Understanding Headaches: When to Seek Medical Attention
Headache issues? Hello, doctor. I have a headache issue that usually starts in the afternoon, and sometimes I wake up with a mild headache. The pain is located in the back of my head and my temples, and it gets worse when I strain during bowel movements. I read online that this c...
Dr. Hong Weibin reply Neurology
Hello: There are many causes of headaches. If your headache worsens during straining to have a bowel movement, it is advisable to seek assistance from a neurologist.[Read More] Understanding Headaches: When to Seek Medical Attention
Head Injuries and Dementia: Understanding the Risks and Concerns
Head Trauma and Dementia Hello, Doctor. 1. I recently read that head injuries can increase the risk of dementia. I would like to ask if, when I was in the first and second grades of elementary school, I had a head injury that resulted in bleeding on a CT scan, but I did not exp...
Dr. Hong Weibin reply Neurology
Hello: 1. If it is a single mild head injury, the likelihood of developing dementia is low, so there is no need to worry excessively. 2. If all other organ examinations are normal, it may be necessary to consider psychosomatic disorders. You can seek assistance from a psychosomat...[Read More] Head Injuries and Dementia: Understanding the Risks and Concerns
Head Injuries and Dementia Risk: Understanding the Connection
Head Trauma and Dementia Hello Doctor, 1. I recently read that head injuries can increase the risk of dementia. I would like to ask if, when I was in the first and second grades of elementary school, I had a head injury that resulted in bleeding on a CT scan, but I did not expe...
Dr. Hong Weibin reply Neurology
Hello: 1. If it is a single mild head injury, the likelihood of developing dementia is relatively low, so there is no need to worry excessively. 2. If other organ examinations are normal, it may be necessary to consider psychosomatic disorders. You can seek assistance from a psyc...[Read More] Head Injuries and Dementia Risk: Understanding the Connection
Why Walking in a Curve Could Indicate a Neurological Issue
Walking is not a straight line? Doctor, may I ask if walking in a non-straight line indicates a medical issue? I usually tend to walk slightly to one side, but if I pay attention, I can walk straight. However, when I'm not conscious of it, I tend to lean to one side.
Dr. Hong Weibin reply Neurology
Hello: If there have been no falls, collisions, or impacts on daily life, it is advisable to continue monitoring the situation. However, if you are very concerned, you may want to consult a nearby neurologist to personally assess whether there are any abnormalities in your gait. ...[Read More] Why Walking in a Curve Could Indicate a Neurological Issue
Understanding Bedwetting: Could It Indicate a Neurological Issue?
Bladder issues Hello doctor, I accidentally urinated a few drops while I was sound asleep at five o'clock this morning, and then I immediately woke up and went to the bathroom. I read online that bedwetting could be related to brain issues. Could this be a sign of a brain tu...
Dr. Hong Weibin reply Neurology
Hello: Usually, simple urinary incontinence does not only consider issues related to the head; spinal cord problems also need to be taken into account. Additionally, if this is just a one-time occurrence, it is difficult to conclude that there is a pathological issue. It is more ...[Read More] Understanding Bedwetting: Could It Indicate a Neurological Issue?
Managing Dizziness and Drowsiness After a Stroke: Key Insights
Dizziness and drowsiness after a stroke? Hello Doctor: In July, I experienced paralysis and numbness on my left side. After being taken to the hospital, I was diagnosed with acute cerebral embolism located in a small vessel near the right brainstem. I received intravenous thrombo...
Dr. Hong Weibin reply Neurology
Hello: After a stroke occurs, even with the administration of thrombolytics, the blockage of blood vessels in the brain usually causes some degree of neurological damage, leading to certain sequelae. You may want to discuss this with your attending physician and evaluate whether ...[Read More] Managing Dizziness and Drowsiness After a Stroke: Key Insights
Understanding Involuntary Movements During Sleep: Possible Causes and Concerns
Involuntary movements during sleep? Hello Doctor, my father was recently diagnosed with prostate cancer and was hospitalized. During his hospital stay, he often experienced involuntary movements and shaking of his limbs while sleeping, occasionally talking in his sleep and waving...
Dr. Hong Weibin reply Neurology
Hello: I would suggest starting the investigation with paraneoplastic syndrome caused by prostate cancer, especially in patients with more severe conditions. Cancer often produces various autoimmune antibodies that may attack normal tissue cells in the body, leading to a range of...[Read More] Understanding Involuntary Movements During Sleep: Possible Causes and Concerns
Understanding Bedwetting: Could It Be a Neurological Issue?
Bladder issues Hello doctor, I accidentally urinated a few drops while I was sound asleep at 5 AM today, and then I immediately woke up and went to the bathroom. I read online that bedwetting could be related to brain issues. Could this be a sign of a brain tumor or something sim...
Dr. Hong Weibin reply Neurology
Hello: Usually, simple urinary incontinence does not only consider issues related to the head, but also requires attention to spinal cord problems. Additionally, if this is just a one-time occurrence, it is difficult to say that there is a pathological issue. It is more likely th...[Read More] Understanding Bedwetting: Could It Be a Neurological Issue?
Understanding Bedwetting: Is It a Sign of Neurological Issues?
Bladder issues Hello doctor, I accidentally urinated a few drops while I was sound asleep at five in the morning, and then I immediately woke up and went to the bathroom. I read online that bedwetting could be related to brain issues. Could this mean I have a brain tumor or somet...
Dr. Hong Weibin reply Neurology
Hello: Usually, simple urinary incontinence does not only consider issues related to the head; spinal cord problems also need to be taken into account. Additionally, if it only happened once, it is difficult to say that there is a pathological issue. It is more likely that you ma...[Read More] Understanding Bedwetting: Is It a Sign of Neurological Issues?
Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Brain tumor, brain cancer I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and I smoke. My medi...
Dr. Hong Weibin reply Neurology
1. It is recommended that you directly inquire with the hospital's health examination center for clearer information. The same type of examination can have different modalities, and the purpose and results may vary. 2. Generally, a CT scan or MRI with contrast agent should b...[Read More] Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Understanding Brain Arteriovenous Malformations: Risks, Detection, and Management
Cerebral arteriovenous malformation (AVM) 1. Is the likelihood of having a cerebral arteriovenous malformation (AVM) high? 2. At what age is a person more likely to develop a cerebral arteriovenous malformation? 3. Can a brain ultrasound in infants detect cerebral arterioveno...
Dr. Hong Weibin reply Neurology
1. Approximately 18 individuals per 100,000 people. 2. The main risks associated with arteriovenous malformations (AVMs) are intracranial hemorrhage and seizures. Generally, the older the patient, the higher the risk of bleeding. Patients with cerebral AVMs aged between 11 and ...[Read More] Understanding Brain Arteriovenous Malformations: Risks, Detection, and Management
Understanding Hand Tremors: Is Your Right Hand's Shake a Sign of Parkinson's?
Experiencing hand tremors while using chopsticks with the right hand? Hello doctor, I have a question. When I use chopsticks with my right hand, it shakes a bit (only the right hand). It's not to the extent that I can't eat, but it feels shaky. In Parkinson's disea...
Dr. Hong Weibin reply Neurology
Hello: There are many causes of tremors. In addition to Parkinson's disease, there are essential tremor, physiological tremor, tremors induced by substances or medications, and tremors due to cerebellar lesions. Since tremors are classified as movement disorders, it is best ...[Read More] Understanding Hand Tremors: Is Your Right Hand's Shake a Sign of Parkinson's?
Understanding Lewy Body Dementia: Symptoms and Diagnostic Imaging
Symptoms of Lewy Body Dementia 1. There are multiple articles available online, each describing slightly different symptoms. What are the correct symptoms of Lewy Body Dementia? 2. What imaging studies are currently available to diagnose Lewy Body Dementia? Thank you, doctor, f...
Dr. Hong Weibin reply Neurology
Hello: 1. Dementia with Lewy Bodies (DLB) must first meet the criteria for dementia, defined as a decline in daily functioning due to cognitive impairment. Other possible symptoms include significant daily fluctuations in the patient's consciousness, bradykinesia and unste...[Read More] Understanding Lewy Body Dementia: Symptoms and Diagnostic Imaging
Understanding Parkinson's Disease: Symptoms, Diagnosis, and Concerns
Parkinson's disease Hello Dr. Hong, I am 60 years old and do not have any issues with hypertension, diabetes, or high cholesterol; my overall health condition is fairly good. However, over two years ago, my family noticed that my head would have slight tremors when at rest. ...
Dr. Hong Weibin reply Neurology
Hello: Common causes of tremors, aside from Parkinson's disease, include essential tremor and physiological tremor, among others. A neurologist needs to conduct a detailed medical history inquiry and monitor the patient over a period of six months to a year to have greater c...[Read More] Understanding Parkinson's Disease: Symptoms, Diagnosis, and Concerns
Understanding PET Scans for Dementia Diagnosis: A Patient's Guide
Dementia Self-Paid PET Scan I have a history of type 2 diabetes for 8 years and have been taking tricyclic antidepressants (TCA) and Lyrica for depression for 15 years, but I still experience insomnia and do not achieve deep sleep. I have a history of smoking. My grandmother pass...
Dr. Hong Weibin reply Neurology
Hello: 1. There are many types of PET scans, and typically, the PET/CT scans performed at health check-up centers are used to detect suspected tumors throughout the body, not to assess for dementia. 2. You need to check if the hospital offers PET scans for dementia. Currently, th...[Read More] Understanding PET Scans for Dementia Diagnosis: A Patient's Guide
Experiencing Dizziness While Standing: When to See a Doctor?
Dizziness when standing? I have been experiencing sudden dizziness while standing for work for the past two days. Although I haven't fainted, this situation has occurred quite frequently over the past three years. I would like to know if I need to see a doctor, and if so, wh...
Dr. Hong Weibin reply Neurology
Hello: You can seek assistance from a neurologist or an otolaryngologist. Thank you.[Read More] Experiencing Dizziness While Standing: When to See a Doctor?
Should I Worry About Past Head Injuries? A Neurology Perspective
I previously sustained an injury to the back of my head? Hello, doctor. When I was in middle school, I accidentally hit the back of my head while playing with my classmates. I remember it hurt a lot at the moment, and I felt dizzy and had blurred vision for about 10 seconds. I im...
Dr. Hong Weibin reply Neurology
If none of the following symptoms are present, further observation is recommended: head trauma accompanied by bleeding; not crying or being fussy after the fall, but gradually developing confusion, coma, or excessive drowsiness; experiencing recurrent vomiting, drowsiness, altere...[Read More] Should I Worry About Past Head Injuries? A Neurology Perspective
Which Imaging Test is Best for Diagnosing Dementia: CT, MRI, or PET?
Which imaging technique is more accurate for diagnosing dementia: CT, MRI, or PET? I have a history of type 2 diabetes for 8 years, depression for 20 years, and insomnia without deep sleep for that duration. I have a history of smoking. My grandmother passed away from dementia. M...
Dr. Hong Weibin reply Neurology
Hello: 1. If there are issues with a head computed tomography (CT) scan that cannot be resolved, a head magnetic resonance imaging (MRI) may be arranged for further examination. If the CT scan shows no problems, then an MRI may not be necessary. Arranging for examinations must ...[Read More] Which Imaging Test is Best for Diagnosing Dementia: CT, MRI, or PET?
Medications to Stop Before Brain CT Scan: A Guide for Diabetic Patients
Which medications should be discontinued first? I have had diabetes for 8 years, and my recent blood test shows normal kidney function. My doctor wants to perform a brain CT scan, but I am currently taking the following medications. Which medications should I stop 1 day or 1 week...
Dr. Hong Weibin reply Neurology
Hello: These medications will not affect the results of the brain CT scan, so please continue taking them as usual.[Read More] Medications to Stop Before Brain CT Scan: A Guide for Diabetic Patients
Understanding Muscle Twitches: ALS Concerns and Neurological Insights
Amyotrophic Lateral Sclerosis (ALS) muscle twitching? I am Mr. Huang, referring to #159787. I have a few final questions for the doctor. I had an electromyography (EMG) test on August 19, which only involved needle insertions in my left forearm down to my palm and in my left calf...
Dr. Hong Weibin reply Neurology
Hello: The electromyography (EMG) examination for patients with amyotrophic lateral sclerosis (ALS) may vary in standard procedures from one hospital to another. If you feel that the examination is not thorough enough, you can seek opinions from other physicians. There are many t...[Read More] Understanding Muscle Twitches: ALS Concerns and Neurological Insights