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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.
Voices
What should I do about urinary incontinence due to brain atrophy?
Urinary incontinence due to brain atrophy is mainly because the brain centers controlling urination and defecation have atrophied. This can be caused by vascular reasons leading to brain atrophy, such as cerebral infarction or hemorrhage affecting the adjacent centrolobular region, leading to urinary incontinence. Therefore, treatment should primarily target the underlying disease. Rehabilitation treatments are recommended, particularly traditional Chinese medicine methods like acupuncture and moxibustion. Modern rehabilitation, establishing regular urinary habits, and pelvic floor rehabilitation are also beneficial for treating urinary incontinence. Additionally, both traditional Chinese medicine and Western medicine can be used for treatment.
Is brain atrophy the same as cerebral palsy?
Brain atrophy is definitely not cerebral palsy. Brain atrophy is generally caused by various reasons in adults leading to a reduction in brain volume. This is often seen in cognitive impairments or memory decline in adults. Cerebral palsy, on the other hand, is generally caused by congenital diseases or perinatal reasons, leading to damage to the central nervous system. It is a disease characterized primarily by non-progressive motor disorders. Therefore, it manifests as spastic diplegia, hemiplegia, athetosis, and symptoms of the extrapyramidal system, mainly focusing on motor disorders.
What is an effective treatment for epilepsy?
To effectively treat epilepsy, it is crucial to adhere to the principles of medication use and cessation. First, epilepsy medication should generally be administered for one to two years without seizures before gradually reducing the dose. If seizures reoccur after dose reduction, or if there is significant worsening on electroencephalography (EEG), the dosage should be restored. If switching medications, take both medications concurrently for about a week, then gradually reduce the original medication to cessation while increasing the new medication to an effective dose. These are the principles of medication exchange and use. Then, consider the principles for attempting medication cessation. Generally, medication should not be ceased any earlier than one year and abrupt cessation should be avoided to prevent epilepticus status. If there is clear organic brain disease, persistent positive neurological signs, or continuous mental disorders with abnormal EEG readings, lifelong medication may be necessary. Some suggest that individuals older than 30 should be cautious about stopping medication. Since the recurrence rate upon cessation can exceed 50%, lifelong medication may be necessary.
Can myasthenia gravis with eyelid drooping be cured?
Myasthenia gravis with ptosis is treatable. The ptosis is a manifestation of myasthenia gravis, which is generally mild. This type of myasthenia gravis is usually treatable with Pyridostigmine. If oral medication is ineffective, using steroids or immunosuppressants can also lead to recovery. This is typically a mild form of myasthenia gravis, so oral medication generally leads to a cure.
Can early-stage ALS be cured?
Amyotrophic lateral sclerosis, also known as motor neuron disease, is a condition that exclusively affects motor neurons without involving sensory neurons. Even if identified early, there are currently no specific medications to cure this disease; treatment can only be symptomatic and rehabilitative. Such approaches can alleviate symptoms. When symptoms are initially mild, medication can only slow down its progression but cannot cure it. The condition inevitably worsens gradually. Rehabilitative treatment can help reduce symptoms or delay the progression of the disease.