Understanding Venous Laser Therapy for Post-Surgery Recovery
Venous laser therapy Hello, I would like to ask about my condition. I previously had a cerebral vascular arteriovenous malformation, which was surgically removed about five months ago. Currently, the most noticeable sequela is central facial nerve paralysis, and I am undergoing r...
Dr. Zhang Junwei Reply:
Venous laser treatment is not within the scope of neurosurgery. It is recommended to consult a rehabilitation physician for inquiries.[Read More] Understanding Venous Laser Therapy for Post-Surgery Recovery
Understanding Pediatric Concussions: Symptoms and Next Steps for Parents
Concussion in children One week ago, my 7-year-old son fell out of bed while sleeping and hit his head. He experienced some dizziness and vomiting that morning. The emergency department only performed an X-ray, which showed no abnormalities. After returning home, he did not vomit...
Dr. Zhang Junwei Reply:
The symptoms you described are not typical of a cerebral hemorrhage, and theoretically, there should be no issues related to brain bleeding or nerve compression. If you have any questions or concerns, it is recommended to consult a neurosurgery outpatient clinic for an examinatio...[Read More] Understanding Pediatric Concussions: Symptoms and Next Steps for Parents
Challenges and Hope: Navigating Post-Surgery Hydrocephalus Recovery
Recurrence after hydrocephalus surgery? Hello, doctor. My father is 84 years old. He was in a car accident at the age of 79, which resulted in a brain injury and a Glasgow Coma Scale score of 8. At that time, his language abilities were impaired, and he could only speak a maximum...
Dr. Zhao Shaoqing Reply:
In the case of the father, his condition requires ongoing rehabilitation therapy for improvement. The situation regarding the hydrocephalus can be reassessed, or adjustments to the hydrocephalus shunt valve may be necessary, which should be evaluated in an outpatient setting befo...[Read More] Challenges and Hope: Navigating Post-Surgery Hydrocephalus Recovery
Recovery Timeline for Running After Intracranial Hemorrhage Surgery
Intracranial hemorrhage Hello, Doctor! I was hospitalized in April this year due to a car accident, where I underwent surgery to remove a hematoma caused by intracranial bleeding. I have since been discharged, and during my follow-up appointment, the doctor informed me that my re...
Dr. Zhang Junwei Reply:
Cranial surgery is a major procedure that requires at least three months of recovery. However, since I am not aware of the specifics of your brain injury, it is best to consult your attending physician who performed the surgery for guidance.[Read More] Recovery Timeline for Running After Intracranial Hemorrhage Surgery
Stroke Recovery: Key Questions About Brain Hemorrhage Healing
Stroke and intracerebral hemorrhage recovery-related issues? Hello, Doctor. Five days ago, my father suddenly lost the ability to move his right side. He was urgently taken to the hospital, and the CT scan revealed a brain hemorrhage with a blood clot approximately the size of a ...
Dr. Zhang Junwei Reply:
1. The absorption of the blood clot typically takes about 2-3 weeks. 2. The focus is not on the blood clot, but rather on the brain damage caused by the bleeding that has already resulted in limb weakness. 3. No, it is not necessary. 4. It depends on the severity of the neurologi...[Read More] Stroke Recovery: Key Questions About Brain Hemorrhage Healing
Understanding CT Scan Results: Calcium Deposits and Teflon Concerns After Surgery
Computed Tomography (CT) scan of the brain? Hello, doctor. I underwent a decompression surgery for left-sided facial spasms at the end of 2016. At that time, the physician informed me that the surgical method involved creating an opening in the left posterior part of the brain an...
Dr. Lai Zhaokang Reply:
Hello: 1. Generally, it is unlikely. 2. It depends on the actual imaging. 3. An MRI of the cervical spine should be performed to assess whether the symptoms are caused by cervical nerve compression. 4. Cerebral calcifications can be classified into physiological and pathological ...[Read More] Understanding CT Scan Results: Calcium Deposits and Teflon Concerns After Surgery
Understanding Head Injuries in Elderly Patients: Risks and Recovery
Head trauma in the elderly? Hello, doctor. I recently had an accident with a woman around 70 years old. After the collision, she fell to the ground on her right side and was responsive when transported by ambulance, with all four limbs able to move. Later, the hospital examinatio...
Dr. Zhang Junwei Reply:
It is certainly possible for the condition to become more severe, but it may not, depending on whether there are subsequent brain hemorrhages and complications that arise.[Read More] Understanding Head Injuries in Elderly Patients: Risks and Recovery
Understanding Long-Term Effects of Intracranial Hemorrhage
What are the sequelae of intracranial hemorrhage? Hello, Doctor: Over a decade ago, I was inexplicably assaulted by a group of street racers, resulting in intracranial hemorrhage and vomiting blood. I spent two months in the intensive care unit with no significant improvement, an...
Dr. Zhang Junwei Reply:
Theoretically, a brain hemorrhage that occurred over a decade ago should not pose any issues now, and further examinations are not necessary.[Read More] Understanding Long-Term Effects of Intracranial Hemorrhage
Understanding Facial Nerve Disorders: Treatment Options and Insights
Facial nerve spasms? Hello, doctor... I have been experiencing facial nerve issues for over six years. I previously consulted traditional Chinese medicine, but my mouth continues to twitch and hasn't fully recovered. Is it really impossible to treat? Would switching to a pla...
Dr. Lai Zhaokang Reply:
Hello: 1. Your symptoms are likely indicative of facial nerve spasms. It is recommended to consult a senior neurosurgeon at a medical center. 2. Common causes include compression of the facial nerve in the brain by nearby blood vessels, leading to abnormal electrical short-circui...[Read More] Understanding Facial Nerve Disorders: Treatment Options and Insights
Concerns About Head Trauma: Is Skull Fracture Possible?
Head issues Doctor, I apologize for asking what may seem like a silly question. Two days ago, out of anger, I hit my head with my phone. The corner of the phone struck the right frontal bone near the hairline, and immediately, a soft indentation about 0.5 cm in diameter appeared ...
Dr. Zhao Shaoqing Reply:
Hello: You may have a mild concussion causing headaches and dizziness. If these symptoms worsen, you need to seek emergency care for a brain scan. For severe issues with your right ear, please visit an otolaryngologist to check for any bleeding or structural problems. Thank you f...[Read More] Concerns About Head Trauma: Is Skull Fracture Possible?
Head Injury Concerns: When to Seek Medical Attention for Symptoms
Head issues Hello Doctor, on Sunday night, while I was squatting down to place an item, I stood up and accidentally hit the left side of my head against the door of an upper cabinet with some force. It hurt for about five minutes. After checking, there was no visible swelling or ...
Dr. Zhao Shaoqing Reply:
Hello: You may have a mild concussion causing headaches and dizziness. If these symptoms worsen, you need to go to the emergency department for a brain scan. For severe issues with your right ear, you should see an otolaryngologist to check for any bleeding or structural problems...[Read More] Head Injury Concerns: When to Seek Medical Attention for Symptoms
Post-Accident Neurological Issues: Understanding Symptoms and Recovery
Regarding dizziness after a car accident, issues related to the frontal lobe of the brain, neck problems, and intracranial hemorrhage? Hello, Doctor: Regarding the topic in question, I suffered a head injury after a car accident while wearing a helmet, and I lost consciousness up...
Dr. Lai Zhaokang Reply:
1. Subarachnoid hemorrhage is a type of intracranial hemorrhage. 2. Observation and treatment may be possible for 3-6 months, with potential improvement. There is no specific medication, but acupuncture treatment in conjunction with traditional Chinese medicine can be considered....[Read More] Post-Accident Neurological Issues: Understanding Symptoms and Recovery
Managing Dizziness and Headaches After Brain Hemorrhage: Treatment Options
Dizziness and headache after a cerebral hemorrhage? Hello, doctor. Last September, I accidentally fell from my balcony in February and was taken to the emergency room. The doctors assessed that the likelihood of survival was extremely low. At that time, the doctors mentioned that...
Dr. Zhang Junwei Reply:
If you experience frequent headaches accompanied by facial flushing or tinnitus, it is advisable to return to the neurosurgery outpatient clinic for a detailed examination, as sometimes brain hemorrhages or injuries can lead to structural abnormalities in the brain.[Read More] Managing Dizziness and Headaches After Brain Hemorrhage: Treatment Options
Preoperative Assessments for Hydrocephalus Surgery: What You Need to Know
Hydrocephalus Surgery Evaluation My father suffered multiple fractures due to a car accident and is experiencing issues such as double vision and hydrocephalus. Although his overall health is gradually improving, the symptoms of hydrocephalus are becoming increasingly severe. We ...
Dr. Zhang Junwei Reply:
Before hydrocephalus surgery, a brain CT scan is essential to confirm the presence of hydrocephalus. As for whether a detailed evaluation is necessary prior to the surgery, it is theoretically required. This is because it relates to whether the patient's neurological deficit...[Read More] Preoperative Assessments for Hydrocephalus Surgery: What You Need to Know
Is Ventriculoperitoneal Shunt Surgery Suitable for Dementia from Brain Atrophy?
Cerebral atrophy leading to compensatory hydrocephalus with dementia symptoms, is it suitable for ventriculoperitoneal shunt surgery? Hello Doctor, my father is 66 years old and has a history of Parkinson's disease, epilepsy, diabetes, and mental illness. In October 2019, he...
Dr. Zhang Junwei Reply:
If a patient experiences compensatory ventricular enlargement due to cerebral atrophy, performing a ventriculoperitoneal shunt surgery is indeed not effective. It will not lead to significant improvement in the patient's dementia condition.[Read More] Is Ventriculoperitoneal Shunt Surgery Suitable for Dementia from Brain Atrophy?
Understanding Brain Edema Treatment Options After Tumor Surgery
Treatment of cerebral edema? My husband underwent brain tumor surgery four months ago and is currently experiencing hemiplegia and symptoms of cerebral edema (MRI shows infiltration of brain tissue with fluid accumulation, while the ventricles are normal). The attending physician...
Dr. Zhang Junwei Reply:
Cerebral edema and hydrocephalus are different conditions, and their management approaches are completely distinct. Cerebral edema typically improves gradually over time.[Read More] Understanding Brain Edema Treatment Options After Tumor Surgery
Understanding Skull Depression and Brain Hemorrhage After a Car Accident
Skull depression, cerebral hemorrhage? Hello, doctor. Here’s what happened: During the car accident, I was wearing a helmet, which showed no signs of impact or scratches, and I had no other bruises on my body. I remained conscious throughout. After arriving at the hospital, the d...
Dr. Zhang Junwei Reply:
A skull depression caused by impact and intracranial hemorrhage indicates that the force of the impact was significant. As for the recovery time, it cannot be determined without detailed medical history and information, and thus cannot be answered online.[Read More] Understanding Skull Depression and Brain Hemorrhage After a Car Accident
Understanding Persistent Dizziness: Causes, Tests, and When to Get an MRI
Dizziness for more than two months? Hello Doctor, I have been experiencing dizziness and shoulder and neck pain for the past two and a half months. The symptoms include a constant feeling of dizziness throughout the day, without a sensation of spinning, nausea, unsteadiness while...
Dr. Zhang Junwei Reply:
Your issue is complex, and it is difficult to provide a complete answer without a thorough physical examination and tests. I recommend consulting a neurology or neurosurgery outpatient clinic.[Read More] Understanding Persistent Dizziness: Causes, Tests, and When to Get an MRI
Understanding Nerve Issues: Exploring Causes of Leg and Hip Numbness
Numbness in the lower back, hips, and legs, unclear where the issue lies? On August 24, I had a pelvic adjustment, and for the week following, I did not experience any particular sensations and did not engage in any special activities. On September 1, I noticed swelling on the ou...
Dr. Zhang Junwei Reply:
It is not possible to diagnose the disease online; it is recommended to consult a neurosurgery outpatient clinic for examination.[Read More] Understanding Nerve Issues: Exploring Causes of Leg and Hip Numbness
Understanding Coma After Car Accident: Recovery and Potential Outcomes
Coma due to a car accident? In the case of a car accident where the ambulance arrived and there was no heartbeat or pulse, CPR was performed in the ambulance, successfully restoring the heartbeat. However, upon arrival at the hospital, the doctor indicated there was a brain hemor...
Dr. Zhang Junwei Reply:
The information is unclear and cannot be answered. Since there is bleeding, once a CT scan of the brain is performed, it will definitely identify the location of the bleeding. There will always be a Glasgow Coma Scale score, with a minimum of 3 and a maximum of 15. It cannot be a...[Read More] Understanding Coma After Car Accident: Recovery and Potential Outcomes