Parkinson's disease, Neurology FAQ

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Understanding Parkinson's and ALS: Addressing Anxiety and Symptoms

Hello, doctor. I would like to inquire about concerns regarding Parkinson's disease and amyotrophic lateral sclerosis (ALS)? Hello Doctor: I have been experiencing depression, anxiety, panic, and health anxiety for a year now. Prior to this, I was doing well. I have been mak...


Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned, "Am I really overthinking and living in fear every day... Could my depression and anxiety cause dopamine scans to show abnormalities, and is there a chance that a doctor might diagnose me with Parkinson's?" In clinical practice, neurologi...

[Read More] Understanding Parkinson's and ALS: Addressing Anxiety and Symptoms


Understanding SPECT Cerebral Perfusion Scan Results for Dementia Diagnosis

CEREBRAL PERFUSION SCAN WITH SPECT Report Consultation Dear Doctor, Thank you for taking the time to answer my questions. Below are the results of my father's (78 years old) Cerebral Perfusion Scan with SPECT conducted on February 21, 2024. I would like to inquire about the...


Dr. Jiang Junyi Reply:
Dear Ms. Lin, Has your father’s condition progressed to Alzheimer's disease and Parkinson's disease due to his illness? The report you provided indicates that there seems to be a diagnosis of Alzheimer's based on imaging. There is a noted decrease in cerebral bloo...

[Read More] Understanding SPECT Cerebral Perfusion Scan Results for Dementia Diagnosis


Understanding SPECT Cerebral Perfusion Scan Results in Dementia Diagnosis

CEREBRAL PERFUSION SCAN WITH SPECT REPORT INQUIRY Dear Doctor, Thank you for taking the time to assist with my inquiries. Below are the results from my father's (78 years old) Cerebral Perfusion Scan with SPECT conducted on February 21, 2024. I would like to ask the followi...


Dr. Peng Shiwei Reply:
Each individual's condition and physical status are different, so it is advisable to discuss with the elder's original attending physician. Thank you.

[Read More] Understanding SPECT Cerebral Perfusion Scan Results in Dementia Diagnosis


Exploring Causes of Leg Weakness: Beyond MRI and Dopamine Imaging

The left foot feels weak when starting to walk, and MRI, electromyography, and dopamine imaging have all shown no abnormalities? Hello Doctor, my family member has experienced foot drop for the past five years. When changing positions (from sitting to standing, starting to walk, ...


Dr. Peng Shiwei Reply:
It is recommended to take your family member to a neurosurgery department for evaluation. Thank you.

[Read More] Exploring Causes of Leg Weakness: Beyond MRI and Dopamine Imaging


Understanding Taste Changes: Neurological Insights for Seniors

Oral issues Hello Doctor, I would like to ask about my father who has recently experienced a lack of taste for the first bite of food, but the second bite tastes normal. He is 55 years old and has a history of hypertension and myocardial infarction. He also has cold symptoms with...


Dr. Peng Shiwei Reply:
If you experience changes in taste, it is recommended to seek evaluation from a neurologist, a gastroenterologist specializing in liver and biliary disorders, or an otolaryngologist (ENT). Thank you.

[Read More] Understanding Taste Changes: Neurological Insights for Seniors


Managing Parkinsonism and Orofacial Dyskinesia in Elderly Stroke Patients

Parkinson's disease, oromandibular dystonia? Dear Doctor, My father has been living with the effects of a stroke for 12 years now. Approximately 9 years ago, he became reliant on others for care. Initially, he was able to communicate and eat without issues, but as he aged ...


Dr. Peng Shiwei Reply:
Parkinson's disease is a degenerative disorder that can be managed with medication to slow the progression, but it cannot be cured. The cause of oromandibular dystonia also requires evaluation by a neurologist. Due to the inconvenience of going out for medical care, it is re...

[Read More] Managing Parkinsonism and Orofacial Dyskinesia in Elderly Stroke Patients


How to Determine Disability Status for Parkinson's Disease in Taiwan

How is the determination of disability for Parkinson's disease made? Recently, my dad was diagnosed with severe obstructive sleep apnea and needs to purchase a CPAP machine. I came across information stating that if one has a disability certificate, they can receive governme...


Dr. Peng Shiwei Reply:
Hello, if you wish to apply for disability benefits, please directly consult your attending physician to assess whether you meet the eligibility criteria. Generally, you need to take the initiative to apply. Thank you for your inquiry.

[Read More] How to Determine Disability Status for Parkinson's Disease in Taiwan


Understanding Uncontrollable Body Shaking: Causes and Solutions

The body may occasionally experience involuntary muscle spasms or twitching? Hello Doctor: I would like to ask on behalf of my father! My father has diabetes, kidney disease, and hypertension, and he also suffers from ischemia. He experiences severe shaking every day, not just mi...


Dr. Jiang Junyi Reply:
Dear Ms. Fen, You mentioned that your father is experiencing "intense shaking accompanied by discomfort," which may warrant consideration of structural issues in the brain, commonly seen after cerebrovascular diseases. Tremors can often be attributed to essential tremo...

[Read More] Understanding Uncontrollable Body Shaking: Causes and Solutions


Understanding Side Effects of Rydan Tablets in Elderly Patients

Medication Issue - Rydapt (Midostaurin) My grandmother originally lived in Changhua, but she temporarily moved to Taoyuan to stay with us in July because she needed to get dentures. Since she has a long-standing issue with hand tremors, we took her to the hospital for an examinat...


Dr. Peng Shiwei Reply:
Hello, there are many medications available for treating tremors and Parkinson's disease. Since there is a possibility of duplicate prescriptions or drug interactions, it is recommended that your grandmother see the same physician for diagnosis and medication management. Tha...

[Read More] Understanding Side Effects of Rydan Tablets in Elderly Patients


Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients

Tremor issues? Yesterday, after taking a nap on the sofa, I woke up feeling tightness in my neck and shoulders, along with a slight headache. I have a history of C3-C4-C5 cervical disc herniation causing nerve compression (approximately 10 years), with symptoms that fluctuate. Oc...


Dr. Cai Zongzhang Reply:
Hello, Cheng: Neck pain is closely related to neck posture. It is recommended to avoid napping on the sofa, as it can have adverse effects on the cervical spine.

[Read More] Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients


Managing Parkinson's Disease: Can Medication Adjustments Reverse Decline?

Questions about Parkinson's disease? Hello Doctor: My mother, who is 72 years old, has been diagnosed with Parkinson's disease for about 10 years. Three months ago, her medication was adjusted, and she experienced severe dizziness. A month ago, her medication was adjust...


Dr. Peng Shiwei Reply:
Hello, regarding your question, I believe it would be more appropriate to discuss it with your mother's neurologist. Thank you.

[Read More] Managing Parkinson's Disease: Can Medication Adjustments Reverse Decline?


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?


Understanding Unilateral Hand Tremors: Causes and Concerns

Unilateral hand tremor issue? Hello doctor, I recently noticed that my left hand shakes when I hold objects. The shaking is not very strong, but the frequency of the tremor is affected by the weight of the items. I have experienced this before, but it was not frequent. However, w...


Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Hsuan, You mentioned, "Whenever my hand tremors occur, it is always my left hand that shakes, while my right hand does not. I would like to know if this is a brain issue or a precursor to Parkinson's disease." Typical Parkinson's disease pre...

[Read More] Understanding Unilateral Hand Tremors: Causes and Concerns


Understanding Parkinson's Disease: Symptoms and Self-Assessment Insights

Parkinson's disease Hello Doctor, I saw online about a self-check for Parkinson's disease using the index and thumb fingers. I found that my left hand becomes stiff after pressing down for 40 times, and I start to slow down. I also tested this six years ago and experien...


Dr. Hong Weibin Reply:
Hello: Generally speaking, in a self-assessment for Parkinson's disease, repeatedly pressing the thumb usually shows a decrease in movement amplitude within 10 to 20 presses. If I press it 40 times, many normal individuals may experience hand fatigue. Additionally, Parkinson...

[Read More] Understanding Parkinson's Disease: Symptoms and Self-Assessment Insights


Understanding Parkinson's Disease: Symptoms, Diagnosis, and Management

Parkinson's disease Hello doctor, I have a question. Since 2016, whenever I lie flat and remain still, my right leg feels warm and stiff, and it only improves when I move or bend it. Additionally, I often experience muscle twitching in various parts of my body, which is part...


Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it may not necessarily be Parkinson's disease. If you feel that your symptoms have worsened over the past few years, it is advisable to consult a neurologist again for an evaluation. Thank you for your inquiry.

[Read More] Understanding Parkinson's Disease: Symptoms, Diagnosis, and Management


Could My Symptoms Indicate Parkinson's Disease? A Patient's Journey

Parkinson's disease Hello Doctor, in July 2014, I experienced severe headaches from hot water while taking a shower, to the point where I felt like I wanted to hit my head against the wall. After that, my body started to change. In July 2015, my right index finger suddenly b...


Dr. Peng Shiwei Reply:
Based on your current age and symptoms, the likelihood of Parkinson's disease is indeed low. However, if you notice any changes or worsening of your symptoms, you should consider visiting a neurologist for further evaluation.

[Read More] Could My Symptoms Indicate Parkinson's Disease? A Patient's Journey


Managing Parkinson's Disease: Addressing Anxiety and Daily Challenges

Parkinson's disease Dear Dr. Jiang, My mother was diagnosed with Parkinson's disease last August at the age of 66. She has had long-standing insomnia issues and has a naturally introverted and anxious personality. It wasn't until last year that she experienced wea...


Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned, "Heavy metal testing, due to living in the countryside and working in hotel housekeeping for 25 years. If there has indeed been excessive exposure and treatment, would it improve symptoms, and would her mood improve?" For atypical Parkins...

[Read More] Managing Parkinson's Disease: Addressing Anxiety and Daily Challenges


Understanding Parkinson's Disease: Managing Symptoms and Lifestyle Changes

Parkinson's disease Hello Doctor, I would like to ask about my mother's condition. She has been experiencing this for several years. Initially, she only had slight tremors in her hand, but it has progressively worsened to the point where she can no longer care for her r...


Dr. Hong Weibin Reply:
Hello: Parkinson's disease is a type of neurodegenerative disorder. Neurodegenerative disorders imply that the disease will progressively worsen over time. Both pharmacological treatment and non-pharmacological interventions can only slow the progression of the disease; they...

[Read More] Understanding Parkinson's Disease: Managing Symptoms and Lifestyle Changes


Understanding Foot Numbness and Small Steps: Neurological Insights

Numbness in the toes and shuffling gait? Hello Dr. Jiang, I am 72 years old this year. I previously visited a neurologist because I experience small shuffling steps when walking and cannot turn my head too quickly, otherwise I feel dizzy. Both of my feet feel numb, primarily in t...


Dr. Jiang Junyi Reply:
Hello, Aunt Hsu: You mentioned, "Is it possible to improve small fiber symptoms through dopamine in non-Parkinson's disease?" The answer is no. You also noted that "both feet feel numb, primarily in the toes," which may indicate symptoms of peripheral ne...

[Read More] Understanding Foot Numbness and Small Steps: Neurological Insights


Seeking Medical Guidance for Involuntary Movement Disorders

Please advise on the medical approach for involuntary movements? Hello Doctor, my mother is 69 years old and has been experiencing involuntary movements in her left leg since around July of last year. Initially, she would only have a few shakes during specific times in the evenin...


Dr. Jiang Junyi Reply:
Hello: You mentioned "significant weight loss and muscle fat reduction (about 52 kg last July, now approximately 46 kg), which have been ongoing issues that have not truly improved despite intermittent consultations." The decrease in mobility has led to a vicious cycle ...

[Read More] Seeking Medical Guidance for Involuntary Movement Disorders


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