my bra...
Dr. Peng Xianwen Reply:
Seeing a neurosurgeon is the best option.[Read More] Persistent Pain in the Right Back of the Head: Causes and Solutions
Head Injury Concerns: When to Seek Medical Attention for Symptoms
Head issues? Three weeks ago, I hit my head on the top when I lay down with force. A few days later, I experienced dizziness and visited an ENT specialist, which helped improve my condition. Recently, I have been experiencing hand tremors and tinnitus, along with a dull, tight he...
Dr. Zhang Junwei Reply:
Continuous observation is necessary, as the symptoms of chronic subdural hematoma can vary. If there is no improvement with medication and rest, it is recommended to consult a neurosurgery outpatient clinic for further evaluation.[Read More] Head Injury Concerns: When to Seek Medical Attention for Symptoms
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 Injections: Benefits, Risks, and Recovery After Surgery
Cerebrospinal fluid (CSF) shunt, hydrocephalus, brain tumor? Hello Doctor, my father underwent surgery last August due to a ruptured cerebral aneurysm. After the surgery, he developed hydrocephalus and underwent another procedure to have a drainage catheter installed. However, hi...
Dr. Zhang Junwei Reply:
Yes, there is no such thing as a "brain-stabilizing injection" in medicine. For headaches, pain relievers are administered, and for dizziness, antiemetics are given. The term "brain-stabilizing injection" was created to reassure the public.[Read More] Understanding Brain Injections: Benefits, Risks, and Recovery After Surgery
How Soon After Brain Surgery Can You Safely Scrub Your Scalp?
After intracranial hemorrhage surgery, how long can one exert force on the scalp? I had a craniotomy for intracranial hemorrhage seven years ago. Today, I went to a salon for a shampoo, and the stylist pulled my hair a bit too hard, which made me worried. Can I apply pressure to ...
Dr. Zhao Shaoqing Reply:
After the stitches are removed, observe the wound for 2 weeks. If the healing condition is good and there is no drainage, it is acceptable.[Read More] How Soon After Brain Surgery Can You Safely Scrub Your Scalp?
Understanding Vascular Malformations: When to Seek Medical Help
Hairy cell vascular lesions Hello, I am a rare disease patient. I underwent two cerebral vascular reconstruction surgeries 13.4 years ago. There are still issues in the lower right part of my brain, but my doctor does not recommend further surgery. I also have a chronic asthma co...
Dr. Zhang Junwei Reply:
It is recommended to first consult a pulmonologist to properly treat asthma.[Read More] Understanding Vascular Malformations: When to Seek Medical Help
Understanding Temporary Vision Loss After Concussion in Children
A concussion can cause temporary vision impairment in one eye? Hello, a 4-year-old child has sustained a concussion due to a head injury. A CT scan of the brain showed no bleeding, and an ophthalmologist confirmed that there are no issues with the optic nerve or retina. However, ...
Dr. Zhang Junwei Reply:
If there is no improvement, it is recommended to consult a neurosurgeon, as there may be an injury to the optic nerve, and an MRI may be necessary.[Read More] Understanding Temporary Vision Loss After Concussion in Children
Post-Surgery Complications of Acoustic Neuroma and AV Malformation Removal
Neurofibroma with arteriovenous malformation? My husband underwent a craniotomy for a left-sided vestibular schwannoma on January 15. During the surgery, the surgeon discovered an arteriovenous malformation beneath the dura mater, which was also removed. The surgery lasted approx...
Dr. Zhang Junwei Reply:
Because I am unclear about the situation during the surgery, various circumstances can occur during a craniotomy. The fact that eight bags of blood were transfused indicates a significant amount of blood loss, which may have led to ischemia and hypoxia in some brain tissue, poten...[Read More] Post-Surgery Complications of Acoustic Neuroma and AV Malformation Removal
Understanding Extracranial Aneurysms: Risks and Treatment Options
Extracranial aneurysm Hello Dr. Chang: Recently, an elder in my family underwent a vascular imaging examination and was found to have two extracranial aneurysms, each measuring 0.5 cm. Since they are extracranial, is it generally the case that no treatment is required? If an extr...
Dr. Zhang Junwei Reply:
Cerebral aneurysms generally do not cause immediate effects on brain tissue when they rupture, so they typically do not require intervention. However, the management may depend on the location and size of the aneurysm, so it is advisable to discuss this with your neurosurgeon or ...[Read More] Understanding Extracranial Aneurysms: Risks and Treatment Options
Sinusitis or Eye Pressure? Navigating Chronic Pain and Diagnosis
Sinusitis or ocular pressure? Hello, Doctor. The patient has been experiencing pressure and dull pain in the upper part of the eyeball and between the eyebrows, along with eye fatigue and a desire to rest. They have undergone MRI of the brain by a neurologist multiple times, but ...
Dr. Zhang Junwei Reply:
If you have already consulted with neurology and ENT specialists without finding any issues, it is advisable to consider a consultation with a neurosurgery clinic.[Read More] Sinusitis or Eye Pressure? Navigating Chronic Pain and Diagnosis
Understanding Intracranial Hemorrhage: What to Expect After Surgery
Intracranial hemorrhage Doctor, I would like to ask about my mother who had a car accident and suffered from intracranial hemorrhage. After the surgery, her brain did not show any signs of contraction, and her pupils remain dilated. The attending physician mentioned that the pupi...
Dr. Zhang Junwei Reply:
Without a complete medical history, patient history, and neurological examination, it is difficult to provide an accurate answer. I apologize![Read More] Understanding Intracranial Hemorrhage: What to Expect After Surgery
Addressing Leg Issues: Seeking Solutions for Neurological Conditions
Leg problems Hello, I would like to ask a question. I experienced a period of oxygen deprivation at birth, which has led to some walking difficulties and a slight leg length discrepancy. I would like to know if there are any treatment options available for this condition. Additio...
Dr. Zhang Junwei Reply:
If the neurological damage is caused by brain hypoxia, rehabilitation is currently the only option available.[Read More] Addressing Leg Issues: Seeking Solutions for Neurological Conditions
Understanding Low-Grade Fever After Stroke Surgery: Causes and Concerns
Causes of low-grade fever after stroke surgery? Hello Dr. Chang, My husband (36 years old) underwent brain surgery in early July due to a hemorrhagic stroke, which left the left side of his body immobile. After the surgery, he has been experiencing low-grade fevers (around 37.0-...
Dr. Zhang Junwei Reply:
Generally speaking, after a stroke, low-grade fever is often associated with excessive pulmonary secretions and difficulty in clearing cough. If there is a dysfunction in the temperature regulation center following a cerebral stroke, it typically results in high fever.[Read More] Understanding Low-Grade Fever After Stroke Surgery: Causes and Concerns
Managing Neurological Issues After Tracheostomy: Key Considerations
Brain issues What should I do if I am unable to speak after a tracheostomy?
Dr. Zhao Shaoqing Reply:
Patients requiring tracheostomy typically need a period of training to improve their respiratory function before entering the respiratory care system. They undergo a gradual and progressive respiratory training process, and if the brain injury is not too severe, further improveme...[Read More] Managing Neurological Issues After Tracheostomy: Key Considerations
Concerns After a Slip and Fall: Understanding Head Injury Symptoms
Slip backward? Hello Doctor, I slipped and fell backward the day before yesterday due to a wet floor. I had my hair in a ponytail, and I’m not sure if the back of my head hit the ground. At that moment, I experienced some tinnitus and dizziness, but I did not have any significant...
Dr. Zhao Shaoqing Reply:
If there is persistent clear nasal discharge, and the possibility of a skull base fracture has been ruled out, it is necessary to go to a major hospital for examination.[Read More] Concerns After a Slip and Fall: Understanding Head Injury Symptoms
Optimal Time Interval Between Two Neurosurgery Procedures for Aneurysm Removal
Interval between two surgeries on the same limb? Doctor: Hello, I am a 50-year-old office worker. In December of last year, a health check revealed through MRI that I have a brain aneurysm on both the left and right sides of the cerebral cavity, each measuring 1 cm. In March of t...
Dr. Zhang Junwei Reply:
There is no specific regulation on how long one must wait before undergoing another procedure, but it is advisable to rest for at least three months. Alternatively, if craniotomy is not performed, embolization can also be utilized.[Read More] Optimal Time Interval Between Two Neurosurgery Procedures for Aneurysm Removal
Post-Surgery Numbness and Pain: When to Seek Medical Attention?
One and a half months after brain surgery, there is a sudden sensation of numbness in the head? Hello, doctor. I underwent brain aneurysm surgery on June 7, 2018, and my recovery has been quite good; my bodily functions are generally normal. However, the left side of my head wher...
Dr. Zhang Junwei Reply:
It is common to experience numbness at the surgical site after a craniotomy. As long as there is no redness, swelling, heat, or discharge of pus, there is no need to be overly concerned.[Read More] Post-Surgery Numbness and Pain: When to Seek Medical Attention?