Understanding Brainstem Hemorrhage: What to Do When Hope Seems Lost
Brainstem hemorrhage My brother, 44 years old, suddenly vomited blood and was taken to Cathay General Hospital in Hsinchu, where he was diagnosed with brainstem hemorrhage. His Glasgow Coma Scale score is 3, and he is unable to breathe on his own. Resuscitation efforts have been ...
Dr. Zhang Junwei Reply:
If the coma scale is only three points, the prognosis is poor, and it is recommended to discuss the treatment plan further with the attending physician.[Read More] Understanding Brainstem Hemorrhage: What to Do When Hope Seems Lost
Understanding Intracranial Hemorrhage: Risks and Surgical Outcomes in Elderly Patients
Intracranial hemorrhage Dear Doctor, my grandfather is in his 80s and was involved in a car accident. Why is there a high risk of intracranial hemorrhage compressing the brainstem, leading to a low survival rate? If surgery is performed, what is the approximate survival rate?
Dr. Zhang Junwei Reply:
When external force is applied to the head, blood vessels can rupture, leading to bleeding. If this bleeding compresses the brainstem, it can pose a life-threatening risk![Read More] Understanding Intracranial Hemorrhage: Risks and Surgical Outcomes in Elderly Patients
Understanding Concussion Diagnosis After an Accident: Key Insights
Determination of Concussion Doctor, my friend was in a car accident. The other party went for a medical evaluation immediately after the incident, and the doctor did not diagnose a concussion at that time. They went home to rest. However, the next day, after 24 hours, the other p...
Dr. Zhang Junwei Reply:
A concussion is defined as a state of temporary amnesia or loss of consciousness following a head injury. The diagnosis is entirely based on the patient's symptoms; if the patient does not clearly describe their symptoms to the physician, there is a possibility of an incorre...[Read More] Understanding Concussion Diagnosis After an Accident: Key Insights
Managing Concussion Medication Side Effects in Elderly Patients
Side effects of concussion medications? A 74-year-old grandmother fell and hit her head on January 16, resulting in a large bump on her head. Although the X-ray showed no signs of bleeding or other symptoms, the doctor prescribed medication for a concussion. However, after taking...
Dr. Li Zhonghuai Reply:
Hello! It is common to experience pain and dizziness within six months after a head injury, but severe pain, significant dizziness, and overall weakness may require closer monitoring, and a CT scan of the brain may be necessary. There have been previous cases where a stroke due t...[Read More] Managing Concussion Medication Side Effects in Elderly Patients
Essential Assessments and Care for Brain and Neck Injuries After Car Accidents
Car accident resulting in head injury and cervical spine injury? What basic examinations will be conducted first? What nursing care is required?
Dr. Zhang Junwei Reply:
Start with a simple preliminary physical examination, and if there are any issues, then proceed with X-rays or a CT scan.[Read More] Essential Assessments and Care for Brain and Neck Injuries After Car Accidents
Understanding Post-Trauma Brain Hemorrhage: Symptoms and Care
Traumatic brain hemorrhage from a car accident? Hello doctor, my boyfriend had a motorcycle accident last Friday and is currently hospitalized. Throughout the process, he has not shown any signs of unconsciousness. He has been in the intensive care unit for about four days. The d...
Dr. Zhang Junwei Reply:
Typically, this situation requires an examination of the patient's brain CT scan and an assessment of neurological function in order to make a determination. I cannot answer your question without that information.[Read More] Understanding Post-Trauma Brain Hemorrhage: Symptoms and Care
Understanding Post-Traumatic Symptoms After Brain Injury
Post-acute sequelae of brain injury? Hello, doctor. I apologize for bothering you, but I would like to ask: "I was in a motorcycle accident where I collided head-on with another vehicle that made an illegal left turn. However, that's not important; I just want to mainta...
Dr. Zhang Junwei Reply:
Yes, frontal lobe damage can lead to deterioration and changes in memory, cognition, and personality, while cerebellar injury can result in balance issues.[Read More] Understanding Post-Traumatic Symptoms After Brain Injury
Post-Aneurysm Rupture: Air Travel Safety for Elderly Patients
Issues Related to Ruptured Cerebral Aneurysms Dear Dr. Chang, I have an elderly family member who is 81 years old (born in 1934). On Lunar New Year's Eve this year, she experienced a ruptured aneurysm (subarachnoid hemorrhage) and was sent to the hospital in a coma. After e...
Dr. Zhang Junwei Reply:
Hello: The physicians performing aneurysm embolization surgery in the country may be neurosurgeons or interventional radiologists. Make sure to confirm who your surgical physician is and schedule an outpatient appointment to discuss your concerns thoroughly. If the physician does...[Read More] Post-Aneurysm Rupture: Air Travel Safety for Elderly Patients
Understanding Brain Hemorrhage Surgery: Key Questions and Insights
Regarding surgery for cerebral hemorrhage? On Tuesday, a family member suddenly experienced dizziness, vomiting, and overall weakness, so they were immediately taken to the emergency room. Upon arrival at the hospital, they were conscious, but after receiving an injection, they f...
Dr. Zhang Junwei Reply:
Hello: There are many situations regarding cerebral hemorrhage, and based solely on your description, it is not possible to assess the condition. Please discuss your situation in detail with your attending physician.[Read More] Understanding Brain Hemorrhage Surgery: Key Questions and Insights
Understanding Intracranial Hemorrhage After Car Accident: Key Questions Answered
Intracranial hemorrhage due to a car accident? Hello, doctor. My girlfriend was in a car accident on the morning of December 31, resulting in a pneumothorax and a brain hemorrhage, for which she underwent surgery to remove the blood clot and was admitted to the intensive care uni...
Dr. Zhang Junwei Reply:
Your situation is quite complex; it's best to consult your girlfriend's primary care physician and discuss her condition thoroughly.[Read More] Understanding Intracranial Hemorrhage After Car Accident: Key Questions Answered
Understanding Brain Microvascular Malformations: Risks, Treatment, and Management
Cerebral microangioma Hello, my girlfriend, who is 37 years old, often experiences dizziness and headaches. After undergoing a brain MRI at Linkou Chang Gung Memorial Hospital (without contrast), it was found that she has a cerebral microaneurysm with signs of hemorrhage (iron de...
Dr. Zhang Junwei Reply:
Hello: The English term for 腦微血管瘤 is "cerebral microvascular malformation." Since the Chinese translation is quite ambiguous, it can be difficult to address your question without the correct English terminology! It is recommended to return to the neurosurgery outpatient...[Read More] Understanding Brain Microvascular Malformations: Risks, Treatment, and Management
Neurosurgery Insights: Surgery Risks and Treatment Options for Brain Tumors
Neurosurgery and brain tumors? In cases of gliomas and craniopharyngiomas where a definitive diagnosis cannot be established, I would like to inquire whether surgery is recommended. What are the risks associated with the surgery? If surgery is not performed, are there better phar...
Dr. Zhang Junwei Reply:
The information you provided is insufficient to answer. It is recommended to bring the CT scan and MRI results to the outpatient clinic for consultation.[Read More] Neurosurgery Insights: Surgery Risks and Treatment Options for Brain Tumors
Recovery from Nerve Damage After Motorcycle Accident: What to Expect
Car accident resulting in numbness and pain in the limbs, unable to move? Hello, Doctor. My father had an accident while riding his motorcycle in the mountains at 6 PM and was found at 4 AM. He was unable to move his left side due to his position, which caused swelling, and his l...
Dr. Zhang Junwei Reply:
This is a case of compartment syndrome causing nerve compression and resulting in nerve damage. To be honest, there are not many effective treatment options; essentially, it is a matter of waiting for it to heal on its own. If you have any other concerns, please come to the outpa...[Read More] Recovery from Nerve Damage After Motorcycle Accident: What to Expect
Post-Surgery Care for Brain Hemorrhage: What to Expect and How to Help
Post-operative care for a patient who has undergone surgery for a cerebral hemorrhage involves several key aspects: 1. **Monitoring Neurological Status**: Regularly assess the patient's level of consciousness, pupil response, and motor function to detect any changes that ma...
Dr. Zhang Junwei Reply:
The sequelae are not due to brain surgery, but rather from the brain hemorrhage injury. For detailed information, please visit the outpatient clinic for a clearer understanding.[Read More] Post-Surgery Care for Brain Hemorrhage: What to Expect and How to Help
Understanding Subdural Hematoma and Post-Surgery Complications in Elderly Patients
Grandma fell and has a subdural hematoma? Hello, I would like to ask about my grandmother (89 years old). She fell and hit the back of her head, resulting in a subdural hematoma in the frontal lobe. At the time of the injury, she was fully conscious. However, around the third day...
Dr. Zhang Junwei Reply:
A small amount of air entering the brain generally has little effect, but if the volume of air is excessive, or if it enters the bloodstream and causes an embolism, it can have significant consequences.[Read More] Understanding Subdural Hematoma and Post-Surgery Complications in Elderly Patients
Understanding Post-Surgery Complications: Brain Hemorrhage and Hydrocephalus
Spider web mold Dear Dr. Ding, My mother was admitted to the emergency room at the end of September due to severe headaches. After examinations, the hospital diagnosed her with a cerebral hemorrhage and she was immediately taken to surgery. After the operation, the doctor discov...
Dr. Ding Xianwei Reply:
Due to the lack of imaging studies and not having personally participated in the surgery, I am unable to assess your mother's postoperative condition. The description regarding hydrocephalus is unclear; is it communicating hydrocephalus or cerebral edema? The treatment for b...[Read More] Understanding Post-Surgery Complications: Brain Hemorrhage and Hydrocephalus
Understanding Post-Concussion Symptoms and Brain Hemorrhage Risks
Could you please provide more details about the issue related to cerebral hemorrhage? Last Tuesday, I fell from a height and hit my head. The height was about 180 to 200 cm, and I didn't land properly when I came down. The area above the back of my head swelled up immediatel...
Dr. Ding Xianwei Reply:
How long is the danger period after a head injury? The risk tolerance varies among individuals, so it can differ. Generally, after three months, most people can accept the subsequent risks; however, it is impossible to say that intracranial hemorrhage will not occur afterward. Re...[Read More] Understanding Post-Concussion Symptoms and Brain Hemorrhage Risks
Understanding Ongoing Brain Bleeding After a Car Accident: A Patient's Journey
Continuous minor bleeding in the brain due to a car accident? Dr. Ding: Hello, my mother is 56 years old. She was involved in a car accident on October 5th and was discharged from the emergency room with a diagnosis of concussion. On October 8th, she complained of severe headache...
Dr. Ding Xianwei Reply:
Due to incomplete information and the lack of direct examination, the following advice is based solely on experience. The term "persistent bleeding" is difficult to understand; if there were truly persistent bleeding, it would indicate that coagulation function is sever...[Read More] Understanding Ongoing Brain Bleeding After a Car Accident: A Patient's Journey
Improving Oculomotor Nerve Injury: Treatment Options and Recommendations
Oculomotor nerve injury Hello Doctor: My mother is 64 years old and suffered an injury to her oculomotor nerve in a car accident, which has resulted in one eye being unable to move up and down. This has caused double vision, dizziness, and prolonged weakness from staying at home ...
Dr. Ding Xianwei Reply:
Due to the incomplete nature of your information, I can only provide advice based on experience. It is not uncommon for brain nerves to be damaged in head trauma; however, unless the specific location of the injury and whether there is a complete rupture can be determined, it is ...[Read More] Improving Oculomotor Nerve Injury: Treatment Options and Recommendations
Can Surgery for Clavicle Fracture Affect Recovery from Brain Hemorrhage?
Is it appropriate to perform other surgeries for brain hemorrhage due to a car accident? Hello Doctor: My friend suffered a brain hemorrhage due to a car accident. He was in the intensive care unit for three days and has recently been transferred to a regular ward, with his condi...
Dr. Ding Xianwei Reply:
Due to the incomplete nature of your information and the fact that you have not been evaluated in person, a comprehensive assessment regarding the surgery is still necessary. It is recommended that you discuss this thoroughly with your attending physician.[Read More] Can Surgery for Clavicle Fracture Affect Recovery from Brain Hemorrhage?