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 Asymmetrical Eyes: Causes and Treatment Options
Unequal pupil size - second inquiry? First of all, thank you, Dr. Yeh, for your response! My daughter has had this condition since she was little, so it should be considered congenital. I would like to ask Dr. Yeh how to treat this and which specialty we should consult. Thank you...
Dr. Ye Boshou Reply:
If it is a congenital issue, it may be related to the muscles or nerves of the left eye. Please first consult an ophthalmologist or a neurologist to rule out other causes, and then consider seeing a plastic surgeon to discuss potential surgical improvements.[Read More] Understanding Asymmetrical Eyes: Causes and Treatment Options
Understanding Asymmetrical Eyes in Children: Causes and Solutions
Unequal pupil size Hello Doctor: My daughter’s eyes appear normal and symmetrical when she looks straight ahead. However, when she tilts her head forward and looks up, the left eyelid is not raised as much as the right, causing the left pupil to be partially covered by the eyelid...
Dr. Ye Boshou Reply:
1. Has it been like this since birth? 2. If not, please first consult a neurologist to rule out the possibility of myasthenia gravis.[Read More] Understanding Asymmetrical Eyes in Children: Causes and Solutions
Understanding Left-Sided Headaches: Causes and When to Seek Help
Headache Hello: I have been experiencing occasional dull pain on the left side of my head. When it hurts, it also involves my left eye and left ear. The sensation in my left eye is particularly strange, as it feels swollen and painful. What could this condition be? Where should I...
Dr. Ye Boshou Reply:
Your symptoms seem to indicate neuropathic pain. If the pain persists, it is advisable to see a neurologist for further evaluation.[Read More] Understanding Left-Sided Headaches: Causes and When to Seek Help
Unexplained Left Facial Atrophy and Pain: Seeking Medical Guidance
Unexplained atrophy and pain in the left side of the face? Hello Doctor, I have noticed a depression on my forehead over the past two years, accompanied by occasional tightness and mild pain. In cold weather, I even experience numbness on the left side of my face. Earlier this ye...
Dr. Ye Boshou Reply:
Please seek another neurologist for an examination, as we are currently unable to make a determination. I apologize![Read More] Unexplained Left Facial Atrophy and Pain: Seeking Medical Guidance
Understanding Sleep Paralysis: Causes and Solutions for Your Concerns
請提供 Sometimes, while sleeping, I suddenly wake up with my eyes open but find that I am unable to move my entire body. It feels like I am awake, but I cannot move at all.
Dr. Lai Lunxiang Reply:
Hello! Many people have experienced this symptom, so don't worry. As long as you maintain a normal lifestyle, this condition will resolve on its own as you age. Thank you![Read More] Understanding Sleep Paralysis: Causes and Solutions for Your Concerns
Understanding Facial Nerve Issues: Symptoms and Costs of Treatment
Facial nerve issues? I have been experiencing pain in my shoulder and neck for the past few days. After about two or three days, I woke up and noticed that I couldn't control the right side of my face while brushing my teeth. I am unable to exert strength on the right side o...
Dr. Ye Boshou Reply:
The symptoms described may indicate facial nerve paralysis; please seek consultation at a neurology outpatient clinic promptly.[Read More] Understanding Facial Nerve Issues: Symptoms and Costs of Treatment
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
Urgent Medical Advice Needed: Understanding Severe Pain and Dizziness
I'm not sure which specialty to consult. Please respond quickly, I'm very worried? Hello, I would like to ask about my boyfriend who often experiences dizziness and loss of consciousness due to extreme pain. I have seen him dislocate his hand and try to push it back int...
Dr. Lai Lunxiang Reply:
Hello, where is the excessive pain located? It is recommended to address the pain issue first.[Read More] Urgent Medical Advice Needed: Understanding Severe Pain and Dizziness
Understanding Persistent Eyelid Twitching: Causes and Concerns
Eyelid twitching? Doctor, my eyelid has been twitching continuously for over a month. It should be fine, right? It's only the left eyelid. Thank you.
Dr. Lai Lunxiang Reply:
Hello! Overwork, insufficient rest, anxiety, etc., are all issues. Please make improvements. Thank you![Read More] Understanding Persistent Eyelid Twitching: Causes and Concerns
Understanding Headaches: Causes, Symptoms, and When to Seek Help
Headache I have been experiencing dizziness for several days. My blood pressure measured 128/ (I forgot the lower number), and my heart rate was either 98 or 100. The most severe headache I had was a pain in my temple that radiated to above my left eye, lasting for several hours,...
Dr. Ye Boshou Reply:
High blood pressure can cause headaches, and pain may also affect blood pressure. However, if headaches persist, it is advisable to seek consultation at a neurology clinic.[Read More] Understanding Headaches: Causes, Symptoms, and When to Seek Help
Understanding Weekly Headaches: Causes and Solutions for Relief
Weekly recurring headaches? I experience headaches regularly, either weekly or biweekly, accompanied by a loss of appetite and a feeling of nausea. The discomfort usually begins in the morning or starts in the afternoon and intensifies into the evening, becoming more painful as t...
Dr. Lai Lunxiang Reply:
Hello, I believe there are too many factors to consider. Please visit the outpatient clinic for a thorough consultation before proceeding. Thank you![Read More] Understanding Weekly Headaches: Causes and Solutions for Relief
Understanding Orbital Pain: Causes, Symptoms, and Management Tips
Orbital pain Hello: I often stay up late and spend long hours on the computer. Two years ago, I experienced pain above my eyeball, which has not improved. Later, the pain shifted to the back of my eyeball in the eye socket, and it feels swollen at times. Occasionally, I have a st...
Dr. Lai Lunxiang Reply:
Yes, it is neuropathic pain, likely caused by prolonged eye strain. Therefore, the priority is to rest and allow the eyes to recuperate.[Read More] Understanding Orbital Pain: Causes, Symptoms, and Management Tips
Understanding Sleep Talking and Nighttime Behavior: Is It Sleepwalking?
Is it really sleepwalking... or something else? Doctor, I have a tendency to sleep talk, but I don't really have much of a recollection of dreaming myself! Recently, my roommate mentioned that I often sit up in the middle of the night with my eyes open and mumble to myself. ...
Dr. Lai Lunxiang Reply:
This refers to "constitution"; if there are adverse physical conditions, they must be addressed; otherwise, it may not be necessary.[Read More] Understanding Sleep Talking and Nighttime Behavior: Is It Sleepwalking?
Managing Chronic Headaches After AVM Surgery: Expert Insights
Headache I underwent a craniotomy in 2001 for a congenital arteriovenous malformation located near my left temple, close to my left eye. It was pressing against my left eye (approximately 4-5 cm). Prior to the discovery of this condition, I had a habit of experiencing migraines. ...
Dr. Huang Yingzhe Reply:
Director Huang Ying-Che of the Neurology Department at Tainan Hospital, Ministry of Health and Welfare, responded: Hello, A-Mei. Your headache may be related or unrelated to the pre-existing arteriovenous malformation, but a thorough evaluation is necessary. An electroencephalogr...[Read More] Managing Chronic Headaches After AVM Surgery: Expert Insights
Understanding Severe Headaches: When to Seek Further Neurological Evaluation
I would like to inquire about issues related to headaches..? Hello Doctor, in the past, I experienced headaches about once every 2-3 months, but recently they have recurred twice within a week. The symptoms include seeing colorful, snake-like flashes before the headache starts, a...
Dr. Lai Lunxiang Reply:
Based on your description, it indeed resembles "typical migraine" (according to the literature). If the symptoms are severe, you should take preventive medication daily (not pain relievers). Additionally, maintaining a normal lifestyle, regular exercise, and stress reli...[Read More] Understanding Severe Headaches: When to Seek Further Neurological Evaluation
Understanding the Causes and Mechanisms of Vegetative State in Neurology
vegetative state Hello, Dr. Tsao. I apologize for bothering you. May I ask what types of severe injuries can lead to a vegetative state? How does this occur? Which organs, systems, or nerves in the body are affected by such injuries, leading to dysfunction or failure in certain a...
Dr. Cao Wenlong Reply:
Hello CARTER: The medical term for a vegetative state is "persistent vegetative state." This means that when the person is awake, they may open their eyes, and when they are asleep, their eyes will close. Their limbs remain immobile and rigid, resembling a tree trunk. T...[Read More] Understanding the Causes and Mechanisms of Vegetative State in Neurology
Understanding Throbbing Head Pain: Causes and When to Seek Help
The brain experiences throbbing pain? Hello, doctor. Recently, I've been experiencing sharp pain in my head. The pain is located about 10 centimeters above my left eyeball, roughly in the upper left forehead area, and it occurs intermittently. Each episode lasts about 2 to 3...
Dr. Ye Boshou Reply:
Your issue may simply be benign migraines, but the possibility of intracranial pathology cannot be ruled out. It is recommended to visit a neurology clinic for further evaluation and treatment by a physician. If it is indeed migraines, general medication treatment should suffice ...[Read More] Understanding Throbbing Head Pain: Causes and When to Seek Help
Understanding Neurological Symptoms: When to Seek Specialist Help
Which specialty should I consult for my symptoms? Hello Doctor: I started experiencing dizziness (not vertigo) about two weeks ago, along with a feeling of weakness and lightness in my limbs (most notably in my knees and elbows). I can get up, climb stairs, and raise my arms norm...
Dr. Lai Lunxiang Reply:
Based on your symptom description, it is believed that you may be experiencing cold symptoms. Please consult an internist and ensure you get plenty of rest and adequate hydration.[Read More] Understanding Neurological Symptoms: When to Seek Specialist Help
Understanding Right Facial Dysfunction: Causes and Treatments
The right side of the face is not functioning normally? A few days ago, I had a cold. In the past few days, I've been experiencing headaches that start from the back of my neck and radiate to my head. I've only been getting about 2 to 3 hours of sleep each night due to ...
Dr. Ye Boshou Reply:
Based on your symptom description, it appears to be right-sided facial nerve paralysis. However, you should still visit a neurology clinic for evaluation and confirmation of the diagnosis by a physician.[Read More] Understanding Right Facial Dysfunction: Causes and Treatments