Numbness in Legs and Lips: Possible Causes and Relief Strategies
Numbness in the calves and around the lips? My grandfather (77) has been experiencing numbness in his calves over the past few days, and today he also has numbness around his face (specifically around the lips). He has a history of having undergone half of his lung removed and he...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned that "your grandfather is experiencing numbness in his calves, and today, in addition to the leg numbness, he has facial numbness (around the lips)..." The facial numbness (around the lips) may indicate that the brainstem structures could b...[Read More] Numbness in Legs and Lips: Possible Causes and Relief Strategies
Facial and Limb Numbness When Standing: Possible Causes and Solutions
Numbness in one side of the face and leg while standing? Hello, Doctor Jiang. I have been experiencing numbness on the right side of my face (with slight tinnitus) since last week when standing. My right hand and right foot also feel numb, and there is a sensation of congestion i...
Dr. Jiang Junyi Reply:
Hello Mr. AC: You mentioned experiencing "numbness on the right side of your face (mild tinnitus), numbness in your right hand and right foot, and a feeling of congestion in your right foot." It is important to first rule out any issues related to brain structure or cer...[Read More] Facial and Limb Numbness When Standing: Possible Causes and Solutions
Understanding Dizziness and Numbness: Neurological Concerns Explained
Dizziness and numbness in the face and hands? Hello Doctor, on Thursday night, I started feeling a warm sensation in the back of my head. On Friday, my temperature ranged from 37 to 37.5 degrees Celsius (the weather has been getting warmer), and my head still felt warm. I had lit...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "neck tightness and tilting back or forward can cause dizziness, and sometimes I experience headaches... my left hand is numb, and I feel numbness in my left teeth and left side of my face, with occasional headaches (the pain radiates outward)....[Read More] Understanding Dizziness and Numbness: Neurological Concerns Explained
Assessing Stroke Risk: Are Neurological Tests Accurate?
Is the stroke test accurate? Hello, Doctor. I have a few questions to ask you. 1. Recently, when I am working or talking to others, I sometimes suddenly speak with a regional accent or experience a slip of the tongue, similar to a verbal error. Could this be due to speaking too...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Is slurred speech a sign of a stroke?" Acute stroke refers to a sudden neurological deficit caused by abnormalities in the brain's blood vessels. The symptoms resulting from a stroke are related to the area of the brain that is affec...[Read More] Assessing Stroke Risk: Are Neurological Tests Accurate?
Understanding Your Neurology Report: Key Findings and Next Steps
Examination Report Hello Doctor, this is the examination I had done in June last year. I would like to ask for your help in reviewing it for any issues that I should be aware of, as I have diabetes and have recently been experiencing headaches, which makes me fearful of a stroke....
Dr. Cai Zongzhang Reply:
Hello, Xiaoping: The right side examination report shows no evidence of cerebral infarction, and the degree of carotid artery atherosclerosis is mild. It is recommended to actively manage diabetes and to follow up with carotid ultrasound annually.[Read More] Understanding Your Neurology Report: Key Findings and Next Steps
Understanding Tiny Acute Ischemic Infarcts: Causes and Management
Physical examination revealed signs of a previous minor stroke? Hello Doctor: Last month, the MRI results for my brain were interpreted as follows: Z719 Counseling, unspecified, V6540 Counseling, not otherwise specified, ||cre:0, eGFRr:0 Imaging findings: Brain MRI study without ...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned "A tiny acute ischemic infarct, left occipital subcortical white." An elder relayed that it was a concussion; could this have related effects? MRI primarily detects cerebral infarctions within a month. It cannot explain events that occurred muc...[Read More] Understanding Tiny Acute Ischemic Infarcts: Causes and Management
Understanding Stroke: Exploring Links Between Car Accidents and Brain Infarction
Cerebral infarction (stroke) Hello, I had a car accident on December 9, 2022, and initially only sustained some external injuries. However, on January 12, 2023, I suddenly experienced a loss of vision and went to Tzu Chi Hospital to see a neurologist. An MRI revealed that I had a...
Dr. Cai Zongzhang Reply:
Hello, A-You: The causes of cerebral infarction are not directly related to trauma; it may be necessary to investigate other rare causes of cerebral infarction. The recovery period for neurological damage is lengthy, and complete recovery is often difficult, with most patients ex...[Read More] Understanding Stroke: Exploring Links Between Car Accidents and Brain Infarction
Understanding Post-Anesthesia Dizziness: Causes and Concerns
Questions about dizziness for my mother? Mother underwent general anesthesia for a bladder endoscopy and resection surgery from February 23 to February 25. After the anesthesia, she experienced mild headache for one night, which resolved the next morning upon discharge. However, ...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "lacunar infarct at the left lentiform nucleus," which refers to a small infarct in the left lentiform nucleus. This may be related to motor function. However, it is still necessary to assess the relevant neurological functions. Regarding...[Read More] Understanding Post-Anesthesia Dizziness: Causes and Concerns
Understanding Stroke Treatment: Medications and Recovery Strategies
Treatment and Medication Issues for Cerebral Infarction Hello, doctor. Recently, I experienced a stroke and had weakness in my right hand. The condition improved after about a week. I underwent a carotid ultrasound and found that several blood vessels are 40% blocked. What can we...
Dr. Jiang Junyi Reply:
Dear Ms. Huang, The primary medication for the prevention of cerebral infarction is aspirin. You mentioned "Xinhangjian tablets," which are mainly used as an adjunct to antiplatelet therapy. Possible side effects include abdominal pain, diarrhea, indigestion, bloating,...[Read More] Understanding Stroke Treatment: Medications and Recovery Strategies
Medication Concerns for Neurology Patients: Dosage and Safety Tips
Medication issues Hello, doctor. I was originally prescribed one Berkey pill a day by my internist, and recently a neurologist also prescribed one Berkey pill. Can I take two pills a day, or should I stick to just one? I have a mild cerebral infarction but my recovery is going we...
Dr. Hong Weibin Reply:
Hello: Take one pill a day. You can confirm with your doctor during your next visit. After a stroke, it is advisable to maintain a light diet and drink plenty of water. If you have hypertension, hyperlipidemia, or diabetes, it is important to manage them well.[Read More] Medication Concerns for Neurology Patients: Dosage and Safety Tips
Understanding Stroke Symptoms: Facial Twitching and Other Concerns
Stroke, facial twitching? Hello Doctor, on September 5th while cleaning the floor during my shower, I experienced a noticeable feeling of cerebral congestion, but it subsided after a while, occurring two or three times. Since I was cleaning a new house, the air quality was poor, ...
Dr. Jiang Junyi Reply:
Hello, Sir: (1) Doctor, could my symptoms be a precursor to a stroke or caused by autonomic nervous system dysfunction? Your symptoms seem more indicative of cervical spine issues. (2) I have intermittent strabismus with a significant angle, which makes it tiring to see thing...[Read More] Understanding Stroke Symptoms: Facial Twitching and Other Concerns
Can Car Accident-Induced Brain Hemorrhage Lead to Embolic Stroke?
A car accident leading to a stroke? My father was in a car accident (hit by a car) and suffered from bleeding in the brain, six broken ribs, and two broken clavicles. He was in the intensive care unit for about 13 days. The brain bleeding was checked 2.3 days after the accident a...
Dr. Jiang Junyi Reply:
Hello, Miss: It seems that traumatic brain hemorrhage (due to external force) and cerebral infarction (due to vascular obstruction) are two different conditions. If there is arterial wall dissection, it might be explained by external force. I wonder if your father has metabolic...[Read More] Can Car Accident-Induced Brain Hemorrhage Lead to Embolic Stroke?
Managing Insufficient Medication After a Stroke: Key Considerations
What should I do if the medication dosage is insufficient? On the morning of December 16, Grandpa returned home from exercising. On the bus, he slept the entire way, and when he got home, he was eating breakfast while still dozing off. The family noticed something unusual and tho...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is recommended to seek treatment for cardiovascular disease at a hospital accessible by ambulance within your home area, integrating medical information. Clopidogrel (Plavix) functions similarly to aspirin as a preventive medication for stroke...[Read More] Managing Insufficient Medication After a Stroke: Key Considerations
Understanding Carotid Artery Stenosis: Symptoms, Risks, and Management
Carotid artery stenosis? Hello Doctor, this month I underwent an MRI due to a pituitary tumor issue, and the report included a finding related to the carotid artery. When I inquired about the report, the doctor mentioned that it was just a narrowing and that the risk of stroke wa...
Dr. Cai Zongzhang Reply:
Hello: If there is only vascular stenosis without any cerebral infarction lesions, it is recommended to manage risk factors such as blood pressure, blood sugar, and lipid levels, and to follow up at a neurology outpatient clinic.[Read More] Understanding Carotid Artery Stenosis: Symptoms, Risks, and Management
Understanding Occipital Pain During Ejaculation: Causes and Solutions
Pain in the back of the head after ejaculation? Hello doctor, for the past few days, I've been experiencing pain at the back of my head when I'm about to ejaculate. The pain lasts for about 5 minutes and has an intensity of around 4. I'm wondering if this could be ...
Dr. Hong Weibin Reply:
Hello: Can you have a neurologist check for cerebrovascular abnormalities? Below is an excerpt from the International Classification of Headache Disorders, 3rd edition (beta) in Chinese for your reference: 6.7.3 Headache attributed to reversible cerebral vasoconstriction syndrom...[Read More] Understanding Occipital Pain During Ejaculation: Causes and Solutions
Managing Dizziness After Stroke: Understanding Symptoms and Next Steps
Dizziness worsens after a stroke? About three months ago, I was admitted to the emergency room due to a stroke, which was diagnosed as a cerebral infarction. I was hospitalized for a week, and my symptoms were relatively mild at that time. There was a blockage in the blood vessel...
Dr. Jiang Junyi Reply:
Hello: I am not sure if your age is indeed in your 30s as stated in the records. If it is a young-onset stroke, the most important thing is to identify the risk factors that led to the stroke. You mentioned occipital lobe stroke, which primarily involves the posterior circulation...[Read More] Managing Dizziness After Stroke: Understanding Symptoms and Next Steps
Understanding Poor Outcomes After rt-PA Treatment for Stroke
The effect of administering rt-PA after a stroke is suboptimal? Hello, my father-in-law, who is 65 years old, was found to have a stroke at 8 AM and was taken to the hospital. The doctors determined that he could receive rt-PA, but at 3 AM the following day, he developed increase...
Dr. Jiang Junyi Reply:
Hello: According to studies related to rTPA, the most significant side effect of administering thrombolytics is bleeding. Although the risk of intracranial hemorrhage from thrombolytic therapy is ten times higher than that of oral anticoagulants (approximately 6%), "the over...[Read More] Understanding Poor Outcomes After rt-PA Treatment for Stroke
Understanding Stroke and Decompressive Surgery: What to Expect
Cerebral stroke, craniotomy? Hello, doctor. A few days ago, my grandmother fainted at home. After being taken to the hospital, it was discovered that she had a stroke and missed the critical treatment window. A CT scan revealed that two-thirds of the major artery in her right bra...
Dr. Jiang Junyi Reply:
Hello: An acute cerebral infarction occurring in the major blood vessels of the brain can lead to significant neuronal cell death. During the third to fifth day, brain swelling may become severe, and if the swelling compresses the brainstem, it could result in the loss of vital f...[Read More] Understanding Stroke and Decompressive Surgery: What to Expect
Headaches and Diarrhea in Diabetic Patients: What Could It Mean?
Diabetic patients experiencing headaches and diarrhea? Hello, my mother is a diabetes patient. Recently, she has been experiencing intermittent headaches accompanied by diarrhea. I am a bit worried that it might be a stroke, but she does not have any dizziness or nausea. What cou...
Dr. Jiang Junyi Reply:
Based on your description, your mother has hypertension and a history of cardiovascular diseases, which places her in a high-risk group for stroke. If she experiences sudden neurological deficits such as weakness in the limbs, slurred speech, or difficulty swallowing, cerebrovasc...[Read More] Headaches and Diarrhea in Diabetic Patients: What Could It Mean?
Understanding Occipital Headaches: Causes, Symptoms, and When to Seek Help
Occipital headache Hello doctor, about a week ago, I experienced a sudden tightening pain in the back of my head while masturbating before bed. The pain stopped when I ceased the activity. The next day, I repeated the same behavior and felt the pain again, but it was less intense...
Dr. Gao Chunde Reply:
This is a rare type of headache known as sexual headache, which occurs during sexual activity, masturbation, or orgasm. Individuals who experience this type of headache may not have it every time they engage in these activities, and the headache typically diminishes within a few ...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and When to Seek Help