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17
Shi De Quan
Neurology
About me
Graduated from Inner Mongolia Medical University, engaged in the rehabilitation of internal medicine and neurological diseases for more than 20 years. Previously, I have pursued further studies and training at the Temple of Heaven Hospital in Beijing, Friendship Hospital, and China Rehabilitation Research Center Boai Hospital. I have a special expertise in psychological, cognitive, and language rehabilitation.
Proficient in diseases
Specializes in the acute phase treatment of cardiovascular and cerebrovascular diseases, early rehabilitation treatment, and psychological cognitive therapy. Provides psychological treatment for insomnia, neurosis, social interaction disorders. Treats diseases such as hypertension, diabetes, headaches, dizziness, epilepsy, Parkinson's disease, heart failure, kidney failure, peptic ulcer, etc. Provides treatment for chronic obstructive pulmonary disease.
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Does Parkinson's disease cause nausea and dizziness?
Nausea and dizziness are less common symptoms of Parkinson's disease, which primarily manifests through tremors in the limbs and head, along with paralysis symptoms such as unstable walking, lack of mobility in walking, unstable gait, and abnormal walking posture. Other non-motor symptoms may include poor sleep, depression, anxiety, and weakness. If nausea and dizziness are present, Parkinson’s disease is generally more common in elderly people and may be due to insufficient cerebral blood supply or complications such as cerebral infarction, cervical spondylosis, and high blood pressure. These causes should be ruled out before considering Parkinson's disease. While Parkinson's disease itself seldom leads to nausea and dizziness, these symptoms can also be side effects of the medications used to treat Parkinson's disease.
Is brain atrophy cerebral palsy?
Cerebral palsy and cerebral atrophy are not the same disease, or even a similar category of issues. Cerebral atrophy generally affects adults and is due to vascular reasons or degenerative causes. Cerebral palsy is more common in children and involves factors from before birth, such as conditions during pregnancy, factors during the delivery process, and also factors after birth that cause permanent brain damage. It is a condition present from a young age, while cerebral atrophy is rare in children.
What should I do if myasthenia gravis causes difficulty swallowing?
Myasthenia gravis primarily manifests as an inability to swallow, affecting the pharyngeal muscles or the muscles involved in swallowing. Thus, difficulty in swallowing is also a symptom of myasthenia gravis. At this time, the main treatment should focus on the primary disease, administering medications such as neostigmine for myasthenia gravis, and using steroids or immunosuppressants in severe cases. If there is difficulty in swallowing, or if it persists for more than two or three days, a gastric tube can be inserted for nasal feeding to maintain nutrition. Then, as the symptoms of myasthenia gravis subside with medication, swallowing function can recover.
How to treat myasthenia gravis with pneumonia?
The treatment of pneumonia in patients with myasthenia gravis is the same as that for typical pneumonia, using corresponding antibiotics for bacterial, viral, or other microbial infections. However, if a patient with myasthenia gravis has a concomitant lung infection, aminoglycoside antibiotics, which can exacerbate conditions affecting neuromuscular junctions, i.e., worsen myasthenia gravis, should not be used. Sedative drugs are also contraindicated, as well as any drugs that might intensify muscle weakness.
If myasthenia gravis is well controlled, will it still recur?
Myasthenia gravis is difficult to control, and even when controlled, it is prone to relapse. The characteristic of myasthenia gravis includes alleviation after rest, and a pattern of alternating episodes and remissions. Since there is no etiological treatment for myasthenia gravis at present, most medications are symptomatic treatments. However, some patients can find relief through plasmapheresis or immunoglobulin therapy, but most patients will experience relapses. Therefore, myasthenia gravis is a disease prone to relapse, and its recurrence is not greatly influenced by how well it is controlled; it depends on the specific circumstances.
Patients with myasthenia gravis should pay attention to certain things.
People with myasthenia gravis should primarily avoid fatigue in their daily lives, as symptoms can flare up when tired. Symptoms are generally milder in the morning and become more severe in the evening or night due to fatigue. Therefore, it is important to maintain a regular routine and schedule to avoid becoming too fatigued. Additionally, catching a cold or fever can worsen the condition, so it is crucial to try to avoid these issues. Regarding medication, it is essential to take it regularly, for example, every eight hours if taken three times a day. Proper timing and dosage control are important. If severe myasthenia gravis crises occur, they can be very problematic.
Is lacunar infarction considered a stroke?
Lacunar stroke is a type of stroke, mainly characterized by the blockage of small blood vessels, comprising 21 syndromes. There are motor types, sensory types, mixed types, as well as those combined with speech disorders, swallowing disorders, and unstable walking. If it progresses to become severe or worsens, it can also include dementia and significant cognitive impairment, all of which fall under the category of stroke.
Is brain atrophy a serious condition?
Brain atrophy changes are quite severe, as brain atrophy is a change observable via imaging. If imaging techniques such as CT scans or MRI already reveal these changes, the morphological alterations are significant. Thus, there is a notable impact on limb movement. Post brain atrophy changes manifest as vascular dementia, cognitive impairments, and limb activities, particularly evident weakness in both lower limbs, as well as loss of bladder and bowel control, personality changes, cognitive changes, and emotional disturbances. These symptoms are quite severe.
Can myasthenia gravis affecting respiration be cured?
Myasthenia gravis affecting respiration can be cured because myasthenia gravis can improve after treatments such as oral medication or plasmapheresis. Another possibility is myasthenia gravis concurrent with a myasthenic crisis, which has various forms, causing respiratory difficulties. At this point, symptomatic treatment is required, including the use of ventilators, intubation, and in severe cases, a tracheotomy. After the critical period on the ventilator passes, respiratory function can improve or the myasthenia can ameliorate.
Is a lacunar infarct a minor stroke?
Lacunar stroke is, in a sense, a milder form of stroke. It may not involve complete paralysis of limbs or consciousness disorders. Such cases typically show symptoms of sudden large vessel blockage. However, it results from blockages in many small vessels and manifests in various ways. Additionally, it gradually worsens, displaying an increasing range of symptoms including cognitive impairments, dementia, unstable gait, slurred speech, and dysarthria. These symptoms significantly affect the quality of life, so it can be considered not mild.