Can Thrombectomy Surgery Be Performed Four Months After a Stroke?
Thrombectomy surgery Hello, I am a patient who has suffered from a left hemisphere stroke. I have always wanted to know if thrombectomy can still be performed four months after the stroke.
Dr. Jiang Junyi Reply:
Dear Mr. Ting, You mentioned that "thrombectomy" typically refers to the mechanical thrombectomy procedure performed during acute thrombosis events. Health insurance coverage applies to large artery thrombosis within 8 hours for the anterior circulation and within 24 h...[Read More] Can Thrombectomy Surgery Be Performed Four Months After a Stroke?
Understanding Scalp Tingling: Is It a Sign of Stroke or Neck Issues?
Scalp tingling? Hello doctor, I have recently been experiencing occasional tingling sensations in the right back of my head (similar to the feeling of goosebumps). The frequency is not very high, and each episode lasts only a few seconds, but it continues to occur. Additionally, ...
Dr. Jiang Junyi Reply:
Hello Mr. TIM: You mentioned, "Is the tingling in the scalp more related to cervical spine issues or is it more likely related to a stroke?" Your symptoms should first consider cervical spine-related nerve compression. Typical discomfort symptoms associated with cervica...[Read More] Understanding Scalp Tingling: Is It a Sign of Stroke or Neck Issues?
Persistent Dizziness: Should You Worry About Serious Conditions?
Dizziness has persisted for a long time? Hello, Dr. Jiang. About two weeks ago, I experienced dizziness and instability one night. I don't feel like the world is spinning, but the dizziness is quite mild and persists throughout the day. I feel a bit unsteady while walking. I...
Dr. Jiang Junyi Reply:
Dear Mr. Harry, You are concerned about the possibility of a serious illness such as a stroke, correct? Your symptoms should first be considered in the context of vestibular neuritis. Vestibular neuritis is associated with vertigo and primarily occurs in young adults, often foll...[Read More] Persistent Dizziness: Should You Worry About Serious Conditions?
Understanding Dizziness While Driving: Potential Neurological Concerns
Feeling dizzy and unwell while driving? Hello, doctor. I am inquiring on behalf of my family, specifically my mother, who is 28-30 years old. She traveled from Taipei to Yilan and Lala Mountain, driving through the Snow Tunnel and navigating over four hours of mountainous roads. ...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing dizziness and discomfort... taking medications for lowering blood sugar, and having a history of cancer with ongoing medication. If, in addition to dizziness, there are sudden neurological deficits such as limb weakness or slurred speech, the fir...[Read More] Understanding Dizziness While Driving: Potential Neurological Concerns
Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Numbness in the soles of the feet? Hello, doctor. Three years ago, I was diagnosed with autonomic nervous system dysfunction due to dizziness. After taking medication, my condition improved significantly, and I stopped taking the medication. However, I have experienced intermitte...
Dr. Jiang Junyi Reply:
Dear Ms. Hsuan, You mentioned experiencing dizziness that sometimes occurs with movement. Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of vertigo related to changes in head position, such as bending ov...[Read More] Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Understanding Blackouts, Dizziness, and Tinnitus: Neurological Concerns
Flashing black in the eyes, dizziness, tinnitus? For the past three to four months, I have occasionally experienced episodes of my vision going black. Initially, it felt like a cloth was being placed over my eyes from above for a second and then lifted. However, as of yesterday, ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, my first step would be to rule out unilateral carotid artery stenosis causing transient visual disturbances, or cardiac issues such as arrhythmias that could lead to similar symptoms. However, if the carotid ultrasound and cardiac evaluations come b...[Read More] Understanding Blackouts, Dizziness, and Tinnitus: Neurological Concerns
Rehabilitation Strategies for Left Brain Hemorrhage Recovery
Rehabilitation after left hemisphere hemorrhage? Hello Dr. Jiang, My mother (approximately 65 years old) suddenly experienced dizziness on January 16, followed by a gradual loss of consciousness and almost no sensation in her right limbs. She was taken to the emergency room whe...
Dr. Jiang Junyi Reply:
Dear Mr. Chang, You mentioned that "the nurse said my mother's condition is not suitable for hyperbaric oxygen therapy." (1) The following diseases or symptoms are contraindications for treatment: 1. Epilepsy 2. Chronic obstructive pulmonary disease (COPD) 3....[Read More] Rehabilitation Strategies for Left Brain Hemorrhage Recovery
Is It a Stroke? Understanding Symptoms and When to Seek Help
Suspected stroke? Hello, doctor. This morning when I got up, I experienced a sudden cramp in my left calf muscle due to the significant temperature changes over the past two days. At that moment, I felt a sensation in my head similar to blood rushing to my brain, followed by dizz...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe the likelihood of a stroke is low (generally, it would present as sudden vision loss, typically affecting one eye). I think it may be presyncope. I recommend that you see a cardiologist or neurologist for further evaluation. Thank you for ...[Read More] Is It a Stroke? Understanding Symptoms and When to Seek Help
Can Vascular Calcification Be Treated? Understanding Causes and Solutions
Can vascular calcification be treated? Hello, I recently had a neck ultrasound, and the doctor mentioned that I have vascular calcification. However, I usually have a light diet, do not smoke or drink alcohol, and my previous health check-up showed that my kidney function, blood ...
Dr. Peng Shiwei Reply:
According to current evidence, isolated vascular calcification (without blood flow abnormalities) does not require stroke prevention medication. Generally, it is advisable to first assess for risk factors associated with atherosclerosis, which I believe you have already addressed...[Read More] Can Vascular Calcification Be Treated? Understanding Causes and Solutions
Understanding Neck Pain and Numbness: Is It Just a Strain or a Stroke?
Neck pain / unilateral numbness? I am currently in the postpartum period and woke up early in the morning to pump breast milk. During this time, I suddenly felt some pain in my right neck, but I can still move my head up, down, and side to side. After going back to sleep and waki...
Dr. Jiang Junyi Reply:
Dear Ms. Jill, You mentioned experiencing "some numbness in your right hand and right cheek." I would like to clarify whether the numbness in your face includes the area around your mouth and nose. If only the jaw area is affected, we may need to consider the possibili...[Read More] Understanding Neck Pain and Numbness: Is It Just a Strain or a Stroke?
Managing Blood Pressure Concerns in Elderly Stroke Survivors
Concerns about Blood Pressure Grandma had a stroke in the past, so she takes one capsule of Lipitor (5 mg/10 mg) daily. Her blood pressure has been stable; however, during a follow-up visit at the end of August, her systolic blood pressure was only in the 90s when measured at the...
Dr. Peng Shiwei Reply:
Hello, 1. When should Caboten be taken? For example, at what systolic blood pressure should it be taken? --> Generally, it can be taken when the systolic blood pressure exceeds 180 or if there are symptoms related to high blood pressure. For instance, if the systolic blood p...[Read More] Managing Blood Pressure Concerns in Elderly Stroke Survivors
Which Specialist to Consult for Blood Pressure and Stroke Concerns?
Which department should I see? Patient: Female, Age 40-49, Date: 2022/12/05 Inquiry: My grandmother had a stroke in the past and takes one capsule of Lipitor (5mg/10mg) daily. Her blood pressure has been stable; however, during a follow-up visit at the end of August, her systol...
Dr. Peng Shiwei Reply:
Hello, if there is a difference of more than 20 mmHg in systolic blood pressure between the left and right arms, further examination should be considered. A significant difference between systolic and diastolic blood pressure is generally associated with vascular stiffness and re...[Read More] Which Specialist to Consult for Blood Pressure and Stroke Concerns?
Medication Concerns in Neurology: Managing Blood Pressure After Stroke
Medication issues Grandma had a stroke in the past, so she takes one tablet of Lipitor (5 mg/10 mg) daily. Her blood pressure has been stable; however, during her follow-up appointment at the end of August, her systolic blood pressure was only in the 90s when measured at the hosp...
Dr. Peng Shiwei Reply:
Hello, based on my assessment, it is possible to restore one of the fat veins. However, I still recommend that you take your mother to her usual follow-up clinic for an earlier appointment, as it would be better for the original physician to make the evaluation.[Read More] Medication Concerns in Neurology: Managing Blood Pressure After Stroke
Understanding Neurological Disorders: Symptoms and Concerns Explained
Neurodisorder Hello Doctor, my recent condition is as follows: On the night of November 2nd, I experienced tinnitus and dizziness. On the morning of November 3rd, I woke up with muscle cramps and palpitations, and I began to feel numbness in my tongue. On the night of November 6t...
Dr. Cai Zongzhang Reply:
The above symptoms are related to dysfunction of the right facial nerve. It is recommended to visit a neurology outpatient clinic for examination and treatment.[Read More] Understanding Neurological Disorders: Symptoms and Concerns Explained
Is Numbness on One Side of the Face and Body a Stroke Warning?
Numbness in one side of the face, hand, and foot? On the sixth day after being diagnosed with Covid-19, I experienced mild numbness on the right arm, below the knee, and from the chin to the neck when my symptoms were almost resolved. My movements and speech are normal, and there...
Dr. Peng Shiwei Reply:
Hello, numbness on one side of the body can indeed be a symptom of a stroke; however, it usually affects a larger area, such as the entire right side of the limbs, or even including the torso and half of the face. Based on the extent of your numbness, the likelihood of a stroke i...[Read More] Is Numbness on One Side of the Face and Body a Stroke Warning?
Understanding Right-Sided Numbness: Stroke Warning Signs Explained
Numbness starting from the right leg? Hello: Last night I noticed numbness on the outer side of my right foot, and this afternoon the outer side of my right leg and the outer side of my hand and arm also started to feel numb. Just now, I also felt slight numbness on the right sid...
Dr. Jiang Junyi Reply:
Hello Ms. Huang, You mentioned that "the right side of my face and neck feel slightly numb; could this be a sign of a stroke?" The presence of unilateral neurological symptoms may warrant consideration of lesions along the sensory pathways from the brain to the spinal ...[Read More] Understanding Right-Sided Numbness: Stroke Warning Signs Explained
Understanding Lip Numbness: COVID-19 Symptoms or Stroke Warning?
Numbness of the lips? Hello, doctor. During my COVID-19 diagnosis at the end of August, I experienced lip numbness, which has since become more frequent, often lasting over a day. The numbness is located on the outer edge of my lips. Is this a symptom of COVID-19, or could it be ...
Dr. Jiang Junyi Reply:
Dear Ms. A-Liang, You mentioned that "your lips feel numb, and the frequency of this numbness has increased, often lasting more than a day, with the numbness occurring around the outer edges of the lips." Your symptoms may suggest that hyperventilation could be causing...[Read More] Understanding Lip Numbness: COVID-19 Symptoms or Stroke Warning?
Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Sometimes, there are goosebumps on the right foot? Why does my right foot sometimes have goosebumps and a tingling sensation? I have also experienced occasional sharp pain in my right chest; could this indicate a nerve issue or a potential stroke? Previously, I never experienced ...
Dr. Jiang Junyi Reply:
Dear Ms. Hui, You mentioned that "sometimes there are goosebumps and a tingling sensation in your right foot." Your symptoms may suggest that the lumbar nerve roots are being compressed. Peripheral nerve issues are typically evaluated using electrophysiological tests t...[Read More] Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia
Autonomic nervous system dysfunction, trigeminal neuralgia? Hello Doctor, my recent condition is as follows: On the night of November 2, I experienced tinnitus and dizziness. On the morning of November 3, I woke up with muscle cramps and palpitations, and I began to feel numbness...
Dr. Cai Zongzhang Reply:
The above symptoms are related to the function of the right facial nerve, and it is recommended to visit a neurology outpatient clinic for treatment.[Read More] Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia
Understanding Finger Weakness: Possible Causes and Concerns
Finger issues Hello Doctor, I experienced a sensation of strain in my right arm after it was compressed the night before. When I wake up, my arm and forearm are bent at a 90-degree angle, and trying to raise it parallel to my shoulder causes soreness. However, after an argument i...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, there is a higher likelihood of post-traumatic sequelae. However, if your symptoms do not improve with rest, it is advisable to visit a neurology clinic for further evaluation by a physician.[Read More] Understanding Finger Weakness: Possible Causes and Concerns