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Zhang Hui
Neurology
About me
Weifang People's Hospital, Department of Neurology, attending physician, has been engaged in clinical work in the field of neurology for many years, with rich clinical experience in common and prevalent neurological diseases.
Proficient in diseases
Cerebrovascular disease, Parkinson's disease, myelitis, etc.
Voices
Is Parkinson's disease progressing quickly?
Parkinson's disease is a degenerative disease of the nervous system that has a very concealed onset and progresses very slowly, making the progression of this disease not rapid. Patients can generally take care of themselves for about three to five years, or even five to ten years, without having to worry too much about this disease. This disease primarily causes patients to experience obvious bradykinesia, mask-like faces, drooling, resting tremors, and increased muscle tone among other clinical manifestations, which can significantly distress patients. However, the progression of this disease is relatively slow, and the signs and symptoms on the left and right sides of the body are also asymmetric. After effective pharmacological treatments, such as commonly used levodopa and dopamine receptor agonists, patients' symptoms can usually be well controlled and the progression is slow. If the disease progresses very quickly, it could potentially be Parkinsonian syndrome.
How to treat cerebral hemorrhage?
Cerebral hemorrhage is a dangerous disease. Once diagnosed with cerebral hemorrhage, the patient's treatment plan mainly requires strict bed rest and maintaining a calm emotional state to avoid emotional excitement and fluctuations in blood pressure. If the patient develops acute ulcers, it is crucial to pay attention to treatments that protect the gastric mucosa. Additionally, if the patient suffers from severe headaches, an appropriate amount of painkiller may be administered. If there is a significant increase in intracranial pressure, dehydration and reduction of intracranial pressure should be considered. Managing blood pressure is also very important in treating cerebral hemorrhage; it is essential to keep the blood pressure stable. If the hemorrhage is caused by abnormalities in clotting functions, intravenous coagulation medications may be administered. Furthermore, if the volume of cerebral hemorrhage is large and threatens the patient's life, with a tendency for brain herniation, neurosurgery may be required to remove the hematoma and save the patient's life.
Early signs of dementia
Dementia in the elderly, mainly refers to Alzheimer's disease. Early signs of this condition may manifest as some forgetfulness. For example, a patient might forget to add salt while cooking, or forget to bring their keys when leaving the house. These clinical signs should be highly alarming and should not be dismissed as mere forgetfulness, ignoring further examinations and treatments. It is recommended that if the elderly show signs of diminished memory function, they should promptly visit a hospital. Comprehensive assessments and further tests, including brain MRI scans, should be conducted to check for significant atrophy in brain areas such as the temporal lobes and hippocampus. If dementia is diagnosed, prompt intervention and treatment should be pursued.
Can myasthenia gravis be cured?
Myasthenia gravis is a type of disease in the field of neurology and is categorized as an autoimmune disorder of the nervous system. Generally, this disease tends to recur easily, and it is somewhat difficult to cure completely. However, there is a subtype called ocular myasthenia gravis, where patients only show symptoms of eyelid drooping or double vision. In this type, some patients can be cured, typically around 30%. However, most patients still experience recurrent episodes, and the condition may even progress to a generalized form. Other forms of myasthenia gravis are usually more severe, involving generalized weakness and potentially difficulties in swallowing or choking on liquids. Patients with these symptoms should seek medical attention promptly and can be treated with immunosuppressants and acetylcholinesterase inhibitors to control the symptoms, though long-term medication is generally required.
Complications of subarachnoid hemorrhage
Subarachnoid hemorrhage is a relatively serious condition. Most patients suffer from this due to the rupture of an aneurysm, while others may have arteriovenous malformations. This disease is associated with complications, with common ones including the following. First, there are acute complications of subarachnoid hemorrhage. Patients usually experience severe pain and vomiting again after their condition stabilizes, and the mortality rate significantly increases. The second complication is cerebral vasospasm, which typically peaks between three days and two weeks. Cerebral vasospasm can easily lead to vascular occlusion and the subsequent formation of cerebral thrombosis. The third type includes acute or subacute hydrocephalus. Additionally, seizures and electrolyte disorders may also occur as complications.
Can people with cerebral infarction eat eggs?
For patients with cerebral infarction, it is acceptable to eat egg whites. Egg whites contain abundant amino acids which can enhance the body's resistance and ensure adequate nutrition for the patient. For cerebral infarction, it is advisable to consume fewer egg yolks. Additionally, egg yolks have a relatively high cholesterol content, which is not conducive to controlling blood lipids in patients. Thus, egg whites can be consumed, but egg yolks should be eaten in moderation. Moreover, patients with cerebral infarction should also consume plenty of fresh vegetables and fruits, which are rich in folic acid and can help fight arteriosclerosis. Additionally, it is beneficial to eat foods rich in unsaturated fatty acids, such as some deep-sea fish and olive oil.
What causes migraines?
Migraine is a relatively common disease, and the possible causes of this disease are as follows: First, it may be related to genetics, with about 60% of migraines being familial, which strongly suggests that genes may be significantly related to the onset of migraines; Second, it is also clearly related to certain internal environments and hormone levels. For example, some women experience migraine attacks during menstruation. Additionally, the triggers for attacks also include drinking alcohol, consuming vasodilator drugs, eating chocolate, and consuming food additives containing sodium glutamate. The pathogenesis of this disease is not yet very clear, and it may be related to vascular dysfunction.
Symptoms of encephalitis vomiting
Patients with encephalitis often experience vomiting, and some even have projectile vomiting. This is mainly because patients with encephalitis experience a significant increase in intracranial pressure, which leads to severe vomiting. Additionally, patients may also have noticeable fever, headaches, and can display swelling of the optic disc. In such cases, it is necessary to promptly administer sufficient antiviral medications to the patient, as well as some medications to dehydrate and reduce intracranial pressure. If necessary, corticosteroids can also be used as an adjunct treatment. With aggressive treatment, some patients do recover well. (Please administer medication under the guidance of a professional physician.)
Does brain atrophy cause dizziness?
If it is brain atrophy, generally it does not cause dizziness; patients with mild conditions may not show any clinical symptoms. If it is severe, the main symptoms are those of dementia, such as possible sluggish reactions, memory decline, reduced computational abilities, impaired executive functions, and even psychiatric symptoms. The most common disease clinically observed is Alzheimer's disease. If the patient has cerebellar atrophy, even mild cases might not exhibit any symptoms. Severe cases can experience dizziness, primarily manifesting as feeling drunk, accompanied by unsteady walking, unstable standing, and other signs of ataxia.
What to eat for senile dementia
For patients with dementia, it is recommended to take some cholinesterase inhibitors, which can increase the content of acetylcholine in the brain and have certain effects on improving cognitive functions. Additionally, consuming NMDA receptor antagonists can also help improve cognition. In terms of diet, it is advised that patients eat more foods rich in unsaturated fatty acids, such as fish, shrimp, and olive oil. It's also beneficial to consume plenty of fresh vegetables and fruits, which are rich in vitamin C and can help combat oxidative stress. Drinking more milk and eating foods rich in B vitamins, mainly whole grains, is also recommended. (Medication should be used under the guidance of a doctor.)