Exploring Alternatives to Piracetam for Memory Improvement
Piracetam medication issues? I have poor memory and have been taking Piracetam for over a year, but there hasn't been much improvement in my memory. Is the medication ineffective? My memory has not improved, and my reaction time is slow. Are there any other medications that ...
Dr. Peng Shiwei reply Neurology
It is recommended that you return for a follow-up appointment with your attending physician to discuss whether any adjustments to your medication or other treatment methods are necessary. Thank you.[Read More] Exploring Alternatives to Piracetam for Memory Improvement
Understanding Non-Traumatic Intracerebral Hemorrhage and Recovery Options
Non-traumatic cortical hemorrhage in the left frontal lobe? Hello, doctor. At the end of January this year, after flying back to Taiwan, I experienced mild headaches, cold sweats, and vomiting the next day, along with pale complexion, which prompted me to seek emergency medical c...
Dr. Peng Shiwei reply Neurology
Each individual's condition is different, and online consultations cannot replace in-person diagnoses. It is advisable to discuss subsequent treatment options with your primary physician. Thank you.[Read More] Understanding Non-Traumatic Intracerebral Hemorrhage and Recovery Options
Which Specialist to See for Dizziness and Neck Tension?
Which department should I see? Hello doctor, I occasionally feel dizzy and can sense my pulse and heartbeat. I previously consulted an otolaryngologist regarding my dizziness, and the doctor mentioned it was due to vestibular dysfunction and prescribed medication for a while. I h...
Dr. Peng Shiwei reply Neurology
For the dizziness, it is recommended to follow up with an otolaryngologist to assess whether the condition has improved or if further treatment is needed. For other concerns, it is advisable to seek evaluation from a psychiatrist. Thank you.[Read More] Which Specialist to See for Dizziness and Neck Tension?
Understanding the Mental Health of a 94-Year-Old: Self-Talk and Sleep Aids
A 94-year-old elderly person is talking to themselves with their eyes closed? The elderly person at home takes sleep aids like Eszopiclone and medication for prostate issues. He experiences hearing loss and during the day, he sits on the sofa with his eyes closed, talking to hims...
Dr. Peng Shiwei reply Neurology
It is recommended to take the elderly to a neurology outpatient clinic for evaluation by a physician. Thank you.[Read More] Understanding the Mental Health of a 94-Year-Old: Self-Talk and Sleep Aids
Understanding Hydrocephalus in the Elderly: Symptoms and Treatment Options
Hydrocephalus (in the elderly) Hello, Doctor. My father (83 years old) was diagnosed with hydrocephalus last year, but during the New Year period, he exhibited symptoms such as reversed sleep-wake cycles, irritability, and delusions. Could you please tell me if hydrocephalus can ...
Dr. Peng Shiwei reply Neurology
The clinical manifestations of normal pressure hydrocephalus, in addition to gait instability, often include mild dementia and urinary incontinence. Early diagnosis of normal pressure hydrocephalus and prompt drainage of cerebrospinal fluid can significantly improve the patient&#...[Read More] Understanding Hydrocephalus in the Elderly: Symptoms and Treatment Options
Understanding SPECT Cerebral Perfusion Scan Results in Dementia Diagnosis
CEREBRAL PERFUSION SCAN WITH SPECT REPORT INQUIRY Dear Doctor, Thank you for taking the time to assist with my inquiries. Below are the results from my father's (78 years old) Cerebral Perfusion Scan with SPECT conducted on February 21, 2024. I would like to ask the followi...
Dr. Peng Shiwei reply Neurology
Each individual's condition and physical status are different, so it is advisable to discuss with the elder's original attending physician. Thank you.[Read More] Understanding SPECT Cerebral Perfusion Scan Results in Dementia Diagnosis
Understanding Peripheral Neuropathy: Causes and Treatment Options
Peripheral neuropathy in the hands and feet? I was diagnosed with Meniere's disease due to dizziness. Recently, after being diagnosed with Eustachian tube obstruction in 2023, my hearing has been affected, and my dizziness has worsened. I am currently undergoing Eustachian t...
Dr. Peng Shiwei reply Neurology
It is recommended that you consult with your attending physician during your next follow-up appointment, or you may also seek evaluation at a neurology outpatient clinic. Thank you.[Read More] Understanding Peripheral Neuropathy: Causes and Treatment Options
Understanding Sleep Talking: Causes and Solutions for Nighttime Speech
Sleep talking? Hello, doctor: My family member talks in their sleep continuously, sometimes almost all night long. It's not just quiet mumbling; they recite long strings of words quite loudly and have no recollection of it upon waking, only feeling very thirsty. This has bee...
Dr. Peng Shiwei reply Neurology
It is recommended that family members first adjust their daily routines, diet, and stress relief methods. If there is no improvement, they should consider seeking evaluation from an endocrinologist or psychiatrist.[Read More] Understanding Sleep Talking: Causes and Solutions for Nighttime Speech
Understanding Autonomic Nervous System Disorders and Muscle Tremors
Autonomic nervous system dysfunction and muscle (exercise) tremors? Hello, Doctor: I would like to inquire about two aspects related to abnormal neurological and muscular movements: A. When I hold a pen with my right hand to write, I experience involuntary tremors that lead to ...
Dr. Peng Shiwei reply Neurology
Hello, it is recommended that you visit a neurology or pain management clinic for evaluation. Thank you.[Read More] Understanding Autonomic Nervous System Disorders and Muscle Tremors
Understanding Jaw Numbness: Causes and Concerns in Neurology
Jaw issues? Hello, doctor. My chin suddenly feels a bit numb, but I haven't had orthognathic surgery, tooth extraction, or dental implants. I just suddenly feel some numbness in my chin, and recently I've also been experiencing issues with Eustachian tube dysfunction an...
Dr. Peng Shiwei reply Neurology
It is recommended that you seek medical treatment in the appropriate specialty department based on your discomfort. Thank you.[Read More] Understanding Jaw Numbness: Causes and Concerns in Neurology
Frequent Involuntary Toe Twitches: Should You Be Concerned?
Involuntary frequent twitching of the toes? I would like to ask the doctor, since last night until today, my left little toe has been twitching slightly every three minutes, mostly while sitting and lying down. Is this normal? The continuous repetition makes me very anxious. Than...
Dr. Peng Shiwei reply Neurology
It is recommended to visit a neurology outpatient clinic for evaluation. Thank you.[Read More] Frequent Involuntary Toe Twitches: Should You Be Concerned?
Exploring the Link Between Mitochondrial Diseases and Myasthenia Gravis
The relationship between mitochondrial diseases and myasthenia gravis? In April 2021, I noticed that my right eye had unilateral esotropia. After an ophthalmological examination, the doctor referred me to the neurology department for further evaluation. Since then, I have been re...
Dr. Peng Shiwei reply Neurology
You should discuss your concerns directly with your attending physician. If necessary, you can also bring a family member along for the medical evaluation. Thank you.[Read More] Exploring the Link Between Mitochondrial Diseases and Myasthenia Gravis
Understanding Recovery in CIDP: Symptoms, Treatments, and Prognosis
The recovery status of CIDP (Chronic Inflammatory Demyelinating Polyneuropathy)? My father was diagnosed with CIDP last year, and his condition has progressed to the point where he has difficulty walking and cannot use chopsticks with both hands. He has already received the first...
Dr. Peng Shiwei reply Neurology
Each person's condition is different, so it is advisable to discuss this with your father's attending physician. Thank you.[Read More] Understanding Recovery in CIDP: Symptoms, Treatments, and Prognosis
Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Feeling of body swaying? Hello, doctor. Recently, I spent too much time at the computer maintaining a posture, and after getting up, I noticed stiffness in my neck muscles along with dizziness. I visited a traditional Chinese medicine practitioner who said my muscles were inflame...
Dr. Peng Shiwei reply Neurology
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.[Read More] Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Understanding Post-Surgery Calf Issues: When to Seek Medical Help
Calf issues Hello Doctor, I underwent RF (radiofrequency) calf surgery 9 days ago and have been unable to stand on flat ground since then. When barefoot, I experience the following difficulties: I cannot stand upright, my knees cannot straighten, I cannot rise onto my toes, and I...
Dr. Peng Shiwei reply Neurology
It is uncertain what type of surgery you underwent. Please follow up with your surgeon for a discussion, or seek evaluation from a specialist in plastic surgery or neurology at a regional hospital or higher. Thank you.[Read More] Understanding Post-Surgery Calf Issues: When to Seek Medical Help
Persistent Head Pain After Facelift Surgery: Seeking Relief and Answers
It has been a year since the facelift surgery, but the head still feels tight, numb, and uncomfortable, causing unbearable pain? Hello Dr. Peng, I underwent a facelift surgery in November 2022. Since February 2023, I have been experiencing tightness and electric shock sensations...
Dr. Peng Shiwei reply Neurology
Hello, online consultations cannot provide diagnostic advice. Please consult a neurologist in person. Thank you.[Read More] Persistent Head Pain After Facelift Surgery: Seeking Relief and Answers
Understanding Persistent Dizziness: Possible Causes and Treatment Options
Persistent dizziness and vertigo? Hello Doctor, I discovered over a year ago that I have poor hearing in my left ear, along with unilateral tinnitus, a feeling of fullness in the ear, and headaches. I began visiting an otolaryngologist for examinations, during which I underwent A...
Dr. Peng Shiwei reply Neurology
You should seek medical treatment at a neurology outpatient clinic for your symptoms. Thank you.[Read More] Understanding Persistent Dizziness: Possible Causes and Treatment Options
Understanding Hand Stiffness: Signs of ALS or Other Concerns?
Stiffness and lack of flexibility? I am a high school student, and I recently noticed that my hand feels a bit stiff and less flexible when I write. I am a bit worried that it might be amyotrophic lateral sclerosis (ALS). What self-checks should I perform?
Dr. Peng Shiwei reply Neurology
When the weather is colder, blood circulation slows down, which can reduce the dexterity of the hands and feet. If these conditions are ruled out, it is recommended to seek evaluation from a neurosurgeon. Thank you.[Read More] Understanding Hand Stiffness: Signs of ALS or Other Concerns?
Understanding Long-Term Effects of Brain Hypoxia: A Patient's Journey
Prolonged cerebral hypoxia? Hello Doctor, my father suddenly became paralyzed at the beginning of this month. After we urgently called an ambulance, the medical personnel said that his pupils were already dilated. Upon arrival at the hospital, his heart had stopped. After approxi...
Dr. Peng Shiwei reply Neurology
It is necessary to assess the affected area and the extent of the damage. An online consultation cannot address your questions; it is advisable to discuss your father's subsequent treatment and rehabilitation with his primary physician. Thank you.[Read More] Understanding Long-Term Effects of Brain Hypoxia: A Patient's Journey
Understanding Abnormal Brain Perfusion CT Results and Their Implications
Cerebral perfusion computed tomography (CT perfusion) I underwent a brain CT scan (perfusion imaging) at National Cheng Kung University, and the doctor informed me of some abnormalities. I would like to know what these results signify and whether they indicate the possibility of ...
Dr. Peng Shiwei reply Neurology
If the physician informs you of any abnormalities, please discuss the arrangement for further diagnosis or treatment with your primary care physician. Thank you.[Read More] Understanding Abnormal Brain Perfusion CT Results and Their Implications