Dr. Hong Weibin reply Neurology Question - Page 11

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Understanding Respiratory Issues and Intubation in Stroke Patients in ICU

Inquiries regarding respiratory issues caused by stroke and intubation in the intensive care unit? Hello, my father experienced weakness in his limbs and inability to speak (while conscious) on August 7 and went to the emergency room. After more than nine hours of waiting, he fin...


Dr. Hong Weibin reply Neurology
If the patient truly does not want to suffer excessively, and the family wishes to alleviate the patient's discomfort after discussion, it is advisable to request the attending physician to consult the hospital's palliative care team. Since September 1, 2009, the follow...

[Read More] Understanding Respiratory Issues and Intubation in Stroke Patients in ICU


Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues

Right eyelid ptosis and tightness on the right side of the face? Hello, I noticed that my eyes are uneven about a month ago. The right side of my face droops, causing the asymmetry. I thought it was due to fatigue, but even after getting enough sleep, I woke up the next day with ...


Dr. Hong Weibin reply Neurology
Hello: Based on your description, I suspect the cause may be right-sided facial nerve paralysis. Additionally, it is important to be cautious about the possibility of myasthenia gravis. I recommend that you seek assistance from a neurologist directly.

[Read More] Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues


Understanding Unilateral Foot Numbness: Causes and Solutions

Unilateral plantar paresthesia? Hello, doctor. About two weeks ago, I started experiencing a tingling sensation in the sole of my left foot. Sometimes it comes in waves, and other times it doesn't occur at all. This sensation can happen whether I'm sitting or lying down...


Dr. Hong Weibin reply Neurology
Hello: Based on your description, if the numbness is limited to the soles of your feet and does not extend proximally, it is likely due to plantar fasciitis or soft tissue pathology. It is advisable to check your shoes; if they are too rigid, consider switching to shoes with cush...

[Read More] Understanding Unilateral Foot Numbness: Causes and Solutions


Understanding Sleep Disorders: When Sleepwalking Turns Violent

Sleepwalking and hitting? Hello Doctor: I am inquiring on behalf of my family. My father hears sounds at night that resemble something being swiped by a hand while he is sleeping. A few days later, I heard my mother say that he has been hitting people in his sleep. Could you plea...


Dr. Hong Weibin reply Neurology
Based on your description, it is highly likely that you are experiencing "REM Sleep Behavior Disorder." Sleep can be divided into light sleep, deep sleep, and rapid eye movement (REM) sleep. During REM sleep, dreaming occurs, and under normal circumstances, the brain in...

[Read More] Understanding Sleep Disorders: When Sleepwalking Turns Violent


Understanding Risks of Hydrocephalus Surgery: A Guide for Families

Inquiry about the risks of hydrocephalus surgery? Hello, doctor! Recently, I have read many articles that only describe symptoms, sequelae, and surgical methods. I am inquiring about the risks during the surgical process. The patient has experienced elevated intracranial pressure...


Dr. Hong Weibin reply Neurology
1. General anesthesia typically involves the use of intravenous and inhalational anesthetics to block pain. In a normal human body, the brainstem's respiratory center sends signals to the respiratory muscles to facilitate breathing. However, during the administration of anes...

[Read More] Understanding Risks of Hydrocephalus Surgery: A Guide for Families


Understanding Persistent Muscle Twitches: Causes and Concerns

Muscle twitching for several consecutive days, lasting for a few hours each day? Dear Doctor, My wife suddenly informed me last Saturday night that she was experiencing muscle twitching in her upper arm. After observing the condition for several hours without any relief, we wen...


Dr. Hong Weibin reply Neurology
There are many causes for muscle twitching, among which electrolyte imbalances, anemia, dehydration, and radiculopathy are common. The diagnosis of benign fasciculation syndrome is typically made after excluding electrolyte imbalances, anemia, and neuromuscular issues. As for amy...

[Read More] Understanding Persistent Muscle Twitches: Causes and Concerns


Is It Really Dementia? Understanding Cognitive Decline in Elderly Patients

Is it really dementia? My grandfather is 80 years old and has been in poor health due to a stroke he suffered two years ago. Recently, he was hospitalized for malnutrition, but the doctor mentioned that my grandfather has dementia, which has caused him to forget how to eat and dr...


Dr. Hong Weibin reply Neurology
Hello: Dementia is a syndrome, not a single disease (for example, influenza is a disease caused by the influenza virus; however, acquired immunodeficiency syndrome is a syndrome with multiple manifestations, such as pneumocystis pneumonia, fungal infections, tumors, etc.). When a...

[Read More] Is It Really Dementia? Understanding Cognitive Decline in Elderly Patients


Understanding Dizziness and Excessive Sleepiness: A Neurological Perspective

During episodes of dizziness, there may be persistent drowsiness? My daughter was recently diagnosed with vertigo, and the doctor advised her to avoid certain foods, such as chocolate, citrus fruits, tomatoes, dairy products, and pizza. She takes medication to manage her vertigo ...


Dr. Hong Weibin reply Neurology
Hello: Dizziness can be classified based on the lesion as peripheral or central. If the dizziness is more indicative of a central type during episodes, it may affect the brainstem's ability to maintain wakefulness (reticular activating system), causing the patient to feel mo...

[Read More] Understanding Dizziness and Excessive Sleepiness: A Neurological Perspective


Can Frequent Hits to the Back of the Head Affect My Brain Function?

Frequently hit on the back of the head? Hello, doctor: I am currently in high school, but my classmates often make fun of me and frequently hit the back of my head (quite hard, and it makes me feel dizzy). This has been happening for almost a year... I would like to know if this ...


Dr. Hong Weibin reply Neurology
Hello: Chronic head trauma can indeed lead to brain damage and even pose a risk of intracranial hemorrhage, which over time may result in cognitive decline. Foreign studies have found that individuals who experience head injuries at a young age, such as boxers or football players...

[Read More] Can Frequent Hits to the Back of the Head Affect My Brain Function?


Can Stroke Be Treated? Understanding Care Options and Concerns

Can a stroke be treated? My mother suddenly experienced facial drooping and weakness in her left arm and leg, and was urgently taken to the hospital. The doctor diagnosed her with a stroke and administered three doses of tissue plasminogen activator (tPA) and started an IV drip. ...


Dr. Hong Weibin reply Neurology
Currently, for the treatment of stroke, if a patient arrives at the hospital within 3 hours of the onset of acute stroke symptoms (calculated from the last time they were normal), thrombolytic therapy can be administered. If the patient arrives within 4 to 6 hours (and in some ca...

[Read More] Can Stroke Be Treated? Understanding Care Options and Concerns


Understanding Facial Nerve Spasms: Diagnosis and Treatment Options

Facial nerve spasm Hello Doctor: My father has been experiencing facial nerve spasms for almost 2 years now. He receives Botox injections at the hospital every 4 months, but I feel the results are not very effective; his symptoms persist, including "twitching of the right ey...


Dr. Hong Weibin reply Neurology
Hello: Hemifacial spasm is caused by involuntary discharges of the facial nerve, resulting in contractions of the eyelid and the corner of the mouth. However, in your description, in addition to eyelid blinking, there is also a simultaneous action of swallowing (is it a true swal...

[Read More] Understanding Facial Nerve Spasms: Diagnosis and Treatment Options


Is Walking Considered Rehabilitation After a Stroke?

Is walking also considered rehabilitation? Hello Dr. Hong, my grandfather recently experienced a minor stroke and during his hospital stay, he had several episodes of minor strokes. He is currently unable to walk properly, has a crooked mouth, and drools. After some time, he reco...


Dr. Hong Weibin reply Neurology
Hello: Ischemic stroke is caused by the occlusion of blood vessels supplying brain tissue, leading to hypoxia and necrosis of normal brain tissue. The acute phase of an ischemic stroke lasts approximately 5-7 days from the onset of symptoms. Risk factors for stroke include age (t...

[Read More] Is Walking Considered Rehabilitation After a Stroke?


Understanding Tremors: Could They Be Primary Essential Tremor?

The body may tremble? My symptoms are as follows: 1. My hands tremble. I've had this for a long time (since around middle school). When I lift a cup to drink, my hands shake, and my head shakes as well. When typing or using the mouse, both hands tremble, with my left hand sh...


Dr. Hong Weibin reply Neurology
Hello: Based on your inquiry, in addition to primary tremor, physiological tremor may also be a possible cause. A consultation with a neurologist can help clarify the situation. If it does not affect your daily life, there is generally no need for excessive concern.

[Read More] Understanding Tremors: Could They Be Primary Essential Tremor?


Understanding Autonomic Nervous System Disorders: When to Seek Brain Imaging?

Autonomic nervous system dysfunction? Or is it a brain issue? Warning signs to watch for? Hello, doctor. I have been experiencing many symptoms since the beginning of January. At the onset, I suddenly felt a sharp pain in my heart, followed by numbness in my limbs. For the next f...


Dr. Hong Weibin reply Neurology
Hello: Based on your symptoms, there are multiple issues that may complicate the identification of a brain-related problem. Many factors need to be considered, including endocrine disorders, psychosomatic disorders, autoimmune diseases, and more. It is recommended that you first ...

[Read More] Understanding Autonomic Nervous System Disorders: When to Seek Brain Imaging?


Understanding Recurring Symptoms: Fatigue, Nausea, and Breathing Difficulties

Generalized weakness > Nausea > Dizziness > Difficulty breathing > Rest > Recovery to normal? Hello doctor, yesterday morning when I woke up to go to work, I felt very tired the moment I opened my eyes. I slowly got up and walked to the bathroom, still feeling very...


Dr. Hong Weibin reply Neurology
Thank you for your inquiry. I recommend that you first seek assistance from a neurologist to check for any organic lesions or autonomic nervous system disorders. If those are ruled out, then consider consulting a psychiatrist to evaluate for possible panic disorder. Wishing you a...

[Read More] Understanding Recurring Symptoms: Fatigue, Nausea, and Breathing Difficulties


Is It Panic Disorder or Autonomic Nervous System Dysfunction?

Am I experiencing panic disorder or autonomic nervous system dysregulation? Last week, after bingeing on spicy hot pot, I experienced dry mouth and throat, followed by two days of diarrhea. Concerned about my symptoms, I researched possible causes, and since then, my appetite has...


Dr. Hong Weibin reply Neurology
Your symptoms are quite complex; in addition to diarrhea, you also have numbness in your hands and feet. You should be cautious about the possibility of acute inflammatory demyelinating polyneuropathy (Guillain-Barré syndrome). It is advisable to seek medical assistance directly ...

[Read More] Is It Panic Disorder or Autonomic Nervous System Dysfunction?


Understanding Stroke Recurrence: Care and Rehabilitation Insights

Recurrent stroke Hello Dr. Hong, I apologize for asking, but I would like to inquire about my father. He had a stroke last Mid-Autumn Festival, resulting in weakness in his left thumb. Since then, we have been cautious about preventing another stroke and have continued rehabilit...


Dr. Hong Weibin reply Neurology
Hello: I feel very sorry for your father's situation. A stroke is caused by a blockage in the cerebral blood vessels, which may result from atherosclerosis in the cerebral arteries or thrombosis due to atrial fibrillation. The term "cerebral hypoxia" is somewhat va...

[Read More] Understanding Stroke Recurrence: Care and Rehabilitation Insights


Understanding Thumb Tremors: Causes and Concerns for Young Adults

The thumb is experiencing persistent twitching? Hello, I am a 27-year-old female. My right thumb has been twitching for about a month. Initially, the twitching lasted only a few seconds at a time, but now it can continue for three to four hours. Recently, I have also felt the twi...


Dr. Hong Weibin reply Neurology
Hello: Muscle twitching is often associated with lesions of the lower motor neurons; however, there are many diseases affecting the lower motor neurons, and they are not necessarily related to amyotrophic lateral sclerosis (ALS) or Parkinson's disease. Conditions such as ele...

[Read More] Understanding Thumb Tremors: Causes and Concerns for Young Adults


Understanding Sundowning Syndrome: Causes, Symptoms, and Support Strategies

Sundowning Syndrome Hello, Doctor: A few weeks ago, I was involved in a car accident where I hit an elderly person. Recently, I visited them and learned that the accident triggered dementia in the elderly individual, leading to episodes of agitation and aggression, which is refer...


Dr. Hong Weibin reply Neurology
Hello: The Sundown Phenomenon may not necessarily be caused by the incident you encountered; the car accident could simply be the last straw that broke the camel's back. Sometimes, elderly individuals may experience this due to chronic cognitive decline, especially when tran...

[Read More] Understanding Sundowning Syndrome: Causes, Symptoms, and Support Strategies


Dizziness and Spinning Sensation: Neurological Insights and Solutions

Dizziness and vertigo? In recent weeks, whenever I lie down and move my head, I experience dizziness, as if the room is spinning, and I also feel nauseous. Please provide an explanation, doctor.


Dr. Hong Weibin reply Neurology
Hello: Dizziness can generally be classified based on the location of the lesion into "peripheral dizziness" and "central dizziness." Peripheral dizziness refers to dysfunction in the structures of the inner ear that manage balance, such as the semicircular ca...

[Read More] Dizziness and Spinning Sensation: Neurological Insights and Solutions


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