Is Your Elderly Parent Showing Early Signs of Atypical Parkinsonism?
Atypical Parkinsonism My father is 80 years old and has experienced two episodes of cerebral hemorrhage. He had a stroke that left three fingers on his left hand immobile. When eating, he often freezes and takes about 30 seconds to start chewing. His legs also tend to freeze, and...
Dr. Liu Zhiyang Reply:
According to Mr. Chou's description, your father's neurological symptoms seem to be progressing, particularly in the right side of his body. It is recommended that he visit a neurology outpatient clinic for further evaluation and treatment to determine if there are symp...[Read More] Is Your Elderly Parent Showing Early Signs of Atypical Parkinsonism?
Understanding Neurological Symptoms: When to Seek Specialist Help
excuse me? Hello Dr. Huang: My father is 57 years old. Last night he experienced dizziness, nausea, weakness in his legs, and chills. Recently, he has also been experiencing nausea and vomiting frequently. He has seen many specialists, including gastroenterology, hepatology, neur...
Dr. Huang Yongquan Reply:
Hello: Based on your description, there is indeed a risk of cerebrovascular and cardiovascular disease. Please bring your recent medical records, medication history, and regular blood pressure readings to the outpatient clinic for further examination. If you experience any discom...[Read More] Understanding Neurological Symptoms: When to Seek Specialist Help
Acupuncture Consultation for Stroke Patients: Is It Available?
excuse me? Does your hospital provide Traditional Chinese Medicine acupuncture consultation services for patients who have suffered a stroke and are transferred to a general ward (but have not yet regained consciousness)? I have checked the information, and starting this year, he...
Dr. Liu Zhiyang Reply:
Our hospital offers acupuncture and traditional Chinese medicine outpatient services, and there are consultation services available for inpatients as well. However, for stroke patients, there is no specific "golden period" for acupuncture. It is recommended to wait unti...[Read More] Acupuncture Consultation for Stroke Patients: Is It Available?
Understanding Dizziness After Brainstem Stroke: Causes and Solutions
Brainstem stroke Hello Doctor: My father had a brainstem stroke last year, and his recovery has been very good. However, since he regained consciousness until now, it will soon be a year, he has been complaining of dizziness. It’s manageable when he is sitting, but he feels dizzy...
Dr. Lin Zijing Reply:
After a stroke in the brainstem or cerebellum, dizziness is often a lingering symptom. However, if walking is not an issue, there is generally less cause for concern. The frequency and duration of dizziness should gradually decrease as time passes after the stroke. It is importan...[Read More] Understanding Dizziness After Brainstem Stroke: Causes and Solutions
Understanding White Spots in the Brain After Stroke: Causes and Concerns
Stroke - Follow-up examination reveals white spots? The patient is approximately 55 years old and had a stroke about four years ago. They have been undergoing rehabilitation in the hospital, but during a recent follow-up examination, white spots were discovered in the brain. The ...
Dr. Huang Yongquan Reply:
Hello: Based on the description of your issue, it is difficult to determine the specific condition. Please bring a copy of the imaging studies for a discussion during your outpatient visit. Thank you.[Read More] Understanding White Spots in the Brain After Stroke: Causes and Concerns
Understanding Hand Numbness: When to See a Neurologist or Rehab Specialist
The mother often experiences hand numbness? Hello Dr. Huang, I would like to ask a question. My mother is in her fifties and has been experiencing shoulder and neck pain along with numbness in her hands. She previously received massage therapy, but recently went to a Western medi...
Dr. Huang Yongquan Reply:
Hello: Neurology and neuromedicine are the same. There are many causes for hand numbness, and if it has persisted for a while, the most common conditions are carpal tunnel syndrome or cervical nerve compression. You can visit either a neurology or rehabilitation clinic for an exa...[Read More] Understanding Hand Numbness: When to See a Neurologist or Rehab Specialist
Effective Strategies for Preventing and Managing Dementia
How to prevent and treat dementia? Hello, my mother is 46 years old and often forgets things, with the situation becoming increasingly severe. I would like to know what methods can be used in daily life to prevent dementia, and if there are any suspicions, how should we proceed w...
Dr. Lin Zijing Reply:
Regular exercise, a balanced diet, maintaining a normal daily routine, keeping a positive and optimistic mindset, avoiding smoking and excessive alcohol consumption, and engaging in mental activities such as reading, doing math, playing chess, card games, and chatting with friend...[Read More] Effective Strategies for Preventing and Managing Dementia
Signs of Stroke: What to Do and How to Minimize Risks
Signs of a stroke? Hello Doctor: A few days after my father underwent surgery for colorectal cancer, he was found unable to move the right side of his body, which raises concerns about a possible stroke. Are there any emergency interventions available at this time? Is it possible...
Dr. Huang Yingzhe Reply:
Dear Dr. Huang Ying-Che, Neurology Department, Tainan Hospital, Ministry of Health and Welfare: Hello, The sudden weakness in the right side of the body, including the arms and legs, strongly suggests the possibility of a stroke. It is advisable to have a neurologist from the ...[Read More] Signs of Stroke: What to Do and How to Minimize Risks
Understanding Sudden Fainting in Seniors: Stroke Risks and Precautions
An elderly person suddenly fainted? Dear Dr. Lin, Recently, my father suddenly fainted at home and hit his head on the floor, resulting in a large laceration. He received emergency suturing, and it has been confirmed that there is no intracranial hemorrhage. My father is a farme...
Dr. Lin Zijing Reply:
There are several reasons why elderly individuals may suddenly faint: 1. Neurogenic reflex: commonly occurs during urination, defecation, or severe coughing. 2. Cardiac issues: arrhythmias, valvular stenosis, hypertrophic cardiomyopathy, aortic dissection, pulmonary embolism. 3. ...[Read More] Understanding Sudden Fainting in Seniors: Stroke Risks and Precautions
Is There a Link Between Surgery and Stroke After Colon Cancer?
I'm sorry, but I need specific content to translate. Please provide the text you would My father underwent two surgeries for colon cancer and subsequently suffered a thrombotic stroke, which affected a large area of the left hemisphere. I would like to ask the doctor if this...
Dr. Lin Zijing Reply:
Risk factors for stroke: 1. Elderly individuals 2. Hypertension 3. Heart disease 4. Diabetes mellitus 5. Transient ischemic attack or previous stroke 6. Hyperlipidemia 7. Polycythemia vera 8. Smoking 9. Oral contraceptives 10. Carotid artery stenosis. Surgical procedures do not i...[Read More] Is There a Link Between Surgery and Stroke After Colon Cancer?
Understanding the Link Between Surgery and Stroke Risks
Could you please provide more details regarding the issues related to surgery and stroke? Could you please tell me if there is a connection between the rectal surgery and the occurrence of a thrombotic stroke, particularly a large one in the left hemisphere?
Dr. Huang Yongquan Reply:
Hello: General anesthesia for surgery carries certain risks, including stroke, heart disease, arrhythmias, and even sudden death. The likelihood of these events is related to various factors such as the patient's age, blood pressure, cardiopulmonary function, presence of arr...[Read More] Understanding the Link Between Surgery and Stroke Risks
Understanding Sudden Dizziness and Fainting in Stroke Patients
Occasionally, I experience sudden dizziness that leads to fainting? Hello: My mother is 68 years old and has had a stroke for 5 years, resulting in weakness on her right side and occasional coughing. Since last year, she has experienced sudden dizziness that prevents her from get...
Dr. Zeng Kongyan Reply:
Dear Ying-Ying, Based on the symptoms described, there could be many potential causes, including the simplest ones such as inner ear imbalance, low blood pressure, or cough syncope. These causes are generally not life-threatening and can be managed with symptomatic or pharmacolo...[Read More] Understanding Sudden Dizziness and Fainting in Stroke Patients
Preventing Stroke: Key Strategies for High Blood Pressure Patients
Can stroke be prevented? Hello Doctor: For a patient with hypertension undergoing any surgery (such as colorectal surgery), what is the likelihood of experiencing a stroke? Are there methods to prevent a stroke? What preventive measures can be taken before, during, and after the ...
Dr. Lin Zijing Reply:
Stroke prevention involves identifying and managing controllable risk factors such as hypertension, high cholesterol, obesity, smoking, carotid artery stenosis, and lack of physical activity. Uncontrollable risk factors include age, gender, race, and personal or family history of...[Read More] Preventing Stroke: Key Strategies for High Blood Pressure Patients
Stroke Risk After Stage III Colon Cancer Surgery: Is Thrombolysis Safe?
Stroke caused by surgery for stage III colorectal cancer? A 66-year-old male with stage III colon cancer experienced a stroke following surgery. Is it appropriate to administer thrombolytic therapy within the golden hour? The hospital physician mentioned that it could cause signi...
Dr. Ye Boshou Reply:
Hello: If you have undergone surgery within the past 10 days, thrombolytics should not be used. Additionally, further evaluations are needed to make a definitive determination.[Read More] Stroke Risk After Stage III Colon Cancer Surgery: Is Thrombolysis Safe?
Understanding Muscle Cramps in Children: When to Seek Medical Advice
Hello, Dr. Yeh! Dear Dr. Yeh: One night, my mother, my younger brother, and I went out for a run. My brother, who is in sixth grade, was riding his bicycle behind us. While my mother and I were exercising, my brother suddenly told me, "My left hand is cramping and it feels u...
Dr. Ye Boshou Reply:
Hello: Is it only in the hand? If it is just cramping twice and not significantly related to exercise, it may not be a concern. However, if it occurs frequently and is unrelated to physical activity, it is necessary to check for the possibility of focal epilepsy.[Read More] Understanding Muscle Cramps in Children: When to Seek Medical Advice
Understanding Chronic Migraines and Facial Spasms: A Patient's Journey
Headache and facial twitching? I kindly ask the doctor to take a moment to look at my concerns so that I can reference them during my medical visits. Thank you. About four to five years ago, I was diagnosed with migraine status. My headaches have never improved over the years; th...
Dr. Lin Zijing Reply:
Your headaches are so frequent and severe that you should consult a physician for evaluation or consider preventive medication treatment. Recent medical studies indicate that multiple episodes of migraines can indeed increase the risk of ischemic stroke, as migraines are associat...[Read More] Understanding Chronic Migraines and Facial Spasms: A Patient's Journey
Managing Occasional Dizziness: Tips for Stabilizing Brain Pressure
Occasional dizziness symptoms? Occasionally, I experience dizziness, especially after waking up. After consulting a doctor, I was informed that I have unstable intracranial pressure. What lifestyle changes should I make to manage this condition? What foods should I consume to hel...
Dr. Lin Zijing Reply:
Intracranial pressure (commonly referred to as brain pressure) refers to the pressure within the closed cranial cavity. It is generally considered that normal intracranial pressure ranges from 0 to 150 millimeters of water (mmH2O). When intracranial pressure is elevated, it can r...[Read More] Managing Occasional Dizziness: Tips for Stabilizing Brain Pressure
Understanding Head Pain: When to See a Neurologist for Symptoms
Headache Hello, I would like to ask about a recent issue. I often feel pain in the left back of my head, which feels like a bump or pulling on my hair, and it lasts for about 2-3 days before subsiding. Recently, I have also been experiencing brief and mild dizziness, where things...
Dr. Lin Zijing Reply:
Pain in the back of the head is mostly located in the occipital region or the upper neck. The structures in this area include the occipital lobe of the brain, the cerebellum, the upper cervical vertebrae, surrounding muscles, and the vertebral arteries. Generally, headaches cause...[Read More] Understanding Head Pain: When to See a Neurologist for Symptoms
Understanding Persistent Heat Sensation in the Back of the Head
The back of the head feels warm and tingly on both sides? Hello, doctor. I am not very good at expressing my feelings, so I would like to understand my condition better. My situation has become more severe in the past six months. Previously, I would only feel heat at the back of ...
Dr. Ye Boshou Reply:
Hello: This does not appear to be a stroke, but if the neck swelling and discomfort do not improve, it is still advisable to have a physician evaluate it.[Read More] Understanding Persistent Heat Sensation in the Back of the Head
Stem Cell Transplant for Stroke Recovery: Safety, Risks, and Success Rates
Stem Cell Transplantation for Stroke Hello! My father is 71 years old and has been completely paralyzed due to a cerebral embolism stroke for about one year and seven months. I read in the newspaper that stem cell transplantation may be an option. I would like to know about the s...
Dr. Huang Yongquan Reply:
Hello: The application of stem cell transplantation in various aspects of medicine is still in the experimental stage. Although there have been animal studies and a few cases in humans, there is no conclusive evidence regarding its feasibility and benefits, so I cannot provide yo...[Read More] Stem Cell Transplant for Stroke Recovery: Safety, Risks, and Success Rates