Understanding Hydrocephalus and Drainage Surgery: A Patient's Journey
Hydrocephalus shunt surgery Hello, my father was involved in a car accident while walking at the end of May this year. The accident resulted in intracranial hemorrhage, skull fractures, pneumocephalus, a fracture of the third thoracic vertebra, and suspected damage to the brachia...
Dr. Zhang Junwei Reply:
It is difficult to determine whether surgery is absolutely necessary based solely on your description. However, if surgery is indeed required, considering a lumbar drainage procedure could be an option.[Read More] Understanding Hydrocephalus and Drainage Surgery: A Patient's Journey
Can You Fly After Subarachnoid Hemorrhage Without Surgery?
Can a person who has experienced a subarachnoid hemorrhage without surgery fly on an airplane? Hello, doctor. Here are the details: I experienced a subarachnoid hemorrhage (the exact name I'm not very sure about) after a car accident. The doctor said it would heal on its own...
Dr. Zhang Junwei Reply:
Subarachnoid hemorrhage is usually not very severe, and if there have been no issues for a year, it is typically considered healed.[Read More] Can You Fly After Subarachnoid Hemorrhage Without Surgery?
Understanding Skull Fractures: Risks and Concerns After Surgery
Skull fracture Hello Doctor, I had a skull fracture from a car accident a month ago and underwent surgery where a piece of my skull about the size of a ten-dollar coin was removed. However, the surgeon did not use artificial bone to fill in the defect. I would like to ask Dr. Cha...
Dr. Zhang Junwei Reply:
Theoretically, a skull defect the size of a ten-dollar coin is not a concern.[Read More] Understanding Skull Fractures: Risks and Concerns After Surgery
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?
Dietary Guidelines and Follow-Up Care After Mild Brain Hemorrhage
Diet for Cerebral Hemorrhage Hello, I have a slight brain hemorrhage from a car accident. The doctor said to return for a follow-up in three months if I experience any discomfort. I would like to know if I need to go back for a check-up after three months if I have no discomfort....
Dr. Zhang Junwei Reply:
No need to return, no special restrictions.[Read More] Dietary Guidelines and Follow-Up Care After Mild Brain Hemorrhage
Post-Surgery Sleepiness and Coordination Issues After Brain Tumor Removal
Post-operative drowsiness, refusal to eat or drink, and left-sided incoordination following brain tumor surgery? Hello Doctor, my younger brother is 23 years old. Before the surgery, he only exhibited symptoms of left eyelid ptosis and mild hearing impairment in the left ear. Thi...
Dr. Zhang Junwei Reply:
It is recommended to continue monitoring, and it should gradually improve.[Read More] Post-Surgery Sleepiness and Coordination Issues After Brain Tumor Removal
Can Vocal Cord Nerve Damage from Brain Hemorrhage Be Treated?
Vocal cord nerve damage caused by cerebral hemorrhage? Hello Doctor: My father had a brain hemorrhage on June 25. After intubation, the doctors said that the vocal cord nerve was injured, resulting in the vocal cords not being able to close and swelling. He is unable to breathe o...
Dr. Zhang Junwei Reply:
If possible, please discuss more with your attending physician.[Read More] Can Vocal Cord Nerve Damage from Brain Hemorrhage Be Treated?
Understanding Traumatic Brain Injury and Recovery After a Severe Accident
Hello Dr. Chang, my girlfriend was in a car accident and has intracranial hemorrhage? Hello Dr. Chang, my girlfriend was in a severe car accident on the night of May 12. The doctor diagnosed her with: 1. Head trauma with skull fracture and intracranial hemorrhage. 2. Facial contu...
Dr. Zhang Junwei Reply:
A physician shall not administer treatment, prescribe medication, or issue a diagnosis certificate without personally examining the patient (in cases of complex conditions, without detailed medical history, it is not possible to provide answers).[Read More] Understanding Traumatic Brain Injury and Recovery After a Severe Accident
Persistent Dizziness After Head Injury: When to Seek Brain Imaging?
Dizziness for a long time? Hello Doctor: Several years ago, I had a motorcycle accident where I hit my head. I haven't had any issues since then, but for the past month or so, I've been experiencing some dizziness. Should I get my brain checked?
Dr. Zhang Junwei Reply:
It is unrelated to the head injury from a few years ago, but you can start taking medication and monitor the situation.[Read More] Persistent Dizziness After Head Injury: When to Seek Brain Imaging?
Post-Surgery Facial Numbness After Brain Tumor Treatment: Options and Risks
Treatment for facial numbness after brain tumor surgery? Hello Doctor, my mother underwent surgery for a meningioma a year ago and subsequently received stereotactic radiosurgery. Since then, she has been experiencing persistent facial numbness and tingling. She has been on medic...
Dr. Zhang Junwei Reply:
What are the causes of facial numbness? Is it caused by a brain tumor? Without detailed medical history, it is not possible to provide an answer.[Read More] Post-Surgery Facial Numbness After Brain Tumor Treatment: Options and Risks
Improving Recovery Chances After Brain Surgery in Elderly Patients
Grandfather fell and underwent brain surgery? Hello, doctor. I would like to ask about brain surgery and what methods can improve the Glasgow Coma Scale (GCS) score. My boyfriend's grandfather fell and hit his head, and he has already undergone brain surgery. His GCS is curr...
Dr. Zhang Junwei Reply:
Brain injuries are dangerous and complex conditions, and there is insufficient information to answer your question![Read More] Improving Recovery Chances After Brain Surgery in Elderly Patients
Post-Accident Recovery: Managing Pelvic Misalignment and Nerve Issues
In May 2016, I was involved in a car accident that resulted in a pelvic misalignment and numbness in my little finger? Hello Dr. Chang, I was in a car accident last year and suffered a comminuted fracture of the first lumbar vertebra. In June 2017, I underwent surgery to remove s...
Dr. Zhang Junwei Reply:
Without seeing imaging studies such as X-rays or CT scans, it is really difficult to answer your question. I recommend bringing your imaging reports and complete medical history to an outpatient clinic to discuss with a physician.[Read More] Post-Accident Recovery: Managing Pelvic Misalignment and Nerve Issues
Recovering from a Car Accident: Addressing Uneven Breast Size and Pain
Due to a car accident, I was in a coma, which caused my left hand to press against my left chest. When I regained consciousness and went to buy a bra, I discovered that the sizes were uneven? I was in a car accident on May 13, 2016, and was in a coma for 17 days before I was move...
Dr. Li Zhonghuai Reply:
Hello! It is recommended to address the lumbar spine issues first before dealing with the breast concerns. Without knowing the size difference of both breasts prior to the injury, I cannot provide a comment. Take care! Changhua Hospital is concerned about you![Read More] Recovering from a Car Accident: Addressing Uneven Breast Size and Pain
Understanding Intracranial Hemorrhage and Anesthesia Effects on Consciousness
Intracranial hemorrhage A friend was involved in a car accident resulting in intracranial hemorrhage and a fracture of the left ankle. One week prior to hospitalization, the patient was conscious and able to engage in brief conversations, and could request assistance from the nur...
Dr. Zhang Junwei Reply:
In theory, general anesthesia does not exacerbate brain injury, but the information you provided is too brief for me to respond adequately.[Read More] Understanding Intracranial Hemorrhage and Anesthesia Effects on Consciousness
Hydrocephalus: To Operate or Not? Understanding Your Options
Surgical Intervention for Hydrocephalus: To Operate or Not? Due to my father's previous fall, he has developed a brain hemorrhage that has now led to hydrocephalus. The doctor mentioned that surgery is an option, but it's not urgent since the fluid accumulation is not s...
Dr. Zhang Junwei Reply:
A physician must not administer treatment, prescribe medication, or provide a diagnosis without personally examining the patient. If there are no obvious neurological abnormalities, it is recommended to observe the patient for a while longer.[Read More] Hydrocephalus: To Operate or Not? Understanding Your Options
Best Follow-Up Imaging for Suspected Intracranial Aneurysm: MRI vs. CT
Examination of Intracranial Aneurysms Hello Doctor: The brain MRI (without contrast) from my health check-up shows a suspected 3mm internal carotid artery aneurysm. After one year, which follow-up examination is the better option, MRI or CT scan? Should the examination include co...
Dr. Zhang Junwei Reply:
MRI with contrast agent[Read More] Best Follow-Up Imaging for Suspected Intracranial Aneurysm: MRI vs. CT
How to Diagnose Autonomic Nervous System Disorders: A Patient's Guide
How is autonomic nervous system dysfunction diagnosed? - Follow-up question? On Friday, I suddenly felt a painful cramping sensation in my heart, which extended slightly to the inner side of my arm and lasted for five minutes. I was scared I was having a myocardial infarction, so...
Dr. Lai Zhaokang Reply:
Hello: 1. Currently, there are no definitive medical tests that can confirm autonomic nervous system dysfunction. To make this diagnosis, it is typically necessary to rule out other conditions through various tests, leading to the conclusion of "autonomic nervous system dysf...[Read More] How to Diagnose Autonomic Nervous System Disorders: A Patient's Guide
Deciding on Acoustic Neuroma Surgery: Expert Opinions and Patient Dilemma
Deciding on surgery for a vestibular schwannoma is challenging? I have consulted four hospitals and four neurosurgeons regarding my condition. I currently have poorly controlled diabetes and an acoustic neuroma approximately 2 cm in size, which only slightly touches the brainstem...
Dr. Zhang Junwei Reply:
A 2 cm neuroma can actually be treated with a gamma knife![Read More] Deciding on Acoustic Neuroma Surgery: Expert Opinions and Patient Dilemma
Do Head Impacts Cause Brain Cell Death and Memory Loss?
After a concussion, do brain cells die? Hello, doctor. Here's the situation: one night, when I sat up in bed, I bumped into the wooden support beam between the upper and lower bunk. The force and speed with which I sat up were normal, so it wasn't too light or too heavy...
Dr. Zhang Junwei Reply:
No, you're overthinking it![Read More] Do Head Impacts Cause Brain Cell Death and Memory Loss?
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction can cause persistent numbness in the limbs and scalp? At the beginning of January, while working at my computer, I suddenly experienced a sharp pain in my heart, followed by numbness in my limbs. If I didn't get up and move around, I felt...
Dr. Lai Zhaokang Reply:
Hello: You may consider further evaluation of the brain and cervical spinal cord. Wishing you well.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions