Understanding Headaches: Post-Injury Symptoms and Eye Health Concerns
Headache issues? I have had migraine issues since childhood, where fatigue and exposure to wind can trigger headaches. However, I never sought any medical evaluation. At the end of last year, I fell down the stairs without using my hands to brace myself, landing face-first. I was...
Dr. Zhang Junwei Reply:
You can first visit the neurosurgery outpatient clinic![Read More] Understanding Headaches: Post-Injury Symptoms and Eye Health Concerns
Persistent Head Issues After Injury: When to Seek Medical Attention?
Head issues Hello, doctor. I am currently a senior in college. When I was in the third year of junior high, I was playing in the restroom and kicked water, causing myself to fly up and hit my head on the ground. At that moment, I couldn't hear anything and was dazed for a wh...
Dr. Zhang Junwei Reply:
It is impossible for a blood clot from the third year of junior high to remain until now; it can only be said that this is a consequence of head trauma. Alternatively, you may want to consult an otolaryngologist to check if there is an issue with your inner ear causing your dizzi...[Read More] Persistent Head Issues After Injury: When to Seek Medical Attention?
Post-Traumatic Recovery: Addressing Balance Issues After Spinal Surgery
Minimally invasive surgery for the first lumbar vertebra, subarachnoid hemorrhage? Hello Doctor, I previously had a car accident that resulted in subarachnoid hemorrhage. The doctor said it would absorb on its own, and I was in a coma in the intensive care unit for about two week...
Dr. Lai Zhaokang Reply:
Hello: I personally suggest that both the brain and spine need further evaluation. Please visit the neurosurgery outpatient clinic for a physician's assessment. Wishing you all the best. // Neurosurgeon Dr. Lai Chao-Kang[Read More] Post-Traumatic Recovery: Addressing Balance Issues After Spinal Surgery
Understanding Post-Trauma Walking Instability: Brain vs. Lumbar Spine Issues
Minimally invasive surgery for the first lumbar vertebra, subarachnoid hemorrhage? Hello Doctor, I previously had a car accident that resulted in subarachnoid hemorrhage. The doctor said it would absorb on its own, and I was in a coma in the intensive care unit for about two week...
Dr. Lai Zhaokang Reply:
Hello: I personally suggest that both the brain and spine need further evaluation. Please visit the neurosurgery outpatient clinic for a physician's assessment. Wishing you well. // Neurosurgeon Dr. Lai Chao-Kang[Read More] Understanding Post-Trauma Walking Instability: Brain vs. Lumbar Spine Issues
Understanding Skull Fractures: Healing and Risks to the Brain
Hello, I would like to inquire about issues related to skull fractures. Thank you? Hello: If there is a fracture in the frontal part of the skull due to blunt force trauma, with a gap of approximately 0.5 to 0.5 centimeters at the fracture site, will the fracture heal and reconne...
Dr. Zhang Junwei Reply:
Theoretically, it can regenerate on its own.[Read More] Understanding Skull Fractures: Healing and Risks to the Brain
Post-Accident Head Pain: When to Seek Neurological Evaluation?
Car accident, head injury, experiencing headaches 4 months later? Hello doctor, I was in a car accident four months ago and lost consciousness upon impact. My helmet flew off, and my head hit the ground. I woke up in the hospital while the nurse was stitching my head, and I recei...
Dr. Zhang Junwei Reply:
It is normal to feel some pain after a wound has been sutured.[Read More] Post-Accident Head Pain: When to Seek Neurological Evaluation?
Concerns About Delayed Brain Hemorrhage in a Toddler After a Fall
A 1 year and 5 month old baby fell and hit their head, and currently cannot put weight on their left foot properly? Hello Doctor: My baby girl (1 year and 5 months) fell on the afternoon of April 9th and has been unable to stand normally since then. When she tries to stand, her l...
Dr. Lai Zhaokang Reply:
Hello: CT scans involve radiation, so please return to Taiwan for a consultation. It is best to visit a large hospital that is a medical center with a pediatric neurosurgery department. Wishing you well, Neurosurgeon Dr. Lai Chao-Kang.[Read More] Concerns About Delayed Brain Hemorrhage in a Toddler After a Fall
Recovery Timeline for Skull Fractures in Children: What to Expect
Recovery from a skull fracture? Hello, I would like to consult a physician. An eight-year-old child experienced a severe head injury while playing, resulting in a skull fracture and underwent surgery for hemostasis (epidural hematoma). It has been three months post-surgery, and c...
Dr. Lai Zhaokang Reply:
Hello: Generally, it takes about three months for a fracture to heal, and the brain should also be more stable by then. For exercise, it is recommended to start with gentle activities. If you want to engage in high-impact exercises like jumping rope or running, which can cause si...[Read More] Recovery Timeline for Skull Fractures in Children: What to Expect
Post-Surgery Memory Confusion: Understanding Behavioral Changes After Hydrocephalus Surgery
After the surgery for hydrocephalus, there is confusion and a constant desire to go home? Hello Dr. Lai, My father suffered a head injury due to a work accident in late October last year, resulting in a skull fracture, intracranial hemorrhage, subarachnoid hemorrhage, and fronta...
Dr. Lai Zhaokang Reply:
Hello: I would like to answer your question directly, but your records indicate that the surgeries were performed at other hospitals, so I cannot provide you with a definitive answer. Wishing you all the best.[Read More] Post-Surgery Memory Confusion: Understanding Behavioral Changes After Hydrocephalus Surgery
Understanding Stroke Causes: Are They Exclusively CNS Disorders?
Causes of Stroke Is a stroke always classified as a disorder of the central nervous system? Are there other potential causes, or is it 100% a problem related to the central nervous system?
Dr. Zhang Junwei Reply:
The brain is part of the central nervous system, so a stroke in the brain is certainly a central nervous system disorder![Read More] Understanding Stroke Causes: Are They Exclusively CNS Disorders?
Head Injury Concerns: Do I Need to Worry About Brain Bleeding?
Head issues Hello doctor, I accidentally hit my head while taking the bus last Sunday. Since it was a long trip, I only applied ice about an hour later. At the moment of impact, I felt pain briefly but had no other sensations. Over the past few days, I've occasionally felt a...
Dr. Zhang Junwei Reply:
The likelihood of bleeding is very low.[Read More] Head Injury Concerns: Do I Need to Worry About Brain Bleeding?
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
Essential Care Tips for Patients with Permanent Ventricular Drainage
Precautions for Ventricular Drainage Catheter in the Brain: Hello Dr. Chang, my friend had a car accident three years ago, which resulted in a brain injury that prevented the absorption of cerebrospinal fluid. During the process, they experienced meningitis and cerebral edema. Tw...
Dr. Zhang Junwei Reply:
1. No, there isn't. 2. It depends on the type of drainage tube you have installed.[Read More] Essential Care Tips for Patients with Permanent Ventricular Drainage
Understanding Memory Issues After Head Trauma: A Caregiver's Guide
My father keeps wanting to take a shower? Hello, doctor. My father fell from a height on October 25, resulting in a head injury. After diagnosis, he was found to have intracranial hemorrhage, skull fractures, and a subdural hematoma. He was sent to the hospital for a CT scan, whi...
Dr. Zhang Junwei Reply:
Severe brain injury can lead to dementia.[Read More] Understanding Memory Issues After Head Trauma: A Caregiver's Guide
Choosing the Best Surgery for Hydrocephalus: Spinal vs. Brain Drainage
Which surgical method is more effective for hydrocephalus? Hello doctor, my mother has been diagnosed with hydrocephalus at the age of 69. After evaluations from two doctors, one suggested that spinal drainage carries minimal risk, while the other recommended brain drainage. When...
Dr. Lai Zhaokang Reply:
Hello: 1. Ventriculoperitoneal (VP) shunt is the standard procedure, and the vast majority of hydrocephalus cases worldwide undergo this surgery. However, patients may have concerns due to the direct puncture of the brain to implant the catheter. 2. Lumbar-peritoneal (LP) shun...[Read More] Choosing the Best Surgery for Hydrocephalus: Spinal vs. Brain Drainage
Understanding Infant Head Bumps: Causes, Concerns, and Treatments
Regarding swelling of the infant's head? Hello, Doctor! My son is over 7 months old. At birth, we noticed a hard protrusion on the back of his head, and recently it seems to have grown larger (or perhaps it's due to head growth?), and it appears somewhat red. We recentl...
Dr. Zhang Junwei Reply:
Cerebral cysts may be congenital and are generally unrelated to bony lesions.[Read More] Understanding Infant Head Bumps: Causes, Concerns, and Treatments
Understanding the Differences Between Concussions and Brain Contusions
What is the difference between a concussion and a cerebral contusion? What is the difference between a diagnosis of concussion and a diagnosis of a cerebral contusion? Is there a potential risk of developing dementia as a result? What tests should be conducted at the time to conf...
Dr. Zhang Junwei Reply:
Concussion refers to a temporary alteration in consciousness or memory following a head injury. Contusions often accompany bleeding.[Read More] Understanding the Differences Between Concussions and Brain Contusions
Recovery After Brain Aneurysm Surgery: When Can We Resume Intimacy?
My wife is currently recovering after surgery for a brain aneurysm? Hello, doctor: My wife has successfully undergone surgery for a brain aneurysm and is currently recovering. I would like to ask how long it will take before she can engage in sexual intercourse, or if it will be ...
Dr. Zhang Junwei Reply:
Please consult the surgeon for details about the unknown medical condition.[Read More] Recovery After Brain Aneurysm Surgery: When Can We Resume Intimacy?
Does Timing of Brain Hemorrhage Diagnosis Affect Treatment Outcomes?
If a cerebral hemorrhage is discovered more than 12 hours after onset, will the treatment differ? A 47-year-old male was brought to the emergency department at 9:40 AM, initially believing the incident occurred that morning. After emergency evaluation, he was admitted to the inte...
Dr. Zhang Junwei Reply:
1. The first question is unclear and difficult to answer. 2. With diligent rehabilitation, it is usually possible to recover more than half, but complete recovery is more challenging.[Read More] Does Timing of Brain Hemorrhage Diagnosis Affect Treatment Outcomes?
Understanding Brain Hemorrhage Risks After Trauma: Key Insights
Possible conditions of intracerebral hemorrhage? Hello, doctor. I apologize for the interruption. In mid-June, my husband was involved in a collision with a woman nearly 60 years old. At that time, the woman only had an abrasion on her elbow, and she was sitting on the ground wit...
Dr. Zhang Junwei Reply:
It is possible for intracranial hemorrhage to occur after a car accident, even if there were no immediate injuries at the time of the incident. However, the pattern of the hemorrhage observed on a CT scan can help determine whether the bleeding was caused by trauma or if it was a...[Read More] Understanding Brain Hemorrhage Risks After Trauma: Key Insights