Understanding Post-Surgery Coma Scores and ICP Monitoring in Neurosurgery
Intracranial pressure monitor Dear Doctor: After a brain tumor surgery, is it true that the Glasgow Coma Scale (GCS) score is always 3 immediately post-operation? Additionally, is it mandatory to place an intracranial pressure (ICP) monitor after the surgery?
Dr. Zhang Junwei Reply:
Regardless of the type of surgery, immediately after general anesthesia, the level of consciousness is typically at 3. It is not always necessary to place an intracranial pressure monitor.[Read More] Understanding Post-Surgery Coma Scores and ICP Monitoring in Neurosurgery
Post-Surgery Considerations for Lumbar Spine: When to Remove Hardware?
Regarding issue #116219, after undergoing surgery on the first lumbar vertebra, is it necessary to perform minimally invasive surgery to remove it after one year? Hello Dr. Lai: First of all, thank you for being willing to respond to my questions. You are truly knowledgeable and ...
Dr. Lai Zhaokang Reply:
Hello, 1. Generally, there is no need to remove the hardware, but if, for example, the screws have loosened, or if they are too rigid and causing discomfort, or for other reasons as determined by the physician, they can be removed. 2. Typically, if it is confirmed that the bo...[Read More] Post-Surgery Considerations for Lumbar Spine: When to Remove Hardware?
Understanding Post-Concussion Symptoms: Tinnitus and Dizziness Explained
Post-concussion syndrome In mid-November, I was hit by a motorcycle that ran a red light while crossing the street. I lost consciousness at the time, but I'm not sure how long it lasted. My brain may have suffered a concussion due to the impact with the ground. I underwent a...
Dr. Zhang Junwei Reply:
It is possible, but it could also be caused by inner ear imbalance.[Read More] Understanding Post-Concussion Symptoms: Tinnitus and Dizziness Explained
Understanding Post-Edema Symptoms: Is Memory Loss Normal After Brain Injury?
What is the normal range for sequelae after cerebral edema? Hello, doctor. I had a car accident two years ago where my left frontal lobe hit the ground. The emergency physician diagnosed me with cerebral edema. I did not undergo surgery and was discharged after four days in the h...
Dr. Zhang Junwei Reply:
The sequelae of head trauma can be quite troublesome. If brain imaging studies, such as MRI, do not reveal any abnormalities, then the only option is to monitor the condition.[Read More] Understanding Post-Edema Symptoms: Is Memory Loss Normal After Brain Injury?
Post-Surgery Mental Health Issues After Aneurysm Rupture: Insights and Concerns
Postoperative Mental Status after Aneurysm Rupture Surgery Hello, doctor. My mother is 61 years old. On August 6th of this year, she suddenly fainted and was taken to the nearest Cathay General Hospital for emergency treatment. The doctors diagnosed her with a ruptured aneurysm, ...
Dr. Zhang Junwei Reply:
It should be the result of a brain injury caused by bleeding.[Read More] Post-Surgery Mental Health Issues After Aneurysm Rupture: Insights and Concerns
Understanding Thalamic Hemorrhage: Treatment Options and Recovery Insights
73-year-old with intracranial hemorrhage? On November 9th, my father experienced a suspected hemorrhagic stroke due to emotional agitation. Initially, the blood clot was small, but it expanded to about 70% of the scan within three hours. The doctor indicated that the location of ...
Dr. Zhang Junwei Reply:
You are generally correct; thalamic hematomas are rarely surgically removed. The surgery is primarily for the evacuation of the hematoma and hemostasis, and it cannot repair the nerves.[Read More] Understanding Thalamic Hemorrhage: Treatment Options and Recovery Insights
Understanding Severe Migraines: Symptoms, Diagnosis, and Treatment Options
Severe migraine Doctor, I would like to ask about my condition. A few months ago, I experienced severe headaches for the first time, and when using the computer screen, I couldn't focus my vision. After taking some painkillers and sleeping, I felt better the next day. Howeve...
Dr. Zhang Junwei Reply:
It is usually a migraine. Since the examination has been scheduled, we will wait for the results and then discuss them with the doctor.[Read More] Understanding Severe Migraines: Symptoms, Diagnosis, and Treatment Options
Understanding Tumor Surgery: Concerns About Diagnosis and Treatment Risks
Is it possible that a physician might incise a wound and then not properly manage it, or handle it incorrectly? Several years ago, I had a tumor at the elbow of my left arm, which was diagnosed by a plastic surgeon at A Hospital as a neurofibroma. The doctor advised that I needed...
Dr. Zhang Junwei Reply:
No one can obtain a definitive diagnosis without sending the tumor for pathological examination. I also don't know why the physician is reluctant to perform a simple surgery![Read More] Understanding Tumor Surgery: Concerns About Diagnosis and Treatment Risks
Assessing and Managing Agitation Symptoms After Brain Hemorrhage
Assessment and Management of Agitation Symptoms in Intracerebral Hemorrhage My father was rear-ended on October 7, resulting in a right parietal bone fracture, as well as traumatic bilateral intracerebral hemorrhage, subdural hematoma, and subarachnoid hemorrhage. During his hosp...
Dr. Zhang Junwei Reply:
After a brain injury, there may sometimes be cognitive function impairments. However, since I cannot see the location of the bleeding or the detailed situation, I kindly ask you to have a neurosurgical evaluation again![Read More] Assessing and Managing Agitation Symptoms After Brain Hemorrhage
Understanding Brain Tumor Recurrence: Causes and Treatment Options
Brain tumor recurrence I would like to ask the doctor about the conditions under which brain tumors are likely to recur. My friend suddenly fainted in November 2014, and bystanders said it was a seizure; this was the first episode, and he had no prior symptoms. After examination,...
Dr. Zhang Junwei Reply:
To determine the type of brain tumor, whether it is benign or malignant, and the cellular characteristics, is essential for understanding the likelihood of recurrence. Targeted therapies or chemotherapy should not pose issues for the skull.[Read More] Understanding Brain Tumor Recurrence: Causes and Treatment Options
Exploring Hyperthermia Treatment for Recurrent GBM in Elderly Patients
Recurrent brain tumor, hyperthermia treatment? Hello Doctor, my father is 73 years old. In January, he was diagnosed with a brain tumor due to coordination issues. After surgery, it was confirmed to be a Grade IV Glioblastoma Multiforme (GBM). Following the surgery, he underwent ...
Dr. Zhang Junwei Reply:
It is currently unclear how heat therapy affects the human body.[Read More] Exploring Hyperthermia Treatment for Recurrent GBM in Elderly Patients
Understanding Crushed Skull Fractures and Subdural Hematomas: Risks and Recovery
Comminuted skull fracture and epidural hematoma? Hello doctor, my girlfriend was in a car accident and went to the hospital because she was experiencing persistent headaches and nausea. She underwent a CT scan and was initially diagnosed with a concussion. Although she was alert,...
Dr. Zhang Junwei Reply:
Without a computed tomography (CT) scan image, I cannot provide you with an accurate answer![Read More] Understanding Crushed Skull Fractures and Subdural Hematomas: Risks and Recovery
Understanding Post-Surgery Complications of Brain Hemorrhage in Seniors
Cerebral hemorrhage, with postoperative spontaneous bleeding? Father is 60 years old. On September 6, he experienced facial paralysis on one side and drooling. After visiting the emergency department, a CT scan revealed intracranial hemorrhage, and he was admitted to the hospital...
Dr. Zhang Junwei Reply:
1. The impairment of consciousness is due to neurological damage in the brain caused by bleeding, rather than the bleeding itself. 2. The recovery of consciousness after discontinuation of sedatives is related to the severity of the brain injury. 3. Yes.[Read More] Understanding Post-Surgery Complications of Brain Hemorrhage in Seniors
Post-Surgery Complications of Brain Aneurysm Treatment: A Patient's Concerns
Inquire about the sequelae after cerebral aneurysm surgery? Hello, my father underwent surgery on January 30, 2016, for a left-sided cerebral aneurysm measuring 1.5 cm, during which five clips were applied. Postoperatively, he developed right-sided hemiparesis and damage to the a...
Dr. Zhang Junwei Reply:
There are many potential complications that can occur after aneurysm surgery, and it is not possible to detail each one. The two questions you asked may not necessarily be related to postoperative complications![Read More] Post-Surgery Complications of Brain Aneurysm Treatment: A Patient's Concerns
Understanding Brain Cell Damage After Nasopharyngeal Cancer Treatment
Head issues Hello, I would like to ask about my father, who previously underwent radiation therapy and chemotherapy due to nasopharyngeal cancer. It has been nearly three years since he completed his treatment, and during the follow-up period, a brain CT scan revealed that some b...
Dr. Zhang Junwei Reply:
Nerve cells in the brain cannot regenerate. If there are any issues, you may consult a neurosurgery outpatient clinic.[Read More] Understanding Brain Cell Damage After Nasopharyngeal Cancer Treatment
Understanding Head Injuries: What to Expect After a Fall
Head issues Hello Dr. Chang, my girlfriend's father fell from upstairs on September 16 and hit his head. A CT scan showed a hematoma in the right posterior part of the brain. The doctor said there is no ongoing bleeding and that surgery is not necessary, as it will absorb on...
Dr. Zhang Junwei Reply:
Not recognizing people is quite serious![Read More] Understanding Head Injuries: What to Expect After a Fall
Understanding Occasional Pain in the Right Back of the Head
Right posterior headache? Hello Dr. Chang: Since last night before bed, I've been experiencing sharp pain in the area of my right posterior brain near the top of my head. The pain occurs approximately every five to ten minutes. In addition to spontaneous sharp pain, I also f...
Dr. Zhang Junwei Reply:
Recommendation for neurosurgery outpatient clinic![Read More] Understanding Occasional Pain in the Right Back of the Head
Child's Mysterious Fever After Soccer Incident: Is It Related to Concussion?
Two weeks ago, the child was hit by a ball during soccer class, and two weeks later, they developed a high fever for four days without any known cause? A seven-year-old child accidentally got hit by a soccer ball during a class on the morning of August 13th and fell to the ground...
Dr. Zhang Junwei Reply:
Hello, first you should know that there is still doubt regarding the concussion. If it were truly a brain-related illness causing the high fever, the child would likely have already been in a coma, so that possibility is extremely low. Furthermore, the fact that it occurred two w...[Read More] Child's Mysterious Fever After Soccer Incident: Is It Related to Concussion?
Understanding Pain and Swelling Above the Eye: Possible Causes
Head mass Today is about the fourth day, and I suddenly have unexplained pain in the bone above my right eye socket. I haven't bumped or injured it. There is a slight swelling, and it only hurts when pressed lightly. When it's more severe, that area and the back of my r...
Dr. Ke Fangxu Reply:
If there was no impact, then it is unrelated to traumatic intracranial injury. If you want to determine whether it is related to a brain tumor, a specialist in neurology or neurosurgery should conduct a neurological assessment to decide if a CT scan is necessary.[Read More] Understanding Pain and Swelling Above the Eye: Possible Causes
Understanding Medulloblastoma Stage IV: A Family's Heartbreaking Journey
Medulloblastoma Stage IV My sister was being treated for a brain tumor at the hospital. After a biopsy, she underwent an emergency surgery for hydrocephalus drainage, and the biopsy revealed a fourth-stage medulloblastoma. The doctors said it was a curable brain tumor, so we held...
Dr. Zhang Junwei Reply:
Based on your description, it could be a respiratory obstruction, but to be honest, I don't know the exact cause. We can only determine what happened on-site.[Read More] Understanding Medulloblastoma Stage IV: A Family's Heartbreaking Journey