Understanding Brain Hemorrhage and Recovery After a Motorcycle Accident
My mother had a car accident and is experiencing a brain hemorrhage. I would like to seek advice. Thank you? Hello, my mother is 54 years old. On the night of October 26, she was hit by a motorcycle while walking, resulting in swelling on the right side of her brain and a comminu...
Dr. Zhang Junwei Reply:
Hello: 1. Your mother has a comminuted fracture of the fifth lumbar vertebra, and in the presence of intracerebral hemorrhage, it is important to assess whether there is any nerve compression in the lumbar region. If there is nerve compression causing lower limb weakness or neuro...[Read More] Understanding Brain Hemorrhage and Recovery After a Motorcycle Accident
Should Surgery Be Considered for Elderly Patients with Brain Hemorrhage?
Is surgery recommended for cerebral hemorrhage? Hello, doctor. My grandmother fell today and hit her head. After being sent to the emergency room, she was diagnosed with a 20cc intracranial hemorrhage. She is relatively conscious but has slight weakness on one side of her limbs. ...
Dr. Zhang Junwei Reply:
If the patient is conscious and considering their advanced age, it is recommended to primarily focus on conservative treatment. However, it is important to take the actual circumstances into account, and it is advisable to discuss this further with your neurosurgeon.[Read More] Should Surgery Be Considered for Elderly Patients with Brain Hemorrhage?
Understanding Hydrocephalus After Head Injury: When is Surgery Necessary?
Head trauma Hello Dr. Chang! My mother was in a car accident at the end of July, resulting in a subdural hematoma and cerebral contusion. The attending physician mentioned that the contusion is not significant and can be absorbed naturally with rest. Later, during a follow-up vis...
Dr. Zhang Junwei Reply:
There are two types of hydrocephalus: subdural effusion and true hydrocephalus. They are different conditions. Which type is your mother's issue?[Read More] Understanding Hydrocephalus After Head Injury: When is Surgery Necessary?
Understanding Brain Injuries: Risks, Treatment Options, and Success Rates
Brain injury Hello, I have a friend who has sustained multiple impacts to the back of the head, resulting in a blood clot. The doctor said that if it is not removed, there could be a life-threatening risk, but also mentioned that the success rate of surgery is only 10-15%. Is thi...
Dr. Ding Xianwei Reply:
Due to the lack of patient data and imaging studies, it is not possible to determine the nature of the problem or the significance of the success rate. It is recommended that you discuss the next treatment plan with your attending physician.[Read More] Understanding Brain Injuries: Risks, Treatment Options, and Success Rates
Emergency Surgery for Traumatic Brain Injury After Car Accident
Emergency surgery for retroperitoneal hemorrhage due to a car accident? My son was in a car accident last Friday around 11 PM. He underwent emergency surgery due to his critical condition and is currently in the intensive care unit, in a coma for 4-5 days. He is very restless and...
Dr. Ding Xianwei Reply:
It is very dangerous! Moreover, there is no guarantee that one will regain consciousness. According to research, if the coma scale is five or below (including five), the mortality rate is significantly higher compared to a score above five. However, I do not understand the part r...[Read More] Emergency Surgery for Traumatic Brain Injury After Car Accident
Can Brain Injury from a Car Accident Affect Intelligence Long-Term?
Cognitive decline after a car accident? Hello Dr. Chang: I have a friend who was in a car accident over ten years ago. Although her physical injuries have healed, her IQ has decreased to that of an elementary school student. It has been more than ten years now. Is there still a p...
Dr. Zhang Junwei Reply:
The likelihood of recovery from an incident that occurred over a decade ago is likely very low![Read More] Can Brain Injury from a Car Accident Affect Intelligence Long-Term?
Post-Surgery Concerns in Neurosurgery: A Patient's Journey
Postoperative issues following brain surgery? Hello, Dr. Ding. My father is 72 years old and accidentally hit his head on August 3rd. A CT scan revealed intracranial hemorrhage, and he was initially sent to the intensive care unit for observation. After 2 hours, he fell into a co...
Dr. Ding Xianwei Reply:
Due to the lack of additional information, I cannot provide specific advice; however, it has only been three to four days without improvement, so patience is necessary. You should also discuss this with your attending physician to determine the next steps in treatment. Please do ...[Read More] Post-Surgery Concerns in Neurosurgery: A Patient's Journey
Post-Surgery Concerns: Breathing Issues After Brain Surgery and Intubation
Postoperative issues following brain surgery? Hello Dr. Ding, after brain surgery, if a patient has laryngitis, will there be any respiratory issues after extubation?
Dr. Ding Xianwei Reply:
This area is not within the specialty of neurosurgery.[Read More] Post-Surgery Concerns: Breathing Issues After Brain Surgery and Intubation
Understanding Brain Nerve Injuries: Recovery Time and Mental Impact
Head issues A 17-year-old was involved in a car accident that resulted in damage to a cranial nerve, and he is still experiencing altered consciousness after a month. It is uncertain which specific area was affected, but he is very active and even broke his hospital bed, which th...
Dr. Zhang Junwei Reply:
Basically, if brain neurons are injured or die, they do not regenerate. Injuries to the frontal lobe can easily lead to memory loss and personality changes. It is advisable to bring a summary of the medical history along with a CT scan of the brain for a clearer discussion with t...[Read More] Understanding Brain Nerve Injuries: Recovery Time and Mental Impact
Traveling After Brain Surgery: When Is It Safe to Fly?
Postoperative issues following brain surgery? After undergoing brain surgery for subdural hematoma, when is it safe to fly internationally? Thank you.
Dr. Lai Zhaokang Reply:
Hello, regarding subdural hematoma, if surgery has been performed, when can one fly abroad? Each patient's condition is different, and your primary physician, who is most familiar with your situation, should consult with your original surgeon. Wishing you a safe recovery.[Read More] Traveling After Brain Surgery: When Is It Safe to Fly?
Understanding Recovery After Brain Surgery from a Motorcycle Accident
Surgery for head injury from a car accident? My brother, who is 21 years old, was in a car accident on June 18th. He was not wearing a helmet, which caused a blow to the right posterior part of his brain, resulting in bleeding. He was taken to the hospital and was awaiting surger...
Dr. Zhang Junwei Reply:
Hello: It seems that although your brother was not unconscious before the surgery, the worsening of bleeding could still lead to him falling into a coma 2-3 hours later. Since the doctor said he is awake post-surgery, it indicates an improvement in his condition, but he may still...[Read More] Understanding Recovery After Brain Surgery from a Motorcycle Accident
Understanding Recovery Time After Brain Injury: A Family's Journey
A family member was in a car accident and suffered a brain hemorrhage. They have stopped using sedatives, but consciousness has not yet returned? Hello, doctor. My brother-in-law (32 years old) was in a car accident on July 18, which resulted in a head injury and bleeding in the ...
Dr. Zhang Junwei Reply:
Hello: It appears that your brother-in-law was already in a comatose state prior to surgery, and due to delayed intracranial hemorrhage, he underwent two surgeries. This is a case of severe traumatic brain injury with intracranial bleeding. Our surgical intervention can only aim ...[Read More] Understanding Recovery Time After Brain Injury: A Family's Journey
Head Injury After Car Accident: Understanding Symptoms and Recovery
Head injury from a car accident? Hello Dr. Ding, I had a car accident on the morning of July 24th. I fainted at the scene but woke up shortly after and completely forgot what happened. I was taken to the hospital where a CT scan was performed. The doctor said there was nothing wr...
Dr. Ding Xianwei Reply:
Head trauma can lead to long-term sequelae, and a small number of individuals may experience ongoing issues throughout their lives due to these sequelae. Therefore, it is recommended to drink plenty of water and get ample rest.[Read More] Head Injury After Car Accident: Understanding Symptoms and Recovery
After a Bike Accident: Concerns About Head Trauma and Safety Gear
Assaulted after a car accident? Hello Doctor: Yesterday, on March 30th, while I was riding my bike, a small boy suddenly ran out from the side of the road. To avoid him, I fell off my bike. After I stood up, I was suddenly struck on the head by a family member of the boy. I think...
Dr. Lai Zhaokang Reply:
Hello, based on your description: On March 30, you sustained a head injury from an attack. Currently, you feel okay, and there is no specific pain in your head. The doctor has prescribed medication for dizziness and pain relief. For head trauma, the general management approach ...[Read More] After a Bike Accident: Concerns About Head Trauma and Safety Gear
Understanding Stroke-Related Brain Edema: Treatment Options and Risks
Cerebral edema following a stroke? Hello, my aunt has been hospitalized due to a stroke. A CT scan of her brain shows an area of shadow (edema). When she was first admitted, she was conscious and able to talk to family members, but in the past two days, she has become unconscious...
Dr. Lai Zhaokang Reply:
Hello, based on your description: a. Generally speaking, if a CT scan has confirmed a diagnosis of ischemic stroke, this diagnosis is usually sufficient, and the treatment approach is largely determined. b. To further confirm the area of infarction, an MRI (Magnetic Resonance Ima...[Read More] Understanding Stroke-Related Brain Edema: Treatment Options and Risks
Navigating Brain Tumor Surgery: Risks and Expert Care in Taiwan
Brain tumor! Recently, I took my father for a health check-up, and the results revealed a 2.6 cm tumor located beneath the brain, near the pituitary gland, at the back side of the nasal bridge. The doctor mentioned that if it grows larger, it could compress the optic nerve, poten...
Dr. Lai Zhaokang Reply:
3D computer navigation is similar to having GPS assistance for direction and progress during surgery, which can enhance the precision of delicate procedures. However, it is not suitable for every patient. It is advisable to communicate and discuss with the attending neurosurgeon ...[Read More] Navigating Brain Tumor Surgery: Risks and Expert Care in Taiwan
Should My 80-Year-Old Grandmother Undergo Surgery for Brain Hemorrhage?
Does a brain hemorrhage require surgery? Hello Doctor: My grandmother had a hemorrhagic stroke, and we are currently hesitating whether to proceed with surgery. She is 80 years old, and we are concerned about the risks associated with the surgery. If we choose not to have surgery...
Dr. Ding Xianwei Reply:
Due to the complete lack of information available for discussion, it would be more appropriate to address such questions with your attending physician.[Read More] Should My 80-Year-Old Grandmother Undergo Surgery for Brain Hemorrhage?
Can Brain Hemorrhage Stroke Patients Recover Without Surgery?
Will a hemorrhagic stroke recover on its own? Hello Doctor: I previously inquired about the issue of hemorrhagic stroke, and since the patient is over 80 years old, surgery was not recommended. The patient's condition is now stable and has been discharged for home care. Alth...
Dr. Xie Bojun Reply:
Hello: 1. Continuous rehabilitation is necessary to prevent complications from stroke, such as pressure ulcers and muscle spasms. The rehabilitation process must be uninterrupted to avoid prolonged pressure on the affected limb and to reduce the likelihood of spasticity. 2. If...[Read More] Can Brain Hemorrhage Stroke Patients Recover Without Surgery?
Understanding Empty Sella Syndrome: Surgical Treatment and Key Concepts
Empty sella syndrome 1. From a surgical perspective, the treatment for empty sella syndrome typically involves addressing any underlying conditions or symptoms. If there is associated pituitary dysfunction, hormone replacement therapy may be necessary. In cases where there is inc...
Dr. Xie Bojun Reply:
Hello: It is recommended that you visit the neurology outpatient clinic for an examination. Thank you![Read More] Understanding Empty Sella Syndrome: Surgical Treatment and Key Concepts
Understanding the Intersection of Psychiatry and Neuroscience in Taiwan
Psychiatry and Neurology? Hello, e-Hospital in Taiwan: I have been receiving treatment at the Taoyuan Rehabilitation Hospital for about ten years. My symptoms include auditory hallucinations. After taking medication, I am able to work normally. Later, I found online that it might...
Dr. Ding Xianwei Reply:
The question you are asking is not within my area of expertise; please consult a medical center.[Read More] Understanding the Intersection of Psychiatry and Neuroscience in Taiwan