Can Patients with Ventriculoperitoneal Shunts Undergo Peritoneal Dialysis?
Can a patient with a ventriculoperitoneal shunt undergo peritoneal dialysis treatment? Hello doctor, my family member had a car accident two years ago and has a ventriculoperitoneal shunt. Recently, their kidney function has worsened and they need dialysis treatment. I saw online...
Dr. Zhao Shaoqing Reply:
Hello: The ventricular-peritoneal shunt is a drainage system that involves placing a catheter from the ventricles of the brain into the peritoneal cavity, allowing cerebrospinal fluid to drain from the ventricles into the abdominal cavity. Peritoneal dialysis is performed by inse...[Read More] Can Patients with Ventriculoperitoneal Shunts Undergo Peritoneal Dialysis?
How Long Should Patients with Intracranial Hemorrhage Be Observed?
Observation period for intracranial hemorrhage? Dear Dr. Lai, I would like to inquire about the observation and management protocols in the hospital. My classmate, a 20-year-old, was involved in a car accident on February 12th around 4 PM. He was conscious upon arrival at the ho...
Dr. Lai Zhaokang Reply:
Hello: Intracerebral hemorrhage is most dangerous in the first 8 hours. After that, continuous observation is required for 24-48-72 hours. As time passes, the risk of worsening and expansion of the hemorrhage gradually decreases. It is speculated that your classmate may have had ...[Read More] How Long Should Patients with Intracranial Hemorrhage Be Observed?
Understanding Chronic Subdural Hematoma: Risks and Recovery Insights
Chronic subdural hematoma Hello Doctor: My father underwent a chronic subdural hematoma on January 22, initially receiving an external ventricular drain placement. On January 26, the hospital informed us that there was still a significant amount of cerebrospinal fluid, and consid...
Dr. Zhang Junwei Reply:
1. The placement of a drainage tube is recommended to not exceed one week. 2. This requires a comprehensive assessment of neurological function and a CT scan; it cannot be answered online.[Read More] Understanding Chronic Subdural Hematoma: Risks and Recovery Insights
Understanding the Risks of Multiple Concussions and Cognitive Decline
Multiple concussions Hello Doctor, I have experienced five mild concussions over the past two years, with the most recent one occurring in mid-November. Since my third concussion in March, I have been experiencing ongoing issues with attention, judgment, and memory. A CT scan sho...
Dr. Lai Zhaokang Reply:
Hello: Repeated head injuries can potentially cause subtle brain damage and may lead to functional impairments in the brain, which may not be visible on a CT scan. A CT scan provides information to the physician regarding the presence of bleeding, brain tumors, or other condition...[Read More] Understanding the Risks of Multiple Concussions and Cognitive Decline
Understanding Intracranial Hemorrhage: Risks and Monitoring After Trauma
Intracranial hemorrhage I would like to ask the doctor: A patient in their 60s had a car accident and was in good mental condition afterward. An evening CT scan of the brain revealed intracranial hemorrhage, but the patient's mental status remained stable for 2-3 days. On th...
Dr. Xu Kaixi Reply:
According to your description, after the car accident, intracranial hemorrhage was observed. A follow-up CT scan of the brain four days later showed an increase in the volume of bleeding. Although the mental status is stable, the hemorrhage may still be ongoing, indicating an uns...[Read More] Understanding Intracranial Hemorrhage: Risks and Monitoring After Trauma
Understanding Memory Loss and Complications After Skull Fracture
Brain issues I would like to inquire about a relative of mine who has been hospitalized for over a month due to a skull fracture. This relative is experiencing strange symptoms; every time they wake up, their memory seems to be different. The first time they woke up, their memory...
Dr. Zhao Shaoqing Reply:
Hello: Head trauma causing intracranial hemorrhage may lead to short-term or long-term memory loss, or the possibility of short-term memory impairment due to contusions. If there is a need for surgery or if there are blood clots, the likelihood of needing a second surgery after a...[Read More] Understanding Memory Loss and Complications After Skull Fracture
Post-COVID Nasal Swab Pain: Is Cerebrospinal Fluid Leakage Possible?
I experienced severe discomfort after performing a COVID-19 rapid test on my left nostril, and my left nostril has been continuously running clear fluid? Hello Doctor: I underwent a COVID-19 rapid test at the hospital at 10 AM. When the swab was inserted into my left nostril, I e...
Dr. Zhao Shaoqing Reply:
Hello: It is less likely for a cotton swab to be inserted into the left nostril. However, if there is a persistent sensation of clear fluid flowing into the throat, along with symptoms such as headache and fever, it is advisable to visit a hospital for a blood test to check for a...[Read More] Post-COVID Nasal Swab Pain: Is Cerebrospinal Fluid Leakage Possible?
Understanding Fatigue: Could It Be a Sign of Brain Tumors?
Is there a tumor in the brain? I have been feeling very fatigued lately. Recently, I was worried about being ill, so I went to the hospital for a check-up and found out that there was nothing seriously wrong. However, after returning home, I felt unusually tired and a bit dizzy. ...
Dr. Chen Bingze Reply:
Hello, fatigue is not solely an issue related to the brain; it can also be related to the entire body. It may simply be caused by recent dietary habits, sleep patterns, or stress. If fatigue persists, it is advisable to consult a physician for an evaluation.[Read More] Understanding Fatigue: Could It Be a Sign of Brain Tumors?
Understanding Aneurysm Rupture and Recovery: Key Insights for Caregivers
Ruptured cerebral aneurysm with right-sided hematoma? Hello, my mother is 59 years old and has high blood pressure. She hasn't been taking her medication regularly. On Friday night, she suffered a ruptured aneurysm and was admitted to the hospital. Her blood pressure was low...
Dr. Zhang Junwei Reply:
The questions you are asking are too complex; such inquiries require detailed neurological examinations and computed tomography imaging to provide answers.[Read More] Understanding Aneurysm Rupture and Recovery: Key Insights for Caregivers
Understanding the Recurrence Risk of Traumatic Subarachnoid Hemorrhage
The recurrence rate of traumatic subarachnoid hemorrhage? Hello Doctor, I accidentally hit my head while walking two weeks ago. At that moment, I felt fine, but four days later, I suddenly experienced severe pain in my head. I was taken to the emergency room and diagnosed with su...
Dr. Zhang Junwei Reply:
This is a traumatic subarachnoid hemorrhage, which usually can resolve on its own.[Read More] Understanding the Recurrence Risk of Traumatic Subarachnoid Hemorrhage
Is Glycerol Administration a Standard Treatment for High Blood Pressure Aneurysm?
In cases of hypertension with aneurysm rupture and elevated intracranial pressure, administering glycerol to reduce intracranial pressure is part of the standard treatment protocol? 1. At 1:00 PM, the patient experienced a ruptured aneurysm with intracranial hemorrhage, as shown ...
Dr. Zhang Junwei Reply:
Administering glycerol can reduce intracranial pressure in patients with brain edema and is considered standard treatment.[Read More] Is Glycerol Administration a Standard Treatment for High Blood Pressure Aneurysm?
How Long Does Subdural Hematoma Take to Liquefy After Injury?
How long does it take for a hematoma from a subdural hemorrhage to liquefy? My father is 79 years old. On July 6th, he was hit by a car while riding his motorcycle and was pinned under his own motorcycle. Fortunately, he was wearing a helmet and was conscious at the scene, suffer...
Dr. Zhao Shaoqing Reply:
Hello: Generally, a hematoma from a subdural hemorrhage will liquefy and be absorbed in about three weeks, after which a follow-up CT scan can be performed in the outpatient clinic for evaluation.[Read More] How Long Does Subdural Hematoma Take to Liquefy After Injury?
How Does Cerebellar Hydrocephalus Affect the Brain?
What should be done about hydrocephalus? Will cerebellar hydrocephalus affect the brain? Previously, there was a brain surgery and a spinal drainage catheter was placed for 5 months.
Dr. Zhang Junwei Reply:
The placement of a drainage catheter for hydrocephalus is reliable; for more in-depth questions, please consult a neurosurgery outpatient clinic for detailed answers.[Read More] How Does Cerebellar Hydrocephalus Affect the Brain?
Understanding Head Injuries: Recovery and Risks After a Fall
Head injury Hello, Doctor: My husband is 33 years old. On September 24, he accidentally fell from a height of 1 meter at work and lost consciousness. While being transported to the hospital, he regained consciousness and called me to inform me that he was being taken to the hospi...
Dr. Zhang Junwei Reply:
It doesn't sound too serious; just take plenty of rest and return for regular check-ups.[Read More] Understanding Head Injuries: Recovery and Risks After a Fall
Post-Craniectomy Complications: Understanding Cognitive Recovery Potential
Post-craniotomy sequelae Hello Dr. Chang, my mother has a long history of mental illness and has been continuously taking psychiatric medications such as Seroquel and other antidepressants and anxiolytics. Since mid-last year, she has frequently reported experiencing double visio...
Dr. Zhang Junwei Reply:
It is difficult to provide an answer to such questions without detailed imaging examination data and surgical records.[Read More] Post-Craniectomy Complications: Understanding Cognitive Recovery Potential
Post-Trauma Intracranial Hemorrhage: Overcoming Limb Disabilities
Post-traumatic intracranial hemorrhage leading to limb impairment? In March of this year, I suffered a severe car accident that resulted in a right-sided skull fracture and intracranial hemorrhage. After surgery, I regained consciousness and underwent debridement approximately 3-...
Dr. Zhang Junwei Reply:
I'm not familiar with this technique, so I may need to consult other physicians.[Read More] Post-Trauma Intracranial Hemorrhage: Overcoming Limb Disabilities
Understanding Brainstem Hemorrhage: Causes, Treatments, and Recovery
Brainstem hemorrhage Hello Doctor: My husband is 52 years old. He worked a night shift on September 15 and woke up around 5:00 PM, complaining of dizziness. He has been feeling dizzy for three days, with slight numbness in his hands and feet. On September 17, he saw a doctor who ...
Dr. Zhang Junwei Reply:
1. Typically involves radiation therapy. 2. Usually provides relief. 3. There is a possibility.[Read More] Understanding Brainstem Hemorrhage: Causes, Treatments, and Recovery
Could a Brain Tumor Cause Leg Numbness and Low Blood Pressure?
Does a brain tumor affect "numbness and tingling in the legs" and "low blood pressure"? Hello Dr. Chang, my father is 61 years old. Last July, he began experiencing tingling and numbness in his feet and calves, like being pricked by needles. An MRI determined ...
Dr. Zhang Junwei Reply:
Without detailed physical examination and imaging reports, it is not possible to determine if there is a correlation.[Read More] Could a Brain Tumor Cause Leg Numbness and Low Blood Pressure?
Understanding Throat Pain: Possible Causes and Concerns After Tonsil Surgery
Throat issues Hello Doctor, I would like to consult you. I have been experiencing a sensation of a foreign body and sharp pain in my throat and pharyngeal wall (the area from the uvula down to the deep throat) for the past three months. Additionally, I have pain on the left side ...
Dr. Zhang Junwei Reply:
This is not a neurology issue; you should seek assistance from another otolaryngologist.[Read More] Understanding Throat Pain: Possible Causes and Concerns After Tonsil Surgery
Understanding the Risks of Multiple Concussions and Cognitive Decline
Multiple concussions Hello doctor, I have had four concussions in the past two years (the most recent one was in early August), and I am still experiencing issues with attention, judgment, and memory. I am currently taking Micronutrients. Can you tell me if my risk of developing ...
Dr. Zhao Shaoqing Reply:
Hello: After a head injury, there is a higher likelihood of future brain atrophy. If you experience issues with attention, judgment, or memory after discharge, we recommend that you follow up with the Neurosurgery outpatient clinic at our hospital. The Ministry of Health and Welf...[Read More] Understanding the Risks of Multiple Concussions and Cognitive Decline