Self-Inflicted Head Injury: Risks and Recovery Tips
I hit myself hard near the temple? Hello, Doctor. On August 14, I hit my right temple (near the temple) very hard out of anger. At that time, I did not experience vomiting, loss of consciousness, or swelling. I immediately applied ice for three days. I am quite anxious, and this ...
Dr. Zhao Shaoqing Reply:
Hello: There may be symptoms of a mild concussion. If there is right-sided brain hemorrhage, the likelihood is higher within three days; after three days, the probability decreases. If symptoms worsen, a consultation with a neurosurgeon is recommended for evaluation.[Read More] Self-Inflicted Head Injury: Risks and Recovery Tips
Understanding Left Back Numbness: Causes and Treatment Options
Numbness near the left back, specifically in the area of the "Huang" point? Hello, doctor. I have had a habit of slouching since childhood, and I tend to support my head with my left hand while sitting. About two years ago, one morning after waking up and engaging in no...
Dr. Lai Zhaokang Reply:
Hello: In addition to the condition of the cervical spine, it is advisable to further evaluate upper limb nerve conduction studies (NCS) and the thoracic spine to rule out other concurrent lesions. Best wishes // Dr. Lai Chao-Kang, Changhua Hospital[Read More] Understanding Left Back Numbness: Causes and Treatment Options
Understanding Coma After Brain Hemorrhage Surgery: What to Expect
Coma after surgery for cerebral hemorrhage? Hello Doctor, my father had an accident at work on June 22, where he slipped and hit his head. He was taken to the hospital, where they diagnosed him with a brain hemorrhage and performed emergency surgery. The surgery was successful, a...
Dr. Zhang Junwei Reply:
Without detailed physical examination and imaging reports, it is not possible to answer this question.[Read More] Understanding Coma After Brain Hemorrhage Surgery: What to Expect
Understanding Upper Abdominal to Neck Pain: A Neurological Perspective
Pain from the upper abdomen to the neck? Hello Doctor, about four months ago, I started experiencing a feeling of discomfort and pain in my upper abdomen, and sometimes my stomach would suddenly spasm. I went to a gastroenterologist and had an endoscopy, which showed only mild ga...
Dr. Zhang Junwei Reply:
What they refer to as neuropathic pain is essentially pain for which no identifiable cause can be found, and thus it is classified as neuropathic pain.[Read More] Understanding Upper Abdominal to Neck Pain: A Neurological Perspective
Understanding Coma After Brain Hemorrhage Surgery: Hope and Recovery
Coma after surgery for intracerebral hemorrhage? Hello doctor, my father had an accident at work on June 22nd where he slipped and hit his head. He was taken to the hospital for examination and was diagnosed with a brain hemorrhage. An emergency surgery was performed, and the ope...
Dr. Zhang Junwei Reply:
The location and size of the intracerebral hemorrhage, as well as the level of consciousness, will all affect the postoperative recovery of the patient. Without detailed medical history and imaging, it is not possible to answer this question.[Read More] Understanding Coma After Brain Hemorrhage Surgery: Hope and Recovery
Managing Hydrocephalus After Prolonged Coma: Surgical Options Explored
Is it necessary to address hydrocephalus in a patient who has been in a coma for over six months following a car accident? In late November last year, the patient was involved in a car accident, suffering a head injury from a rear-end collision, resulting in a coma and dilated pu...
Dr. Zhang Junwei Reply:
Due to the lack of detailed medical history, it is not possible to determine whether it would be beneficial for the patient's recovery, as I am concerned about providing you with incorrect information.[Read More] Managing Hydrocephalus After Prolonged Coma: Surgical Options Explored
Understanding Post-Injury Symptoms: Brain Edema, Numbness, and Bone Pain
Cerebral edema, scalp numbness, bone pain? Hello, I would like to briefly describe my condition. Four weeks ago, I was involved in a motorcycle accident and was hospitalized for three weeks, being discharged last week. During this time, I underwent debridement surgery twice and a...
Dr. Xu Kaixi Reply:
1. The symptoms associated with the diagnosis you provided, "cerebral edema and mild concussion," primarily include dizziness and headaches, which are not directly related to the symptoms you mentioned, such as "shortness of breath, palpitations, generalized weakne...[Read More] Understanding Post-Injury Symptoms: Brain Edema, Numbness, and Bone Pain
Post-Operative Symptoms After Brain Tumor Surgery: What to Expect
Symptoms After Craniotomy for Brain Tumor Hello, Doctor. I have a tumor about 3 centimeters in size in my cerebellum. I underwent craniotomy in early March this year, and the result was benign. It has been a month and a half since the surgery, and I still feel dizzy, especially w...
Dr. Zhang Junwei Reply:
Dizziness is a common phenomenon after cerebellar surgery. If you experience any unusual discomfort such as nausea or vomiting, you can return to the outpatient clinic for an examination at any time, and you do not have to wait for your scheduled follow-up appointment.[Read More] Post-Operative Symptoms After Brain Tumor Surgery: What to Expect
Is Brain Hemorrhage Due to Congenital or Acquired Vascular Malformation?
Cerebral hemorrhage Hello Doctor: I have a friend who has been diagnosed with arteriovenous malformation (AVM) accompanied by intracerebral hemorrhage. Is this condition congenital or acquired? Thank you.
Dr. Zhang Junwei Reply:
Congenital.[Read More] Is Brain Hemorrhage Due to Congenital or Acquired Vascular Malformation?
Understanding Concussion Syndrome: Causes, Diagnosis, and Objectivity in Assessment
Regarding post-concussion syndrome? Excuse me, may I ask if a concussion syndrome only occurs when there is trauma to the head, or are there other causes as well? Additionally, what are the criteria for diagnosing concussion syndrome? If a car accident victim insists on experienc...
Dr. Zhao Shaoqing Reply:
Hello: A concussion is defined as a change in mental status due to an injury that may or may not involve loss of consciousness. If there is a clinical history of head trauma with symptoms such as headache, it can be classified as concussion syndrome. This may result from a blow t...[Read More] Understanding Concussion Syndrome: Causes, Diagnosis, and Objectivity in Assessment
Managing Persistent Dizziness After Concussion in Seniors
Dizziness after a concussion? My mother, who is 70 years old, fell and injured the back of her head before the Lunar New Year this year, resulting in a laceration that required three stitches. A CT scan and X-ray revealed that there was no injury or bleeding in the skull or brain...
Dr. Zhang Junwei Reply:
Typically, a concussion should not cause dizziness for such an extended period. It is recommended to consult an otolaryngologist to check for inner ear imbalance or Meniere's disease.[Read More] Managing Persistent Dizziness After Concussion in Seniors
Post-Surgery Cognitive Decline: Navigating Life After Brain Tumor Removal
Cognitive and behavioral dysfunction after brain surgery, leading to an inability to perform activities of daily living? Hello Doctor, my father experienced symptoms such as tremors, fainting, and general weakness in January, leading to multiple hospital visits. Initially, an EEG...
Dr. Zhang Junwei Reply:
First, I'm not sure how old your father is, but many elderly individuals who have undergone brain surgery may experience symptoms similar to dementia and stroke. Your father's condition is complex, and it is advisable to follow up with a neurologist for treatment.[Read More] Post-Surgery Cognitive Decline: Navigating Life After Brain Tumor Removal
Understanding Language and Personality Changes in Brain Tumor Patients
Issues related to patients' verbal expression, responses, and changes in personality? Doctor: Hello. I am one of the primary caregivers for the patient. The patient has a tumor in the left temporal lobe measuring 7.69 cm, which was surgically removed and confirmed to be a gl...
Dr. Zhang Junwei Reply:
The patient's clinical neurological function is closely related to the progression of the brain tumor (size, location, recurrence, etc.). It is recommended to return to the outpatient clinic and have a thorough discussion with your attending physician.[Read More] Understanding Language and Personality Changes in Brain Tumor Patients
Can Ventriculoperitoneal Shunt Surgery Help Wake Up a Patient in Coma?
Is performing a ventriculoperitoneal shunt surgery helpful for regaining consciousness in a patient who has been in a semi-comatose state for nearly four months? My father is 69 years old and underwent surgery for a meningioma nearly four months ago. After the surgery, he experie...
Dr. Zhang Junwei Reply:
1. The duration of ventriculoperitoneal shunt placement is short, considered a minor procedure. 2. The drainage catheter for ventriculoperitoneal shunt does not need to be removed. 3. If the drainage catheter becomes obstructed and the patient has hydrocephalus, it may require re...[Read More] Can Ventriculoperitoneal Shunt Surgery Help Wake Up a Patient in Coma?
Understanding Skull Surgery and Recovery After Severe Head Injury
Skull, unresponsive? Hello, doctor. My husband fell to the ground at work, landing on his head. At first, he was able to stand up and walk, but within three minutes, he started to have a nosebleed and fainted. He underwent emergency surgery to remove part of his skull on the left...
Dr. Zhang Junwei Reply:
Generally speaking, returning the skull to its original position can aid in the recovery of the patient's neurological function. Using the patient's own bone does carry a higher risk of infection, while artificial cranial implants present a lower risk of infection as an...[Read More] Understanding Skull Surgery and Recovery After Severe Head Injury
Post-Surgery Recovery Concerns After Brain Hemorrhage: What to Expect
What are the recovery issues after brain hemorrhage surgery? Hello, doctor. I would like to ask about my mother, who is 64 years old. At the beginning of the month, she suffered a hemorrhagic stroke and was taken to the hospital, where surgery was required. The surgery went smoot...
Dr. Zhang Junwei Reply:
Based on your description, the patient may not have fully regained consciousness yet. Since each patient's condition varies, it is advisable to consult your attending physician.[Read More] Post-Surgery Recovery Concerns After Brain Hemorrhage: What to Expect
Understanding Treatment Options for Hydrocephalus in Elderly Patients
Management of Hydrocephalus Hello Doctor, my father-in-law is currently about 75 years old. He suffered a brain injury and hydrocephalus from a car accident in 2004, and underwent ventriculoperitoneal shunt placement (initially with an adjustable shunt that was removed due to inf...
Dr. Zhang Junwei Reply:
Pleural cavity drainage is primarily concerned with pleural effusion. The extent to which symptoms improve after drainage is not guaranteed. While drainage can alleviate hydrocephalus, it cannot assist patients who already exhibit symptoms of dementia.[Read More] Understanding Treatment Options for Hydrocephalus in Elderly Patients
Understanding Post-Concussion Symptoms: Pain and Numbness Explained
Post-concussion syndrome may involve symptoms such as pain and numbness? Hello, Doctor. On the night of October 1st last year, I slightly bumped the upper right side of my head against a car door after slipping. It hurt a lot at the moment, and I instinctively rubbed it. Later, I...
Dr. Zhang Junwei Reply:
It doesn't sound like post-concussion syndrome; it's just a general bruise and cervical strain. It's recommended to take anti-inflammatory medication and get plenty of rest.[Read More] Understanding Post-Concussion Symptoms: Pain and Numbness Explained
Impact of Skull Deformities on Brain Development and Neurological Health
Head issues My skull is growing towards the right rear, and the right side is larger than the left. I suspect this may be due to a twisting force I experienced during elementary school. Is it possible that this type of external force causing skull deformation could affect my nerv...
Dr. Zhang Junwei Reply:
Without a physical and neurological examination, it is unclear how severe the head shape deformity is. If it is not too severe, it generally does not have any significant impact.[Read More] Impact of Skull Deformities on Brain Development and Neurological Health
Post-Surgery Intracranial Hemorrhage: Understanding Pupil Size Differences
Post-intracranial hemorrhage surgery Hello, my mother had an emergency craniotomy for a brain hemorrhage at the end of September last year. When she arrived at the hospital, both of her pupils were dilated, and the injury was to her right hemisphere. After the surgery, her left p...
Dr. Zhang Junwei Reply:
Some people are born with unequal pupil sizes, making it difficult to determine if this is normal. It is recommended to consult a professional neurologist for an examination.[Read More] Post-Surgery Intracranial Hemorrhage: Understanding Pupil Size Differences