Understanding Acute Ischemic Stroke: Challenges in Recovery and Treatment
Acute Stroke Hello, Doctor Gao! My mother recently suffered an embolic stroke in the left hemisphere, with approximately two-thirds of the left brain affected by hypoxia. She was urgently transported to a local hospital for evaluation and received thrombolytic therapy within thre...
Dr. Gao Chunde Reply:
Considering the time factor, the longer the blockage persists, the more the ischemic blood vessel walls and the supplied brain tissue will begin to soften and weaken. If a thrombus is cleared at this point, the reintroduction of arterial blood pressure can easily lead to vessel r...[Read More] Understanding Acute Ischemic Stroke: Challenges in Recovery and Treatment
Post-Accident Neurological Recovery: Seeking Treatment Options
Dr. Lan has something he would like to inquire about? I would like to ask the doctor a question. I was in a car accident on November 22, 2015. To be honest, I don't remember how the accident happened, as that memory has faded. I had no external injuries, but I know there was...
Dr. Lan Shengxing Reply:
Dear Shao-Chi, this injury requires some time for rehabilitation. I'm glad to hear that you're seeing progress in your recovery, but not every condition has a miracle cure. As you mentioned, these inconveniences are part of the brain's learning process, so you need...[Read More] Post-Accident Neurological Recovery: Seeking Treatment Options
Which Specialist to Consult for Post-Stroke Symptoms?
I'm not sure which specialty to see? Hello Doctor, my mother-in-law fell and had brain surgery five years ago. For the first two to three years after the surgery, her movements were slower, but she was still able to move and live independently. However, over the past year, s...
Dr. Gao Chunde Reply:
A consultation with a neurologist can be considered to assess for cognitive decline in the elderly or other neurodegenerative diseases, or to evaluate if the aforementioned conditions are accompanied by emotional issues. However, it is crucial to first rule out any related side e...[Read More] Which Specialist to Consult for Post-Stroke Symptoms?
Understanding Post-Medication Dizziness and Neurological Symptoms
Two weeks after discontinuing antihypertensive medication, I feel a heaviness in my head and occasionally experience brief episodes of dizziness? Hello doctor, on March 30th, my physician prescribed me Forxiga 10mg for weight loss. On April 5th, I returned to the clinic due to di...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether you have a problem with sleep apnea, as obstructive sleep apnea is closely related to obesity. The complications of sleep apnea primarily affect the cardiovascular system, leading to hypertension, myocardial infarction, and ...[Read More] Understanding Post-Medication Dizziness and Neurological Symptoms
Is My Mother's Numbness and Weakness a Sign of Stroke?
Could you please tell me if my mother's symptoms indicate a stroke? Hello, Dr. Gao. My mother has been a long-term patient at your hospital. Recently, she has been experiencing numbness and weakness on the right side of her body from head to toe, and she is unable to walk no...
Dr. Gao Chunde Reply:
Unilateral numbness and weakness are highly indicative of a stroke. The physician will arrange for relevant examinations to determine the cause and treatment.[Read More] Is My Mother's Numbness and Weakness a Sign of Stroke?
Understanding Right-Sided Numbness: When to Seek Medical Help
Numbness on the right side of the body? Hello Doctor: Three months ago, I woke up one day with sudden numbness on the right side of my body. I went to a large hospital, and the doctor said it was not a stroke because I still had sensation and pain on the right side, so it should ...
Dr. Gao Chunde Reply:
Numbness on the right side has improved over the course of a month, but has recurred. The right side of the face and head are affected, which may indicate a central nervous system issue or a precursor to seizures. An electroencephalogram (EEG) can be used to assess for abnormal e...[Read More] Understanding Right-Sided Numbness: When to Seek Medical Help
Understanding Severe Headaches, Dizziness, and Breathing Difficulties
Headache, dizziness, palpitations, and shortness of breath? Two weeks ago in the evening, I suddenly experienced a severe headache and difficulty breathing, prompting me to rush to the emergency room. I told the doctor that my head was pounding, I had tinnitus, and most important...
Dr. Gao Chunde Reply:
In general, a neurologist will conduct a detailed assessment based on your headache and related symptoms. If there is a consideration for a specific type of headache, they will explain it to you. If not, it indicates that they believe they can manage your treatment effectively, a...[Read More] Understanding Severe Headaches, Dizziness, and Breathing Difficulties
Can Aspirin Users Still Experience Stroke? Insights from Neurology
During the use of aspirin, is there still a risk of having a stroke? Hello, in mid-October last year, I experienced a right brain vascular embolism, which resulted in my left foot being unable to bear weight. I received TPA injection in the emergency department and was diagnosed ...
Dr. Huang Yingzhe Reply:
Clinically, there are still many cases where patients experience a recurrent stroke despite taking aspirin. Currently, there is no method that can absolutely prevent a second stroke.[Read More] Can Aspirin Users Still Experience Stroke? Insights from Neurology
Understanding Transient Ischemic Attack Symptoms and When to Seek Help
Transient Ischemic Attack (TIA) Occasionally, when I get up from a chair to walk, the left side of my limbs feels tight, making it difficult to exert force and walk normally. However, after a short while, it returns to normal. After researching online, I feel that it resembles sy...
Dr. Gao Chunde Reply:
Based on your symptom description, it resembles a transient dystonia, which is classified as a movement disorder, rather than a minor stroke. It is recommended to visit a neurology clinic for further evaluation by a physician to confirm the actual cause and treatment.[Read More] Understanding Transient Ischemic Attack Symptoms and When to Seek Help
Effective Rehabilitation Strategies After Hemorrhagic Stroke
Stroke rehabilitation Hello! I would like to ask a question. About two months ago, I had a hemorrhagic stroke, but I was sent to the hospital in time, so the impact wasn't severe. The symptoms affected my right side, including my right hand, right foot, and slightly my speec...
Dr. Gao Chunde Reply:
In conjunction with the physician's treatment plan, engage in more physical activity in daily life, increase communication, and strive to train yourself to accomplish tasks independently.[Read More] Effective Rehabilitation Strategies After Hemorrhagic Stroke
Understanding Dizziness and Breathing Difficulties: A Neurology Perspective
Hello, doctor? Hello, doctor. I have been experiencing frequent dizziness, chest tightness, and shortness of breath lately. These episodes usually last for about 10 to 20 seconds and resolve on their own after a short while, occurring approximately 2 to 3 times a day. I previousl...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider obstructive sleep apnea (OSA). A common cause is the obstruction of the airway by soft tissues near the throat, which narrows the upper airway and leads to snoring and breathing cessation. Abnormalities in upper ai...[Read More] Understanding Dizziness and Breathing Difficulties: A Neurology Perspective
Understanding Dizziness and Fatigue: Can Poor Sleep Affect Brain Oxygen Levels?
Dizziness due to Qi deficiency? Hello, doctor. I used to love sleeping in and often slept for more than 9 hours. In recent years, I have frequently experienced dizziness, sensitivity to heat and cold, and feelings of oxygen deprivation during exercise. Could my previous poor slee...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of sleep-related brain hypoxia is sleep apnea. If you have this condition, it can lead to daytime concentration difficulties and frequent drowsiness. 1. Obstructive Sleep Apnea (OSA): This is the most common type, accounti...[Read More] Understanding Dizziness and Fatigue: Can Poor Sleep Affect Brain Oxygen Levels?
Can Acupuncture Replace Rehabilitation After a Mild Stroke?
Mild stroke May I ask: when you last told me that medication treatment is necessary, was it only for blood pressure medication? If I can choose one of the two options, can I just go for acupuncture or rehabilitation? I saw many people online who only did acupuncture without under...
Dr. Lan Shengxing Reply:
Dear Miss Deng, there is something that needs to be clarified. It is the physician's duty to provide the best clinical service. If you believe that life and health are negotiable, then that choice is yours to make. You cannot hold the treating physician or an insufficient on...[Read More] Can Acupuncture Replace Rehabilitation After a Mild Stroke?
Understanding Chronic Subdural Hematoma: Symptoms and Timeline
Chronic subdural hematoma Chronic subdural hematoma can occur weeks to months after an initial head injury, but it is possible for symptoms to develop even up to several years later, including 1 or 2 years after the injury. It can lead to facial weakness and may also cause neck s...
Dr. Jiang Junyi Reply:
According to your description, chronic subdural hematoma is commonly seen in the elderly, with an average onset age of 63 years. Approximately 50% of patients can trace a history of head trauma occurring one to two months prior to the onset of symptoms. Due to the diverse clinica...[Read More] Understanding Chronic Subdural Hematoma: Symptoms and Timeline
Can Mild Stroke Patients Safely Use Traditional Chinese Medicine?
Mild stroke Can a person who has had a mild stroke continue to drink traditional Chinese medicine? My mother has had a mild stroke and feels that drinking traditional Chinese medicine doesn't seem to have much effect. Can I take her to see a traditional Chinese medicine prac...
Dr. Lan Shengxing Reply:
The most important things after a stroke are rehabilitation and preventing a subsequent stroke. Therefore, continuing to take medication to prevent another occurrence is crucial. It is not that the medication is ineffective; in fact, the absence of a recurrence is its effectivene...[Read More] Can Mild Stroke Patients Safely Use Traditional Chinese Medicine?
Understanding Dizziness and Eye Pain: When to Seek Neurology Help
Dizziness upon opening the eyes? Hello Doctor, I am inquiring about my mother's condition. She is currently 65 years old. Last night, she had a big argument with my younger brother, and afterwards, she experienced pain in one eye and slight dizziness. Since her condition imp...
Dr. Yang Shenggong Reply:
Hello Mr. Lan: Your mother's primary symptoms include sudden onset of unilateral eye pain accompanied by dizziness, which may suggest several conditions: A. If the dizziness is characterized by a spinning sensation, it may be due to posterior circulation insufficiency, poten...[Read More] Understanding Dizziness and Eye Pain: When to Seek Neurology Help
Reflexive vs. Conscious Swallowing: Understanding Your Saliva Control
Reflexive actions or conscious actions? Hello, doctor. Recently, while chatting with my classmates, I mentioned that I often forget to swallow my saliva. Everyone found it quite astonishing, thinking that this should be an automatic action controlled by the brainstem in an uncons...
Dr. Jiang Junyi Reply:
According to your description, the salivary glands in normal adults secrete 1 to 1.5 liters of saliva daily. The secretion of saliva is a neurogenic reflex regulated by the cerebral cortex and the autonomic nervous system. During eating, food stimulates the sensory nerves in the ...[Read More] Reflexive vs. Conscious Swallowing: Understanding Your Saliva Control
Understanding Sleep Disorders: Insights from Neurology After Surgery
Sleep issues Hello Doctor, I apologize for bothering you again. Last week, I had a sleep study three months after undergoing a sleep apnea surgery. The results showed that my Apnea-Hypopnea Index (AHI) decreased from nearly 30 to almost normal at 5 events per hour, with most even...
Dr. Gao Chunde Reply:
Pure sleep disorders with abnormal sleep architecture and no accompanying neurological deficits have a low likelihood of revealing brainstem or other cerebral lesions, though it is not impossible. The most common causes of sleep architecture abnormalities due to other neurologica...[Read More] Understanding Sleep Disorders: Insights from Neurology After Surgery
Understanding Neurological Symptoms: Facial Numbness and Eye Pain Explained
Recently, I have been experiencing numbness on the left side of my face, eye pain, and numbness in my legs? Previously diagnosed with migraine, left facial numbness, and left mouth corner twitching. An MRI showed small white spots in the cerebellar region, and after consultation,...
Dr. Yang Shenggong Reply:
Hello, Miss: After reviewing your description, your condition seems to involve paroxysmal sensory and motor abnormalities on the left side of your face, along with frequent pauses in thought and expressive difficulties. Possible clinical causes include: 1) Paroxysmal neurological...[Read More] Understanding Neurological Symptoms: Facial Numbness and Eye Pain Explained
Managing Home Rehabilitation After Hemorrhagic Stroke: Common Concerns
Regarding the situations encountered during home rehabilitation after a hemorrhagic stroke? Dear Doctor, My father suffered a cerebral hemorrhage stroke two weeks ago and was observed in the intensive care unit for about a week. Fortunately, he was able to return home for self-r...
Dr. Jiang Junyi Reply:
Hello, based on your description of the discomfort and pain in the area behind your ear and neck, if there are no new neurological symptoms such as unilateral limb weakness or changes in consciousness, it is generally advisable to consider local neuromuscular issues. Since rehabi...[Read More] Managing Home Rehabilitation After Hemorrhagic Stroke: Common Concerns