Understanding Post-Surgery Complications After Meningioma Removal
Postoperative conditions after meningioma surgery? My wife experienced several episodes of aphasia four months ago, and after examination, a meningioma was discovered. She underwent a minimally invasive surgery to remove it (although it is unclear if it was completely excised), a...
Dr. Zheng Zhong Reply:
Post-surgery, it is necessary to conduct follow-up imaging studies to confirm whether the brain tumor has been completely resected. Antiepileptic medications should be continued for six months after brain tumor surgery to prevent seizures, as recurrent seizures can cause damage t...[Read More] Understanding Post-Surgery Complications After Meningioma Removal
Understanding Hydrocephalus Surgery: Options and Risks Explained
Surgical Methods for Hydrocephalus Hello Dr. Chang! My father is 70 years old and was previously paralyzed in bed due to a stroke. He currently has hydrocephalus (which existed before the stroke but was untreated due to the stroke) and is experiencing seizures. He is taking antic...
Dr. Zhang Yuanyi Reply:
Hello, Miss Chun-Ying. It is commonly said that hydrocephalus can occur in two situations: one is ventricular enlargement leading to hydrocephalus, and the other is subdural hematoma. The surgical approach for the former involves the placement of a ventriculoperitoneal shunt, wit...[Read More] Understanding Hydrocephalus Surgery: Options and Risks Explained
Understanding Subdural Hematoma: Insights and Prognosis After Brain Injury
Subdural hematoma Dear Dr. Ding, My father is 54 years old. On December 13, he fell from a 2-foot high ladder, landing on his left side. He was conscious during the fall and attempted to speak but was unable to. He even tried to get up. When the ambulance arrived, the paramedics...
Dr. Ding Xianwei Reply:
I apologize, your questions are quite complex, so I will provide an introduction based on my personal experience regarding your inquiries: 1. Given the current condition of my father, can he be classified as a persistent vegetative state (PVS) or does it require several months f...[Read More] Understanding Subdural Hematoma: Insights and Prognosis After Brain Injury
Understanding Pituitary Tumors: Symptoms, Diagnosis, and Treatment Options
Pituitary tumor Hello Dr. Ding: I underwent an MRI examination... In September, the results indicated a pituitary tumor (the January examination showed pituitary hyperplasia). The neurologist mentioned that there is slight pressure on the optic nerve and the vomiting center. My p...
Dr. Ding Xianwei Reply:
If your prolactin level is only 88, it is possible that your pituitary tumor is not very large. However, without seeing your MRI, I cannot provide a well-informed recommendation. Symptoms such as dizziness, headaches, nausea, and weakness in the hands are not always necessarily c...[Read More] Understanding Pituitary Tumors: Symptoms, Diagnosis, and Treatment Options
Understanding Spontaneous vs. Non-Spontaneous Brain Hemorrhage and Hematoma
Cerebral hemorrhage and cerebral hematoma? (1) To determine whether a hemorrhagic stroke (intracerebral hemorrhage) or a hematoma is spontaneous, clinicians typically assess the patient's medical history, risk factors (such as hypertension, anticoagulant use, or trauma), and...
Dr. Ding Xianwei Reply:
Intracerebral hemorrhage and hematoma are simply different terms for intracranial bleeding. Therefore, the two conditions refer to the same issue. (1) Essentially, both are assessed based on the physician's experience and the location of the bleeding. (2) This falls under th...[Read More] Understanding Spontaneous vs. Non-Spontaneous Brain Hemorrhage and Hematoma
Understanding Traumatic Brain Injury After a Car Accident: Guidance for Caregivers
Traumatic brain injury from car accidents? Hello Doctor: My brother, who is 37 years old, suffered a traumatic brain injury with intracranial fractures and bleeding (damage to the right frontal lobe) due to a car accident. After surgery, he was temporarily placed in a nursing hom...
Dr. Ding Xianwei Reply:
Hello: Regarding your brother's intracranial hemorrhage from the car accident, although his symptoms may be caused by the head trauma, there are many causes related to mental illness, which are actually two sides of the same coin. Therefore, it is important to investigate wh...[Read More] Understanding Traumatic Brain Injury After a Car Accident: Guidance for Caregivers
Exploring Alternative Treatments for Brain Cell Degeneration After Hemorrhage
Cerebral cell pathology Hello, Doctor. I would like to ask about my boyfriend who had a brain hemorrhage due to an accident ten years ago. At that time, surgery was deemed too risky, so he did not undergo a procedure to clear it. Now, he is experiencing issues with brain cell deg...
Dr. Ding Xianwei Reply:
Hello, ma'am: Regarding your boyfriend's brain lesions, I am unable to answer your questions as your information is not very clear. Could you please provide his detailed medical history and pathology slide data? If it is a malignant brain tumor, the currently available ...[Read More] Exploring Alternative Treatments for Brain Cell Degeneration After Hemorrhage
Understanding Brain Hemorrhage: Causes, Risks, and Treatment Options
Cerebral hemorrhage Hello Dr. Chang, I would like to ask about an elderly patient who was still able to walk but fell and was sent for dialysis. The dialysis unit was not informed in a timely manner, so some anticoagulants were administered. After the dialysis, a CT scan of the b...
Dr. Zhang Yuanyi Reply:
Hello, due to the numerous variations, it is difficult to make a judgment. Wishing you peace and health. Sincerely, Dr. Zhang Yuanyi, Neurosurgeon, Taoyuan General Hospital, Department of Health.[Read More] Understanding Brain Hemorrhage: Causes, Risks, and Treatment Options
Can You Get a Concussion from a Low-Speed Car Accident?
Concussion? Doctor, in a low-speed collision accident, there were no external injuries, and I was wearing a helmet at the time. My head did not impact anything; I only fell to the ground. Is there a possibility of a concussion in this situation? Thank you for your response.
Dr. Huang Zhihui Reply:
A concussion is typically caused by an impact to the head that results in brain injury. Therefore, if a person is wearing a helmet and there is no direct impact to the head, theoretically, a concussion should not occur. However, during a car accident, there are often multiple imp...[Read More] Can You Get a Concussion from a Low-Speed Car Accident?
Why Sleeping on Your Back Might Be Harmful: A Neurosurgical Perspective
It is not advisable to sleep on your back? Thank you, doctor, for taking the time to answer my questions. Two years ago, I had a habit of sleeping on my back, which allowed me to fall asleep easily. Recently, I have changed my sleeping habits and now sleep on my side. As a result...
Dr. Zhang Yuanyi Reply:
Dear Cats: In response to your inquiry, please find the following: 1. Uncertain. 2. Cervical spine issues are also a possibility. At this moment, it is not possible to determine the need for examination based solely on the description of the problem. Please visit a nearby outpati...[Read More] Why Sleeping on Your Back Might Be Harmful: A Neurosurgical Perspective
Is Epilepsy Caused by Brain Aneurysms Considered Functional Disorder?
What is functional disorder? (Does epilepsy count?) Consulting a physician: Is intracranial hemorrhage caused by a cerebral aneurysm leading to epilepsy considered a functional disorder?
Dr. Zhang Yuanyi Reply:
Dear Mr. Huang: Intracranial hemorrhage does carry the possibility of seizures. May I ask what the definition of functional disorder is? Wishing you peace and health. Sincerely, Dr. Zhang Yuanyi, Attending Physician, Department of Neurosurgery, Taoyuan General Hospital, Ministry ...[Read More] Is Epilepsy Caused by Brain Aneurysms Considered Functional Disorder?
Severe Brainstem Injury from Car Accident: Risks and Recovery Options
Severe brainstem injury caused by a car accident? Question 1: What are the potential sequelae of brainstem injury? Question 2: What current treatments are available to promote recovery of the brainstem? Question 3: If she regains consciousness, what potential sequelae might s...
Dr. Zheng Zhong Reply:
The brainstem is the center of life; if the brainstem is damaged and the coma scale is only 3 points, it indicates that the patient is close to brain death (brainstem failure), and the patient will ultimately die. The determination of brain death follows a rigorous protocol and m...[Read More] Severe Brainstem Injury from Car Accident: Risks and Recovery Options
Understanding Intracranial Hemorrhage: Recovery and Communication Challenges
Intracranial hemorrhage Hello Doctor: My father was admitted to the hospital on April 29 due to intracranial hemorrhage and underwent surgery to remove the hematoma. He woke up on May 1. The nurse said that his intracranial pressure and everything else were normal. We have been t...
Dr. Zhang Yuanyi Reply:
Dear Yin, Hello. Based on the current information, it is difficult for me to provide an accurate answer, as the perception of whether he has truly regained consciousness may differ between the general public and medical professionals. From the content of the article, it appears ...[Read More] Understanding Intracranial Hemorrhage: Recovery and Communication Challenges
Understanding Subarachnoid Hemorrhage: Causes and Risks of Complications
Subarachnoid hemorrhage Hello, I would like to ask about subarachnoid hemorrhage, for example: what causes subarachnoid hemorrhage? Is it caused by trauma or is it a complication of a disease? Also, what is the likelihood of subarachnoid hemorrhage leading to hydrocephalus? Thank...
Dr. Zhang Yuanyi Reply:
Dear Ms. Chen, 1. Conditions such as brain infections, brain tumors, vascular diseases (including arteriovenous malformations and aneurysms), head trauma, hematological disorders, or post-emergency situations can all potentially lead to subarachnoid hemorrhage. 2. Approximately...[Read More] Understanding Subarachnoid Hemorrhage: Causes and Risks of Complications
Understanding Brain Tumor Patients: Surgery, Recovery, and Ongoing Treatment
Patients with brain tumors Hello: Regarding a patient with a brain tumor who has experienced long-term symptoms such as tinnitus and mild headaches, a physician's examination revealed a tumor on the 7th and 8th cranial nerves, leading to surgical intervention. Afterward, the...
Dr. Hou Shouxian Reply:
This issue is not within Dr. Hou Shou-Hsien's area of expertise, so it has been referred to Dr. Zheng Zhong from the neurosurgery department for a response. The reply is as follows: Based on your description, you are likely experiencing symptoms related to an acoustic neurom...[Read More] Understanding Brain Tumor Patients: Surgery, Recovery, and Ongoing Treatment
Understanding Left-Sided Pain: When to See a Neurosurgeon
Left-sided pain issues? Hello Dr. Cheng, I would like to consult you regarding the issue of "left-sided pain." My mother is 56 years old and has been experiencing body pain for the past year. The areas where she feels pain include her neck, back, lower back, calves, an...
Dr. Zheng Zhong Reply:
Your mother is experiencing pain that ranges from her neck and back down to her lower limbs, and it is localized to the left side of her body. If the pain is caused by neuropathy, the issue may be in the brain or neck; however, brain lesions are often accompanied by headaches, di...[Read More] Understanding Left-Sided Pain: When to See a Neurosurgeon
Understanding a Bump on the Back of the Head: What You Need to Know
There is a protrusion on the back of the head? While studying, I suddenly felt a slight, unusual pain in my brain, so I touched my head and discovered a small bump on the back of my skull. There was no external trauma or impact; I found it by chance. Doctor, what could this situa...
Dr. Zhang Yuanyi Reply:
Dear Mr. Yu-Hao, Hello, the normal human anatomy includes a protrusion at the back of the neck known as the "external occipital protuberance," which may be what you are feeling. However, it could also be indicative of other issues. It is difficult to assess through ema...[Read More] Understanding a Bump on the Back of the Head: What You Need to Know
Understanding Neck and Shoulder Pain: A Guide to Symptoms and Specialist Referrals
Neck and shoulder pain? Hello Doctor: Recently, I have been experiencing many symptoms and have consulted various doctors in different hospitals without finding a diagnosis. Could you please help explain the following symptoms? 1. I have sharp pain in the left rear part of my h...
Dr. Zheng Zhong Reply:
It is recommended to first consult a neurosurgeon to rule out any brain or cervical spine lesions. My clinic hours are: Monday afternoons and Wednesday mornings. Best wishes, Dr. Zheng.[Read More] Understanding Neck and Shoulder Pain: A Guide to Symptoms and Specialist Referrals
Understanding Minor Brain Bleeds: When to Seek Further Medical Help
Can a small amount of cerebral hemorrhage cause this? My father fell off his motorcycle on the morning of the 15th. He felt dizzy and couldn't get up, but he had no external injuries. He managed to ride home afterward. That same day, he started to speak unclearly, had diffic...
Dr. Zheng Zhong Reply:
Hello: Please bring a copy of your father's brain CT scan to the outpatient clinic for a detailed examination. Outpatient hours: Monday afternoon, Wednesday morning. Best regards, Dr. Zheng.[Read More] Understanding Minor Brain Bleeds: When to Seek Further Medical Help
Understanding Chronic Constipation: Risks and Surgical Concerns
Consultation 1. I have a history of constipation for 26 years, and my medication use has been inconsistent, which has affected my absorption and digestive system. I underwent surgery for uterine fibroids two years ago, and recently I've been experiencing difficulties with bo...
Dr. He Zhenming Reply:
Based on the described symptoms, the fatigue caused by irregular bowel movements has led to what is known as psychosomatic disorder. It is recommended to consult a gastroenterologist and a psychiatrist. Thank you.[Read More] Understanding Chronic Constipation: Risks and Surgical Concerns