Post-Operative Challenges of Occipital Lobe Hemorrhage: Recovery Insights
Postoperative issues related to intracranial hemorrhage in the occipital lobe? Hello, my mother is currently 60 years old and recently underwent a right occipital lobectomy due to a cerebral hemorrhage. She has experienced narrowing of the visual field in her left eye (which was ...
Dr. Peng Shiwei reply Neurology
Hello, regarding your questions: 1. Visual field loss due to damage to the occipital lobe is relatively difficult to recover in the short term, but the brain still has plasticity, so it is advisable to observe for a period of time. During this time, please remind the caregiver to...[Read More] Post-Operative Challenges of Occipital Lobe Hemorrhage: Recovery Insights
Understanding Unexplained Tremors and Fatigue: When to Seek Help
Feeling extremely fatigued and on the verge of fainting, with involuntary body tremors? I would like to consult a doctor. Recently, I have been experiencing involuntary body tremors at night before sleep. I am unsure if this is due to excessive tension. My eyelids also twitch int...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, there are currently no specific findings and no neurological localization. Additionally, since the symptoms occur at specific times, the likelihood of a stroke is low. Furthermore, smoking is detrimental to your health, so please quit smoking immedi...[Read More] Understanding Unexplained Tremors and Fatigue: When to Seek Help
Muscle Twitches and Crawling Sensation in Legs: Possible ALS Concerns
Muscle twitching and a sensation of ants crawling in the legs? In the past month, I have experienced muscle twitching, and while sitting or lying down, my legs feel tingly as if ants are crawling on them. After researching online, I found that it could possibly be amyotrophic lat...
Dr. Peng Shiwei reply Neurology
Based on the symptoms you described, the likelihood of amyotrophic lateral sclerosis (ALS) is extremely low. If you are still concerned, it is advisable to seek consultation at an outpatient clinic. Thank you for your inquiry.[Read More] Muscle Twitches and Crawling Sensation in Legs: Possible ALS Concerns
Understanding Sudden Vision Changes: Possible Causes and Concerns
Vision problems I would like to ask the doctor under what circumstances symptoms of optic nerve compression could cause a sudden increase in my eye prescription. I primarily have issues with my eyes, but the ophthalmologist has not found any abnormalities. Here are my symptoms: ...
Dr. Peng Shiwei reply Neurology
Hello, regarding your question: 1. Generally, there are two types of brain lesions associated with the optic nerve. The first type involves brain lesions that cause compression of the optic nerve, with symptoms primarily manifesting as visual field defects, such as loss of peri...[Read More] Understanding Sudden Vision Changes: Possible Causes and Concerns
Managing Anticoagulants and PPI Use in Neurology Patients
Medication issues? Dear Doctor, I am currently taking anticoagulants (Pradaxa) twice daily due to a minor stroke. I am experiencing gastrointestinal discomfort and need to undergo an endoscopy. How long should I stop taking Pradaxa, and when can I resume it? Additionally, can I t...
Dr. Peng Shiwei reply Neurology
Hello, generally speaking, Prasugrel only needs to be discontinued for one day. However, if your kidney function is impaired, it may need to be stopped for 1.5 to 2 days. There is no specific interaction between Prasugrel and PPIs, so they can be used together.[Read More] Managing Anticoagulants and PPI Use in Neurology Patients
Understanding Dizziness and Brain Fog: Exploring Neurological Causes
Dizziness and a feeling of heaviness in the head? Hello! I have been experiencing dizziness, a feeling of heaviness in my head, and difficulty concentrating for the past two weeks. I also feel tightness and numbness in my head. I have undergone an electrocardiogram and thyroid fu...
Dr. Peng Shiwei reply Neurology
Hello, general dizziness and a feeling of heaviness in the head can be related to many factors. If your current examinations are all normal, it is possible that it is caused by primary headaches. I recommend that you discuss this further with your primary physician. Thank you for...[Read More] Understanding Dizziness and Brain Fog: Exploring Neurological Causes
Understanding Mild Subdural Hydrocephalus: Causes, Risks, and Concerns
Some questions regarding mild hydrocephalus (subdural hydrocephalus)? Hello Doctor: I previously inquired about my girlfriend's CT scan showing mild hydrocephalus (consultation number <a href="https://adoctor.tw/article/197529">#197529</a>). Your respon...
Dr. Peng Shiwei reply Neurology
Hello, generally speaking, subdural hygromas are usually associated with old injuries, and as you mentioned, they are more likely to occur in children and the elderly. In the case of subdural hygromas, we typically assess the volume of the fluid and whether it is causing any comp...[Read More] Understanding Mild Subdural Hydrocephalus: Causes, Risks, and Concerns
Understanding Muscle Tension: Symptoms and Solutions for Neurological Issues
Involuntary muscle tension? Hello Doctor: Since around middle school, I have experienced episodes where my head involuntarily turns to the left, and the muscles in my face, neck, and limbs temporarily (for about ten seconds) maintain a rigid posture, becoming twisted and unable t...
Dr. Peng Shiwei reply Neurology
Hello, there are many possible diagnoses for your symptoms. I recommend that you visit a neurology clinic for a detailed evaluation. Thank you for your inquiry.[Read More] Understanding Muscle Tension: Symptoms and Solutions for Neurological Issues
Understanding Dizziness, Rapid Heartbeat, and Weight Loss Symptoms
Dizziness, increased heart rate, and a sensation of weightlessness? Hello doctor, for the past six months, I have often felt inexplicably anxious over minor issues, with an increased heart rate, sometimes accompanied by cold sweats and nausea. Recently, I have also experienced di...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, it appears that you may have Generalized Anxiety Disorder. You can refer to this article: https://wwwv.tsgh.ndmctsgh.edu.tw/unit/10058/17028. If you have any questions, you may also consult the psychiatry outpatient clinic. Thank you for your inquir...[Read More] Understanding Dizziness, Rapid Heartbeat, and Weight Loss Symptoms
Understanding Mild Hydrocephalus: Concerns and Treatment Options
Some questions about mild hydrocephalus? Hello Doctor: My girlfriend is 32 years old. Recently, she underwent a CT scan of the brain due to other mental health issues, including depression. After the evaluation, the doctor informed us that the brain findings were unrelated to her...
Dr. Peng Shiwei reply Neurology
Hello, based on your inquiry, I'm not sure if you are referring to mild hydrocephalus, which could mean either hydrocephalus or subdural hygroma, as different locations in the brain can lead to fluid accumulation. I may need more information to provide further advice. If you...[Read More] Understanding Mild Hydrocephalus: Concerns and Treatment Options
Persistent Lip and Chin Numbness After Jaw Surgery: When to Seek Help?
Numbness of the lower lip and chin after orthognathic surgery? It has been one year and three months since my orthognathic surgery, and I am experiencing numbness in the left side of my lower jaw, including my chin, lip, and gums. The teeth in that area also feel numb when biting...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, I believe that the chances of maintaining the current condition are relatively high. However, since you are still young, it may be worth waiting to see if the nerves can repair themselves. I recommend continuing with B12 supplementation, and you may...[Read More] Persistent Lip and Chin Numbness After Jaw Surgery: When to Seek Help?
Can Piracetam Help Improve Brain Development in Adults?
Piracetam medication consultation? I am 27 years old and have attention deficit disorder. I have been taking Strattera and Piracetam. I have experienced slower cerebellar development compared to my peers, which has led to poor learning and comprehension abilities, affecting my wo...
Dr. Peng Shiwei reply Neurology
Hello, based on your question, I searched the medical literature. Although I may not be able to fully answer your question, here are some references for your consideration: 1. It is generally believed that "Nootropics" are cognitive enhancers. While they may not direct...[Read More] Can Piracetam Help Improve Brain Development in Adults?
Addressing Soft Palate Dysfunction After Stroke: Seeking Solutions
My dad's soft palate is not moving? Hello, Doctor. My father suffered a stroke affecting the left and right corona radiata, which has resulted in very unclear speech, significant nasal voice, excessive drooling, inability to elevate his tongue, and weakness in elevating the ...
Dr. Peng Shiwei reply Neurology
Hello, from a neurology perspective, both limb weakness and soft palate weakness can be caused by a stroke. Therefore, it is recommended to focus on rehabilitation. I am not sure if your father is undergoing speech therapy. Generally, the first 3 to 6 months after a stroke is con...[Read More] Addressing Soft Palate Dysfunction After Stroke: Seeking Solutions
Understanding Memory Loss: When Familiar Experiences Fade Away
No memory or impression? Hello, Doctor. I have been experiencing something for quite some time now. I often have no memory of events I have shared with friends and family, even during outings. Regardless of whether my friends mention these experiences or I see photos of us togeth...
Dr. Peng Shiwei reply Neurology
Hello, I believe your condition warrants a visit to a neurology outpatient clinic to determine the specific issue. Thank you for your inquiry.[Read More] Understanding Memory Loss: When Familiar Experiences Fade Away
Understanding Neck Stiffness and Muscle Tension: Causes and Solutions
Stiffness when turning the neck and tightness in the muscles at the back of the head? Hello doctor, for the past six months, I have been experiencing stiffness in my neck muscles when turning my head, often unable to turn it fully, especially when using my phone or computer. I fi...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, it is likely that chronic tension in the upper neck is caused by prolonged poor posture. I recommend starting with improving your posture and incorporating relaxation exercises for your neck. If these methods provide limited improvement, it would be...[Read More] Understanding Neck Stiffness and Muscle Tension: Causes and Solutions
Understanding Tremors and Weakness: When to Seek Neurological Help
Tremors, weakness in the hands, Parkinson's disease, and weakness in the limbs? Hello, doctor. I am a third-year junior high school student. Recently, after watching some reports about amyotrophic lateral sclerosis (ALS), I have become very anxious and fear that I might also...
Dr. Peng Shiwei reply Neurology
Hello, from an epidemiological perspective, individuals with ALS (amyotrophic lateral sclerosis) may differ significantly in age. You can refer to the article from the Rare Disease Foundation at https://www.tfrd.org.tw/tfrd/library_b2/content/category_id/1/id/38. If you still fee...[Read More] Understanding Tremors and Weakness: When to Seek Neurological Help
Can Epilepsy Patients Safely Dye or Perm Their Hair?
Can patients with epilepsy dye or perm their hair? The child had seizures during infancy and has been stable on medication for two years, with no further episodes after discontinuation. They have undergone three consecutive normal EEG tests since then. Now at 12 years old, is the...
Dr. Peng Shiwei reply Neurology
Hello, theoretically, dyeing and perming hair should not have a significant impact. If you are concerned, you may want to consult the physician who originally treated you. Thank you for your question.[Read More] Can Epilepsy Patients Safely Dye or Perm Their Hair?
Understanding Leg Numbness and Weakness: When to Seek Medical Advice
Numbness and weakness in both legs? Hello Doctor, last Tuesday after a slight stretch, I suddenly felt a bit of numbness near my left calf and the little fingers of my limbs. A day or two later, the left calf started to hurt with a bit of numbness, and I'm not sure if it...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, it is necessary to rule out any issues with your lower back. However, since an online consultation cannot take into account the results of a physical examination, it is advisable to seek in-person consultation at a clinic. Thank you for your inquiry...[Read More] Understanding Leg Numbness and Weakness: When to Seek Medical Advice
Understanding Numbness and Weakness in Hands and Feet: When to Seek Help
Numbness and weakness in the hands and feet? Hello Doctor, I am #196332. I would like to add that today I also experienced some numbness in my hands. I would like to ask, in the case of numbness in the hands and feet (and I also felt a slight numbness in my back just now), while ...
Dr. Peng Shiwei reply Neurology
Hello, I apologize for not being able to search previous inquiries. However, if you are experiencing numbness in both your hands and feet, it is important to rule out any neurological issues. I recommend consulting a neurologist. Thank you for your question.[Read More] Understanding Numbness and Weakness in Hands and Feet: When to Seek Help
Understanding Widespread Tingling: Possible Causes and Concerns
Generalized numbness and tingling? Hello, Doctor. I am Aisha, who asked a question three days ago. The tingling sensation in my right palm spread to my upper arm the next day, and now I also have tingling in my left palm, arms, both legs, inner thighs, as well as my back and neck...
Dr. Peng Shiwei reply Neurology
Hello, numbness and tingling may be related to peripheral nerve or spinal cord issues, while the likelihood of brain-related problems is lower. During the waiting period for the report, please monitor for any increasing weakness in the limbs, as well as any "head" sympt...[Read More] Understanding Widespread Tingling: Possible Causes and Concerns