Exploring Treatment Options for Bulbar Palsy in Taiwan: A Patient's Inquiry
excuse me? Hello Dr. Chen, I would like to inquire about medullary paralysis, which is also referred to as "bulbar paralysis" (a term used in mainland China). I am wondering if there have been any successful treatment cases in Taiwan. I have a relative from mainland Ch...
Dr. Chen Shunsheng Reply:
1. Please refer to my blog post on the diagnostic criteria for familial amyotrophic lateral sclerosis and Kennedy's disease: http://tw.myblog.yahoo.com/neuron-neuron/article?mid=292&prev=300&next=277&l=f&fid=182. 2. Chang Gung Memorial Hospital in Xiamen has ...[Read More] Exploring Treatment Options for Bulbar Palsy in Taiwan: A Patient's Inquiry
New Treatments and Research for Rare Motor Neuron Diseases
Motor neuron disease? Hello: Dingxiang is your Chang Gung patient. Currently residing in Australia. I would like to inquire if there are any new drugs or methods available for treating this condition (muscle atrophy and progressive muscular atrophy).
Dr. Chen Shunsheng Reply:
Please visit my blog for related articles: Professor Chen's blog: http://tw.myblog.yahoo.com/neuron-neuron, especially on: Neurology.[Read More] New Treatments and Research for Rare Motor Neuron Diseases
Understanding ALS: Is It the Same as Lou Gehrig's Disease?
Amyot Amyotrophic lateral sclerosis (ALS) and Lou Gehrig's disease refer to the same condition. ALS is a progressive neurodegenerative disease that affects motor neurons in the brain and spinal cord, leading to muscle weakness, atrophy, and eventually paralysis. The term &qu...
Dr. Jian Yingxiu Reply:
ALS, or Amyotrophic Lateral Sclerosis, commonly known as Lou Gehrig's disease, is a progressive neurodegenerative disorder that affects motor neurons in the brain and spinal cord. For a detailed introduction, please refer to Dr. Yang Chih-Chao from the Department of Neurolog...[Read More] Understanding ALS: Is It the Same as Lou Gehrig's Disease?
Concerns About Mad Cow Disease: Symptoms, Tests, and Specialist Recommendations
I suspect that I have mad cow disease (Creutzfeldt-Jakob disease)? Two weeks ago, after having Japanese barbecue with my girlfriend, I have experienced headaches for a whole week, along with temporary memory loss, where I forget what I did earlier in the day without any recollect...
Dr. Chen Shunsheng Reply:
The new variant of Creutzfeldt-Jakob disease associated with mad cow disease has an incubation period of three to seven years. Symptoms occurring for a week after consuming barbecued food are unrelated to the new variant of Creutzfeldt-Jakob disease and do not resemble it. Sympto...[Read More] Concerns About Mad Cow Disease: Symptoms, Tests, and Specialist Recommendations
Best Specialist Recommendations for Rare Disease Symptoms
Rare Disease Consultation Hello, doctor: I have a friend who is experiencing discomfort in the shoulder and neck, occasional dizziness, and skin issues. They are considering visiting Linkou Chang Gung Memorial Hospital. Could you please recommend which specialist would be best to...
Dr. Li Zongliao Reply:
The condition commonly referred to as "glass doll" involves discomfort in the shoulders and neck, and occasional dizziness, which may be related to cervical spine or neck muscle issues. It is recommended to consult a neurologist or an allergist/immunologist/rheumatologi...[Read More] Best Specialist Recommendations for Rare Disease Symptoms
Choosing the Right Specialist for Rare Disease Management
How to choose??? Hello Doctor: I have a friend who has osteogenesis imperfecta (brittle bone disease) and is experiencing dizziness and skin issues. They are considering visiting Chang Gung Memorial Hospital in Linkou. Could you please recommend which specialist would be best to ...
Dr. Lin Ruli Reply:
Neurology: Chen Rou-Hsien, Lu Ching-Song, Huang Ying-Ju, Wu Rui-Zhen, Weng Yi-Hsin Allergy, Immunology, and Rheumatology: Chen Chi-Yi Dermatology: Yang Li-Chen[Read More] Choosing the Right Specialist for Rare Disease Management
Seeking Answers: Unexplained Symptoms of a Rare Illness
Unknown etiology A student is currently hospitalized elsewhere, but the cause of their illness remains undetermined. The symptoms are generally as follows: 1. Incoherent expression (repetitive, non-fluent, but with intact comprehension; sentences are fragmented and mixed with o...
Dr. Chen Shunsheng Reply:
Your classmate's neurological examination presents the following features: 1. Recurrent neurological symptoms 2. Abnormalities affecting multiple areas of the nervous system: occipital lobe, temporal lobe, frontal lobe, visual or auditory pathways, etc. 3. Symptoms particula...[Read More] Seeking Answers: Unexplained Symptoms of a Rare Illness
What to Do If Your Toddler Isn't Talking Yet? Expert Advice Inside
What should I do if my child at home has not started to speak yet? Our child is one year and five months old and has not yet started to talk (not even saying "mom" or "dad"). What should we do? If we need to take them to see a doctor, which specialty should we...
Dr. Lin Guanglin Reply:
Pediatric Neurology[Read More] What to Do If Your Toddler Isn't Talking Yet? Expert Advice Inside
Understanding Muscle Weakness and Brain Control in Rare Disorders
Muscle strength is often difficult to achieve and requires brain control? Currently diagnosed conditions include: 1. Right chest depression, 2. Flat feet, 3. Knee deformity (the physician noted that one leg appears X-shaped while the two legs cannot be aligned like an O shape). I...
Dr. Chen Shunsheng Reply:
The described symptoms are numerous and scattered across various bodily systems, making it difficult to consolidate them into a specific syndrome or disease. It is recommended to visit a nearby hospital with a neurology department for evaluation and treatment by a neurologist.[Read More] Understanding Muscle Weakness and Brain Control in Rare Disorders
Understanding Systemic Electric Pain: A Rare Disease Overview
Systemic electric shock-like pain? Symptoms: Hello, I experience a tingling, electric shock sensation and a crawling pain in my limbs and back when exposed to higher temperatures or during times of stress. I have been hospitalized multiple times for tests, including blood tests, ...
Dr. Chen Shunsheng Reply:
Pure sensory polyneuropathy and/or sympathetic autonomic neuropathy. The causes include congenital or hereditary factors, metabolic disorders (such as amyloidosis), toxic factors (such as tropical marine toxins), and immune abnormalities, among others. Please visit the neurology ...[Read More] Understanding Systemic Electric Pain: A Rare Disease Overview
Seeking Guidance for Rare Joint Pain: A Patient's Journey
Inquire about the patient's condition? Dear Dr. Chen, I hope this message finds you well. My wife has been suffering from a persistent illness for the past few years, and we are unsure of how to approach her treatment. I would like to seek your advice on this matter. My wi...
Dr. Chen Shunsheng Reply:
Migratory joint lesions are less common in neurological diseases and may require consultation with rheumatology and dermatology. The neurology department should rule out certain neurological infectious diseases, such as Lyme disease, which is just one of the conditions to conside...[Read More] Seeking Guidance for Rare Joint Pain: A Patient's Journey
Managing Rare Seizures: Treatment Options for Your Friend's Condition
Bloodletting My friend has a congenital intellectual disability. However, he has a condition that causes him to experience intermittent seizures, but they are brief and resolve quickly. What treatment options are available for this condition? Additionally, what methods can help r...
Dr. Lin Guanglin Reply:
Pediatric neurology can perform electroencephalography (EEG), magnetic resonance imaging (MRI) of the brain, and genetic metabolic evaluations to check for metabolic disorders or chromosomal abnormalities. If the diagnosis is epilepsy, treatment with antiepileptic medications is ...[Read More] Managing Rare Seizures: Treatment Options for Your Friend's Condition
Understanding Rare Muscle Pain: Causes and Solutions for Thigh Discomfort
I experience soreness in my thigh muscles when leaning backward at a certain angle? Hello Dr. Chen: When I stand and lean back about 30 degrees, I experience soreness from my right hip down to my knee. This has been going on for almost six months, and it seems to be getting more ...
Dr. Chen Shunsheng Reply:
The symptom description closely resembles spondylolisthesis at the fourth and fifth lumbar vertebrae. There are many causes of low back pain, which vary with age, gender, occupation, and the medical specialty consulted, leading to a phenomenon where different specialties offer di...[Read More] Understanding Rare Muscle Pain: Causes and Solutions for Thigh Discomfort
Understanding Mitochondrial Diseases: Testing and Genetic Inheritance Concerns
Mitochondrial diseases Hello Dr. Hou, I would like to ask if mitochondrial diseases can always be detected through testing. My daughter underwent clinical observation in neurology and a DNA test, which revealed abnormalities in her DNA, but it could not be definitively diagnosed,...
Dr. Hou Jiawei Reply:
In addition to red blood cells, mitochondria are present in every cell of the body and are responsible for producing the energy necessary for growth and survival. Mitochondria have their own DNA, which is inherited solely from the mother. Therefore, mitochondrial DNA is passed do...[Read More] Understanding Mitochondrial Diseases: Testing and Genetic Inheritance Concerns
Understanding Fabry's Disease: Symptoms, Diagnosis, and Treatment Options
Suspected Fabry disease? I experience intermittent electric shock-like tingling sensations throughout my body (in my back and limbs, including my ankles). I have noticed that these sensations occur when I feel like I need to sweat, when I am anxious, or when I need to have a bowe...
Dr. Jian Yingxiu Reply:
You may consider consulting the Neurology Department at National Taiwan University or Chang Gung Memorial Hospital. Thank you.[Read More] Understanding Fabry's Disease: Symptoms, Diagnosis, and Treatment Options
Understanding Epilepsy: Prevalence, Genetics, and Medication Concerns
Issues related to epilepsy? Hello, Dr. Yeh! I am a patient with mild epilepsy. I used to take medication for over two years, but since I haven't had any seizures afterward, I stopped taking the medication on my own. I know this is wrong, and I will return for a check-up soon...
Dr. Ye Poxiu Reply:
Hello: (1) Only a small portion of epilepsy cases are classified as genetically high-risk epilepsy. Please do not worry. (2) To determine if it falls under genetically high-risk epilepsy, you can consult your attending physician to discuss the causes of your epilepsy in detail. (...[Read More] Understanding Epilepsy: Prevalence, Genetics, and Medication Concerns
Understanding ALS: Is There a Cure for This Rare Disease?
Amyotrophic Lateral Sclerosis (ALS) Hello Dr. Chen: I have a question I would like to ask you. Is amyotrophic lateral sclerosis (ALS) a rare disease? Is there a treatment for it? I have heard that this disease progressively worsens; is that true? Does it lead to the atrophy of al...
Dr. Chen Shunsheng Reply:
Please visit the Kaohsiung Chang Gung Memorial Hospital Department of Neurology website at http://www.cgmh.org.tw or discuss related topics within this system, including the title on Amyotrophic Lateral Sclerosis (ALS).[Read More] Understanding ALS: Is There a Cure for This Rare Disease?
Understanding Rare Childhood Mental Health Disorders: A Case Study
Childhood Mental Disorders Wei-Wei is currently 10 years old. Since childhood, she has been diligent in her tasks, focused in her studies, and has performed well academically with no behavioral issues. However, starting in the fourth grade, her grades began to decline. Her backpa...
Dr. Lin Guanglin Reply:
It could be Tourette syndrome, but other conditions need to be ruled out. Please visit a pediatric neurology clinic.[Read More] Understanding Rare Childhood Mental Health Disorders: A Case Study
Understanding Rare Skull Conditions: Seeking the Right Specialist
Cranium My aunt is in her 50s. Last year, it was discovered that a small area in the center of her skull had become soft. However, the hospital was unable to determine the cause, and the area continues to expand. What could be the reason, and which specialty should she consult?
Dr. Hou Zhigong Reply:
Due to Dr. Hou Chih-Kung being abroad for further studies (from January 1, 2005, to December 31, 2005), Dr. Yeh Po-Hsiu from our Neurology Department will respond. The recommendation is to consult with the Neurosurgery Department to confirm whether there are any cranial abnormali...[Read More] Understanding Rare Skull Conditions: Seeking the Right Specialist
Understanding Rare Neurological Symptoms: Seeking Medical Advice
Please let me know what specific medical issue or concern you would like me to assist you with? Hello Doctor, I would like to ask a question. Since high school, I have experienced a strange phenomenon where my left side sometimes suddenly becomes stiff, and I involuntarily clench...
Dr. Chen Shunsheng Reply:
It may be Paroxysmal Kinesigenic Choreoathetosis (PKC), but please consult a neurologist for diagnosis and treatment. Paroxysmal Kinesigenic Choreoathetosis, as the name suggests, is characterized by paroxysmal and sudden episodes that occur when a person initiates movement, su...[Read More] Understanding Rare Neurological Symptoms: Seeking Medical Advice