Understanding Skull Deformities After Trauma: Causes and Medical Insights
Cranial atrophy and depression? After a car accident, due to intracranial hemorrhage, the skull was removed and placed in the hospital for six months before being reattached. A year after the reattachment, it led to skull atrophy and depression. What could be the cause of this? I...
Dr. Chen Changmu Reply:
It is possible that the original issue with the brain tumor has improved, leading to bone depression. It is recommended to consult the original surgeon for an evaluation.[Read More] Understanding Skull Deformities After Trauma: Causes and Medical Insights
Correcting Facial Asymmetry: Options and Costs for Surgery
Face shape Hello, my face shape has an uneven jawline, and my eyes are also asymmetrical. My nose and mouth are all tilted to one side. I am very troubled by this. I wonder if undergoing jaw surgery or bone reduction could solve my problem. Which hospital should I look for, and w...
Dr. Jiang Baicong Reply:
Hello: The facial shape shows a crooked jaw on one side, and the eyes are uneven, with one higher than the other. The nose and mouth are also tilted to the same side. If the eyebrows are uneven, it suggests a similar issue. It is important to note how long these symptoms have bee...[Read More] Correcting Facial Asymmetry: Options and Costs for Surgery
Understanding Malignant Germ Cell Tumors: Prognosis and Recurrence Risks
Brain tumor Recently, I went for an examination due to a missed menstrual cycle and discovered abnormal pituitary function. Further tests diagnosed a pituitary adenoma, but after surgery, the specimen was found to be a malignant germ cell tumor. Question: What is the relevant i...
Dr. Chen Changmu Reply:
Hello, Xiao Jun: Germinoma is a type of germ cell tumor, accounting for approximately 7.40% of cases, and it commonly occurs in individuals aged 14-15 years. The primary affected areas are: (1) the sellar region, particularly around the optic chiasm, where the most common symptom...[Read More] Understanding Malignant Germ Cell Tumors: Prognosis and Recurrence Risks
Understanding High Prolactin Tumors: Impacts on Health and Relationships
Prolactin-secreting tumor My wife discovered a tumor about five years ago after her menstrual period did not return and her breast milk did not subside following childbirth. After taking medication, she experienced various discomforts, including headaches and nausea. Approximatel...
Dr. Chen Changmu Reply:
Your wife's issues may still be related to a brain tumor, or it could be due to insufficient hormone secretion from the pituitary gland, or possibly a recurrence of the tumor leading to excessive prolactin secretion. In any case, it is advisable to encourage her to return to...[Read More] Understanding High Prolactin Tumors: Impacts on Health and Relationships
Exploring Treatment Options for Intracranial Lipomas: Beyond Surgery
Intracranial lipoma Hello, recently a family member underwent a health check and was found to have an intracranial lipoma. Over the past year, they have experienced symptoms such as dizziness and headaches, which have become severe enough to require a week-long hospitalization. T...
Dr. Chen Changmu Reply:
Intracranial lipomas are relatively rare benign tumors, and the decision to perform surgery depends on the severity of the symptoms and their location. If the tumor is superficial and not located in critical functional areas, it can generally be safely removed. However, if it is ...[Read More] Exploring Treatment Options for Intracranial Lipomas: Beyond Surgery
Understanding Brain Tumors: Surgery Success Rates and Risks
Brain tumor Dear Doctor, My father is 53 years old and has been diagnosed with a brain tumor for nearly a year. Since the diagnosis, the tumor has not grown, but the cerebral edema has worsened. His symptoms primarily include headaches, pulsatile tinnitus, tinnitus, unsteady gai...
Dr. Shao Guoning Reply:
Hello: In response to your question, meningiomas are, in very rare cases, benign tumors. In other words, they do not metastasize, and as long as they are completely surgically removed, they will not recur. Although meningiomas grow slowly, the brain is encased in the skull, leavi...[Read More] Understanding Brain Tumors: Surgery Success Rates and Risks
Understanding Interventional Treatments for Brain Aneurysms: Recovery Insights
Interventional therapy Dr. Ding, my mother suddenly suffered a cerebral hemorrhage while traveling in mainland China on December 8. She was diagnosed with a hemorrhage due to a cerebral artery aneurysm. After undergoing minimally invasive interventional surgery, she regained cons...
Dr. Ding Xianwei Reply:
Hello! Generally speaking, the risk of infection occurring during emergency surgery is higher. If an aneurysm is involved, the infection is not easily controlled and can currently only be managed with antibiotics. We must wait for the fever to subside before discussing recovery. ...[Read More] Understanding Interventional Treatments for Brain Aneurysms: Recovery Insights
Understanding Scalp Pain: When to See a Neurologist or Dermatologist
Brain issues Hello… In the past two to three weeks, I have experienced pain when lightly pressing on my scalp while washing my hair (specifically on the top of my head). I would like to know if this is related to the scalp or if it could be a brain issue. A few months ago, I also...
Dr. Hong Xuyi Reply:
Hello: In response to your question, your issue may be related to inflammation of the hair follicles on the scalp. It is advisable to consult a dermatologist. The symptoms of headache typically do not involve tenderness; tenderness usually indicates a scalp issue.[Read More] Understanding Scalp Pain: When to See a Neurologist or Dermatologist
Understanding Intracranial Hemorrhage: Recovery and Care Insights
Intracranial hemorrhage Hello Dr. Shao: My friend had a motorcycle accident on December 4, 2003, resulting in an intracranial hemorrhage (ICH). He underwent a craniotomy the next day, and a piece of his skull was preserved in cold storage. He had an endotracheal tube and a nasoga...
Dr. Shao Guoning Reply:
Hello: In response to your question, I appreciate your deep concern for this patient. It is rare for someone other than close relatives to observe so attentively, and I am truly touched. (1) He has a traumatic brain hemorrhage and has undergone a right craniectomy due to injury...[Read More] Understanding Intracranial Hemorrhage: Recovery and Care Insights
Understanding Ventricular Tumors: Recovery Challenges and Rehabilitation Insights
Ventricular tumor Hello Doctor, I would like to ask you a question. My girlfriend underwent surgery to remove a ventricular tumor at Linkou Chang Gung Memorial Hospital in July, and it has been four months since then. In the first two months, her recovery was quite good, but in...
Dr. Qiu Yushu Reply:
Hello: Ventricular tumors are generally benign; however, because they are located within the ventricles, they can easily lead to hydrocephalus. Therefore, a ventriculoperitoneal shunt is required. The ventricular drainage catheter often experiences functional issues (such as bloc...[Read More] Understanding Ventricular Tumors: Recovery Challenges and Rehabilitation Insights
Head Injury from Domestic Violence: When to See a Neurosurgeon?
Head injury? Hello, doctor: My girlfriend was injured on her head by her father after drinking (domestic violence). As a result, there is a dent in her skull, and she is experiencing pain, dizziness, and some nausea. Should I take her to see a neurosurgeon or a neurologist? Thank...
Dr. Hong Xuyi Reply:
Hello: In response to your question, she must see a neurosurgeon immediately and arrange for a cranial X-ray or a brain CT scan.[Read More] Head Injury from Domestic Violence: When to See a Neurosurgeon?
Post-Surgery Care and Considerations for Ventricular Drainage Catheters
Ventricular drainage catheter Hello: My girlfriend has recently undergone surgery for a ventricular tumor, and the doctor mentioned the need for a ventricular drainage catheter. I would like to ask: 1. What precautions should be taken after the placement of the ventricular draina...
Dr. Qiu Yushu Reply:
Hello: After surgery for ventricular tumors, some patients may experience hydrocephalus, which may necessitate a ventriculoperitoneal shunt procedure. Postoperatively, there are no special precautions required in daily life; however, it is important to monitor the drainage tube f...[Read More] Post-Surgery Care and Considerations for Ventricular Drainage Catheters
Gas Poisoning: Concerns About Brain Damage After Exposure
Gas poisoning? The gas stove was accidentally turned off, and I didn't realize it until half an hour later when I noticed a strong gas smell throughout the entire house. I quickly turned it off, and it took about half an hour for the smell to dissipate. Besides feeling short...
Dr. Hong Xuyi Reply:
Hello: In response to your question, the main component of gas is aliphatic hydrocarbons, which are non-toxic, colorless, odorless, and tasteless (the odor of gas is intentionally added for safety purposes, typically a foul-smelling compound like hydrogen sulfide). Therefore, unl...[Read More] Gas Poisoning: Concerns About Brain Damage After Exposure
Repeated Head Injuries: How Do They Affect Brain Health?
Head injury? As an active person who frequently experiences head impacts leading to multiple concussions, you may be concerned about potential cognitive decline. Each concussion can indeed result in some degree of brain cell damage, and repeated concussions may increase the risk ...
Dr. Hong Xuyi Reply:
Hello: In response to your question, athletes can experience cognitive impairment due to head trauma, with multiple injuries accumulating over time, exemplified by boxing champion Muhammad Ali. The impact of different forces and mechanisms can have varying effects based on age an...[Read More] Repeated Head Injuries: How Do They Affect Brain Health?
Are Aneurysms Hereditary? Understanding Risks and Symptoms
Will aneurysms be inherited? Dear Dr. Hong, I apologize for taking up your valuable time, but I have a question I would like to ask you. My mother suffered a brain hemorrhage two years ago due to a ruptured aneurysm. Fortunately, she survived and has not experienced any impact o...
Dr. Hong Xuyi Reply:
Hello: In response to your question, if you are experiencing abnormal headaches, it is essential to consult a neurologist for a differential diagnosis. As for whether aneurysms are related to genetics, aneurysms caused by specific genetic disorders (such as polycystic kidney dise...[Read More] Are Aneurysms Hereditary? Understanding Risks and Symptoms
Understanding Memory Loss After Head Injury: What to Expect
excuse me? A few nights ago, my dad hit his head... When he got up, he couldn't remember many things. He forgot what month and day it is this year, and he kept asking where my mom and sister are, and what the date is. He also looked quite tired... However, after letting him ...
Dr. Li Junde Reply:
Hello: Is your father's condition related to the head injury? It still requires observation. He is able to work and has seen a doctor, so there is likely no immediate danger. If he is of advanced age, it may be related to a decline in brain function associated with aging. In...[Read More] Understanding Memory Loss After Head Injury: What to Expect
Understanding Arm Cramps: Causes and Concerns in Neurology
Muscle cramp In the past year, I have frequently experienced muscle cramps in my arm that are not painful but feel uncomfortable. My blood pressure ranges between 85 and 140. I would like to consult a physician about the possible causes. Thank you.
Dr. Qiu Yushu Reply:
Frequent muscle cramps in the arm that are not painful can have several possible causes. One possibility is involuntary contractions (known as focal spasms), which would require further examination to rule out any issues related to the brain. Another possibility is that it may si...[Read More] Understanding Arm Cramps: Causes and Concerns in Neurology
Understanding Headaches: Where Does the Pain Really Come From?
Regarding headaches? We all know that the brain itself does not have pain receptors, so how does a headache occur, and where does the pain originate?
Dr. Qiu Yushu Reply:
There are many causes of headaches, such as increased intracranial pressure, irritation of the meninges (meningitis, subarachnoid hemorrhage), tension-type headaches caused by muscle tightness in the head and neck, peripheral neuropathies (occipital neuralgia, postauricular neura...[Read More] Understanding Headaches: Where Does the Pain Really Come From?
Can Vision Loss from Brain Hemorrhage Improve Over Time?
Is there a chance for visual field loss to improve? Two years ago, I underwent surgery due to a brain hemorrhage, and I have had left-sided hemianopia since then. Is there a chance that this condition can improve? The doctor mentioned that my issue was caused by an arteriovenous ...
Dr. Hong Xuyi Reply:
Hello: In response to your questions: 1. Arteriovenous malformations are abnormal blood vessels that remain from embryonic development, with an annual bleeding risk of approximately 1-4%, which is not related to hypertension, smoking, or alcohol consumption. 2. The left-sided vis...[Read More] Can Vision Loss from Brain Hemorrhage Improve Over Time?
Understanding Brain Edema: Causes, Symptoms, and Treatment Options
Cerebral edema Cerebral edema is a condition characterized by the accumulation of excess fluid in the brain, leading to increased intracranial pressure. It can be caused by various factors, including traumatic brain injury, stroke, infections, tumors, or metabolic imbalances. Sym...
Dr. Qiu Yushu Reply:
Cerebral edema refers to the swelling of brain tissue that leads to increased intracranial pressure, resulting in symptoms such as headache and vomiting; in severe cases, it can cause coma and pose a life-threatening risk. There are many causes, including brain tumors, brain absc...[Read More] Understanding Brain Edema: Causes, Symptoms, and Treatment Options