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
Managing Sleep Issues and Stroke Recovery in Elderly Patients
Elderly stroke, drowsiness, and reversed sleep-wake cycle? Hello Doctor: My grandmother is 84 years old and had a stroke nearly a year ago, resulting in right-sided paralysis and aphasia. She is currently only taking medication prescribed by her cardiologist and resides in a care...
Dr. Jiang Junyi Reply:
Dear Ms. Yun, You mentioned that "the institution informed us that grandma sometimes does not sleep at night and has a reversed day-night cycle." This issue needs to be considered from multiple perspectives. For sleep disturbances and reversed day-night cycles, it is r...[Read More] Managing Sleep Issues and Stroke Recovery in Elderly Patients
Understanding Neck and Head Pain: Is It Related to Your Recent Cold?
Bending the head forward can cause significant pain? Hello, doctor: I've been experiencing persistent headaches lately. Bending down causes significant pain, which also radiates to my neck. During these episodes, I am unable to move at all. I had a cold a while ago, but my s...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned that "bending my head down is very painful, and it also hurts my neck... I feel a sensation of blood flowing through the top of my head when I bend down." Your symptoms may suggest cervical headache. This is related to tightness in the cervic...[Read More] Understanding Neck and Head Pain: Is It Related to Your Recent Cold?
Exploring Causes of Slow Brain Waves with Normal MRI and Blood Tests
Slow wave in EEG (electroencephalogram) examination? The EEG shows slow waves, but blood tests and MRI are normal. However, there is a slight decline in attention, comprehension, and memory, not experienced throughout the entire day, with periods of clarity. After evaluations at ...
Dr. Wu Mukhan Reply:
Hello, the presence of slow waves in brain activity can have many causes, including drowsiness during the examination, cortical dysfunction, and neurological diseases (such as tumors or strokes). If you have already undergone an MRI and no significant lesions were found, that can...[Read More] Exploring Causes of Slow Brain Waves with Normal MRI and Blood Tests
Can Daytime Sleepiness and Nighttime Delirium Improve in Parkinson's Patients?
Can daytime sleepiness and nighttime delirium in a patient with stage II Parkinson's disease be improved? Three months ago, my mother was diagnosed with stage II Parkinson's disease (due to multiple small strokes). Currently, she requires a walker for mobility and moves...
Dr. Peng Shiwei Reply:
Hello, I believe your mother's delirium symptoms are not related to the chronic course of Parkinson's disease, but are more likely associated with her previous infection and hospitalization. Generally, this type of acute delirium tends to improve gradually over time, an...[Read More] Can Daytime Sleepiness and Nighttime Delirium Improve in Parkinson's Patients?
Managing Daytime Sleepiness in Patients with Sleep Apnea
Easily feeling sleepy? I often feel sleepy during afternoon video courses, so I lie down and take short naps before continuing. I have sleep apnea and weigh 118 kg. What should I do about feeling sleepy?
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned the issue of "sleep apnea," which can lead to daytime inattention and frequent drowsiness. Obstructive sleep apnea is the most common type, accounting for about 90% of cases. Soft tissue near the throat obstructs the airway, causing the upper a...[Read More] Managing Daytime Sleepiness in Patients with Sleep Apnea
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
Understanding Head Pain: Causes and When to Seek Help
Brain Issues - Headache Three days ago, I started experiencing pain in the back of my head. When I woke up today, I felt a heavy sensation in the entire area of the back of my head, and it is also painful. There is no vomiting, and my memory and balance seem fine, but whenever I ...
Dr. Jiang Junyi Reply:
Hello Mr. Jim, You mentioned that "the back of my head started to hurt, and when I woke up today, I felt a heavy sensation throughout the back of my head, and it also hurts." I would like to know if you are experiencing any blurred vision or fever. If your symptoms are...[Read More] Understanding Head Pain: Causes and When to Seek Help
Understanding Concussions: Symptoms, Risks, and When to Seek Help
Head injury / concussion I'm sorry to ask, but I would like to inquire about something. On June 7th, I had a dispute with my family and was slapped forcefully about 5 or 6 times. At the time, I didn't feel anything unusual, but after a while, by June 10th, I have been c...
Dr. Jiang Junyi Reply:
Hello, In general, head trauma without loss of consciousness, anticoagulant use, or obvious local hematomas tends to be mild. However, the following conditions warrant consideration of delayed bleeding and a visit to the emergency room: (1) Deterioration of vision, seeing doubl...[Read More] Understanding Concussions: Symptoms, Risks, and When to Seek Help
Understanding the Connection Between Meningitis and Fever Symptoms
The correlation between meningitis and fever? Last week, I suddenly had a fever of 38 degrees Celsius. I took antipyretics, but they were ineffective. However, I continued taking them for 5 days, and my body temperature gradually decreased to around 36.5 degrees Celsius. I would ...
Dr. Jiang Junyi Reply:
Dear Mr. Jan, You mentioned the analysis of cerebrospinal fluid (CSF), which is primarily used for patients with meningitis. Common symptoms include fever, headache, photophobia, chills, tachycardia, neck stiffness, fatigue, drowsiness, and agitation. In the case of encephalitis...[Read More] Understanding the Connection Between Meningitis and Fever Symptoms
Understanding Inner Thigh Muscle Twitches: Causes and Management Tips
Medial pulsation of the vastus medialis muscle? Thank you, Doctor, for taking the time to respond despite your busy schedule. I would like to ask a follow-up question regarding your previous response. You mentioned that the cause of my muscle twitching is primarily related to inf...
Dr. Jiang Junyi Reply:
You mentioned that the side effects listed in the medication leaflet for "Flupentixol 0.5mg/Melitracen 10mg" are very common: drowsiness and akathisia. Common side effects include dizziness accompanied by or without orthostatic hypotension and tremors. Less common side ...[Read More] Understanding Inner Thigh Muscle Twitches: Causes and Management Tips
Is It Dangerous If You Hit Your Head and Bleed Without Pain?
Is there a risk if I hit my head and there is bleeding but no pain? A family member (around 50 years old with no history of cardiovascular disease) accidentally fell this morning and hit their head against a sharp object. At the time, there was approximately enough blood to soak ...
Dr. Jiang Junyi Reply:
Dear Ms. Ida, You mentioned that a family member (around 50 years old, with no history of cardiovascular disease) accidentally fell this morning and hit their head against a sharp object, resulting in approximately the amount of blood that would fill two tissues, but it stopped ...[Read More] Is It Dangerous If You Hit Your Head and Bleed Without Pain?
Understanding Post-Accident Nausea: Is It Normal After a Car Crash?
Nausea after a car accident? Hello, a couple of days ago I was in a car accident where I did not hit my head and was wearing a helmet. At the time, I did not experience any nausea or dizziness. However, when I got home that evening, I started to have a loss of appetite and felt n...
Dr. Jiang Junyi Reply:
Hello Miss W522: Generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are usually mild. However, the following conditions should be considered for delayed bleeding, and you should seek emergency care: (1) D...[Read More] Understanding Post-Accident Nausea: Is It Normal After a Car Crash?
Managing Autonomic Nervous System Disorders: Medication and Anxiety Solutions
Autonomic nervous system dysfunction Hello, I have been suffering from autonomic nervous system dysregulation for many years. I have been taking 3 mg of Lishuding, increasing from half a pill to one pill every night before bed (I have been taking it for about three years). Howeve...
Dr. Hong Weibin Reply:
Hello: If you have been taking this medication for a long time and it improves your symptoms during the day without causing drowsiness, then it is acceptable to take it in the morning and at noon. When discontinuing this medication after long-term use, it is usually recommended t...[Read More] Managing Autonomic Nervous System Disorders: Medication and Anxiety Solutions
Understanding the Effects of Sirdalud on Weight and Heart Rate
Shenda Heart Rhythm Tablets Hello Doctor: I have migraines, and the frequency of my attacks has increased recently, so I visited a neurologist. The doctor prescribed me Sotalol, two tablets a day, to be taken continuously for one month. I have been taking it for two weeks now, an...
Dr. Jiang Junyi Reply:
Hello, Miss: I would like to know if the neurologist has prescribed any other medications for migraine prevention for you. Propranolol works by reducing sympathetic nervous system activity. Side effects include dizziness, lightheadedness, dry cough, bradycardia, hypotension, and ...[Read More] Understanding the Effects of Sirdalud on Weight and Heart Rate
Could My Mother's Symptoms Indicate Meningitis? Seeking Guidance
Could this be a meningitis infection? I'm not a doctor, but I can provide some information based on your description. Your mother's symptoms, including severe cough, fever, confusion, and weakness, could potentially be related to meningitis, especially given her recent ...
Dr. Jiang Junyi Reply:
Dear Ms. LULU, It is likely not "meningitis." Common symptoms include fever, headache, photophobia, chills, rapid heartbeat, neck stiffness, fatigue, drowsiness, and agitation. This type of headache is caused by inflammation, often accompanied by nausea and vomiting, a...[Read More] Could My Mother's Symptoms Indicate Meningitis? Seeking Guidance
Understanding Rapid Heartbeat, Palpitations, and Dizziness: A Neurology Perspective
Regarding tachycardia, palpitations, and dizziness? Hello Dr. Tsai, Two weeks ago, I visited the cardiology and neurology outpatient departments at Taipei Medical University due to symptoms of palpitations, discomfort, and dizziness. My dizziness is persistent with a floating se...
Dr. Cai Zongzhang Reply:
Entresto and Heart Care Room contain the same ingredients but differ in dosage. If symptoms are mild, taking Entresto may be sufficient. Please discuss with a neurologist before making a decision.[Read More] Understanding Rapid Heartbeat, Palpitations, and Dizziness: A Neurology Perspective
Managing Appetite Loss After Head Injury: Insights and Recommendations
Intracranial hemorrhage after a car accident? Hello Dr. Jiang, my husband was involved in a car accident on February 7. After the emergency room visit, a CT scan revealed intracranial hemorrhage. Fortunately, the amount was small and it stopped bleeding shortly after the accident...
Dr. Jiang Junyi Reply:
Hello, 1. Is the issue of loss of appetite related to a traumatic brain injury or antibiotics? It depends on the location of your husband's brain injury. Generally, traumatic brain injuries from car accidents often affect the frontal lobe, which can lead to changes in exec...[Read More] Managing Appetite Loss After Head Injury: Insights and Recommendations
Understanding Pulsatile Tinnitus: Causes and Management Strategies
Regarding pulsatile tinnitus, also known as vascular tinnitus? Hello, Dr. Jiang. 1. I have been experiencing tinnitus (various sounds, primarily a distant roaring noise, usually in the left ear, with a very rare occurrence of a sudden long beep in the right ear that gradually d...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems to be a vascular-related issue, but the instruments can only detect large blood vessels. You have a history of myocardial infarction and some neurological symptoms. It may be necessary to consider obstructive sleep apnea: if you have thi...[Read More] Understanding Pulsatile Tinnitus: Causes and Management Strategies
Understanding Ulnar Nerve Dysfunction: Symptoms, Diagnosis, and Treatment
Ulnar nerve neuropathy Hello Doctor: I began experiencing slight numbness in my left little finger and an unusual sensation when touched around mid-last year, which is not like the normal feeling of my fingers. I have tried various folk remedies, chiropractic treatments, and medi...
Dr. Jiang Junyi Reply:
Hello, based on your description, the first consideration should be ulnar nerve pathology. However, since the symptoms extend to the shoulder, it may also be necessary to consider compression of the nerve roots at the first thoracic vertebra. The causes of compression, whether it...[Read More] Understanding Ulnar Nerve Dysfunction: Symptoms, Diagnosis, and Treatment