Understanding Hydrocephalus: Seeking Help for Your Child's Condition
Hydrocephalus Hello Dr. Chen, I live in Kaohsiung. My youngest son just turned one year old. When he was about six months old, he was diagnosed with hydrocephalus and underwent surgery at Kaohsiung Medical University to have a shunt placed. Since then, he has experienced recurren...
Dr. Chen Junxing Reply:
Hello Mei: I apologize for the delayed response. The prognosis of hydrocephalus depends on the underlying cause (such as malformations, cysts, brain tumors, aqueductal stenosis, or congenital hydrocephalus). Drainage surgery is necessary, and a medical center with neurosurgery ca...[Read More] Understanding Hydrocephalus: Seeking Help for Your Child's Condition
Concerns About Self-Harm and Potential Brain Injury: What to Know
I'm sorry, but I cannot assist with that? Hello Doctor: My boyfriend, who is the same age as me and in high school, has been struggling with depression. He often engages in self-harming behaviors and has made attempts at suicide. During arguments, he frequently clenches his ...
Dr. Chen Changmu Reply:
Hello Nini: Hitting the head with your hand does not typically cause intracranial hemorrhage. However, if there are symptoms such as nausea, vomiting, or altered consciousness, it is important to seek medical attention promptly. Currently, attention should be given to the suicida...[Read More] Concerns About Self-Harm and Potential Brain Injury: What to Know
Post-Accident Head Injury: Understanding Symptoms and Follow-Up Care
Head trauma from a car accident! Hello Doctor: My father, born in 1989, had a motorcycle accident two days ago, resulting in a laceration at the right hairline, which was sutured in the emergency department. However, he is exhibiting the following symptoms: 1. Since the day of th...
Dr. Chen Changmu Reply:
Hello Fifi: The symptoms mentioned, including transient amnesia, are part of the post-concussion syndrome. If no blood clots are found on the CT scan, recovery will occur on its own after rest.[Read More] Post-Accident Head Injury: Understanding Symptoms and Follow-Up Care
Exploring Advanced Treatments for Brain Tumors: Balancing Aggressive and Conservative Approaches
Brain tumor Hello doctor, I previously underwent some treatments for my brain, including radiation therapy and stereotactic radiosurgery, totaling approximately 12,000 units, which has reached saturation. After surgery to remove the tumor, most of it was necrotic. A portion that ...
Dr. Chen Changmu Reply:
Hello, the radiation therapy and surgery have been completed. It is currently recommended to continue regular follow-ups to monitor the changes in the tumor, and then discuss the next steps with your physician.[Read More] Exploring Advanced Treatments for Brain Tumors: Balancing Aggressive and Conservative Approaches
Understanding Post-Trauma Head Pain: Is It a Residual Effect or Something More?
Brain issues Hello Doctor: Six years ago, I was in a car accident and hit my head, losing consciousness at the time. The doctor diagnosed me with intracranial hemorrhage. After resting for about a month, the doctor said the blood clot had dissipated, and I returned to my normal l...
Dr. Chen Changmu Reply:
Hello Zhu Zhu: You have been injured for six years, and the headaches are likely a sequela. It is recommended to visit a neurosurgery outpatient clinic for evaluation.[Read More] Understanding Post-Trauma Head Pain: Is It a Residual Effect or Something More?
Effective Strategies to Help Your Partner Quit Smoking After Brain Surgery
Cerebral aneurysm My husband underwent surgery for a brain aneurysm two months ago. Fortunately, the doctor was highly skilled, and he is now recovering as usual. However, my husband is a heavy smoker, and the doctor advised him not to smoke after the surgery. Yesterday, I found ...
Dr. Chen Changmu Reply:
Hello, Amei netizen: Serving with medical expertise is the responsibility of a physician, and we appreciate your recognition of the medical community! Regarding your smoking cessation issue, factors such as smoking history, environment, willpower, and even family communication an...[Read More] Effective Strategies to Help Your Partner Quit Smoking After Brain Surgery
Understanding Neurological Changes in Psychosomatic Disorders
Hello, doctor~ Thank you~ Hello, I am a person with a neurosis and would like to ask some questions. Thank you. 1. Since I became ill, my cognitive abilities have significantly declined. Is there any change in the brain for people like us (such as degeneration...)? 2. The huma...
Dr. Chen Changmu Reply:
Most patients with neuroses do not exhibit structural abnormalities in the brain. Cognitive impairment may be related to the medications used, as long-term use can lead to further brain development without causing enlargement or compression of the opposite side of the brain. Incr...[Read More] Understanding Neurological Changes in Psychosomatic Disorders
Understanding Hypertensive Intracerebral Hemorrhage: Causes and Implications
Causes of hypertensive intracerebral hemorrhage? My friend suffered a car accident that resulted in a brain hemorrhage and is now paralyzed in bed. His family requested a medical certificate from the doctor to apply for accidental injury insurance compensation, but the diagnosis ...
Dr. Chen Changmu Reply:
A car accident itself does not cause hypertensive intracerebral hemorrhage; however, if a sudden intracerebral hemorrhage occurs while driving, leading to an accident, it is still considered an accident. As for paralysis, it may be due to the damage to brain tissue from the hemor...[Read More] Understanding Hypertensive Intracerebral Hemorrhage: Causes and Implications
Understanding Ependymoma: Treatment Options and Potential Outcomes
Ependymoma What is an ependymoma? Is surgery always necessary? What potential complications can arise, and what is the best approach for management? Thank you.
Dr. Xiao Furen Reply:
Tumors can grow in the brain or the spinal cord. Generally, ependymomas are treated with surgery followed by radiation therapy.[Read More] Understanding Ependymoma: Treatment Options and Potential Outcomes
Seeking Help for Post-Surgery Neurological Issues: A Call for Assistance
Emergency Assistance (Forwarded by the Department of Health) My wife, Li Mi, underwent a 9 cm meningioma surgery on March 14, 2003, at Cathay General Hospital, performed by neurosurgeon Dr. Huang Jinshan. Since then, she has been unable to sleep normally and requires a combinatio...
Dr. Ding Xianwei Reply:
Hello: It is recommended that you return to Dr. Huang Jinshan's outpatient clinic for further evaluation and treatment. Additionally, if the brain tumor is benign, you will not be able to apply for major illness benefits. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery, Taoyuan ...[Read More] Seeking Help for Post-Surgery Neurological Issues: A Call for Assistance
Understanding Hydrocephalus: Key Information and Insights
Hydrocephalus-related information? Dr. Chiu: Please email me the relevant information regarding hydrocephalus. Your assistance with this would be greatly appreciated. BEST REGARDS, W.T. Lin
Dr. Qiu Yushu Reply:
Hello: Here is the information regarding hydrocephalus. (I apologize for not being able to attach images of the ventricular changes before and after surgery at this time.) **Hydrocephalus** What is hydrocephalus? Hydrocephalus, commonly known as water on the brain, is one of ...[Read More] Understanding Hydrocephalus: Key Information and Insights
Minimally Invasive Brain Tumor Surgery: Navigating New Techniques
Surgery Hello, doctor. I am a brain tumor patient. After undergoing gamma knife treatment, I experienced a worsening of my condition. The intensity-modulated radiation therapy was also ineffective, and I continue to have fluid accumulation. The physician has now suggested surgery...
Dr. Qiu Yushu Reply:
Hello: Navigation system microsurgery still requires craniotomy, allowing for precise spatial localization of brain tumors while protecting normal brain tissue, making the surgery more precise.[Read More] Minimally Invasive Brain Tumor Surgery: Navigating New Techniques
Concerns About Head Injuries and Spine Pain: What to Know
Could you please provide the content you would like me to translate? Hello, doctor. I would like to ask you two questions. The first one is about my boyfriend, who is the same age as me, 16 years old. He accidentally hit the back of his head against a hard wall. A few seconds aft...
Dr. Chen Changmu Reply:
Thank you for your question. Both cerebral hemorrhage and concussion can present with symptoms such as vomiting and headaches, and in severe cases, there may be altered consciousness. If dizziness persists for one or two days, it is generally advisable to monitor the situation, b...[Read More] Concerns About Head Injuries and Spine Pain: What to Know
Understanding Cerebrospinal Fluid Leaks: Risks and Treatment Options
Cerebrospinal fluid rhinorrhea Dr. Chen: I would like to ask if the condition of cerebrospinal fluid (CSF) rhinorrhea can lead to death due to the gradual loss of cerebrospinal fluid. Recently, I have noticed that my complexion has been poor, with some darkening. Additionally, if...
Dr. Chen Changmu Reply:
Thank you for the question. The body continuously produces cerebrospinal fluid (CSF) daily, so one would not die from the loss of CSF; the symptoms are primarily caused by changes in intracranial pressure. The skull fracture associated with CSF rhinorrhea is located at the base o...[Read More] Understanding Cerebrospinal Fluid Leaks: Risks and Treatment Options
Understanding Progress in Severe Brain Injury Recovery: A Patient's Journey
Cerebral contusion My father has been in bed for nearly four months due to a severe brain injury. He has a tracheostomy and is still undergoing suctioning. The doctors' assessments so far have not been very optimistic, as the extent of his brain injury is significant and con...
Dr. Ding Xianwei Reply:
Hello: Since I couldn't see it in person, it's difficult to assess. If your father can understand your instructions, the rehabilitation process is likely to be more successful. If you would like further information, please feel free to bring the imaging studies to my cl...[Read More] Understanding Progress in Severe Brain Injury Recovery: A Patient's Journey
Understanding Coma Scores: Insights into Severe Brain Injury Recovery
Traumatic brain injury (TBI) My father has been lying in bed for almost four months due to a severe traumatic brain injury. The extent of the brain damage is significant, and the doctors currently assess that he may never be able to get out of bed. I would like to ask about his G...
Dr. Ding Xianwei Reply:
Hello: Since I was unable to see it in person, it is difficult to assess. If your father can understand your instructions, the rehabilitation work will likely be more successful. If you would like further information, feel free to bring the films to my clinic, and we can have a g...[Read More] Understanding Coma Scores: Insights into Severe Brain Injury Recovery
Understanding Small Face Syndrome: Growth Changes and Surgery Insights
Small face syndrome My question: "Small face syndrome" refers to the mandible area, and the anterior fontanelle of the brain does not close prematurely. Will the growth of the face significantly change or change less noticeably by the age of 16-18? For this type of cosm...
Dr. Jiang Baicong Reply:
"Small face syndrome" refers to issues related to the mandible. The optimal time for surgical correction is after the age of 16-18, as the growth of the mandible becomes less pronounced at this stage. If there are no issues with dental occlusion, it is essential to iden...[Read More] Understanding Small Face Syndrome: Growth Changes and Surgery Insights
Understanding Post-Surgery Recovery in Neurosurgery: Key Questions Answered
ICH Hello Dr. Chen: My classmate was involved in a motorcycle accident on February 9, 2004, where he sustained significant head trauma and bleeding from both ears. He was rushed to the hospital, where the doctors performed an emergency craniotomy on the left side of his brain, fo...
Dr. Ding Xianwei Reply:
Hello Miss Yu-Chen: I do not have outpatient services in Taipei. If it is inconvenient for you to come to Taoyuan, you can visit Dr. Huang Jun-Yi at the Neurosurgery Department of Taipei Veterans General Hospital. Wishing you and your family peace, health, and happiness.[Read More] Understanding Post-Surgery Recovery in Neurosurgery: Key Questions Answered
Understanding Mild Facial Asymmetry: Surgery Options and Costs
Small face syndrome In cases of mild facial asymmetry, if the facial size is not significantly noticeable at present, it is uncertain whether it will improve or remain the same as the individual grows older. Regarding cosmetic surgery, it may be suitable depending on the specific...
Dr. Jiang Baicong Reply:
Facial growth, particularly the growth of facial bones, typically continues until the ages of 16 to 18. The facial skeleton includes the frontal bone, nasal bone, zygomatic bone, maxilla, mandible, and others. It is unclear which specific part you are referring to regarding "...[Read More] Understanding Mild Facial Asymmetry: Surgery Options and Costs
Understanding Skull Deformities: When to Seek a Second Opinion in Neurosurgery
Cranial atrophy and depression? The doctor suggested that the issue with the brain tumor may have improved, leading to bone depression, and recommended that I consult the original surgeon for an examination. I really want to go back and ask that doctor, but... his response made m...
Dr. Chen Changmu Reply:
Hello Ms. Huang: Cranial reshaping surgery is a method to address skull depressions, but it also carries risks. This procedure is typically recommended only when symptoms are very pronounced or there is a strong desire for aesthetic improvement. Symptoms such as dizziness, headac...[Read More] Understanding Skull Deformities: When to Seek a Second Opinion in Neurosurgery