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
Understanding Risks of Hydrocephalus Surgery: A Guide for Families
Inquiry about the risks of hydrocephalus surgery? Hello, doctor! Recently, I have read many articles that only describe symptoms, sequelae, and surgical methods. I am inquiring about the risks during the surgical process. The patient has experienced elevated intracranial pressure...
Dr. Hong Weibin Reply:
1. General anesthesia typically involves the use of intravenous and inhalational anesthetics to block pain. In a normal human body, the brainstem's respiratory center sends signals to the respiratory muscles to facilitate breathing. However, during the administration of anes...[Read More] Understanding Risks of Hydrocephalus Surgery: A Guide for Families
Could Head Symptoms Indicate a More Serious Condition Like a Tumor?
Is it possible that there is a more serious issue, such as a tumor? Head – When experiencing dizziness, it feels like a heavy, fleeting sensation. Sometimes there is blurred vision and intermittent headaches that are not severe, more like a throbbing pain, with a dull, tight sens...
Dr. Jiang Junyi Reply:
Hello: I'm not sure if your intraocular pressure is elevated. If there is a difference between your two eyes, it may be worth considering the possibility of glaucoma. Additionally, your symptoms cannot rule out vascular headaches such as migraines, although they are less com...[Read More] Could Head Symptoms Indicate a More Serious Condition Like a Tumor?
Understanding Coma: Insights from a Traumatic Brain Injury Case
Unconsciousness My girlfriend was involved in a car accident on June 9, 2016, where she sustained a head injury (left cerebral contusion that did not require surgery and was treated with medication), a fractured left arm (surgically treated with metal plates for stabilization), a...
Dr. Jiang Junyi Reply:
Hello: In cases of traumatic brain injury from car accidents, in addition to hemorrhage, there may also be diffuse axonal injury (DAI), which can lead to poor prognosis in patients with severe brain injuries. This occurs due to sudden acceleration-deceleration or rotational accel...[Read More] Understanding Coma: Insights from a Traumatic Brain Injury Case
Understanding Coma Recovery After Myocardial Infarction: A Patient's Journey
Myocardial infarction with coma? My father suffered a myocardial infarction and lost consciousness on May 14. He has been in a coma since being admitted to the hospital. Initially, he experienced seizures, and the hospital administered sedatives, increasing the dosage to four dos...
Dr. Jiang Junyi Reply:
Hello: When cardiac arrest occurs, patients typically lose consciousness rapidly within 15 seconds, brainstem function ceases after 1 minute, and brain damage occurs after 4-6 minutes due to lack of oxygen. Patients who are resuscitated through CPR may experience neurological dam...[Read More] Understanding Coma Recovery After Myocardial Infarction: A Patient's Journey
Understanding Brain Oxygen Deprivation: Risks and Timeframes
May I ask the doctor? Hello, doctor: On the fifth day of the Lunar New Year, there was a tragic incident in Kaohsiung involving a four-month-old baby girl who allegedly choked on milk and died suddenly. Could you please tell me how long it takes for the brain to become oxygen-dep...
Dr. Jiang Junyi Reply:
The nervous system is highly sensitive to hypoxia. When the arterial blood oxygen partial pressure drops to 60 mmHg, there may be dysfunction in judgment and visual capabilities. The primary reason for this is the disruption of energy metabolism in nerve cells. If the partial pre...[Read More] Understanding Brain Oxygen Deprivation: Risks and Timeframes
Understanding Hemorrhagic Stroke Symptoms and Recovery in Elderly Patients
Hemorrhagic Stroke Issues Hello doctor, I would like to ask about the symptoms of a stroke. My grandfather suddenly felt dizzy and experienced weakness in his left hand and left leg while in the bathroom over two weeks ago. His speech became increasingly slurred, and he was taken...
Dr. Hong Weibin Reply:
Hello: Based on your description, Grandpa has suffered a hemorrhagic stroke in the right hemisphere of the brain, complicated by an infection and fever, and the volume of bleeding from the stroke may not be insignificant. After leaving the intensive care unit, Grandpa's cons...[Read More] Understanding Hemorrhagic Stroke Symptoms and Recovery in Elderly Patients
Did I Suffer a Concussion After a Bike Fall? Understanding Symptoms
The bike slipped, and I first hit my waist, followed by my head? I fell off my bike today after slipping, hitting my lower back first and then my head. After hitting my head, I felt a bit dizzy, but I was able to get up and stand without any issues. I didn't experience any v...
Dr. Jiang Junyi Reply:
Hello, based on your description, head trauma must be assessed through observation. If the patient is conscious and only has scalp lacerations, mild headache, and dizziness, observation is sufficient and a CT scan is not necessary. However, if there is post-traumatic amnesia, los...[Read More] Did I Suffer a Concussion After a Bike Fall? Understanding Symptoms
Understanding Chronic Subdural Hematoma: Symptoms and Timeline
Chronic subdural hematoma Chronic subdural hematoma can occur weeks to months after an initial head injury, but it is possible for symptoms to develop even up to several years later, including 1 or 2 years after the injury. It can lead to facial weakness and may also cause neck s...
Dr. Jiang Junyi Reply:
According to your description, chronic subdural hematoma is commonly seen in the elderly, with an average onset age of 63 years. Approximately 50% of patients can trace a history of head trauma occurring one to two months prior to the onset of symptoms. Due to the diverse clinica...[Read More] Understanding Chronic Subdural Hematoma: Symptoms and Timeline
Is My Eye Pain a Sign of Migraine? Understanding Symptoms and Genetics
Symptoms of migraine include: 1. Intense, throbbing headache, often on one side of the head. 2. Nausea and vomiting. 3. Sens Hello Doctor, I would like to ask about a symptom that occurs once every 2 to 3 years. It starts with blurred vision and seeing shadows, followed by pain...
Dr. Gao Chunde Reply:
The nerves of the eyes are also considered part of the head. If the eye pain is not caused by conditions such as acute glaucoma or inflammation, along with other accompanying symptoms, a more reasonable explanation would be a prodromal migraine, also known as a typical migraine.[Read More] Is My Eye Pain a Sign of Migraine? Understanding Symptoms and Genetics
Understanding Dizziness and Eye Pain: When to Seek Neurology Help
Dizziness upon opening the eyes? Hello Doctor, I am inquiring about my mother's condition. She is currently 65 years old. Last night, she had a big argument with my younger brother, and afterwards, she experienced pain in one eye and slight dizziness. Since her condition imp...
Dr. Yang Shenggong Reply:
Hello Mr. Lan: Your mother's primary symptoms include sudden onset of unilateral eye pain accompanied by dizziness, which may suggest several conditions: A. If the dizziness is characterized by a spinning sensation, it may be due to posterior circulation insufficiency, poten...[Read More] Understanding Dizziness and Eye Pain: When to Seek Neurology Help
Understanding Coma: Signs of Awareness and Recovery Chances
Unconsciousness Hello Doctor: Here is what happened... My father suddenly collapsed on the evening of November 3rd. When the ambulance arrived, there were no signs of life, and it is estimated that he had been without oxygen to the brain for about 15-20 minutes. After being rushe...
Dr. Lan Shengxing Reply:
Dear Xiao Yi, if we consider a period of 15-20 minutes of hypoxia, the likelihood of complete recovery from hypoxic-ischemic encephalopathy is nonexistent. However, the human brain has compensatory mechanisms; damaged areas can be compensated by other neural synapses. These compe...[Read More] Understanding Coma: Signs of Awareness and Recovery Chances
Understanding Headaches and Vision Issues: When to Seek Neurology Care
Please provide the content you would like to have translated into English? Hello, Doctor: I would like to ask you a question. If a vision test shows 1.2, indicating normal vision, but I occasionally experience stiffness in my shoulders and neck, along with headaches (possibly aro...
Dr. Gao Chunde Reply:
Vision is normal, but sometimes it becomes blurry or unfocused when looking at the computer, which may be caused by eye fatigue leading to weakened accommodation of the ciliary muscle. To alleviate this, it is recommended to take a break after using the eyes for thirty minutes, m...[Read More] Understanding Headaches and Vision Issues: When to Seek Neurology Care
Two Weeks of Unexplained Headaches: Seeking Medical Advice and Insurance Coverage
Continuous headaches for two weeks, yet unable to receive treatment covered by health insurance? Dear Dr. Lin, I have been experiencing persistent, unexplained pain in the right posterior part of my head for two consecutive weeks. I visited a neurologist who conducted an EEG and...
Dr. Lin Zijing Reply:
An electroencephalogram (EEG) showing no abnormalities indicates that approximately 80% of the cortical areas of the brain are functioning normally. However, certain conditions or lesions in specific areas of the brain, such as those near the pituitary gland, cerebellar lesions, ...[Read More] Two Weeks of Unexplained Headaches: Seeking Medical Advice and Insurance Coverage
Understanding Brainstem Hemorrhage Recovery: Signs of Improvement and Hope
Brainstem hemorrhage Hello Dr. Tseng: My husband (40 years old) has been in a coma for 6 weeks due to a brainstem hemorrhage. His current Glasgow Coma Scale score is about 10. He has undergone a tracheostomy and can hear what I say. He can follow commands with his right hand to i...
Dr. Zeng Kongyan Reply:
Hello, in response to your question, if the area of the brainstem hemorrhage occupies a significant proportion of the brainstem itself (generally exceeding two-thirds), the prognosis for the patient is poor. If the patient has been hospitalized for six weeks without any complicat...[Read More] Understanding Brainstem Hemorrhage Recovery: Signs of Improvement and Hope
Understanding Headaches and Nausea: Causes and Solutions
Headache and nausea? Hello, Dr. Gao! Due to school activities, I had to wake up very early these past two days, around 5 or 6 AM. I am naturally tall and thin, measuring 173 cm and weighing 44 kg. I have a habit of staying up late. After participating in a school event early yest...
Dr. Gao Chunde Reply:
Elevated intraocular pressure can be associated with blurred vision, commonly referred to as glaucoma. If this is not the case, more frequently, it may present as a migraine, characterized by pulsating pain, nausea, and sensitivity to light and sound. However, if there is neck st...[Read More] Understanding Headaches and Nausea: Causes and Solutions
What to Do If You Accidentally Drink Alcohol After a Concussion
If someone accidentally consumes alcohol after a concussion, it may exacerbate symptoms such as dizziness, confusion, and impaired cognitive function. Alcohol can interfere with the brain's healing process and may increase the risk of complications. It is advisable to avoid ...
Dr. Lin Zijing Reply:
A concussion refers to a temporary and immediate disruption of brain function due to external force impacting the head. Symptoms may include confusion or loss of consciousness, visual disturbances, or balance issues. There may also be persistent headaches, dizziness, and memory i...[Read More] What to Do If You Accidentally Drink Alcohol After a Concussion
Understanding Toe Tremors in Comatose Patients: What You Need to Know
Toe twitching Hello Doctor, my mother previously underwent a tracheostomy due to tracheal stenosis. On October 27, she was hospitalized for emergency treatment due to tracheal spasms, but due to a delay in the ambulance, it took over an hour for her to arrive at the hospital, by ...
Dr. Gao Chunde Reply:
The patient has been in a coma for a month, and the chances of regaining consciousness are likely lower, but not entirely absent. There may be spontaneous twitching in the toes and legs, which could be related to muscle spasms and abnormal electrical discharges in the brain. If t...[Read More] Understanding Toe Tremors in Comatose Patients: What You Need to Know
Understanding the Effects of High Blood Sugar on Neurological Health
High blood sugar can lead to several conditions, including: 1. Increased thirst and frequent urination (polyuria). 2. Fatigue and weakness. 3. Blurred vision. 4. Headaches. 5. Dry mouth and skin. 6. Unexplained weight loss. 7. Slow healing Hello, Doctor Gao: My father is a diabe...
Dr. Gao Chunde Reply:
Metabolic encephalopathy can occur if blood sugar levels are high or if there is renal dysfunction. Patients may present with altered orientation, memory issues, cognitive changes, and temporary neurological deficits, which can be severe enough to lead to coma. However, as long a...[Read More] Understanding the Effects of High Blood Sugar on Neurological Health