Understanding Hypertension: Impact on Cognitive Function and Recovery Strategies
Hypertension issues Hello, doctor. I was diagnosed with bipolar disorder and major depressive disorder at the age of twenty-three due to stress factors. Since then, my blood pressure has often been elevated, and I am currently taking antihypertensive medication. I would like to a...
Dr. Gao Chunde reply Neurology
There are many causes of cognitive decline. First, it is important to determine whether it is genuine cognitive decline or merely a pseudodementia caused by anxiety, mood disorders, stress, or medication. If it is indeed genuine, it is relatively uncommon at this age, and it may ...[Read More] Understanding Hypertension: Impact on Cognitive Function and Recovery Strategies
Can Stroke Symptoms Like Dizziness and Weakness Be Cured?
Can a patient with a stroke (symptoms: dizziness, memory loss, and generalized weakness) be cured? Hello Doctor: Can a patient with a stroke (symptoms: dizziness, memory loss, and general weakness) be cured? What is the golden period for treatment? Thank you for your response.
Dr. Gao Chunde reply Neurology
The recovery from a stroke is related to several factors, including the patient's age, the control of chronic diseases, the presence of other complications, the type of stroke, its location, size, and whether it has affected critical functional areas such as the language cen...[Read More] Can Stroke Symptoms Like Dizziness and Weakness Be Cured?
Understanding Forehead Twitches: When to Seek Further Neurological Evaluation
Facial and forehead twitching? Doctor, I would like to consult about the involuntary twitching I've been experiencing on the left side of my forehead. It has been occurring intermittently for several days, averaging over 20 times a day in the same area, just above my left ey...
Dr. Gao Chunde reply Neurology
Muscle twitching can be a result of nerve hyperexcitability due to lack of sleep, or it may indicate the early signs of neurological disorders such as neuropathy or involuntary movements. An electromyogram (EMG) is used to determine whether the electrical activity originates from...[Read More] Understanding Forehead Twitches: When to Seek Further Neurological Evaluation
Is Autonomic Nervous System Disorder Difficult to Treat?
Is autonomic nervous system dysfunction difficult to treat? I visited a gastroenterology clinic twice, and the doctor mentioned that I might have autonomic nervous system dysfunction in the gut and advised me to see a neurologist. Is autonomic nervous system dysfunction difficult...
Dr. Gao Chunde reply Neurology
The autonomic nervous system generally refers to the sympathetic and parasympathetic nervous systems. The sympathetic system is responsible for the body's fight-or-flight response, while the parasympathetic system promotes rest, relaxation, and recovery of bodily functions. ...[Read More] Is Autonomic Nervous System Disorder Difficult to Treat?
Persistent Headaches: When Pain Medications Fail to Provide Relief
If taking medication for headaches does not improve the symptoms, it is important to consult a healthcare professional for further evaluation and management? Hello Doctor: I have been experiencing persistent headaches lately. The pain subsides when I sleep, but as soon as I wake ...
Dr. Gao Chunde reply Neurology
In general, if a typical migraine improves after taking the medications you mentioned, it should be nearly resolved. If there is no improvement, one possibility is that it is a status migrainosus, which requires stronger injectable medications for ongoing treatment. Another consi...[Read More] Persistent Headaches: When Pain Medications Fail to Provide Relief
Managing Peripheral Nerve Issues: Tips for Self-Improvement and Care
Peripheral nerve issues Hello, Doctor. I would like to ask: My mother has been experiencing hand numbness and reduced sensation due to years of overwork. I'm not sure which specialist she should see for treatment. What are some self-improvement methods she can try? Also, is ...
Dr. Gao Chunde reply Neurology
Overuse of the hands commonly leads to carpal tunnel syndrome. As long as the hospital has a neurology department, nerve conduction studies can be performed. After the tests, it can be determined whether the hand numbness is solely due to carpal tunnel syndrome or if it is caused...[Read More] Managing Peripheral Nerve Issues: Tips for Self-Improvement and Care
Preventing Lead Poisoning: Risks, Symptoms, and Safety Tips
Prevention of Lead Poisoning My wall has some peeling paint, and I've heard that lead poisoning can cause neurological damage. I don't understand this well. I sleep next to it and may have inhaled quite a bit of dust. Could this lead to lead poisoning? Do I need to get ...
Dr. Gao Chunde reply Neurology
Lead poisoning is not commonly seen in this situation; it is more likely to occur with long-term exposure to spray paint, baked paint, or in battery manufacturing or recycling industries. Neuropathy in adults often first affects the motor nerves of the radial nerve, leading to wr...[Read More] Preventing Lead Poisoning: Risks, Symptoms, and Safety Tips
Understanding Abnormal EEG Results: Causes and Concerns Explained
Electroencephalogram (EEG) I have abnormal brain wave results (cortical dysfunction in the left hemisphere), but I have no other physical discomfort. What could be the possible causes? I'm really worried, thank you.
Dr. Gao Chunde reply Neurology
Electroencephalography (EEG) primarily assesses the electrical activity of the cerebral cortex and its responsiveness to various stimuli to infer cortical function. Asymmetry in brain wave patterns may represent normal variations in healthy individuals, or it could be influenced ...[Read More] Understanding Abnormal EEG Results: Causes and Concerns Explained
Understanding Neck and Shoulder Pain: When to Seek Neurology Care
Cervical and shoulder pain? Neck and shoulder pain that does not occur when the head is in a neutral position but arises when the head is tilted downwards, with discomfort extending from the left side of the neck to the left side of the back of the head, feels different from typi...
Dr. Gao Chunde reply Neurology
Inflammation of the muscles or fascia, or long-term improper use, can lead to increased muscle tension on one side, resulting in muscle fatigue and stiffness. It is advisable to consult a rehabilitation specialist for physical therapy and postural correction, or to see a neurolog...[Read More] Understanding Neck and Shoulder Pain: When to Seek Neurology Care
Why Does My Left Occipital Area Hurt When I Bend My Neck?
Pain in the left posterior region of the neck that occurs when bending the neck downward may indicate muscle strain, tension, or possible nerve irritation. It is advisable to consult a healthcare professional for an accurate diagnosis and appropriate treatment? Hello, doctor. Whe...
Dr. Gao Chunde reply Neurology
It is caused by prolonged or improper use of the shoulder and neck muscles. You can use a warm towel for self-heat therapy while taking a shower, or take breaks every thirty to forty minutes while working at the computer to move your arms, shoulders, and neck. If there is still n...[Read More] Why Does My Left Occipital Area Hurt When I Bend My Neck?
Numbness in Outer Thigh: When to See a Neurologist or Surgeon?
Numbness in the outer thigh? Hello, I would like to ask about experiencing numbness on the outer thigh, which is just a superficial sensation and localized, without any pain or discomfort. Initially, it was in the left thigh, and later it also occurred in the right thigh. There h...
Dr. Gao Chunde reply Neurology
Abnormal sensations in the groin area, typically occur due to rapid abdominal enlargement, tight waistband, or excessive pressure on the inguinal region affecting a branch of the lateral femoral cutaneous nerve. This condition primarily involves sensory nerve disturbances without...[Read More] Numbness in Outer Thigh: When to See a Neurologist or Surgeon?
Unseen Voices: Seeking Help for Mysterious Neurological Symptoms
No opening, many people hear you speaking—please help from a neurology expert? Explanation 1: Several years ago, a community experienced a collective onset of unusual symptoms, including difficulty concentrating, night sweats, tinnitus, dizziness, headaches, a sensation of an exp...
Dr. Gao Chunde reply Neurology
It is recommended to seek treatment from a psychosomatic medicine specialist.[Read More] Unseen Voices: Seeking Help for Mysterious Neurological Symptoms
Understanding Dizziness: Is It Related to Neurological Disorders?
Dizziness Hello doctor, I would like to ask if dizziness that is characterized as a rotational or floating sensation is related to neurological disorders? Thank you.
Dr. Gao Chunde reply Neurology
It can be classified into central and peripheral causes, specifically brainstem lesions and vestibular nerve lesions. Further diagnosis must be confirmed through an in-person examination by a physician.[Read More] Understanding Dizziness: Is It Related to Neurological Disorders?
Understanding Involuntary Tremors in Children: Which Specialist to Consult?
Which department should I consult for involuntary shaking? Hello, my son is currently 4 and a half years old. For the past month, he has been experiencing involuntary shaking movements that suddenly pause for 1-2 seconds, followed by a brief shake of his legs or body. There are n...
Dr. Gao Chunde reply Neurology
Please visit the neurology outpatient clinic for further evaluation of the sudden pauses lasting one to two seconds. It may be necessary to consider the possibility of absence seizures, and a more detailed history along with an EEG examination should be conducted.[Read More] Understanding Involuntary Tremors in Children: Which Specialist to Consult?
Understanding Dizziness: Causes, Emotional Triggers, and Treatment Options
Unexplained dizziness? Hello. My grandmother is 80 years old and has had high blood pressure and heart disease since her fifties. Occasionally, she experiences dizziness for a few days, which resolves on its own. When she feels dizzy, her blood pressure readings are neither too h...
Dr. Gao Chunde reply Neurology
Emotional anxiety, tension, or depression can actually be one of the causes of dizziness. However, it is essential to rule out other organic causes before making this diagnosis. If medication is prescribed solely to suppress dizziness, such as anti-vertigo drugs, it is advisable ...[Read More] Understanding Dizziness: Causes, Emotional Triggers, and Treatment Options
Understanding Leg Numbness: When to See a Neurologist After Back Surgery
Numbness in both legs extending to the soles of the feet? Doctor, seven years ago I underwent an L5-S1 discectomy. I had no discomfort after the surgery, but four months ago I suddenly experienced lower back pain. The pain then subsided, but I developed tingling and numbness in m...
Dr. Gao Chunde reply Neurology
Since the MRI is fine, I believe it should be related to failed back surgery syndrome in neurosurgery. I'm not sure how to translate that into Chinese, but it sounds very similar to your description. You can search online or consult with a neurosurgeon who has extensive surg...[Read More] Understanding Leg Numbness: When to See a Neurologist After Back Surgery
Understanding Muscle Cramps in Teens: When to Seek Medical Advice
Hello, Dr. Gao? Dr. Gao: My younger brother, who is 15 years old, sometimes experiences unexplained muscle spasms in his hands. His hands clench up completely and he cannot open them... It’s very uncomfortable to see the expression on his face. I would like to ask Dr. Gao: Does m...
Dr. Gao Chunde reply Neurology
It may be symptoms of myotonia, and you should see a doctor. If necessary, blood tests and needle electromyography will be performed.[Read More] Understanding Muscle Cramps in Teens: When to Seek Medical Advice
Eye Movement Pain: Possible Neurological Issues Explained
Pain in the head when moving the eyes? I'm sorry to hear that you're feeling unwell. Over the past couple of days, you've been experiencing a cold with persistent coughing, but you've also noticed a strange sensation of swelling in your eyes. Additionally, mov...
Dr. Gao Chunde reply Neurology
The extraocular muscles behind the eyeball are actually connected to the meninges, so moving the eyes can cause head pain, which is a mild reaction of the meninges. It's important to also check for any neck stiffness, fever, headache, and whether there is any double vision. ...[Read More] Eye Movement Pain: Possible Neurological Issues Explained
Understanding Weak Sensation in the Right Foot's Ring Finger
Weak sensation in the front of the right foot's ring finger? In the past few days, I have been experiencing a slight numbness at the tip of my right foot's fourth toe. I am unsure of the cause. Could you please provide an explanation, doctor? Thank you.
Dr. Gao Chunde reply Neurology
This worsening sensation is often due to dysfunction of a small branch of the plantar nerve. The causes can include compression, such as ill-fitting shoes or specific activities like dancing. It may also be due to inflammation of a single nerve or ischemia, which can occur in ind...[Read More] Understanding Weak Sensation in the Right Foot's Ring Finger
Understanding Persistent Right-Sided Numbness and Tightness Symptoms
Numbness and tightness in the right side of the limbs? Hello, doctor. I would like to ask about my father's symptoms. He has been experiencing numbness and tightness from his head to his toes on the right side of his body for over three years. The tightness feels like being ...
Dr. Gao Chunde reply Neurology
If it is a stroke, there should be a specific onset time, with symptoms suddenly appearing on one side. Additionally, if facial or speech clarity is normal, one should consider whether it is related to a lower cervical spine issue or simply habitual fatigue and stiffness on one s...[Read More] Understanding Persistent Right-Sided Numbness and Tightness Symptoms