Understanding Symptoms: Head Pain, Dizziness, and Memory Issues
Scalp pain, dizziness, and forgetfulness? Hello, Dr. Chiu! I am a mother of two children and currently experiencing some strange symptoms. I'm unsure which department to visit at the hospital. Some people have suggested that it might be a precursor to a stroke, while others ...
Dr. Qiu Conglang reply Neurology
Hello: The causes of tinnitus or dizziness are generally related to the balance mechanisms of the ear, so it is advisable to first seek help from an otolaryngologist. There are many causes of headaches; to identify the cause of your headache, it is recommended that you consult a ...[Read More] Understanding Symptoms: Head Pain, Dizziness, and Memory Issues
Understanding the Impact of High Blood Sugar in Older Adults
High blood sugar? My father is 76 years old and was recently diagnosed with high blood sugar. I am unsure of the implications.
Dr. Qiu Conglang reply Neurology
Hello: If blood sugar levels are too high, it is advisable to consult relevant specialists, such as an endocrinologist or a diabetes clinic. Long-term diabetes can lead to cerebrovascular complications, increasing the risk of stroke, so it is essential to maintain normal blood su...[Read More] Understanding the Impact of High Blood Sugar in Older Adults
Post-Stroke Recovery: When to Seek Medical Attention for Speech Issues
Stroke Hello, after a stroke (cerebral embolism), I have returned home to rest. My speech and limbs were normal, but now (two days post-discharge) I am experiencing some slurred speech (intermittently). Should I go back to the hospital?
Dr. Qiu Conglang reply Neurology
Hello: Patients with cerebral embolism may gradually improve after rehabilitation, but three-quarters will still have sequelae. If new symptoms arise, it is essential to consult a physician to determine if a second stroke has occurred. There are many important points to consider ...[Read More] Post-Stroke Recovery: When to Seek Medical Attention for Speech Issues
Can Stroke Survivors Safely Use Health Supplements for Weight Loss?
Can stroke survivors consume health foods for weight loss? Hello, my mother has been suffering from a stroke for nearly two years, resulting in loss of sensation and mobility on her left side. She is undergoing regular rehabilitation, but her doctor has indicated that she is curr...
Dr. Qiu Conglang reply Neurology
Hello: The dietary guidelines for stroke patients are detailed in Chapter 7 of the public materials from the Taiwan e-Learning Academy's stroke course (http://fms.cto.doh.gov.tw/DOH/index2.jsp). You can refer to its content. I am not familiar with the mechanism of action of ...[Read More] Can Stroke Survivors Safely Use Health Supplements for Weight Loss?
Can My Mom Transfer to Chiayi Hospital for Rehabilitation After Stroke?
Can I be transferred to the rehabilitation department at Chiayi Hospital? Doctor, my mother had a stroke during the Lunar New Year and is currently undergoing rehabilitation at Chang Gung Memorial Hospital. However, the rehabilitation department can only accommodate her for three...
Dr. Qiu Conglang reply Neurology
Hello: Regarding the evaluation for transfer of care, you should consult your mother's attending physician. You may also seek assistance from social services or a social worker. If the transfer to Chiayi Hospital is for the convenience of nearby care, it is advisable to brin...[Read More] Can My Mom Transfer to Chiayi Hospital for Rehabilitation After Stroke?
Navigating Concerns About Third Stroke: Expert Advice and Hospital Recommendations
Urgent matter: What should be done for a patient with a third stroke? Hello Dr. Chiu, I would like to ask for your advice regarding my grandmother. She had her first stroke when I was in elementary school, and a few years ago, she suffered a second stroke. My mother has informed...
Dr. Qiu Conglang reply Neurology
Hello: Hemorrhagic stroke often leads to obstructive hydrocephalus, and repeated strokes can cause non-obstructive hydrocephalus due to brain atrophy. Whether hydrocephalus requires drainage surgery should be determined by a neurosurgeon’s professional judgment. I apologize for n...[Read More] Navigating Concerns About Third Stroke: Expert Advice and Hospital Recommendations
Understanding Medical Errors and Risks in Neurology: A Case Study
Medical Errors and Risks Hello Dr. Chiu: 1. During a cerebrovascular embolization surgery, if the physician accidentally punctures a blood vessel causing a hemorrhagic stroke, is this considered a medical error or a risk? If it is a risk, what is the probability? 2. After the...
Dr. Qiu Conglang reply Neurology
Hello: Endovascular embolization can be applied to cerebral aneurysms, arteriovenous malformations, brain tumors, and other cerebrovascular lesions. The risks associated with the procedure vary depending on the specific condition, with common risks including hemorrhage and cerebr...[Read More] Understanding Medical Errors and Risks in Neurology: A Case Study
Understanding Stroke Golden Hour: Myths and Facts for Emergency Response
Golden Hour Management of Stroke I would like to inquire about the authenticity of an article titled [Golden Hour Treatment for Stroke]. The content states: When a person suffers a stroke, the microvessels in the brain gradually rupture. In such a situation, it is crucial not to ...
Dr. Qiu Conglang reply Neurology
Hello: Due to the inability to determine the authorship and origin of online articles, which may be fictional or related to other folk remedies, I cannot comment on their authenticity. As for the emergency management of stroke, you can refer to the content in the stroke course ma...[Read More] Understanding Stroke Golden Hour: Myths and Facts for Emergency Response
How Long Does It Take to Wake Up After a Stroke?
How long does it take to regain consciousness after a stroke? My mother had surgery on May 15, and it has been 8 days since then. During this time, it seems that she has woken up and opened her eyes, and when I call her, she sometimes grips my hand tightly. However, this only hap...
Dr. Qiu Conglang reply Neurology
Hello: There are two types of strokes, one is caused by a vascular blockage and the other by a rupture leading to hemorrhage. Since your mother has undergone surgery, I assume she has experienced a hemorrhagic stroke. Whether a patient wakes up after stroke surgery depends on the...[Read More] How Long Does It Take to Wake Up After a Stroke?
Understanding Hemorrhagic Stroke: Symptoms, Diagnosis, and Treatment Options
What is a hemorrhagic stroke? Hello Dr. Chiu, I would like to ask you about my mother. On the night of February 18th, she was found by my father at home with weakness in her limbs, vomiting, and dizziness. He called me and our family to help lift her into a truck for an emergency...
Dr. Qiu Conglang reply Neurology
Hello: Our hospital currently does not have a chronic care unit. Your mother has been advised by the physician to transfer to another hospital for further treatment, which may include rehabilitation. You may want to inquire with your mother's attending physician about the re...[Read More] Understanding Hemorrhagic Stroke: Symptoms, Diagnosis, and Treatment Options
Post-Stroke Care: Key Considerations for Recovery and Rehabilitation
Stroke Hello Dr. Chiu, I would like to ask about my father, who had a stroke 16 days ago. His left side is weaker but he can still move it. Initially, his recovery was good; he has started rehabilitation and eating again. However, the hospital did not inform us of any precaution...
Dr. Qiu Conglang reply Neurology
Hello: Patients who have suffered a stroke may experience difficulties with swallowing and reflex responses. Typically, after a period of rehabilitation, these functions can gradually improve; however, in more severe cases, long-term feeding via a nasogastric tube may be necessar...[Read More] Post-Stroke Care: Key Considerations for Recovery and Rehabilitation
Assessing Consciousness in Stroke Patients: Communication and Rehabilitation Insights
How to determine consciousness in a stroke patient? How to communicate? Dear Dr. Chiu, My mother is 66 years old and underwent heart valve replacement surgery several years ago. On October 11, 2004, she suddenly lost the ability to speak and was unable to move her right hand and...
Dr. Qiu Conglang reply Neurology
Hello: According to the definition provided by the Organ Donation Association of the Republic of China, a "vegetative state" refers to a condition where the brain is damaged or diseased, resulting in a complete loss of cerebral function (such as thinking, memory, cognit...[Read More] Assessing Consciousness in Stroke Patients: Communication and Rehabilitation Insights
Rehabilitation Strategies for Stroke Patients with Brain Embolism
Rehabilitation for patients with cerebral embolism? My grandmother was hospitalized due to a stroke on August 30, diagnosed as a left cerebral embolism. In addition to paralysis of her right upper and lower limbs, she also has aphasia. At the time of the incident, the time from o...
Dr. Qiu Conglang reply Neurology
Hello: Stroke patients face many challenges when returning home for rehabilitation, which is why most hospitals offer post-discharge home care services, including regular home visits and guidance on how to care for stroke patients. You can contact your local hospital or physician...[Read More] Rehabilitation Strategies for Stroke Patients with Brain Embolism
Managing Diarrhea in Stroke Patients: A Guide for Caregivers
How to manage diarrhea in patients with cerebrovascular embolic stroke? Grandmother was hospitalized for a left cerebral artery embolic stroke on August 30 and was discharged after a month for home care. Currently, her nutrition is primarily provided through Abbott's Ensure ...
Dr. Qiu Conglang reply Neurology
Hello: The diet of stroke patients is very important. The daily caloric needs should vary based on the patient's weight, condition, digestive capacity, whether they have diabetes, and other factors. The nutritional composition of the diet can also affect digestion and absorp...[Read More] Managing Diarrhea in Stroke Patients: A Guide for Caregivers
Essential Dietary and Lifestyle Tips for Stroke Prevention
Stroke What dietary considerations should be taken into account after a stroke, and what lifestyle changes should be observed?
Dr. Qiu Conglang reply Neurology
Hello: When considering the diet for stroke patients, it is essential to take into account the patient's level of consciousness, swallowing function, and the underlying causes of the stroke. Generally, a sodium-restricted diet, a low-cholesterol diet, and a diet low in trigl...[Read More] Essential Dietary and Lifestyle Tips for Stroke Prevention
Understanding Stroke Symptoms: When to Seek Medical Attention
Please ask about stroke issues? Hello Dr. Chiu: My mother is 51 years old and has experienced occasional muscle twitching on one side of her face over the past year or two. She describes it as feeling similar to a stroke, with a sensation of slurred speech, although it is not ver...
Dr. Qiu Conglang reply Neurology
Hello Cathy: The muscle twitching on one side of your mother's face is most likely due to hemifacial spasm, with the most common cause being vascular compression of the facial nerve. Other causes may include habitual blinking and stroke. As for the speech difficulties, it is...[Read More] Understanding Stroke Symptoms: When to Seek Medical Attention
Is Dizziness a Sign of Stroke in the Elderly? Prevention Tips Inside!
Could this lead to a stroke??? My grandmother is over eighty years old and has been experiencing frequent dizziness lately. Her blood pressure seems to be much higher than usual. Could this be a sign of a stroke? Are there any preventive measures we can take?
Dr. Qiu Conglang reply Neurology
Many cases of dizziness are caused by insufficient blood supply to the brain. The blood supply to the brain originates from the heart and travels through the large arteries to the head, where it branches into smaller vessels. Therefore, when there are issues with the heart, it ma...[Read More] Is Dizziness a Sign of Stroke in the Elderly? Prevention Tips Inside!