Understanding Diffuse Brain Injury: Causes and Implications in Critical Care
Diffuse brain lesions Dear Director Yeh, The patient is in the intensive care unit, on a ventilator with oxygen set to maximum. Cardiac arrest occurred, but the heart spontaneously resumed beating at 67 beats per minute after 1 to 2 minutes without any resuscitation efforts. Is ...
Dr. Ye Boshou Reply:
There are many causes of brain lesions, and metabolic issues are generally a major factor. The brain requires support from oxygen, blood glucose, and cardiac output to survive; therefore, any changes in these factors can lead to brain lesions. When neurons are damaged, it may res...[Read More] Understanding Diffuse Brain Injury: Causes and Implications in Critical Care
Understanding Parkinson's Treatment Options for Elderly Patients
Please consult a medication? My grandmother is 83 years old and is walking increasingly slowly, finding it more difficult to get up. The doctor prescribed: 1. MADOPAR HBS CAPSULES 125MG "ROCHE" LEVODOPA 100 MG, which is used to treat Parkinson's disease. Is there a...
Dr. Ye Boshou Reply:
1. Madopar and Sinemet are similar medications. 2. Aspirin is used for the prevention of stroke or heart disease and is unrelated to Parkinson's disease; it can be taken concurrently. 3. The diagnosis of Parkinson's disease should be based on clinical symptoms.[Read More] Understanding Parkinson's Treatment Options for Elderly Patients
How Long Does It Take to Wake Up After a Stroke?
How long does it take to regain consciousness after a stroke? My mother had surgery on May 15, and it has been 8 days since then. During this time, it seems that she has woken up and opened her eyes, and when I call her, she sometimes grips my hand tightly. However, this only hap...
Dr. Qiu Conglang Reply:
Hello: There are two types of strokes, one is caused by a vascular blockage and the other by a rupture leading to hemorrhage. Since your mother has undergone surgery, I assume she has experienced a hemorrhagic stroke. Whether a patient wakes up after stroke surgery depends on the...[Read More] How Long Does It Take to Wake Up After a Stroke?
Why Does My Head Tingle After Napping? Understanding Possible Causes
Numbness in the head after sleeping? Hello Doctor: For the past two weeks, whenever I wake up from sleeping with my head resting on the table, the right side of my scalp feels numb for about ten seconds to a minute. I have heard that scalp numbness can be a precursor to a stroke....
Dr. Huang Yingzhe Reply:
Dear Smile, Dr. Huang Ying-Che from the Neurology Department of Tainan Hospital, Department of Health, Executive Yuan, would like to inform you that scalp tingling may be one of the precursors to a stroke, but the likelihood is very low, especially considering your age. Issues r...[Read More] Why Does My Head Tingle After Napping? Understanding Possible Causes
Understanding Neurological Symptoms: Is It Just Stress or Something More?
It seems like there is a lack of oxygen? One morning at work, I felt extremely sleepy and suddenly experienced dizziness, along with a tingling sensation in my right brain. I felt nauseous and wanted to vomit. Since that incident, sometimes my hands and feet feel slightly numb. W...
Dr. Lai Lunxiang Reply:
Hello! Your symptoms could have multiple possibilities. Please visit a major hospital for a thorough examination by a neurologist. Thank you![Read More] Understanding Neurological Symptoms: Is It Just Stress or Something More?
Understanding Numbness in Toes: Causes and When to Seek Help
What causes numbness in the toes? I have a tingling sensation in a small area on the outer tip of my right big toe that has persisted for the past week. It doesn't hurt, and there are no lumps, just a constant tingling feeling. I'm worried it might be a sign of a stroke...
Dr. Ye Boshou Reply:
1. These are not symptoms of a stroke, so there is no need to worry; they are likely caused by peripheral nerve issues or poor blood circulation. If you want to confirm, please consult a neurologist. 2. For pain caused by a dislocation, you can see an orthopedic specialist or a r...[Read More] Understanding Numbness in Toes: Causes and When to Seek Help
Understanding Facial Pain: Could It Be a Stroke Warning Sign?
Facial issues Dr. Lai, I have been experiencing persistent pain in the left side of my nose, which radiates to the left side of my face, causing numbness. My eyes and mouth are normal, but the left side of my face feels swollen. I consulted an ENT specialist, but the doctor said ...
Dr. Lai Lunxiang Reply:
Hello! 1. There seems to be little correlation between stroke and hypokalemia. 2. Based on your description, I suspect you may have trigeminal neuralgia, but I still recommend that you visit an outpatient clinic for a detailed examination. Thank you![Read More] Understanding Facial Pain: Could It Be a Stroke Warning Sign?
Understanding Muscle Twitches vs. Nerve Spasms: Causes and Concerns
Muscle or nerve twitching For the past couple of days, I have been experiencing a twitching sensation in a nerve in the sole of my foot, which seems to be connected to the nerve in my calf, as I also feel it there. The twitching occurs approximately every thirty seconds and is qu...
Dr. Ye Boshou Reply:
This is not a symptom of a stroke; it occurs during sleep or during the day. If there is no improvement, it is recommended to visit an outpatient clinic for evaluation.[Read More] Understanding Muscle Twitches vs. Nerve Spasms: Causes and Concerns
Understanding Hemorrhagic Stroke: Symptoms, Diagnosis, and Treatment Options
What is a hemorrhagic stroke? Hello Dr. Chiu, I would like to ask you about my mother. On the night of February 18th, she was found by my father at home with weakness in her limbs, vomiting, and dizziness. He called me and our family to help lift her into a truck for an emergency...
Dr. Qiu Conglang Reply:
Hello: Our hospital currently does not have a chronic care unit. Your mother has been advised by the physician to transfer to another hospital for further treatment, which may include rehabilitation. You may want to inquire with your mother's attending physician about the re...[Read More] Understanding Hemorrhagic Stroke: Symptoms, Diagnosis, and Treatment Options
Can Placenta Extract Help Stroke Recovery? Exploring the Claims
Stroke Hello doctor, I would like to ask again. My friend's grandfather is over 70 years old and has had a stroke for some time. Recently, they heard a report on television about the use of placenta extract in Japan that can help stroke patients recover and even stand up and...
Dr. Ye Boshou Reply:
Stroke results in the death of brain cells, and after a stroke, brain cells cannot regenerate. Additionally, placental growth factor does not increase the number of brain cells, making it ineffective in treating strokes. In fact, my patients have also experienced the use of place...[Read More] Can Placenta Extract Help Stroke Recovery? Exploring the Claims
Post-Stroke Care: Key Considerations for Recovery and Rehabilitation
Stroke Hello Dr. Chiu, I would like to ask about my father, who had a stroke 16 days ago. His left side is weaker but he can still move it. Initially, his recovery was good; he has started rehabilitation and eating again. However, the hospital did not inform us of any precaution...
Dr. Qiu Conglang Reply:
Hello: Patients who have suffered a stroke may experience difficulties with swallowing and reflex responses. Typically, after a period of rehabilitation, these functions can gradually improve; however, in more severe cases, long-term feeding via a nasogastric tube may be necessar...[Read More] Post-Stroke Care: Key Considerations for Recovery and Rehabilitation
Managing Behavioral Disorders in Stroke Patients: Key Insights and Solutions
Can disorganized behavior after a stroke be controlled? Hello Doctor, I have a few questions regarding stroke patients. 1. Do stroke patients also experience various disordered behaviors psychologically and behaviorally (similar to hyperphagia where they never feel full, and ma...
Dr. Cao Wenlong Reply:
Hello: Disordered behavior and hyperphagia (eating without satiety or being unaware of having eaten) together may indicate a lesion in the frontal lobe of the brain. The patient has a history of brain tumor surgery combined with endocrine dysfunction, and it is unclear whether th...[Read More] Managing Behavioral Disorders in Stroke Patients: Key Insights and Solutions
Sudden Sleepiness and Concentration Issues: Is It a Stroke Concern?
Sleepy If you suddenly feel very sleepy, have difficulty concentrating, and your eyes are almost closing, but you experience no other symptoms and feel alert again after 5 to 10 minutes, could this be a sign of a cerebrovascular issue?
Dr. Ye Boshou Reply:
The exact timing of the occurrence is unknown, and it is unclear whether there is genuine fatigue. However, based on the currently limited information, it is not possible to rule out cerebrovascular issues.[Read More] Sudden Sleepiness and Concentration Issues: Is It a Stroke Concern?
Understanding Hand Numbness After Showering: Causes and When to Seek Help
Numbness in both hands? Hello, Doctor. First of all, I wish you a Happy New Year. I have a question I would like to ask. Sometimes after I take a shower, especially after washing my hair, I experience a tingling sensation in the palms of my hands, but there is no pain. It takes s...
Dr. Ye Boshou Reply:
1. It should be unrelated to a stroke. 2. It may be carpal tunnel syndrome; a consultation with a neurologist for differential diagnosis is recommended.[Read More] Understanding Hand Numbness After Showering: Causes and When to Seek Help
Understanding Language Barriers: Possible Neurological Issues Explained
Language impairment? Hello doctor, my friend suddenly exhibited unusual symptoms a few days ago. He couldn't understand what was being said to him, his responses were off-topic, and his gaze and mental state seemed somewhat scattered. After a few days, his gaze has mostly re...
Dr. Ye Boshou Reply:
There may be signs of a brain condition in the language area along with facial asymmetry. Please seek immediate consultation at a neurology clinic, as this could be indicative of a stroke or other neurological issues.[Read More] Understanding Language Barriers: Possible Neurological Issues Explained
Understanding Stroke Recovery: Assessing Consciousness and Rehabilitation Options
Stroke issues Dear Director Huang, My mother is 66 years old and underwent heart valve replacement surgery several years ago. On October 11, 2004, she suddenly lost the ability to speak and was unable to move her right hand and leg. After diagnosis, it was determined that she su...
Dr. Huang Yingzhe Reply:
Dear Ah-Chung, This is Dr. Huang Ying-Che, the Director of the Neurology Department at Tainan Hospital, Ministry of Health and Welfare. 1. It may not strictly fit the definition of a vegetative state; the patient might have some level of consciousness, but could be experiencing...[Read More] Understanding Stroke Recovery: Assessing Consciousness and Rehabilitation Options
Understanding Lip Tremors: Causes and Concerns in Neurology
Lip tremors Hello, Doctor. For the past month, I have experienced occasional twitching of both my upper and lower eyelids, which lasts for a short time and seems to be a normal phenomenon, so I haven't paid much attention to it. However, in the past two days, I have noticed ...
Dr. Ye Boshou Reply:
The tremors are not visibly apparent and seem to be more related to sensation rather than function. They are unrelated to facial nerve paralysis or stroke and may be associated with anxiety or autonomic nervous system dysregulation. It is advisable to avoid stimulating beverages ...[Read More] Understanding Lip Tremors: Causes and Concerns in Neurology
Assessing Consciousness in Stroke Patients: Communication and Rehabilitation Insights
How to determine consciousness in a stroke patient? How to communicate? Dear Dr. Chiu, My mother is 66 years old and underwent heart valve replacement surgery several years ago. On October 11, 2004, she suddenly lost the ability to speak and was unable to move her right hand and...
Dr. Qiu Conglang Reply:
Hello: According to the definition provided by the Organ Donation Association of the Republic of China, a "vegetative state" refers to a condition where the brain is damaged or diseased, resulting in a complete loss of cerebral function (such as thinking, memory, cognit...[Read More] Assessing Consciousness in Stroke Patients: Communication and Rehabilitation Insights
Managing Vascular Hardening: Essential Tips and Doctor Recommendations
What should I do about vascular sclerosis? What should I pay attention to? Which doctor should I consult? Hello Dr. Lai, I would like to ask a few questions. First, let me explain my father's recent condition. Over the past few months, my father has been experiencing dizzi...
Dr. Lai Lunxiang Reply:
Hello! 1. As we age, vascular sclerosis is inevitable. In terms of diet, it is advisable to reduce the intake of fats and increase the consumption of vegetables and fruits. Ensure adequate hydration (about 2000 ml per day), limit the intake of stimulants, control body weight, a...[Read More] Managing Vascular Hardening: Essential Tips and Doctor Recommendations
Neck Pain and Facial Numbness: Signs of a Stroke Risk?
Neck pain with slight numbness around the corners of the mouth? About a month and a half ago, I experienced pain in a certain area of my clavicle, which radiates from my right neck and right shoulder. The pain persists with certain movements and sometimes extends to my right side...
Dr. Lai Lunxiang Reply:
Hello, I suspect that you might be experiencing an issue with your muscles or ligaments.[Read More] Neck Pain and Facial Numbness: Signs of a Stroke Risk?