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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 it dangerous to have a fever with brainstem hemorrhage?
Brainstem hemorrhage itself is a very dangerous disease. Patients with a large amount of bleeding generally find it difficult to recover and may even result in a vegetative state or death. The occurrence of fever in brainstem hemorrhage mainly has two reasons. First, brainstem hemorrhage can cause central fever, which is mainly due to damage to some autonomic nerves, leading to problems with the body's temperature regulation function. If central fever occurs, it is quite dangerous and indicates a poor prognosis, necessitating active physical cooling. Secondly, patients with brainstem hemorrhage are often in a comatose and bedridden state, making them highly susceptible to various complications, such as pulmonary infections and urinary system infections. If fever arises due to these infections, it also indicates a poor prognosis, with relatively high mortality and disability rates. Overall, the occurrence of fever in patients with brainstem hemorrhage is quite dangerous and indicates a poor prognosis.
How long does it take for facial neuritis to recover?
Facial neuritis, also known as idiopathic facial paralysis, generally has a good prognosis for most patients. Typically, treatment involves corticosteroids, supplemented with B vitamins, along with rehabilitative physiotherapy and local acupuncture. Most patients can recover within one to two months, and many do not experience any residual effects. However, if the facial nerve paralysis is particularly severe from the onset, and the patient is elderly with additional risk factors such as diabetes, recovery may be slower, possibly taking between two to eight months. Some patients may even suffer from some degree of lasting effects. Therefore, while most cases of facial neuritis recover well, usually within one to two months, more severe cases may need up to eight months or longer for recovery.
Can people with cerebral embolism run?
Patients with cerebral embolism are mostly caused by heart diseases, especially atrial fibrillation, which is the most common complication leading to cerebral embolism. If it is the acute phase of cerebral embolism, the patient's condition is unstable and symptoms may worsen, so running is definitely not suitable at this time. If the recovery from cerebral embolism is already very good, the patient's condition is stable, and there are no significant heart function issues, then the patient may engage in running exercises under the assessment of neurologists and cardiologists. Running can help to strengthen the physique, improve blood circulation, and also aid in the recovery from cerebral embolism, but it is important to ensure that the exercise intensity is not too high, to avoid putting too much strain on the heart.
Facial neuritis should be seen in the Department of Neurology.
Facial neuritis is a type of cranial nerve disease and is one of the most common diseases in neurology. Therefore, appointments for facial neuritis should be made in the department of neurology. Neurologists have extensive experience in the diagnosis, differential diagnosis, and treatment of facial neuritis. This disease is mainly caused by idiopathic facial nerve palsy, resulting in edema of the facial nerve, which suffers from ischemia and hypoxia due to compression within the facial nerve canal, leading to functional impairment. Some patients may also experience hypersensitivity to sound, external auditory canal herpes, and taste disorders, among other symptoms. Neurologists will provide appropriate treatment based on the patient's condition, such as administering corticosteroids, and vitamins B1, B12, and others for management. Rehabilitation departments may also be consulted to provide rehabilitation exercises. (Please consult a professional doctor for medication guidance and do not self-medicate.)
Should one avoid certain foods with facial neuritis?
Patients with facial neuritis should still avoid certain foods during the acute phase. They should avoid alcohol, spicy and irritating foods, and preferably seafood as well. Consuming these foods may lead to immune dysfunction, which is detrimental to nerve recovery. Patients with facial neuritis are advised to eat plenty of fresh fruits and vegetables, which contain high levels of Vitamin C to enhance the body's resistance. They can also consume foods rich in B vitamins, such as whole grains, lean meats, and animal liver. For medication treatment, it is essential to treat promptly. If there are no contraindications, corticosteroids may be used under a doctor’s advice. (Please follow medical advice regarding medication.)
What are the symptoms of Parkinson's disease?
Parkinson's disease is a relatively common neurological disorder and a degenerative disease of the nervous system, as well as an extrapyramidal disorder. The symptoms of Parkinson's disease primarily include the following: The first major category is motor symptoms. The motor symptoms of Parkinson's disease mainly include bradykinesia, where the patient is generally slow in all actions, such as slow walking, slow dressing, slow turning, etc. There are also symptoms of increased muscle tone and stiffness in the muscles, along with resting tremor of the limbs, unstable posture, and a tendency to fall. The second major category of symptoms is non-motor symptoms, which are also very important in Parkinson's disease. For instance, patients may experience significant sleep disturbances, a reduction in the sense of smell, dizziness, constipation, frequent urination, and other clinical manifestations.
Causes of Cerebral Infarction
The first reason is due to arteriosclerosis. Under the influence of risk factors such as hypertension, diabetes, and hyperlipidemia, damage occurs to the inner lining of the arteries. A large amount of lipid components are deposited on the arterial walls, eventually forming unstable plaques, leading to the narrowing and even occlusion of the cerebral arteries, thus causing the formation of cerebral thrombosis. The second reason to consider is cardiac causes; if a patient has atrial fibrillation, mural thrombi can form within the heart. These thrombi, once dislodged into the cerebral arteries, can cause cerebral embolism. The third point to note is arterial dissection, which is also a cause of cerebral infarction, and it is relatively common among young people.
symptoms of senile dementia
The symptoms of dementia mainly include the following aspects: First, there is evident impairment in cognitive functions, primarily involving memory decline. Initially, it may predominantly affect recent memory, with patients often forgetting recent events. As the disease progresses, they may start forgetting events from the distant past as well. Additionally, patients may experience a decline in calculation skills, judgment, execution, and comprehension abilities; their capacity to learn and work is comprehensively impaired. Spatial dysfunction can also occur, causing disorientation and frequent episodes of getting lost. Secondly, in the later stages, patients may display changes in behavior and personality, alongside corresponding psychological symptoms. For example, the patient might become aggressive, restless, and exhibit hallucinations visually and auditorily. Wandering at night is another common symptom. Thirdly, in the later stages, patients might show clinical signs such as muscle atrophy and paralysis. Incontinence is also a common symptom.
Myasthenic crisis includes
Myasthenia Gravis, a type of immune inflammatory disease of the nervous system, is mainly caused by the production of abnormal antibodies in the body. Myasthenic crisis can endanger the life safety of patients, affecting respiratory function. There are mainly three types of crises: The first type of crisis is the myasthenic crisis, which is also the most common. Generally, it is caused by the progression of the disease itself, often due to insufficient anticholinesterase drug dosage. The second type of crisis is the cholinergic crisis, caused by an overdose of anticholinesterase drugs, resulting in symptoms like muscle tremors in patients. The third type is the paradoxical crisis, which occurs due to insensitivity to anticholinesterase drugs, leading to severe respiratory difficulties. It is essential to handle a myasthenic crisis promptly, maintain the patient's airway clearance, and use a ventilator for treatment if necessary.
Does cerebral embolism require surgery?
Most cases of cerebral embolism in patients are caused by heart diseases, especially in patients with atrial fibrillation. Thrombi form in the atrium, detach, and travel to the cerebral arteries, causing a cerebral embolism. If the area affected by the cerebral embolism is small and the symptoms are mild, surgical treatment may not be necessary. Patients should rest, engage in rehabilitation exercises, and be treated with medications that invigorate the blood, remove blood stasis, protect brain cells, and use anticoagulants. However, if the embolism affects a large area, such as the middle cerebral artery, interventional surgical thrombectomy can be performed according to current medical advancements, which may be effective for some patients but also carries risks of bleeding and potential surgical failure. (Please use medications under the guidance of a doctor and do not self-medicate.)