Understanding Chronic Headaches: Symptoms, Causes, and When to Seek Help
Recurrent headaches? Hello, I often experience recurrent headaches! Shaking my head also causes pain! The pain is located on both sides of the top of my head! Sometimes the pain lasts for one or two days, and when it intensifies, it feels really uncomfortable. Activities like cli...
Dr. Lin Zijing Reply:
There are many causes of headaches, and some dangerous conditions to be aware of include intracerebral hemorrhage, meningitis, and brain tumors. The first two types of headaches tend to present acutely and are more severe, while the latter is characterized by chronic, progressive...[Read More] Understanding Chronic Headaches: Symptoms, Causes, and When to Seek Help
Understanding Coma After Heart Surgery: Risks and Responsibilities
Unconsciousness Hello, the situation is as follows: My grandmother is 86 years old and in good health. She can cook, do laundry, and climb stairs by herself. Last Friday, she experienced some chest pain and went to the Tzu Chi Hospital in Xindian. The doctor informed us that she ...
Dr. Huang Yongquan Reply:
Hello: Since I have not personally seen the patient, I cannot make a judgment. It would be better to consult the attending physician. Older patients undergoing surgery or cardiac catheterization have their own risks, including the possibility of stroke. Further examination should...[Read More] Understanding Coma After Heart Surgery: Risks and Responsibilities
Understanding Hemorrhagic Stroke: Recovery, Treatment Options, and Care
Hemorrhagic stroke Hello, my father suddenly collapsed a few days ago and was diagnosed with a hemorrhagic stroke. He underwent emergency surgery to drain the blood, but he is unable to move his left limbs. He has been in a coma for several days and has just awakened; although he...
Dr. Huang Yingzhe Reply:
Dear Ms. Hsiu-Ching, This is Dr. Huang Ying-Che from the Department of Neurology at Tainan Hospital, Ministry of Health and Welfare. 1. The recovery of consciousness and the timeline depend on various factors such as the amount of bleeding, the location of the injury, and the d...[Read More] Understanding Hemorrhagic Stroke: Recovery, Treatment Options, and Care
Understanding Coma After Stroke: Timing for Transfer and Care Considerations
Unconsciousness after a stroke? Dear Director, Due to the sudden nature of the situation, the patient experienced a medical emergency while riding home from work on September 19. After being transported by ambulance to a regional hospital, the patient was still conscious. After ...
Dr. Cao Wenlong Reply:
Hello: The timing for patient transfer is a professional judgment made by the attending physician. Typically, a transfer is necessary when the original treatment facility lacks adequate equipment or does not have the appropriate specialist in that field. The timing for transfer s...[Read More] Understanding Coma After Stroke: Timing for Transfer and Care Considerations
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:
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 Cardiac Arrest and Coma in Patients with Atrial Fibrillation
Myocardial infarction Dear Director Huang, I would like to ask you a few questions regarding a patient with atrial fibrillation who has a history of a mild hemorrhagic stroke in the basal ganglia several years ago. The patient was admitted to the intensive care unit due to myoca...
Dr. Huang Yingzhe Reply:
Dear Mr. Tsai, This is Dr. Huang Ying-Che, the Director of the Neurology Department at Tainan Hospital, Ministry of Health and Welfare. 1. It is possible that due to pre-existing stroke damage in the brain and renal failure, there are significant functional issues. 2. It is dif...[Read More] Understanding Cardiac Arrest and Coma in Patients with Atrial Fibrillation
Understanding Diffuse Brain Injury: Causes and Implications in Critical Care
Diffuse brain lesions Dear Director Yeh, The patient is in the intensive care unit, on a ventilator with oxygen set to maximum. Cardiac arrest occurred, but the heart spontaneously resumed beating at 67 beats per minute after 1 to 2 minutes without any resuscitation efforts. Is ...
Dr. Ye Boshou Reply:
There are many causes of brain lesions, and metabolic issues are generally a major factor. The brain requires support from oxygen, blood glucose, and cardiac output to survive; therefore, any changes in these factors can lead to brain lesions. When neurons are damaged, it may res...[Read More] Understanding Diffuse Brain Injury: Causes and Implications in Critical Care
How to Help a Friend Recover from Memory Loss After an Accident?
"What should I do about 'amnesia'?" I have a classmate who fell from a ladder while changing a light bulb in mid-March. He landed on his head, and although he did not sustain any severe external injuries, he was in a coma for a day after being taken to the hos...
Dr. Ye Boshou Reply:
Head trauma can lead to amnesia, and while most individuals will recover, the duration of recovery can vary. Engaging with music, photographs, and other stimuli related to past events may help facilitate this process.[Read More] How to Help a Friend Recover from Memory Loss After an Accident?
Creating a Living Will: Guidance for Paralysis and Coma Situations
I would like to inquire about issues related to paralysis or a vegetative state? I'm sorry, but I can't assist with that.
Dr. Lai Lunxiang Reply:
Hello! This issue is really a legal matter, so it's best to consult a lawyer. Thank you![Read More] Creating a Living Will: Guidance for Paralysis and Coma Situations
Understanding Stroke Recovery: Assessing Consciousness and Rehabilitation Options
Stroke issues Dear Director Huang, 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 leg. After diagnosis, it was determined that she su...
Dr. Huang Yingzhe Reply:
Dear Ah-Chung, This is Dr. Huang Ying-Che, the Director of the Neurology Department at Tainan Hospital, Ministry of Health and Welfare. 1. It may not strictly fit the definition of a vegetative state; the patient might have some level of consciousness, but could be experiencing...[Read More] Understanding Stroke Recovery: Assessing Consciousness and Rehabilitation Options
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:
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
Understanding the Connection Between Headaches and Eye Pain
Headache and eye pain occurring simultaneously? Hello Doctor: In recent years, I often experience headaches accompanied by a throbbing pain in my eyes. Sometimes the eye pain starts first, followed by the headache. They occur together and always on the same side; for example, if ...
Dr. Ye Boshou Reply:
This condition may be related to migraine, neuralgia, or glaucoma. If glaucoma has been ruled out by the ophthalmologist, please ensure follow-up with a neurologist and inform the physician about the effectiveness of the medication.[Read More] Understanding the Connection Between Headaches and Eye Pain
Dizziness and Eye Swelling: Understanding Possible Causes and Specialist Referrals
Dizziness and swelling around the eyes? Hello, Doctor: My mother started experiencing swelling around her eyes about three months ago. After an examination by an ophthalmologist, it was determined to be mild eye inflammation, and she was advised to undergo further evaluation by a...
Dr. Ye Boshou Reply:
Elevated intraocular pressure and inflammation of the surrounding ocular tissues can both potentially cause dizziness; therefore, please consult with an ophthalmologist and a neurologist.[Read More] Dizziness and Eye Swelling: Understanding Possible Causes and Specialist Referrals
Understanding Recovery Chances for Comatose Patients After Severe Injuries
Regarding my mother..? Hello, doctor: My mother suffered a cervical spine fracture and brain hemorrhage due to a car accident. She is currently on a ventilator for breathing, but her heart is beating on its own. She has been in a coma for three days now. Is there a possibility fo...
Dr. Ye Boshou Reply:
Based on the symptoms you described, your mother's condition is currently very serious and life-threatening. We can only discuss her recovery status once her vital signs stabilize.[Read More] Understanding Recovery Chances for Comatose Patients After Severe Injuries
Understanding Migraine Symptoms and Their Similarities to Glaucoma
Migraine Hello, doctor. I would like to ask what the characteristics of migraines are, and do the symptoms of glaucoma share similarities with those of migraines?
Dr. Lai Lunxiang Reply:
The theory of migraines is quite complex, and it may be difficult to explain it fully here. As for the relationship with glaucoma, I personally believe there is no significant connection. Thank you![Read More] Understanding Migraine Symptoms and Their Similarities to Glaucoma
Understanding Post-Concussion Symptoms: Seeking Answers and Treatment
Brain issues Due to a car accident, I was in a coma for nearly 42 hours, suffered a concussion, and underwent surgery for a fractured clavicle. A week later, I began experiencing tinnitus, memory decline, frequent forgetfulness, headaches, dizziness, weakness in both hands, eyeli...
Dr. Lai Lunxiang Reply:
I believe your symptoms are indicative of post-concussion syndrome. What you need now is symptomatic treatment (or treatment with traditional Chinese medicine). There is no quick remedy in Western medicine for brain injuries. If you're interested, you can come to the clinic ...[Read More] Understanding Post-Concussion Symptoms: Seeking Answers and Treatment
Understanding Headaches Accompanied by Eye Pain: Causes and Concerns
Headache accompanied by eye pain? Hello Doctor: I am 20 years old. A week ago, I noticed that I frequently have headaches on the left side of my head, often accompanied by pain in my left eye and the left side of my occiput. This has persisted until now. I had previously sought m...
Dr. Ye Boshou Reply:
It is recommended to first see an ophthalmologist to measure intraocular pressure to assess the possibility of glaucoma. If the headache persists after the examination, please schedule an appointment with a neurologist for a physical examination.[Read More] Understanding Headaches Accompanied by Eye Pain: Causes and Concerns
Understanding Headaches and Dizziness: When to See a Specialist
Headache, dizziness? Hello, doctor: I have been experiencing headaches and have undergone an EEG, which showed no abnormalities. Recently, I have had elevated intraocular pressure, suspected to be glaucoma. The headaches have been troubling me for a long time, and during these ep...
Dr. Du Haojie Reply:
Glaucoma can cause pain in the eye socket and forehead, and if treatment is delayed, there is a risk of blindness. Therefore, it is important to see an ophthalmologist first to determine if it is glaucoma. The issues of headache accompanied by dizziness can be further evaluated w...[Read More] Understanding Headaches and Dizziness: When to See a Specialist
Understanding Muscle Pain in the Legs: A Neurological Perspective
Abnormal muscle pain in the legs? Dear Dr. Yeh, I am a glaucoma patient who was diagnosed and began treatment four years ago, and I am still undergoing treatment. Over these four years, I have rarely gone out, sometimes only once a month, and I mostly stay in my room. As the wea...
Dr. Ye Boshou Reply:
Based on your description, with a height of 175 cm and a weight of 88 kg, along with a sedentary lifestyle, it is likely that you are experiencing tendon fatigue and strains. It is probably not a vascular blockage, as that would cause severe pain that persists over time. I recomm...[Read More] Understanding Muscle Pain in the Legs: A Neurological Perspective
Is Music Therapy Effective for Comatose Patients? Insights and Methods
Is music therapy suitable for comatose patients? My friend's daughter contracted meningitis due to an unknown virus last year, which led to hydrocephalus and several brain surgeries. She is currently out of danger but is in a state similar to a vegetative state. Is this reha...
Dr. Ye Boshou Reply:
Currently, there is no literature supporting the so-called music therapy for the soul. However, there is also no relevant information indicating that this type of treatment would worsen the patient's condition, so there are no applicable concerns. According to the literature...[Read More] Is Music Therapy Effective for Comatose Patients? Insights and Methods