Coma, Neurology FAQ

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Patient in Coma After Brainstem Hemorrhage: Ongoing Care Challenges

The patient has suffered a brainstem hemorrhage and remains in a coma post-surgery (for over 70 days)? The aunt has been in a coma (Glasgow Coma Scale score of 8) following a recent brainstem hemorrhage and subsequent brain surgery. At one point, her heart stopped but was revived...


Dr. Jiang Junyi Reply:
Hello Sir: I suggest that you invite the family members of your aunt and her attending physician to hold a "family meeting." Discuss the desire for aggressive treatment with the medical team to reach a consensus between your needs and the available medical options. If f...

[Read More] Patient in Coma After Brainstem Hemorrhage: Ongoing Care Challenges


Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study

Massive hemorrhagic stroke with severe coma? Hello, doctor! My father has a history of hypertension and has been a long-time smoker and drinker. A month ago, he underwent gallbladder removal surgery due to gallstones, during which arrhythmia was discovered. Two weeks after the in...


Dr. Cai Zongzhang Reply:
Hello Ms. Hsueh: 1. Brainstem hemorrhage can lead to post-hemorrhagic hydrocephalus, and ventriculostomy is a reasonable medical intervention. However, the timing of the surgery should be determined based on the patient's condition, so please collaborate with your physicia...

[Read More] Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study


Understanding Headaches and Vascular Issues: A Neurological Perspective

Headaches and vascular-related issues? Hello, doctor. I have been experiencing frequent headaches and fatigue. Here are my detailed symptoms: I have two types of headaches; one is unilateral (more often on the left side, but sometimes on the right) accompanied by a feeling of pre...


Dr. Jiang Junyi Reply:
Hello Mr. H: You mentioned, "If I need to see a specific specialist, which one would you recommend (due to heart and head, neurological issues)?" I'm not sure which issue is most concerning for you. I suggest starting with a neurologist, focusing on cervical spine ...

[Read More] Understanding Headaches and Vascular Issues: A Neurological Perspective


Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey

Intraocular pressure, intracranial pressure, and visual field loss? Hello, doctor. Since 2021, I have been regularly monitored at a hospital in central Taiwan due to elevated intraocular pressure. During this period, my eye pressure was normal for a while. After returning to Taip...


Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that "high intracranial pressure" is often associated with significant and dangerous conditions. It is important to distinguish between acute and chronic increases in intracranial pressure. In cases of acute intracranial hypertension, pati...

[Read More] Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey


Understanding Nerve Pain and Tingling After COVID-19: A Neurology Perspective

Occasional tingling and pain in the hands and feet? Hello, doctor. Since I tested positive for COVID-19 in June, I have been experiencing occasional soreness in my left eye for about one to two weeks. I have seen a doctor who said my eyes are fatigued and performed examinations, ...


Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe there is a possibility of cervical spine compression, which can indeed cause symptoms on both sides. I recommend that you consult a neurologist for further evaluation. Thank you for your inquiry.

[Read More] Understanding Nerve Pain and Tingling After COVID-19: A Neurology Perspective


Managing Post-Trauma Headaches: Causes and Treatment Options

Headaches are common after a car accident? Hello Dr. Jiang! My name is Nick. I had a severe car accident 10 years ago, resulting in a brain hemorrhage and subarachnoid hemorrhage. I was in a coma for about a day before waking up. After my recovery, I started experiencing headache...


Dr. Jiang Junyi Reply:
Hello Mr. Nick, You mentioned experiencing "migraine and tension headaches that often recur for 2 to 3 days, sometimes accompanied by discomfort in the eyes and rapid pulsation of the temporal artery." This may indicate a vascular headache issue, particularly cluster h...

[Read More] Managing Post-Trauma Headaches: Causes and Treatment Options


Rehabilitation Strategies for Left Brain Hemorrhage Recovery

Rehabilitation after left hemisphere hemorrhage? Hello Dr. Jiang, My mother (approximately 65 years old) suddenly experienced dizziness on January 16, followed by a gradual loss of consciousness and almost no sensation in her right limbs. She was taken to the emergency room whe...


Dr. Jiang Junyi Reply:
Dear Mr. Chang, You mentioned that "the nurse said my mother's condition is not suitable for hyperbaric oxygen therapy." (1) The following diseases or symptoms are contraindications for treatment: 1. Epilepsy 2. Chronic obstructive pulmonary disease (COPD) 3....

[Read More] Rehabilitation Strategies for Left Brain Hemorrhage Recovery


Can B12 and Micobalance Help Restore My Lost Sense of Smell?

Should I supplement with Micobalance for the loss of smell? What else can I do? Hello, doctor. Two years ago, I had an accident where I fell from a height, resulting in a skull fracture at the back of my head, intracranial hemorrhage, and a Glasgow Coma Scale score of 3. I was in...


Dr. Hong Weibin Reply:
Hello: If there has already been damage to the olfactory nerve, recovery may be more challenging. Vitamin B12 can be purchased over the counter at pharmacies or community drugstores; it may be worth trying, but it is likely to help maintain the current condition and reduce furthe...

[Read More] Can B12 and Micobalance Help Restore My Lost Sense of Smell?


Assessing Infection Risks After Tooth Extraction and Water Source Concerns

Infection probability Hello, doctor. I had two upper molars extracted two years ago, and since then, I have been experiencing persistent discomfort in my head, dizziness, occasional nausea, and a lack of mental clarity. My family has always used well water for oral hygiene, and a...


Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "two upper molars were extracted two years ago..." Our oral cavity is not in a sterile state. The incubation period for Acanthamoeba infection, which you referred to, is approximately 1-7 days. The time frame you mentioned is too long, as ...

[Read More] Assessing Infection Risks After Tooth Extraction and Water Source Concerns


Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients

Coma scale score of 4? My mother is 86 years old. After a nap on January 8, she could not be awakened. That evening, her blood sugar was measured at 183, her blood oxygen level was 89, and her blood pressure was normal. On January 19, she still could not be awakened in the mornin...


Dr. Jiang Junyi Reply:
Dear Ms. Vicky, You mentioned, "Doctors only treat infections with antibiotics. I really want to ask, for a comatose patient like this, do we just have to wait aside from antibiotic treatment? Are there no more aggressive treatment options?" In clinical practice, the m...

[Read More] Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients


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


Managing Post-Trauma Headaches After a Car Accident: Seeking Alternatives to Medication

Inquiry about headaches following a car accident-related brain injury? A family member suffered a brain injury from a car accident and has been in a coma for about two weeks. They have been monitored with MRI scans for two years, and the brain condition has stabilized, so no furt...


Dr. Cai Zongzhang Reply:
Hello Wen! Based on the symptoms mentioned, it is likely that you are experiencing post-traumatic chronic neuropathic pain in the head. It is recommended that you visit a neurology clinic for treatment.

[Read More] Managing Post-Trauma Headaches After a Car Accident: Seeking Alternatives to Medication


Chin Tuck Exercises: Causes of Headaches and Eye Pain Explained

The chin tuck exercise caused a migraine accompanied by swelling and pain in the eyes? Hello, doctor. Due to prolonged computer use, I have developed what is commonly referred to as "turtle neck." To help relax my neck, I perform chin tucks, but every time I do, my righ...


Dr. Jiang Junyi Reply:
Hello: Your symptoms still suggest the possibility of muscle tension in the C3-C4 region of the cervical spine. It may be that some muscles are not fully relaxing. I recommend consulting a physical therapist to learn proper relaxation techniques. Also, pay attention to your postu...

[Read More] Chin Tuck Exercises: Causes of Headaches and Eye Pain Explained


Understanding Lumbar Drainage Surgery for Neurological Recovery

Regarding lumbar drainage surgery? My father, who is 80 years old, suffered a ruptured cerebral aneurysm and underwent emergency surgery. It has been nearly three months since then. He has undergone a tracheostomy and is currently breathing on his own. The doctors say his recover...


Dr. Jiang Junyi Reply:
Hello: Since there has already been a drainage procedure for hydrocephalus, if there is still compression of the brain tissue causing impaired consciousness, a common assessment method is a lumbar puncture. This involves extracting 40-50 milliliters of cerebrospinal fluid from th...

[Read More] Understanding Lumbar Drainage Surgery for Neurological Recovery


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


Managing Long-Term Effects of Severe Concussions: A Patient's Guide

Approximately four years ago, I suffered a severe concussion? Hello Doctor: About 5 years ago, I suffered a severe concussion due to external force. I was in a coma for 3 days and was hospitalized for observation and recovery for about half a month before returning home to recupe...


Dr. Cai Zongzhang Reply:
It is recommended to visit the neurology outpatient clinic.

[Read More] Managing Long-Term Effects of Severe Concussions: A Patient's Guide


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:
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


Understanding Post-Epileptic State: Recovery and Rehabilitation Concerns

Loss of self-awareness after seizure control? Hello, Dr. Jiang. My father is 71 years old. During the Dragon Boat Festival, he felt unwell and rushed to the hospital for an emergency visit. The attending physician diagnosed him with a stroke warning and administered an anticoagul...


Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether your father's epilepsy is caused by cerebrovascular disease or other conditions. The tightness in his right hand and foot may indicate an issue in the left hemisphere of the brain, and there could also be a possibility ...

[Read More] Understanding Post-Epileptic State: Recovery and Rehabilitation Concerns


Understanding Dizziness, Headaches, and Nausea: Possible Causes and Solutions

Dizziness, headache, nausea, and eye discomfort? Recently, I've been experiencing pain around my eye sockets, dizziness, nausea after eating, and occasional headaches. I researched online and found that it might be acute glaucoma, so I visited an ophthalmologist. However, th...


Dr. Jiang Junyi Reply:
Hello, based on your description, in addition to the eye issues, it may be necessary to consider factors such as migraines. Common symptoms of migraine with aura include visual disturbances. These may manifest as bright lights resembling stars or lightning, as well as blurred or ...

[Read More] Understanding Dizziness, Headaches, and Nausea: Possible Causes and Solutions


Post-Traumatic Head Pain: Understanding Symptoms After a Car Accident

In the past, I experienced pain from a head injury due to a car accident. When the wind blows on my head, I feel numb and dizzy? Hello doctor, my boyfriend had a car accident five years ago, during which he was in a coma in the intensive care unit for several days, and he likely ...


Dr. Hong Weibin Reply:
Hello: During the wound healing process, the epidermal nerves will regenerate and reconnect. However, the reconnection may not be perfect, leading to subsequent symptoms such as itching or even pain at the wound site. The scalp has a high density of nerves, which are also more se...

[Read More] Post-Traumatic Head Pain: Understanding Symptoms After a Car Accident


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