Misdiagnosed: When Neurological Issues Mimic Mental Health Disorders
Could it be a misdiagnosis by a psychiatrist? I have been suffering from severe insomnia since I was around 16 years old, accompanied by cognitive dysfunction. At that time, I suddenly found it difficult to understand what I was reading in vocational school and could not comprehe...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "I would like to ask if the lack of effectiveness of medication for seemingly psychiatric symptoms could be a neurological issue, and whether I need to undergo a CT scan or MRI..." When diagnosing neuropsychiatric disorders, it is common to ar...[Read More] Misdiagnosed: When Neurological Issues Mimic Mental Health Disorders
Understanding the Increased Dementia Risk After Concussions
The probability of developing dementia after a concussion? A study from Sweden indicates that individuals who have experienced a concussion have an 80% increased risk of developing dementia. Although the likelihood of developing dementia after a head injury decreases over time, e...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "nine years ago, you had a motorcycle accident and lost consciousness for more than ten minutes; the doctor said it was a concussion, and that was the only time you have experienced this." Severe head trauma can cause varying degrees of da...[Read More] Understanding the Increased Dementia Risk After Concussions
Can Low Adrenaline Levels Lead to Dementia Symptoms?
Is insufficient secretion of adrenaline (epinephrine) a cause of dementia? Hello: I would like to inquire whether insufficient secretion of adrenaline can cause symptoms of dementia. After treatment, can dementia be cured?
Dr. Hong Weibin Reply:
Hello: Insufficient secretion of adrenocorticotropic hormone can indeed lead to symptoms of cognitive impairment, which may affect memory. If steroid treatment is administered promptly, recovery should be possible. References: 1. Matsuo, Kinya, et al. "Cognitive Impairment C...[Read More] Can Low Adrenaline Levels Lead to Dementia Symptoms?
Repeated Concussions: Concerns About Future Cognitive Decline
Multiple concussions: Fear of future dementia? Hello doctor, I have experienced five mild concussions within the past two years, the most recent one occurring in mid-November. However, since my third concussion in March, I have been experiencing ongoing issues with attention, jud...
Dr. Jiang Junyi Reply:
Dear Mr. Liu, You mentioned that "the third concussion started at the end of March, with ongoing issues related to attention, judgment, and memory, and the CT scan showed no problems, so the physician believes it is a psychological issue..." Dementia is usually caused ...[Read More] Repeated Concussions: Concerns About Future Cognitive Decline
Can My Mother Restart Madopar for Parkinson's Symptoms?
Parkinson's disease Hello Dr. Hong, my mother is 78 years old and has been diagnosed with Parkinson's disease and dementia for 5 years. Initially, she was prescribed Madopar 250, taking one tablet three times a day, but she only took it for about a month. After that, sh...
Dr. Hong Weibin Reply:
Hello: It is advisable to continue the medication, starting with a low dose, such as 0.25 to 0.5 pills three times a day, and then observe if there is any improvement in gait. Additionally, it may be necessary to clarify the reasons why your mother was previously reluctant to tak...[Read More] Can My Mother Restart Madopar for Parkinson's Symptoms?
Understanding Dementia and Hydrocephalus: Key Questions and Insights
Consultation regarding dementia (suspected to be caused by hydrocephalus)? Hello, Doctor. I would like to ask about my father, who is 63 years old and has been diagnosed with early-onset dementia for over a year. His main symptoms include significant short-term memory decline and...
Dr. Hong Weibin Reply:
Hello: Diagnosing dementia requires not only imaging studies but also a thorough assessment of the patient's clinical symptoms and disease progression to make an accurate diagnosis. Generally, if dementia is caused by normal pressure hydrocephalus, the patient often presents...[Read More] Understanding Dementia and Hydrocephalus: Key Questions and Insights
Understanding Late-Stage Parkinson's Disease: Symptoms and Care Challenges
Parkinson's disease Hello, Doctor. My mother-in-law has been suffering from Parkinson's disease for several decades and has undergone deep brain stimulation surgery. Over the past year, she has frequently had difficulty swallowing saliva, which causes her to keep her mo...
Dr. Hong Weibin Reply:
Hello, It is highly likely that my mother-in-law is in the advanced stages of Parkinson's disease, which has resulted in significant muscle rigidity, including in her facial muscles and swallowing muscles. As a result, she is unable to close her mouth and has difficulty sw...[Read More] Understanding Late-Stage Parkinson's Disease: Symptoms and Care Challenges
Understanding the Link Between Sleep Disorders and Dementia Risks
I would like to ask about the relationship between sleep disorders and dementia? Hello Doctor, I have read on Google that dementia is often accompanied by sleep disorders. Could you please clarify which is the cause and which is the effect? I have been suffering from insomnia for...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to visit the neurology outpatient clinic.[Read More] Understanding the Link Between Sleep Disorders and Dementia Risks
Understanding Hand Tremors in Seniors: When to Seek Medical Advice
Elderly individuals may experience hand tremors recently? Hello Doctor: My mother is currently 65 years old and runs a small eatery with my father, who has not yet retired. Recently, when I returned home, I noticed that while she was serving vegetables to customers, one hand was ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems that your mother may have a tremor issue. Additionally, early-stage dementia should be considered. The causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathologica...[Read More] Understanding Hand Tremors in Seniors: When to Seek Medical Advice
Can Early Detection of Alzheimer's Disease Be Achieved?
Can dementia be detected early? I recently saw news online that people with herpes labialis have a higher risk of developing Alzheimer's disease. I've had herpes labialis since childhood, and it's been several decades now. Sometimes I worry about developing dementi...
Dr. Jiang Junyi Reply:
Hello: At 30 years old, your chances of developing dementia are very low. There are some early-onset genetic markers that can be tested, but if there is no family history, early testing is not recommended. For patients who exhibit symptoms, we typically inquire about their medica...[Read More] Can Early Detection of Alzheimer's Disease Be Achieved?
Head Injuries and Dementia: Understanding the Risks and Concerns
Head Trauma and Dementia Hello, Doctor. 1. I recently read that head injuries can increase the risk of dementia. I would like to ask if, when I was in the first and second grades of elementary school, I had a head injury that resulted in bleeding on a CT scan, but I did not exp...
Dr. Hong Weibin Reply:
Hello: 1. If it is a single mild head injury, the likelihood of developing dementia is low, so there is no need to worry excessively. 2. If all other organ examinations are normal, it may be necessary to consider psychosomatic disorders. You can seek assistance from a psychosomat...[Read More] Head Injuries and Dementia: Understanding the Risks and Concerns
Head Injuries and Dementia Risk: Understanding the Connection
Head Trauma and Dementia Hello Doctor, 1. I recently read that head injuries can increase the risk of dementia. I would like to ask if, when I was in the first and second grades of elementary school, I had a head injury that resulted in bleeding on a CT scan, but I did not expe...
Dr. Hong Weibin Reply:
Hello: 1. If it is a single mild head injury, the likelihood of developing dementia is relatively low, so there is no need to worry excessively. 2. If other organ examinations are normal, it may be necessary to consider psychosomatic disorders. You can seek assistance from a psyc...[Read More] Head Injuries and Dementia Risk: Understanding the Connection
Navigating Unclear MRI Results: Seeking Effective Treatment for Stroke Symptoms
Magnetic resonance imaging (MRI) shows no evidence of thrombosis or is inconclusive, making rehabilitation treatment unfeasible? Hello, my mother experienced weakness in her legs, unclear speech, and difficulty swallowing in mid-June, although the symptoms were not very pronounce...
Dr. Cai Zongzhang Reply:
Based on the aforementioned symptoms, there are multiple possible diagnoses for the patient, and further examinations must be arranged. For example: Parkinson's disease, thyroid function, etc. It is recommended to first admit the patient for evaluation in the neurology depar...[Read More] Navigating Unclear MRI Results: Seeking Effective Treatment for Stroke Symptoms
Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Brain tumor, brain cancer I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and I smoke. My medi...
Dr. Hong Weibin Reply:
1. It is recommended that you directly inquire with the hospital's health examination center for clearer information. The same type of examination can have different modalities, and the purpose and results may vary. 2. Generally, a CT scan or MRI with contrast agent should b...[Read More] Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Brain cancer brain tumor I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and have a smoking hi...
Dr. Jiang Junyi Reply:
Hello: Here is the answer to your question. It is recommended to first undergo a non-contrast MRI to assess the lesions. (Generally, cerebrovascular diseases and brain tumors can be initially differentiated. As for dental issues, after the MRI, we can evaluate whether they signif...[Read More] Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Understanding Lewy Body Dementia: Symptoms and Diagnostic Imaging
Symptoms of Lewy Body Dementia 1. There are multiple articles available online, each describing slightly different symptoms. What are the correct symptoms of Lewy Body Dementia? 2. What imaging studies are currently available to diagnose Lewy Body Dementia? Thank you, doctor, f...
Dr. Hong Weibin Reply:
Hello: 1. Dementia with Lewy Bodies (DLB) must first meet the criteria for dementia, defined as a decline in daily functioning due to cognitive impairment. Other possible symptoms include significant daily fluctuations in the patient's consciousness, bradykinesia and unste...[Read More] Understanding Lewy Body Dementia: Symptoms and Diagnostic Imaging
Understanding Dementia Screening: Key Tests and Considerations
Dementia Assessment Items I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and do not sleep wel...
Dr. Jiang Junyi Reply:
Hello: MRI contrast agents typically do not cause common allergic reactions unless there is impaired kidney function. It is recommended to first perform an MRI without contrast to evaluate the lesions. You may consider consulting a neurologist for discussion and examination. Wish...[Read More] Understanding Dementia Screening: Key Tests and Considerations
Understanding PET/CT Scans for Neurological Symptoms and Dementia
Whole-body PET/CT scan? I have a history of type 2 diabetes for 8 years, depression for 20 years, and insomnia without deep sleep. I have a history of smoking. My grandmother passed away from dementia. My symptoms include generalized weakness, weakness in all four limbs, unsteady...
Dr. Jiang Junyi Reply:
Hello: It is recommended to start with a medical history and cognitive function assessment related to dementia. Currently, there is no need to perform a PET/CT scan. PET/CT involves radiation exposure and is typically used for tumor monitoring. If you wish to pay out of pocket fo...[Read More] Understanding PET/CT Scans for Neurological Symptoms and Dementia
Understanding the Symptoms of Lewy Body Dementia: A Comprehensive Guide
Symptoms of Lewy Body Dementia There are multiple articles online, each describing slightly different symptoms. What are the symptoms of Lewy Body Dementia? Thank you for your response, doctor.
Dr. Jiang Junyi Reply:
Hello: I suggest you start with Professor Wu Rui-mei's article. http://www.pdcenterntuh.org.tw/UpLoad/F122015012716204432.pdf An excerpt from it: Diffuse Lewy Body Dementia (DLBD) is characterized by dementia symptoms similar to Alzheimer's disease, combined with motor ...[Read More] Understanding the Symptoms of Lewy Body Dementia: A Comprehensive Guide
Understanding PET Scans for Dementia Diagnosis: A Patient's Guide
Dementia Self-Paid PET Scan I have a history of type 2 diabetes for 8 years and have been taking tricyclic antidepressants (TCA) and Lyrica for depression for 15 years, but I still experience insomnia and do not achieve deep sleep. I have a history of smoking. My grandmother pass...
Dr. Hong Weibin Reply:
Hello: 1. There are many types of PET scans, and typically, the PET/CT scans performed at health check-up centers are used to detect suspected tumors throughout the body, not to assess for dementia. 2. You need to check if the hospital offers PET scans for dementia. Currently, th...[Read More] Understanding PET Scans for Dementia Diagnosis: A Patient's Guide