Understanding Muscle Control Issues: When Brain Power is Needed for Strength
Muscles have difficulty exerting force regularly? I usually have difficulty exerting muscle strength, and I need to use my brain to control my movements. When I stand, only my calves are firm, while my thighs and glutes are completely soft. The softness is such that when I press ...
Dr. Qiu Yushu Reply:
Hello: Based on what you have reported, you still have room for improvement. Being able to do push-ups and ride a bike indicates that your muscle strength should be fine. Otherwise, please visit a neurologist for an electromyography (EMG) examination. Best wishes, Dr. Yu-Shu Chiu...[Read More] Understanding Muscle Control Issues: When Brain Power is Needed for Strength
Understanding Neurological Symptoms After Medication Withdrawal
Feeling a bit off mentally? Doctor: I have been on medication at Chang Gung Memorial Hospital's psychiatry department for over two years, receiving long-acting injections every four weeks and taking two pills. However, I have stopped the medication for seven days, and I feel...
Dr. Ding Xianwei Reply:
Hello: Your symptoms are likely related to your psychiatric treatment. It is recommended that you follow up with your psychiatrist. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Neurological Symptoms After Medication Withdrawal
Managing Hand Numbness After Brain Tumor Surgery: Expert Tips
Numbness in the hands? Hello Doctor: After my brain tumor surgery, my hand has been numb and even lacks sensation for a long time. What can I do to improve this condition?
Dr. Ding Xianwei Reply:
Hello: Your question could not be answered due to insufficient information regarding your brain tumor condition. It is recommended that you consult your attending physician. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Managing Hand Numbness After Brain Tumor Surgery: Expert Tips
Understanding Long-Term Effects of Childhood Brain Injuries
Neurological issues? Doctor, may I ask: My child had an injury in a car accident at the age of 2, and the brain CT scan at that time was normal. Now, nearly 20 years later, from middle school to college, they often experience headaches and have long sleep durations, always feelin...
Dr. Chen Junxing Reply:
Please visit the neurology department at a tertiary hospital for an examination. Thank you.[Read More] Understanding Long-Term Effects of Childhood Brain Injuries
Understanding Central Brain Swelling: Symptoms and When to Seek Help
Cerebral edema Hello! I recently discovered a coin-sized area in the center of my head that feels slightly raised. When I press on it, it feels watery and swollen, but it is not painful. I am unsure what this symptom might indicate. If I want to seek medical attention, which spec...
Dr. Ding Xianwei Reply:
Hello: Due to the unclear description, I recommend that you seek diagnosis and treatment from a neurosurgeon. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Central Brain Swelling: Symptoms and When to Seek Help
Understanding and Managing Brain Edema After a Traumatic Injury
Cerebral edema Hello Dr. Huang, I would like to ask you about my brother. He was in a serious motorcycle accident while riding home in heavy rain after work. Currently, aside from external injuries such as a damaged front tooth and lacerations on his limbs, he has head trauma a...
Dr. Huang Junxiong Reply:
Hello: Based on your described condition, it may be a more severe concussion accompanied by cerebral edema, and recovery could take longer (ranging from one to two weeks). What is currently needed is adequate rest (avoiding excessive mental exertion, reducing visits, and limiting...[Read More] Understanding and Managing Brain Edema After a Traumatic Injury
Unexpected Discovery of Meningioma: What You Need to Know
Incidental discovery of meningioma? Hello, doctor. About a month ago, I bent my head down for about 30 seconds and felt as if blood was rushing to my head. After I lifted my head, I noticed a clear, light yellow fluid coming from my nose (as I had a mild cold at that time). I wen...
Dr. Ding Xianwei Reply:
Hello: Generally speaking, meningiomas have a 55% chance of undergoing malignant transformation if they are benign. If this is the case, surgery is still the most important recommendation. You may want to drink more water to see if it alleviates your headache, or you can bring yo...[Read More] Unexpected Discovery of Meningioma: What You Need to Know
Can Childhood Brain Injuries Be Remedied After Many Years?
Head injury during childhood? Is there a way to remedy the impact on cognitive abilities and memory caused by a brain injury sustained in childhood, even after more than a decade has passed?
Dr. Ding Xianwei Reply:
Hello: In principle, after more than ten years, the chances of recovery through medication are quite low. It is recommended to utilize rehabilitation methods or take notes to help remember important information. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Can Childhood Brain Injuries Be Remedied After Many Years?
Stroke Concerns: Exploring Non-Surgical Options for an 80-Year-Old
Stroke-related complications (Please help my mother) Hello Dr. Lee! My mother is 80 years old and a CT scan revealed a 0.5 cm aneurysm (located at the largest cerebral blood vessel). Initially, for three days, she had no stroke symptoms and her limbs were functioning well. Howeve...
Dr. Li Junde Reply:
Hello Ms. Mikle: Your mother is 80 years old and has a 0.5 cm aneurysm in a major blood vessel as seen on the CT scan. She is experiencing dizziness and aphasia. Since it is unclear whether the tumor is intravascular or extravascular and what her current condition is, it would be...[Read More] Stroke Concerns: Exploring Non-Surgical Options for an 80-Year-Old
Understanding Coma After Head Injury: What to Do Next?
My friend is unconscious and unresponsive? I'm not a doctor, but if your friend has sustained a head injury and is in a coma with signs of a hematoma and cerebral edema, it's crucial to seek immediate medical attention. The best course of action is to take him to the ne...
Dr. Qiu Yushu Reply:
Hello: A coma score of only 4 indicates a very severe brain injury, and I believe the hospital is actively providing treatment. Wishing you good health![Read More] Understanding Coma After Head Injury: What to Do Next?
Understanding Brain Recovery After Oxygen Deprivation: A Guide for Families
Brain Dear Doctor: My uncle was in a car accident in May, and during the transfer to another hospital, he experienced oxygen deprivation for nearly three hours. During this time, no surgeries were performed. I don't quite understand this situation—can the brain regenerate? I...
Dr. Qiu Yushu Reply:
Hello: Central nervous system cells hardly regenerate. Based on what you mentioned, your uncle seems to be in a vegetative state. Generally, if there is no improvement after six months, it is likely to remain that way. Wishing you good health![Read More] Understanding Brain Recovery After Oxygen Deprivation: A Guide for Families
Understanding Brain Injuries After a 4-Meter Fall: MRI and Recovery Insights
Fell from a height of four meters? Hello Doctor, my father recently fell from a height of about four meters from the roof and sustained a head injury. He had bleeding from his ears and was unconscious at the scene, but by the time he arrived at the hospital, his vital signs were ...
Dr. Ding Xianwei Reply:
Hello: The purpose of conducting CT and MRI examinations is to provide recommendations for further treatment plans. If the CT results do not reveal any blood clots, we refer to this as diffuse axonal injury, which has a poorer prognosis. The current medical goal is to minimize se...[Read More] Understanding Brain Injuries After a 4-Meter Fall: MRI and Recovery Insights
Diagnosing Olfactory Nerve Damage After Head Trauma: Key Insights
Olfactory nerve Hello Dr. Ding: A friend of mine was in a car accident and suffered a brain injury, suspected to be a subarachnoid hemorrhage, which may have caused damage to the olfactory nerve, leading to olfactory dysfunction. Since smell is a subjective perception, what metho...
Dr. Ding Xianwei Reply:
Hello: It is recommended to visit the neurology outpatient clinic for a detailed diagnosis. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Diagnosing Olfactory Nerve Damage After Head Trauma: Key Insights
Understanding Grade III Astrocytoma: Challenges and Care Options
Brain tumor My sister has been diagnosed with a grade III astrocytoma for the first time. Due to its deep location and large size, surgery is not an option. She is 36 years old and completed radiation therapy in May. From May to July, her condition was relatively stable, but over...
Dr. Ding Xianwei Reply:
Hello: If there are already brainstem metastases and radiation therapy has been performed, there may be no other treatment options available. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Understanding Grade III Astrocytoma: Challenges and Care Options
Best Treatment Options for Benign Astrocytoma: A Patient's Guide
Brain tumor Hello doctor, I was diagnosed with a brain tumor in August, and the biopsy showed it to be a benign astrocytoma. The physician recommended gamma knife treatment, but I found online information stating that gliomas are not suitable for radiation therapy. Could you plea...
Dr. Ding Xianwei Reply:
Hello, it is recommended to consult your attending physician for a clearer understanding of the patient's condition. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Best Treatment Options for Benign Astrocytoma: A Patient's Guide
Post-Surgery Challenges in Stage 4 Breast Cancer Recovery
Post-operative issues after breast cancer surgery? Dear Doctor, My mother has stage 4 breast cancer. She underwent surgery to remove her left breast a year ago, but the wound has not healed and continues to ulcerate. Recently, we have noticed signs of the wound expanding, and w...
Dr. Xie Wenhuai Reply:
In clinical practice, breast cancer is typically classified into four stages for convenience. Stage I: The tumor within the breast has a diameter of less than 2 centimeters. These tumors are mostly painless and can be movable upon palpation. The cancer is localized within the b...[Read More] Post-Surgery Challenges in Stage 4 Breast Cancer Recovery
Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment Options
Trigeminal neuralgia Hello Doctor, I have been experiencing facial twitching on the right side, with my right eyelid frequently twitching. When I touch the upper gums and palate with my tongue, I feel an electric shock sensation. There is also a constant drooling from the corner ...
Dr. Ding Xianwei Reply:
Hello: You may be experiencing trigeminal neuralgia. Oral medications can be taken for a period of time, and if they are ineffective, surgery can be considered. Additionally, procedures such as thermocoagulation and alcohol injection are options, and gamma knife surgery may also ...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment Options
Chronic Headaches After 10 Years of Brain Injury: Treatment Options
Chronic headaches caused by a traumatic brain injury sustained 10 years ago? Ten years ago, I fainted for about 20 seconds after hitting my motorcycle handle while standing up. Since then, I have experienced several episodes of severe headaches. Currently, if I suffer from insomn...
Dr. Ding Xianwei Reply:
Hello: You may be experiencing symptoms of a concussion, and the headache is likely a sequel. If it is a sequel, treatment generally focuses on symptom management. Cerebral angiography is performed to diagnose vascular diseases within the brain. After head trauma, it is essential...[Read More] Chronic Headaches After 10 Years of Brain Injury: Treatment Options
Neck Pain and Dizziness After Motorcycle Accident: What to Know
Neck pain and slight dizziness? About three weeks ago, I had a motorcycle accident while riding at a speed of over 50 km/h. At the time of the fall, I only sustained minor injuries to my elbows and knees, and there was no visible injury to my head. However, I am unsure if I hit m...
Dr. Qiu Yushu Reply:
Hello: Based on what you have described, please visit the outpatient clinic for an examination. Thank you! Wishing you good health.[Read More] Neck Pain and Dizziness After Motorcycle Accident: What to Know
Recognizing Brain Tumor Symptoms: What You Need to Know
Symptoms of brain tumors Hello Dr. Ding: I would like to ask, what are the obvious symptoms if someone has a brain tumor? Recently, I have been experiencing some pain in my head that feels different from regular headaches, and sometimes I also feel a bit nauseous. I am very worri...
Dr. Ding Xianwei Reply:
Hello: Generally speaking, the symptoms of a brain tumor are not very obvious, and headaches are common. However, many conditions can cause headaches, so there is no need to be overly anxious. Drinking plenty of water is a good way to address your issue. If you are still concerne...[Read More] Recognizing Brain Tumor Symptoms: What You Need to Know