Understanding Chronic Discomfort: A Year of Neurological Challenges
It has been a year, and recently, my daily routine has been affected by discomfort during waking hours? Hello, doctor. I have been experiencing discomfort for over a year. Initially, I felt unusually unwell at home on weekends, with persistent dizziness and chest tightness throug...
Dr. Jiang Junyi Reply:
Hello, based on your description and age, it may be necessary to first consider the symptoms of migraine. Common aura symptoms of migraine include visual disturbances such as seeing bright lights resembling stars or lightning, as well as blurred or distorted vision. These are all...[Read More] Understanding Chronic Discomfort: A Year of Neurological Challenges
Head Injury After Motorcycle Fall: Do I Need a Follow-Up?
Riding a motorcycle in the rain can be dangerous, leading to accidents and head injuries? Hello, Doctor. I had a motorcycle accident on December 21, 2019, where I fell while wearing a helmet and hit my head. At that time, I felt a pressure and pain in the right side of my head, a...
Dr. Hong Weibin Reply:
Hello: The observation period for head trauma is generally about 7 to 14 days. A small number of patients with head injuries may experience delayed intracranial hemorrhage or axonal injury to the brain. During the observation period, the main concern is the potential for such ble...[Read More] Head Injury After Motorcycle Fall: Do I Need a Follow-Up?
Unexpected Vocalizations in Elderly: When to Seek Medical Advice?
Unintentionally making sounds? My grandfather is 87 years old, and over the past three months, he has frequently been making sudden loud sounds, which I don't remember him doing before. The sound resembles a loud "wēi" coming from his lower abdomen, and it usually ...
Dr. Jiang Junyi Reply:
Hello: It is advisable to document your grandfather's symptoms. If these are newly occurring symptoms, it may be necessary to consider structural issues or side effects from medications. It is recommended to visit a neurology outpatient clinic for examination and follow-up. ...[Read More] Unexpected Vocalizations in Elderly: When to Seek Medical Advice?
Does Parkinson's Disease Cause Weight Loss? Understanding Symptoms and Solutions
Can Parkinson's disease cause weight loss? Hello, may I ask if Parkinson's disease causes continuous weight loss? A woman in her 60s is eating normally but is still losing weight, often experiences hiccups (gastroscopy showed no findings), has severe memory decline, her...
Dr. Hong Weibin Reply:
Hello: If there is unintentional weight loss, such as losing more than 5% of body weight in one month or 10% within six months, it may be necessary to investigate other causes of weight loss. The most concerning possibility is malignant tumors, such as lung cancer or colorectal c...[Read More] Does Parkinson's Disease Cause Weight Loss? Understanding Symptoms and Solutions
Understanding Early Signs of Dementia: A Guide for Caregivers
Dementia issues Hello, doctor. My grandmother is 75 years old. About six months ago, I noticed that she sometimes forgets things, like when she bought tofu and left it in her scooter, only to realize it the next day. However, this doesn't happen very often, just occasionally...
Dr. Jiang Junyi Reply:
Hello: If you notice any abnormalities in your memory, it is advisable to consult a neurologist for discussion. Alzheimer's disease primarily affects memory function. Generally, the Short Portable Mental Status Questionnaire (SPMSQ) focuses more on orientation and is less ef...[Read More] Understanding Early Signs of Dementia: A Guide for Caregivers
Is Forgetfulness a Sign of Dementia? Understanding Early Symptoms
Dementia in the elderly Hello Dr. Hong, yesterday afternoon at work, I suddenly couldn't remember my computer's login password, which I've been using daily for the past five or six years; in fact, I had used it that morning. It took me over two hours to recall it. ...
Dr. Hong Weibin Reply:
Hello: This indicates that there may be an issue with the retrieval aspect of your memory, which is a normal part of aging. The phenomenon where you can't quite find the words you want to say is known as the "tip-of-the-tongue" phenomenon, and it is not a disease; ...[Read More] Is Forgetfulness a Sign of Dementia? Understanding Early Symptoms
Understanding Neonatal Thalamic Highlights in MRI Reports
Neonatal Thalamic Bright Spots Hello, doctor: The MRI report of the newborn shows hyperintensities in the thalamus. What implications does this have? What should we be aware of?
Dr. Jiang Junyi Reply:
Hello: The MRI images of newborns change in signal intensity as they grow older. For knowledge in this area, it may be more appropriate to consult a pediatric neurologist. However, a clinical physician may arrange for examinations or tests based on clinical symptoms that require ...[Read More] Understanding Neonatal Thalamic Highlights in MRI Reports
Managing Seizures Triggered by Antidepressants: A Patient's Journey
Post-drug-induced epilepsy Hello Doctor, about 14 years ago, I experienced a head injury. I have a history of depression and sleep disorders, and my depression improved over time. However, approximately 12 years ago, I fainted in the bathroom after taking antidepressant medicatio...
Dr. Cai Zongzhang Reply:
Hello, epilepsy requires regular medication adherence and treatment according to the physician's instructions. Additionally, maintaining a stable daily routine can help stabilize the condition.[Read More] Managing Seizures Triggered by Antidepressants: A Patient's Journey
Can a Head Injury Affect Your IQ and Memory?
Head issues I would like to ask the doctor: A few days ago, while hanging laundry, I accidentally bumped my head against a metal plate and it hurt a bit. Will this affect my IQ or memory?
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious localized hematomas, head injuries are mostly mild. However, the following conditions should prompt consideration of delayed bleeding and a visit to t...[Read More] Can a Head Injury Affect Your IQ and Memory?
Neck Examination: Understanding Neurological Symptoms and Diagnostic Options
Neck examination Hello, Dr. Jiang: About ten years ago, one day I pressed hard on my left neck, and then suddenly felt as if my entire right side was filled with water; it felt strange. Since then, I have been unable to resolve several sequelae. 1. The corner of my mouth droops t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be more indicative of cervical radiculopathy due to nerve root compression, especially since the symptoms worsen after lifting heavy objects. Additionally, abnormalities in the cervical blood vessels can sometimes present similar symptoms. It is recommend...[Read More] Neck Examination: Understanding Neurological Symptoms and Diagnostic Options
Understanding Fragmented Memory Loss in Neurological Conditions
Loss of episodic memory My grandmother suddenly asked about some things related to my grandfather last night, but those events happened a long time ago. She seems to have forgotten about my grandfather's current situation and only remembers past events about him. However, th...
Dr. Jiang Junyi Reply:
Hello: If neurological symptoms occur for a very short duration, it may be necessary to consider cerebrovascular diseases (such as stroke or hemorrhage affecting memory areas). However, it could also be transient global amnesia, which is often associated with changes in blood flo...[Read More] Understanding Fragmented Memory Loss in Neurological Conditions
Is It Really Dementia? Understanding Cognitive Decline in Elderly Patients
Is it really dementia? My grandfather is 80 years old and has been in poor health due to a stroke he suffered two years ago. Recently, he was hospitalized for malnutrition, but the doctor mentioned that my grandfather has dementia, which has caused him to forget how to eat and dr...
Dr. Hong Weibin Reply:
Hello: Dementia is a syndrome, not a single disease (for example, influenza is a disease caused by the influenza virus; however, acquired immunodeficiency syndrome is a syndrome with multiple manifestations, such as pneumocystis pneumonia, fungal infections, tumors, etc.). When a...[Read More] Is It Really Dementia? Understanding Cognitive Decline in Elderly Patients
Understanding Post-Concussion Symptoms: What to Do After a Head Injury
Concussion inquiries? Hello Doctor: I was involved in a motorcycle accident four weeks ago as a passenger, wearing a full-face helmet. I have no memory of the accident and when I opened my eyes again, I was already in the hospital. I was unconscious when I was brought to the hosp...
Dr. Jiang Junyi Reply:
Hello: Because you have sustained a severe head injury, common symptoms include the following: – Vomiting two times or more – Age over 65 or under 2 years – Drug or alcohol overdose – Persistent severe diffuse headache – Loss of consciousness for more than 30 minutes after the in...[Read More] Understanding Post-Concussion Symptoms: What to Do After a Head Injury
Can Mild Concussion Lead to Dementia? Expert Insights
Will mild traumatic brain injury lead to dementia? Hello Dr. Jiang, I would like to ask if a person who has been pushed and falls to the ground, experiencing dizziness similar to a mild concussion, is at risk of developing dementia?
Dr. Jiang Junyi Reply:
Hello: The causes of dementia are divided into primary degenerative dementia (accounting for about 70-80%) and secondary dementia (accounting for about 10-20%). Primary degenerative dementia refers to the degeneration or pathology of brain neurons, but the true underlying causes ...[Read More] Can Mild Concussion Lead to Dementia? Expert Insights
Understanding Post-Concussion Symptoms: Dizziness and Memory Loss
Dizziness and transient amnesia? At the beginning of the month, I fell off my bike and sustained abrasions. Since my head hit the ground, I experienced brief dizziness and a few seconds of blankness. I consulted a doctor and underwent a CT scan, which showed no bleeding. I was as...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, head trauma without loss of consciousness, use of anticoagulants, or obvious local hematomas tends to be mild, and the sequelae of a concussion are usually not significant. As for the occurrence of fainting, it is important to...[Read More] Understanding Post-Concussion Symptoms: Dizziness and Memory Loss
Essential Tests for Stroke and Dementia in Elderly Patients
Examination items for stroke/dementia in the elderly? Hello, my mother is 73 years old. Last month, she had a cold and visited a clinic near our home for medication. The following afternoon, she went out as usual but did not return home for a long time. In the evening, family mem...
Dr. Hong Weibin Reply:
Hello, thank you for your inquiry. Your concern for your mother is truly touching. Based on your description, it seems that your mother is experiencing acute altered mental status (personality changes, slowed movements). Your neurologist is correct; potential causes could include...[Read More] Essential Tests for Stroke and Dementia in Elderly Patients
Understanding Frequent Headaches and Memory Loss: A Neurological Concern
Frequent headaches, occasional mental fog, and recently experiencing brief episodes of amnesia? Hello, doctor. I am asking on behalf of my boyfriend because I am very worried about his condition and cannot accompany him to the hospital. I kindly ask for your assistance. At the en...
Dr. Jiang Junyi Reply:
According to your description: You mentioned that amnesia lasting more than 30 minutes following a head injury is indicative of a more severe brain injury. As for the subsequent multiple seizures, one should consider abnormal electrical discharges in the brain, the most well-know...[Read More] Understanding Frequent Headaches and Memory Loss: A Neurological Concern
Unexplained Falls and Head Injuries: Understanding Neurological Concerns
Unexplained fall resulting in impact to the back of the head? Hello Doctor: On the 25th of this month, after taking a break and using the restroom (urinating), I fell and hit the back of my head. I have no memory of the fall or how I returned to the office. The surveillance foota...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms you mentioned are more likely caused by syncope, which is typically due to a rapid drop in blood pressure or vasoconstriction leading to decreased cerebral blood flow, resulting in cerebral hypoxia. Syncope is more likely to occur when a pe...[Read More] Unexplained Falls and Head Injuries: Understanding Neurological Concerns
Understanding Post-Concussion Symptoms and Recovery
Post-concussion symptoms? Last week, I slipped at home and hit my head (on the upper right forehead) against the wall. Before going to the hospital, my memory was quite confused and fuzzy, and my head was very painful. After the emergency visit, they said I had a mild concussion,...
Dr. Jiang Junyi Reply:
Hello, based on your description, if it is delayed cerebral hemorrhage, common symptoms include double vision (diplopia), unequal pupil size, watery or bloody discharge from the ears or nose, confusion or abnormal behavior, limb paralysis, and primarily short-term memory loss. As...[Read More] Understanding Post-Concussion Symptoms and Recovery
Persistent Dizziness and Pain: Should You See a Specialist?
Dizziness and vertigo? Hello, I had a car accident two years ago, and the doctor said that the X-ray showed no issues. The dizziness I experienced was attributed to impaired balance function (I have no memory of that day). However, the small bump on my head has not gone away, and...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause symptoms of dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. Since your symptoms occurred two years after the car accident, they are likely less related to the accident. It is import...[Read More] Persistent Dizziness and Pain: Should You See a Specialist?