Managing Concussion Symptoms: When to Seek Medical Attention
How to manage a concussion? On March 25, I fainted and hit my head, but I regained consciousness within 10 minutes. I fainted again for a while and was awakened by a convenience store employee. Although I continued to feel dizzy and had blurred vision, I did not go to the emergen...
Dr. Zhang Junwei Reply:
Recommendation for a neurosurgical evaluation.[Read More] Managing Concussion Symptoms: When to Seek Medical Attention
Hard Bump Near Anus: Is It a Pimple or Something Else?
Acne near the anal area? I have a hard lump near my anus. It doesn't feel very irregular when I touch it, and there is no whitehead. Could this be a pimple, or something else? If you need a picture, I have taken one.
Dr. Yu Mingchang Reply:
Hello: The likelihood of external hemorrhoids is low; it would be good to consult a colorectal specialist when you have time.[Read More] Hard Bump Near Anus: Is It a Pimple or Something Else?
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 Head Issues: Understanding Tightness and Pain After Craniotomy
Postoperative issues related to the head? Hello Doctor, I would like to ask you a question. About 7-8 years ago, I underwent a craniotomy due to a vascular malformation in my head, and my post-operative condition was good. However, in the past few months, I occasionally feel tigh...
Dr. Zhang Junwei Reply:
The surgery from 7-8 years ago should not have any issues with the wound. Since the wound cannot be examined, it is recommended to return to the outpatient clinic for follow-up.[Read More] Post-Surgery Head Issues: Understanding Tightness and Pain After Craniotomy
Understanding Skull Reconstruction: Causes of Indentation After Surgery
Cranial reconstruction? The cranial bone was replaced with autologous bone, and it has been 3 months since the procedure. There is a dent the size of a 5-cent coin at the suture line on the top of the head, but there are no discomforts in the body. What could be the reason for th...
Dr. Zhang Junwei Reply:
The indentation is likely a remnant of the craniotomy performed at that time.[Read More] Understanding Skull Reconstruction: Causes of Indentation After Surgery
Post-Car Accident Head Trauma: Understanding Symptoms and Recovery
Head impact from a car accident? Hello, Doctor: My mother (71 years old) was in a car accident on February 5th, where she sustained a blow to the left front side of her head. A CT scan was performed that day, and the emergency physician noted a slight bleeding (the images showed ...
Dr. Zhang Junwei Reply:
Common symptoms of head trauma include headache, dizziness, and discomfort, which may not necessarily be related to the presence of bleeding. The duration of symptoms typically lasts around one week, although some individuals may experience symptoms for up to a month.[Read More] Post-Car Accident Head Trauma: Understanding Symptoms and Recovery
Understanding Tinnitus: Seeking Solutions After Nerve Compression Treatment
Tinnitus consultation My father experienced nerve compression at cervical vertebrae 4, 5, and 6 in September 2017, which caused pain and numbness in his shoulders, neck, back, and elbows. Initially, the cause of his condition was unclear, leading to a frantic search for treatment...
Dr. Zhang Junwei Reply:
For tinnitus issues, it is recommended to seek treatment from an otolaryngologist (ENT specialist) and a neurologist. Currently, I cannot think of any other methods or tests that would be beneficial.[Read More] Understanding Tinnitus: Seeking Solutions After Nerve Compression Treatment
Understanding Skull Healing Time After Cranioplasty: What to Expect
The healing time for the skull after cranioplasty? Hello Doctor: I was in a car accident at the end of August last year, where my helmet came off and my head hit the ground. I was immediately taken to the emergency room, where it was determined that I had a skull fracture and int...
Dr. Zhang Junwei Reply:
Typically, the protrusion may be due to small bone screws and plates that fixate the skull. It is abnormal for the skull to slide back and forth, and it is recommended to seek further evaluation at a neurosurgery outpatient clinic.[Read More] Understanding Skull Healing Time After Cranioplasty: What to Expect
How to Treat Indentations After Head Injury Sutures?
How can the indentation after suturing a head injury be restored? Dear Doctor, About a year ago, I suffered a skull fracture after falling down the stairs, which resulted in a stitched scar. The scar feels like a sunken gap, and the surgeon explained that it was caused by the s...
Dr. Ke Fangxu Reply:
If the depression left by a skull fracture is not visibly apparent to the naked eye, it is generally not treated. However, if the individual is concerned about it, they can consult a neurosurgeon or a plastic surgeon for repair using artificial bone.[Read More] How to Treat Indentations After Head Injury Sutures?
How to Treat Indentations After Head Injury Sutures?
How can the indentation after suturing a head injury be restored? Doctor, about a year ago, I suffered a skull fracture from falling down the stairs, which resulted in a stitched scar. The scar feels like a sunken gap, and the surgeon mentioned that it was caused by the space bet...
Dr. Ke Fangxu Reply:
If the depression left by a skull fracture is not visibly apparent to the naked eye, it is generally not treated. However, if the individual is concerned about it, they can consult a neurosurgeon or a plastic surgeon to consider repair using artificial bone.[Read More] How to Treat Indentations After Head Injury Sutures?
Understanding Neck and Shoulder Pain: Insights from Neurosurgery
Shoulder, neck, and back issues? About two years ago, I went to an amusement park and rode a roller coaster. I didn't keep my head pressed against the backrest, and during the turns, my neck was thrown around. At that moment, I only felt neck pain, but after a few weeks, it ...
Dr. Zhang Junwei Reply:
It may be a problem related to spinal nerve compression; it is recommended to consult a neurosurgery outpatient clinic for examination.[Read More] Understanding Neck and Shoulder Pain: Insights from Neurosurgery
Post-Operative Exercise Guidelines After Laminectomy Surgery
Postoperative Exercise After Kyphoplasty Hello Dr. Lai, I previously inquired about the issue of pedicle screw and plate fixation in posterior cervical decompression surgery, and I am still struggling with the decision to undergo the surgery. I enjoy running, practicing yoga, and...
Dr. Lai Zhaokang Reply:
Hello: Generally, a cervical collar is required for protection for 3 months post-surgery to allow for fusion. Once fusion is confirmed, gentle movements of the cervical spine should be performed. Other activities such as running and hiking should be acceptable if done in moderati...[Read More] Post-Operative Exercise Guidelines After Laminectomy Surgery
Post-Surgery Care for Anal Fistula: Essential Tips and Concerns
Postoperative Wound Care for Fistula Surgery Dear Dr. Ke, The patient underwent anal fistula surgery on January 26. The wound is located next to the anus and can be seen with a mirror. The attending physician did not examine the wound before discharge. Since returning home on Ja...
Dr. Ke Fangxu Reply:
1. If sitting baths are not possible, a handheld showerhead can be used as an alternative. If there are concerns about residual fecal matter, multiple rinses can be performed. 2. Postoperative wound discharge is a normal phenomenon; as long as there is no redness, swelling, hea...[Read More] Post-Surgery Care for Anal Fistula: Essential Tips and Concerns
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
Understanding Forehead Hematomas After Car Accidents: When to Seek Help
Forehead hematoma after a car accident? Hello Doctor: I was in a car accident about two weeks ago, and I sustained a significant impact to my forehead that caused a hematoma. I read online that it is possible for the lump to not resolve. Is this true? If the lump does not go away...
Dr. Li Zhonghuai Reply:
Hello! For a hematoma, first take care of the surface wound to prevent infection. Apply ice for the first week, followed by heat therapy. It usually resolves on its own. Take care! Changhua Hospital cares about you![Read More] Understanding Forehead Hematomas After Car Accidents: When to Seek Help
Head Injury Concerns: Signs of Possible Intracranial Bleeding
Head issues Today at work, I accidentally hit my head hard against a metal beam on the ceiling. It hurt a lot at the moment, and now there is a swollen bump where I hit it. I'm quite worried about the possibility of intracranial bleeding because the impact felt significant, ...
Dr. Peng Xianwen Reply:
Hello Ms. Chen: There is a possibility of a subcutaneous hematoma, and the intracranial hemorrhage needs to be monitored. If you are still experiencing discomfort, it is advisable to visit the hospital for examination. Director Peng Hsien-Wen, Department of Surgery, Nantou Hospit...[Read More] Head Injury Concerns: Signs of Possible Intracranial Bleeding
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
Understanding Concussions: Symptoms, Risks, and When to Seek Help
Concussion / Head Injury Hello, doctor. On the evening of December 21, I accidentally slipped and hit my head outside the bathroom. At the moment, I did not lose consciousness, but I felt a lot of pain at the impact site. The next day, I only experienced nausea without any loss o...
Dr. Zhang Junwei Reply:
Basically, if you are asking this question, the likelihood of a brain hemorrhage is very low. Brain hemorrhages typically present with severe headaches, dizziness, nausea, vomiting, and even loss of consciousness.[Read More] Understanding Concussions: Symptoms, Risks, and When to Seek Help
Understanding Head Injuries: Signs of Intracranial Bleeding
Head injury Yesterday, I hit my head and woke up at home. My friend told me that I rode my bike back, but I don't remember that part. Now my neck is sore, and there is a soft spot on my head when I press it. Could this be intracranial bleeding?
Dr. Zhang Junwei Reply:
It sounds like a concussion rather than an intracranial hemorrhage. I recommend a consultation with a neurosurgery outpatient clinic for evaluation.[Read More] Understanding Head Injuries: Signs of Intracranial Bleeding
Understanding Hard Bumps on the Back of the Head: Tumor or Folliculitis?
Occipital bone lump Hello Doctor, I have noticed that the right side of the back of my head is more protruded than the left side (it feels like there is a lump). It does not hurt normally, but it feels hard and immovable when I touch it. Pressing around it causes some pain, but t...
Dr. Li Zhonghuai Reply:
Hello! At your age, the likelihood of developing malignant tumors on the scalp is low; however, the chances of folliculitis or sebaceous cysts are higher. I can only advise you to completely avoid fried foods, barbecued foods, sweets, bubble tea, and tobacco and alcohol. Going to...[Read More] Understanding Hard Bumps on the Back of the Head: Tumor or Folliculitis?