Persistent Headaches and Dizziness: Seeking Solutions After Injury
Persistent dizziness and headache? Dear Doctor, I previously wrote to you regarding my condition, and since there has been no improvement, I would like to consult you again. On May 18, I accidentally bumped into a horizontal bar while walking, which led to dizziness and headache...
Dr. Ding Xianwei Reply:
Your issue is actually a consequence of head trauma. Many of my patients continue to experience dizziness and headaches even after three months, and many also report memory decline! This is an unfortunate reality! In fact, about 5% of patients will suffer from long-term sequelae ...[Read More] Persistent Headaches and Dizziness: Seeking Solutions After Injury
Understanding Carpal Tunnel Syndrome: Symptoms, Diagnosis, and Care
Wrist tunnel syndrome? Hello doctor, recently I've been experiencing a tingling sensation in my thumb and index finger. During the night while I'm sleeping and in the morning when I gently move my arm, I feel a lot of soreness. Is this what is referred to as carpal tunn...
Dr. Ding Xianwei Reply:
Your question is quite significant. Since I cannot examine you in person, I can only provide some suggestions based on your symptoms. The causes of hand numbness can range from the brain to the cervical spine, with cervical spine degeneration being the most common. Considering yo...[Read More] Understanding Carpal Tunnel Syndrome: Symptoms, Diagnosis, and Care
Could My Brother's Soccer Injury Lead to Brain Damage?
Will this lead to brain injury? Your ten-year-old brother frequently participates in soccer matches. A few days ago, during a community-organized friendly match, he was struck on the forehead by a ball kicked from close range. He experienced a headache and was taken to the hospit...
Dr. Ding Xianwei Reply:
Basically, if there is no loss of consciousness, an MRI is not necessary. As for the subsequent sequelae, continuous observation is required to understand them.[Read More] Could My Brother's Soccer Injury Lead to Brain Damage?
Understanding Post-Concussion Symptoms: Headaches and Recovery Tips
Concussion headache Six days ago, I hit my head and experienced continuous dizziness for five minutes, but I did not lose consciousness. The area of impact did not swell significantly, but I still have a feeling of pressure and pain in my head (which is different from a migraine)...
Dr. Ding Xianwei Reply:
A concussion typically requires a loss of consciousness or a temporary memory lapse to be classified as such. If you did not lose consciousness, the current symptoms are likely sequelae following the head injury, which can sometimes persist for a period of time. In fact, about 5%...[Read More] Understanding Post-Concussion Symptoms: Headaches and Recovery Tips
Post-Surgery Care for Brain Hemorrhage: Understanding Treatment Options
Post-operative treatment for cerebral hemorrhage? Hello doctor, we are truly helpless and don’t know what else we can do… My father has severe Alzheimer's disease, Parkinson's disease, and hydrocephalus. In January, he experienced severe drowsiness, not eating or drinki...
Dr. Zhang Yuanyi Reply:
Hello: Generally speaking, the prognosis for left hemisphere hemorrhage is poor. If the patient's preoperative condition is not good, they are older, and their level of consciousness is quite low, the prognosis is likely to be unfavorable regardless of whether surgery is per...[Read More] Post-Surgery Care for Brain Hemorrhage: Understanding Treatment Options
Understanding Head Injuries: When to Seek Medical Attention
The head has previously been injured by someone? Your question: I have previously sustained a head injury. On the day of the incident, my scalp felt soft and watery. Now, the soft and watery area of my scalp has formed a hard bump. Normally, the head is rounded, but there is now ...
Dr. Ke Fangxu Reply:
Due to the lack of a physical examination, it is impossible to determine the location, size, and extent of the tear of the wound, so online consultation can only lead to speculation. It is possible that there is a mild linear skull fracture causing localized headaches, or that a ...[Read More] Understanding Head Injuries: When to Seek Medical Attention
Understanding C1 Vertebra Fractures: Recovery, Symptoms, and Treatment Options
C1 vertebral fracture Hello Doctor, I fell from a height on December 9th last year, resulting in a fracture of the C1 vertebra (the ring-shaped vertebra shattered into four or five pieces). Fortunately, I did not sustain any nerve damage. During my follow-up appointment three mon...
Dr. Ding Xianwei Reply:
Due to not having seen your data, I can only provide suggestions based on personal experience. Therefore, you still need to visit a neurosurgery outpatient clinic for diagnosis and treatment. If it is a Jefferson fracture, it is classified as an unstable fracture that requires in...[Read More] Understanding C1 Vertebra Fractures: Recovery, Symptoms, and Treatment Options
Can Deep Brain Stimulation Improve Neural Circuits Beyond Parkinson's?
Deep brain stimulation issues? Can deep brain stimulation improve neural circuits in the brain? It seems that it is only applicable for Parkinson's disease; can this therapy be used for conditions like anorexia nervosa? Thank you, doctor.
Dr. Lai Zhaokang Reply:
1. "Deep Brain Stimulation (DBS)" has been approved by the FDA for the treatment of movement disorders such as Parkinson's disease and dystonia. In Taiwan, there are a few medical centers with complete medical teams and expensive equipment capable of performing the...[Read More] Can Deep Brain Stimulation Improve Neural Circuits Beyond Parkinson's?
Understanding Stroke Risks: The Impact of High Blood Pressure and Falls
Cerebral stroke The patient has hypertension and fell while bathing, hitting their head on the ground. Without immediate medical attention, could there be serious consequences for the brain? Please respond, thank you.
Dr. Zhang Yuanyi Reply:
Dear Mr. Wu: Please visit the outpatient clinic for treatment by a specialist for the patient. Wishing you peace and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Stroke Risks: The Impact of High Blood Pressure and Falls
Understanding Multiple Brain Tumors: Risks and Alternatives to Surgery
Multiple brain tumors My father recently experienced unsteady walking, and an MRI examination revealed multiple tumors in the brain, with the largest tumors located in the cerebellum and the motor area of the cerebrum, measuring approximately 3-4 cm. Is he a suitable candidate fo...
Dr. Ding Xianwei Reply:
Due to the lack of patient information, I cannot provide specific recommendations. Generally speaking, multiple tumors are not typically indicated for craniotomy; however, suggestions should still be based on the patient's condition. I recommend bringing all imaging studies ...[Read More] Understanding Multiple Brain Tumors: Risks and Alternatives to Surgery
Understanding Inflammatory Pseudotumors in the Brain: Growth Patterns and Implications
Inflammatory pseudotumor of the brain Does an inflammatory pseudotumor (granuloma) in the brain exhibit destructive growth? Does an inflammatory pseudotumor (granuloma) increase in size over time? Thank you!
Dr. Ding Xianwei Reply:
Due to insufficient information, I am unable to provide any recommendations.[Read More] Understanding Inflammatory Pseudotumors in the Brain: Growth Patterns and Implications
Understanding CT Scans: Concerns After Pediatric Head Injury
Computed Tomography (CT) scan That day, my four-year-old daughter was squatting on the ground playing when she was possibly hit on the head by something from a high chair. At that time, she vomited (around 2 PM). Later, around 9 PM, she vomited again, so I asked my husband to tak...
Dr. Ding Xianwei Reply:
What is your question? Due to the lack of complete information, I can only provide suggestions based on personal experience. If the question is whether a CT scan is needed for head trauma, in fact, if the patient has lost consciousness for a period of time, a CT scan of the brain...[Read More] Understanding CT Scans: Concerns After Pediatric Head Injury
Understanding Tension in the Temples: Focus Issues and Neurological Concerns
Tension in the temples and cognitive impairment? I have been experiencing tightness in my temples for a long time, making it difficult for me to concentrate and remember things. I often forget things and my thought processes are slow. Sometimes, I become fixated on a problem and ...
Dr. Zhang Yuanyi Reply:
Dear Xiao Li, Hello, please visit the neurology outpatient clinic for treatment. Wishing you safety and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Tension in the Temples: Focus Issues and Neurological Concerns
Does Using Soft Earplugs Affect Brain MRI Results?
Brain MRI examination Hello, I would like to ask if using soft earplugs during a brain MRI examination (due to previous abnormal EEG results that require further investigation) will affect the interpretation of the examination results. Thank you.
Dr. Xie Bojun Reply:
You can consult with the radiology or neurology department, thank you![Read More] Does Using Soft Earplugs Affect Brain MRI Results?
Impact of Dental Implants on MRI Accuracy: What You Need to Know
MRI Examination and Dentures Hello, I have dental prosthetics (fixed and non-removable, including three teeth: incisors and canines, some of which are made of metal). I have completed a brain MRI and would like to know if the metal in my dental prosthetics could affect the accura...
Dr. Ding Xianwei Reply:
Your question should be directed to the radiology department for clarification.[Read More] Impact of Dental Implants on MRI Accuracy: What You Need to Know
Understanding Post-Traumatic Brain Injury Symptoms After a Motorcycle Accident
Post-traumatic brain injury (TBI) sequelae from a car accident? Hello Doctor: My father was hospitalized due to a motorcycle accident at the end of April, which resulted in a brain injury. He was in a coma with a Glasgow Coma Scale score of 3 and had an intracranial pressure moni...
Dr. Ding Xianwei Reply:
Based on your description, I would like to offer my suggestions. Your father may be experiencing changes in temperament due to frontal lobe damage, which is part of the sequelae of a head injury. Frankly, it is quite remarkable that he has progressed from a Glasgow Coma Scale sco...[Read More] Understanding Post-Traumatic Brain Injury Symptoms After a Motorcycle Accident
Persistent Nasal Drip: Could It Be Cerebrospinal Fluid Leakage?
Persistent nasal discharge? One day I watched a program that mentioned persistent nasal discharge does not necessarily indicate a cold; it could potentially be cerebrospinal fluid. My husband came back from playing basketball one day with his head down and had continuous nasal dr...
Dr. Xie Bojun Reply:
Hello: It is recommended to first visit the ENT clinic for an examination... Changhua Hospital cares about you.[Read More] Persistent Nasal Drip: Could It Be Cerebrospinal Fluid Leakage?
Understanding Cavernous Hemangiomas: Surgery, Recovery, and Risks
Cerebral cavernous malformation (CCM) Hello, doctor. During other examinations, I unexpectedly discovered that I have cavernous hemangiomas in both the left and right hemispheres of my brain. I heard that these are located on the microvasculature. The one in the left hemisphere i...
Dr. Zhang Yuanyi Reply:
Dear Bruce, Regarding your questions, here are the answers: How long will the surgery take? The duration of the surgery can vary. Typically, how long after the surgery will the patient wake up? Patients usually wake up after the effects of the anesthesia wear off. Will the pati...[Read More] Understanding Cavernous Hemangiomas: Surgery, Recovery, and Risks
Urgent Concerns: Family's Struggle with Father's Neurological Condition
A family member's inquiry about a patient with an urgent medical condition? Dear Dr. Ding, I am a family member of a patient. My surname is Lai, and I live in Miaoli. I would like to ask some questions regarding my father's condition. Two weeks ago, my father fell at h...
Dr. Ding Xianwei Reply:
Due to the lack of clarity in your description, it would be helpful if you could bring all imaging data, a list of medications previously taken, and a summary of the medical case directly to my clinic. This would assist in making further decisions. Since the information is incomp...[Read More] Urgent Concerns: Family's Struggle with Father's Neurological Condition
Are Brain Tumors and Hydrocephalus the Same? Key Insights and Concerns
Is a brain tumor the same as a brain cyst? Hello Doctor: During my last visit to the Pingtung Christian Hospital, the doctor mentioned that I have a brain cyst. Is this a type of brain tumor? He also suggested that I need surgery to remove it. Is surgery absolutely necessary? How...
Dr. Xie Bojun Reply:
Dear Mr. Yang, Due to the absence of imaging studies (CT scan and MRI), we are unable to interpret the results and provide further recommendations. Please bring the imaging examinations to the outpatient clinic for a discussion regarding your condition. Changhua Hospital care...[Read More] Are Brain Tumors and Hydrocephalus the Same? Key Insights and Concerns