Understanding Ischemic Stroke: Symptoms, Diagnosis, and Treatment Options
Ischemic stroke? Hello, I would like to ask you about a condition I saw on a television program called "ischemic stroke." My mother (45 years old) has several symptoms that match, such as headaches, experiencing blackouts upon waking, and weakness in her limbs, especial...
Dr. Ye Boshou Reply:
Hello: Based on the content of your message, a detailed evaluation is required at the outpatient clinic. Please visit the neurology outpatient department for an assessment before arranging any related tests. Thank you~~[Read More] Understanding Ischemic Stroke: Symptoms, Diagnosis, and Treatment Options
Understanding Cervical Myofascial Pain: Symptoms and Diagnosis
Cervical myofascial pain syndrome Hello, doctor. I would like to ask about my father's symptoms. He experiences numbness and tightness from his head to his toes on the right side of his body, which feels like being tightly bound. This has been going on for more than three ye...
Dr. Huang Yongquan Reply:
Hello: In response to your question, symptoms from issues in the brain or neck can potentially cause similar manifestations. It is recommended to bring your previous medical records for examination during your outpatient visit.[Read More] Understanding Cervical Myofascial Pain: Symptoms and Diagnosis
Understanding Unilateral Facial Numbness: Stroke or Nerve Issues?
Unilateral facial numbness? Hello. My mother has recently experienced occasional scalp tingling. Yesterday, she suddenly felt tingling on the right side of her face, but it didn't last long. Could this be a sign of a stroke or a facial nerve issue? Also, would a head X-ray b...
Dr. Huang Yingzhe Reply:
Dear Dr. Huang Ying-Che from the Neurology Department of Tainan Hospital, Ministry of Health and Welfare: Hello, Numbness in the scalp and face may indicate different neurological responses, as numbness is a subjective sensation and it is not appropriate to make a judgment with...[Read More] Understanding Unilateral Facial Numbness: Stroke or Nerve Issues?
Understanding the Golden 3 Hours for Stroke Patients: A Case Study
The Confusion of Stroke Patients Regarding the "Golden 3 Hours" (Forwarded from the Director's Mailbox) My father is 79 years old. A few days ago, while riding a motorcycle to the hospital with my mother for a medical appointment, he collapsed in the hospital'...
Dr. Ye Boshou Reply:
Hello: After an ischemic stroke occurs, research indicates that it may be possible to dissolve the thrombus within 3 hours, although the results are not guaranteed. Brain cells can die if ischemia lasts longer than 30 minutes. Dissolving the thrombus within 3 hours can reduce the...[Read More] Understanding the Golden 3 Hours for Stroke Patients: A Case Study
Effective Treatments Beyond Medication for Stroke Recovery in Elderly
Grandmother had a minor stroke!!! Dear Director Yeh, Hello. My grandmother was hospitalized two months ago due to a stroke caused by a blockage in the right side of her brain. Although she has been safely discharged, the doctor only recommended regular outpatient visits and medi...
Dr. Ye Boshou Reply:
Hello: 1. The sequelae of a stroke cannot be completely reversed. 2. Medications are used to prevent recurrence. 3. Rehabilitation activities may lead to some improvement. 4. The occurrence of the disease is not anyone's fault, so there is no need for self-blame. Focus on re...[Read More] Effective Treatments Beyond Medication for Stroke Recovery in Elderly
Understanding 'Heartbone Pain' in Elderly: Causes and Concerns
Chest pain in the elderly? Recently, my father often complains of "heart bone pain." When it occurs, the pain is very intense but usually subsides within three to five minutes. Applying some menthol balm can help alleviate the pain. Occasionally, it can happen consecuti...
Dr. Lan Shengxing Reply:
Dear Amanda, chest pain may not only be related to heart issues; gastrointestinal problems, intercostal nerve irritation, and other factors could also contribute. It is important to consider the timing of the pain in relation to lifestyle changes, exercise, and other factors. Esp...[Read More] Understanding 'Heartbone Pain' in Elderly: Causes and Concerns
Understanding Left-Sided Scalp Numbness: Causes and Concerns
Tingling sensation on the left side of the scalp, similar to goosebumps? Hello, Doctor: Due to my job, I have to sit for long periods while using a computer, spending over 10 hours a day on it. In the past year or two, I have noticed some discomfort in my body. I experience sudde...
Dr. Ye Boshou Reply:
Hello: Prolonged computer use can lead to fatigue and body stiffness, resulting in soreness. It is recommended to: 1. Get up and move every 40 minutes. 2. Hand numbness may be related to carpal tunnel syndrome, which is associated with mouse usage. These issues are caused by insu...[Read More] Understanding Left-Sided Scalp Numbness: Causes and Concerns
Sudden Abdominal Enlargement: Possible Neurological Concerns
Sudden abdominal distension? My father-in-law is 48 years old and had a stroke two years ago. Recently, his abdomen has noticeably increased in size, but he has normal bowel movements and drinks water regularly. He also has a habit of exercising and occasionally enjoys a drink in...
Dr. Lin Zijing Reply:
A distended abdomen with normal bowel movements indicates that the intestines are functioning properly. However, it may be necessary to consider the possibility of cirrhosis leading to ascites or fat accumulation. It is recommended to arrange for an abdominal ultrasound examinati...[Read More] Sudden Abdominal Enlargement: Possible Neurological Concerns
Understanding Persistent Right-Sided Numbness and Tightness Symptoms
Numbness and tightness in the right side of the limbs? Hello, doctor. I would like to ask about my father’s symptoms. He has been experiencing numbness and tightness on the right side of his body from head to toe for over three years. The tightness feels like being bound very tig...
Dr. Ye Boshou Reply:
Hello: To determine if there are symptoms of a stroke or Parkinson's disease, it is necessary to consult a neurologist. Additionally, certain medications may also cause such symptoms, so it is advisable to see a neurologist for an examination first.[Read More] Understanding Persistent Right-Sided Numbness and Tightness Symptoms
Understanding Hallucinations and Self-Talk in Elderly Patients
Soliloquy Hello Doctor, My grandmother is 83 years old and has a history of heart disease and hypertension. Currently, she is experiencing hallucinations, talking to herself, trembling hands, loss of appetite, and weakness in her legs, although she still has sensation (the hall...
Dr. Lan Shengxing Reply:
Hello Ayong, the symptoms mentioned are quite numerous. If we consider the history of heart disease and hypertension, side effects from medications such as hyponatremia and hypokalemia, or complications from diseases such as stroke, could potentially cause similar symptoms. Addit...[Read More] Understanding Hallucinations and Self-Talk in Elderly Patients
Understanding Persistent Right-Sided Numbness and Tightness Symptoms
Numbness and tightness in the right side of the limbs? Hello, doctor. I would like to ask about my father's symptoms. He has been experiencing numbness and tightness from his head to his toes on the right side of his body for over three years. The tightness feels like being ...
Dr. Gao Chunde Reply:
If it is a stroke, there should be a specific onset time, with symptoms suddenly appearing on one side. Additionally, if facial or speech clarity is normal, one should consider whether it is related to a lower cervical spine issue or simply habitual fatigue and stiffness on one s...[Read More] Understanding Persistent Right-Sided Numbness and Tightness Symptoms
Understanding Stroke Symptoms: Do They Always Include Numbness?
Stroke symptoms Hello, does a stroke always accompany numbness in the arm and leg on the same side? Will both the hand and foot be affected? Is it possible for only the face or just one hand to be involved? Thank you.
Dr. Zeng Kongyan Reply:
Hello: In response to your question, the symptoms of a stroke can be quite diverse. It may present as numbness on one side of the face, arm, or leg, and occasionally, numbness may occur on different sides of the face and limbs. In rare cases, patients may experience numbness in t...[Read More] Understanding Stroke Symptoms: Do They Always Include Numbness?
Understanding Top-of-Head Pain: Causes and Risks Explained
Headache on the top of the head? Hello, sometimes I experience headaches, specifically at the top of my head. I'm not sure what it could be. I also have mild numbness on one side of my face. Is there a risk of stroke? Additionally, regarding the facial nerve, is the mild num...
Dr. Lin Zijing Reply:
Facial numbness on one side may be due to 1. trigeminal nerve dysfunction, 2. mild stroke, 3. atypical facial pain, 4. multiple sclerosis, 5. cellulitis or viral infection (such as herpes zoster), among many possible diagnoses. The headache may or may not be related. It is recomm...[Read More] Understanding Top-of-Head Pain: Causes and Risks Explained
Understanding Facial Asymmetry: Is It a Stroke or Something Else?
Facial asymmetry? Hello, doctor. Recently, I've been experiencing a tingling and swelling sensation on one side of my face. When I relax, I notice that my eye and mouth appear uneven, but my arms and legs are normal with no abnormalities. I can close my eyes and mouth, and i...
Dr. Lin Zijing Reply:
The main symptoms of facial nerve paralysis include facial asymmetry, inability to close the eyelids, tearing, taste disturbances, a sensation of food stagnation in the mouth, and difficulty drinking without spilling. The affected side may appear droopy, and the eye may appear mi...[Read More] Understanding Facial Asymmetry: Is It a Stroke or Something Else?
Understanding Left Facial Tightness and Leg Pain: Possible Causes and Concerns
Tightness in the left side of the face? Hello, doctor. A month ago, I noticed varicose veins in my left leg, which appear somewhat purple. Now, when I walk, certain areas hurt, particularly above the ankle and on the outer thigh, which feels swollen and painful. It seems to be mo...
Dr. Lin Zijing Reply:
Lower limb venous thrombosis is associated with prolonged sitting or lying down. In the case of acute embolism, it can cause severe pain and swelling in the affected area, particularly worsening with limb movement. There may be twitching and a tight sensation around the left eye ...[Read More] Understanding Left Facial Tightness and Leg Pain: Possible Causes and Concerns
Dizziness and Hoarseness: Understanding Neurological Symptoms in Seniors
Dizziness and hoarseness? Hello Doctor, my father is 70 years old. A couple of days ago, he suddenly experienced severe dizziness and nausea, followed by a hoarse voice. Eventually, he felt some relief after receiving an injection. He usually sleeps well, but the night before the...
Dr. Lin Zijing Reply:
Non-benign dizziness accompanied by hoarseness may be indicative of an upper respiratory infection or diseases affecting the cerebellum or brainstem (such as tumors or strokes), and further examination is recommended. Pain upon pressing the muscles on both sides of the back of th...[Read More] Dizziness and Hoarseness: Understanding Neurological Symptoms in Seniors
Understanding Early Waking: Is It a Sign of Brain Aging?
I have been waking up early every day for the past few months? Hello, I have been experiencing early waking every day for the past few months. I go to bed around 11 PM and always wake up around 7 AM the next morning. This is quite different from before when I could sleep until my...
Dr. Gao Chunde Reply:
There are no absolute benefits to excessive or insufficient sleep. As people age, a slight reduction in sleep duration is normal. With less physical and mental exertion during the day, individuals may naturally adjust their sleep needs. Some people may also develop a habit of nap...[Read More] Understanding Early Waking: Is It a Sign of Brain Aging?
Persistent Leg Cramps in Elderly After Stroke: Seeking Solutions
Persistent leg cramps in the elderly? After my mother suffered a thrombotic stroke, she has been experiencing persistent leg cramps, averaging a small cramp every ten minutes (tight cramps from the calf to the foot) and a larger cramp once an hour (with her body arching). She has...
Dr. Gao Chunde Reply:
Although post-stroke patients are prone to seizures as a sequela, the characteristics you described seem to exhibit a regular periodicity. Another common condition in the elderly is periodic limb movement disorder, which typically occurs during the onset of sleep or in light slee...[Read More] Persistent Leg Cramps in Elderly After Stroke: Seeking Solutions
Understanding Ischemic Stroke: Treatment Options and Next Steps
Ischemic stroke On February 7th of this year, my husband visited a neurosurgeon due to weakness in his right hand. After examinations, he was diagnosed with an ischemic stroke accompanied by right hand weakness. However, a year ago, he had already shown some slurred speech, which...
Dr. Ye Boshou Reply:
Hello: 1. The recovery of nerves after a stroke depends on the extent of the damage and the rehabilitation process. 2. Aspirin only plays a preventive role. 3. There should be no issues with transferring to another specialty; these are within the scope of neurology, so there is n...[Read More] Understanding Ischemic Stroke: Treatment Options and Next Steps
Post-Stroke Language Issues: Understanding and Managing Cognitive Changes
excuse me? One month after a mild brain hemorrhage, my 70-year-old mother, who lives in southern Taiwan, has been experiencing difficulty in articulating her thoughts and has been repeating questions. In mid-January, during a cold spell, she suffered a mild brain hemorrhage. Curr...
Dr. Lin Zijing Reply:
It is recommended that you take your mother back to the neurology outpatient clinic for a neurological examination, as her inability to provide complete responses and the repetition of the same questions may indicate an issue with the language area in the left hemisphere of the b...[Read More] Post-Stroke Language Issues: Understanding and Managing Cognitive Changes