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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
Can you exercise with a cerebral embolism?
Brain embolism is a form of cerebral infarction. The mechanism of its occurrence mainly involves abnormal objects entering the arteries, causing occlusion in the cerebral arteries and leading to brain embolism. Patients may experience paralysis, limb numbness, speech impairments, and in severe cases, even coma. The most common cause of brain embolism is due to atrial fibrillation or myocardial infarction causing mural thrombi. These dislodged thrombi travel to cerebral arteries, causing brain embolism. Generally, during the acute phase of brain embolism, bed rest is recommended along with some bedside functional exercises, such as active and passive movements of the limbs. Additionally, cardiac function must be considered since cardiac function is generally compromised in patients with brain embolism. If the treatment of brain embolism progresses well into the recovery or residual phase, and if cardiac function permits, moderate exercise such as brisk walking and slow jogging may be appropriate, but it is essential to protect the patient's cardiac function.
Guidelines for Thrombolytic Therapy for Cerebral Embolism
Cerebral embolism is a particularly dangerous type of ischemic cerebrovascular disease. Patients present with a very abrupt onset, typically with a history of atrial fibrillation. Acute onset rapidly leads to limb paralysis, and may also cause disturbances in consciousness and seizures, among other clinical manifestations. Current guidelines for thrombolytic treatment of cerebral embolism do not address extensive cerebral embolism, as thrombolysis in extensive cerebral embolism carries a certain risk of bleeding and is not generally advocated in clinical practice. Mainly, arterial thrombectomy treatment can be administered within an eight-hour window, which can provide significant therapeutic effects for some patients. Additionally, if the cerebral embolism is considered small and the patient's consciousness is relatively intact, intravenous thrombolytic treatment can be given. The time window for intravenous thrombolysis is generally within four and a half hours, so it is crucial to get to a hospital as quickly as possible in the event of a suspected cerebral embolism.
What department should I go to for facial neuritis?
Facial neuritis is a nonspecific inflammatory response of the facial nerve, which causes paralysis of the facial nerve, leading to paralysis of the facial muscles it controls. Facial neuritis is treated in the neurology department of many hospitals, so registration for facial neuritis should be done under neurology. Neurologists will make necessary diagnoses based on the patient's clinical symptoms, then prescribe relevant auxiliary examinations to rule out other conditions, such as facial neuritis caused by Guillain-Barre syndrome, and exclude facial paralysis caused by cranial ocupations. Additionally, some hospitals' maxillofacial surgery departments also treat facial neuritis, so one could also visit maxillofacial surgery for treatment. Overall, facial neuritis is primarily managed in neurology departments, though in some hospitals, it can also be managed in neurosurgery departments. Treatment for facial neuritis mainly involves administration of corticosteroids and B vitamins, such as vitamin B1, B6, and B12.
What medicine is used for Parkinson's disease?
Parkinson's disease is a relatively common neurological disorder, with a higher incidence in middle-aged and elderly people. Currently, there is no specific cure for the disease, but there are many medications that can significantly improve the symptoms of Parkinson's disease. The commonly used medications mainly include: The first major category is Levodopa preparations. This type of medication has good efficacy but can cause some adverse drug reactions and may provoke the occurrence of motor complications. It should be taken under the advice of a doctor. The second major category of drugs is dopamine receptor agonists. These drugs also have relatively good effects and can improve the motor symptoms of patients, though they may be a bit expensive. Third, anticholinergic drugs. They can significantly improve the patients' normal symptoms, but should not be taken by patients with cognitive impairments. Additionally, there are monoamine oxidase inhibitors and COMT inhibitors that can also be used.
How to treat migraines
Migraine is a very common type of headache clinically. Its treatment mainly includes the following aspects: The first method involves giving patients some non-steroidal anti-inflammatory painkillers for treatment, which most patients find relieving. If the headache is severe and these drugs are not effective, then it is necessary to use some specific drugs, mainly ergot preparations. Second, symptomatic treatment. Migraine patients are prone to complications such as nausea and vomiting, and can be treated with some antiemetic drugs. Third, patients should rest in a quiet environment, avoid strong light and loud noises, and maintain a calm mood. Additionally, if migraines recur frequently, preventative treatment is recommended. The treatment plan mainly includes some calcium channel blockers and some β-blockers.
Can people with facial neuritis drink alcohol?
If facial neuritis occurs, one should not drink alcohol, as alcohol itself has a significant damaging effect on nerves. Patients who drink alcohol long-term can experience damage to peripheral nerves, such as numbness and weakness in the limbs. Since facial neuritis is essentially a form of peripheral neuritis, alcohol can damage the facial nerve, hence patients with facial neuritis should not drink alcohol. Patients with facial neuritis need timely treatment, which mainly includes the use of corticosteroids to suppress immune inflammatory responses and reduce facial nerve edema, significantly shortening the course of the disease; in addition, some vitamin B drugs can be used for treatment; physical therapy, rehabilitation training, acupuncture, etc., also play a role in the recovery from facial neuritis. In summary, patients with facial neuritis absolutely should not drink alcohol, as it damages the facial nerve.
Is Parkinson's disease dangerous?
Parkinson's disease is a chronic condition and a progressive degenerative disorder of the nervous system. The main symptoms include slowed movements, increased muscle tone, resting tremors, and abnormal posture and gait. The onset of the disease is slow and subtly worsens over time. Although not highly dangerous in itself and not directly life-threatening, Parkinson’s disease currently lacks a cure, and the condition gradually worsens. Generally, within about 10 to 20 years, patients may experience significant balance impairments. The main risks involve instability while walking, which can lead to falls and potentially cause fractures and other complications. In later stages, patients often become bedridden, leading to possible complications such as pulmonary infections, urinary tract infections, bedsores, and malnutrition. Therefore, Parkinson's disease is relatively mild, manageable in the early stages, but requires careful attention in later stages to prevent complications and avoid unnecessary harm.
Can encephalitis be cured?
The viruses that cause encephalitis are relatively common. Whether they can be cured depends mainly on the type of virus causing the encephalitis, the severity of the condition, and whether the treatment is timely. Generally, most cases of encephalitis, such as those caused by enterovirus infections, tend to self-heal to a certain extent. The focus should be on care to prevent complications, electrolyte disorders, overheating, and to provide appropriate antiviral treatment. Most patients can be cured. However, there are also some more dangerous types of encephalitis, such as encephalitis caused by the type B encephalitis virus, which can rapidly lead to disturbances in consciousness, seizures, and even respiratory involvement, resulting in respiratory failure. This type of encephalitis is more severe and can leave significant sequelae even if successfully treated. For herpes simplex virus encephalitis, as long as the initial symptoms are not particularly severe and antiviral medications are used in a timely manner, the prognosis is still good.
How is neuralgia treated?
Neuralgia can cause severe pain and significantly impact a patient's life. Treatment for neuralgia primarily focuses on the following aspects: First, treatment should be based on the cause of the pain. For instance, if the patient suffers from trigeminal neuralgia, antiepileptic drugs may be prescribed. Surgery may be necessary in some cases. If the neuralgia is caused by a viral infection, active antiviral treatment is required. If tumor cells invade and cause the neuralgia, tumor treatment should be administered. The second type of treatment involves symptomatic management. This mainly includes medications to relieve neuralgia, commonly comprising tricyclic antidepressants and antiepileptic drugs, which can be effective in alleviating the pain and should be taken under the guidance of a doctor.
What should I do if I always have migraines?
Migraine is a disease that severely affects quality of life. During a migraine attack, patients experience moderate to severe headaches, accompanied by nausea, vomiting, photophobia, phonophobia, and daily life is severely affected. Activities such as climbing stairs can progressively worsen the headache. If migraines occur frequently and severely affect daily life, it is advisable to undergo preventive treatment. Preventive medications primarily fall into three categories: the first category includes receptor blockers, the second category consists mainly of anti-epileptic drugs, and the third category comprises calcium channel blockers. These medications can effectively prevent the onset of migraines and can be taken under the advice of a doctor. Additionally, it is important to maintain a stable mood and ensure adequate sleep to prevent the onset of migraines.