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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
What causes facial neuritis?
Facial neuritis is very common in neurology, mainly caused by nonspecific inflammatory responses. For example, some patients with facial neuritis may experience viral infections, leading to inflammatory reactions in the muscles. Some patients develop inflammation of the facial nerve due to exposure to cold winds. Others may have immune dysfunction or rheumatic autoimmune diseases, which lead to inflammation of the facial nerve. Patients with facial neuritis usually experience paralysis of the facial muscles and may also experience significant pain, especially in the mastoid and external auditory canal. It is essential to treat facial neuritis early, using corticosteroids and B vitamins, as many patients have a good prognosis after treatment.
What medicine should be taken for myasthenia gravis?
Myasthenia gravis is a type of neurological immunological disease in neurology, mainly caused by a disorder of the body's own immune function. Patients in the body will produce antibodies against acetylcholine receptors, thus affecting the transmission of nerve impulses at the neuromuscular junction. For this disease, the following medications are generally prescribed: The first type of medication is a cholinesterase inhibitor, which can increase the amount of acetylcholine at the neuromuscular junction, thereby effectively improving clinical symptoms. The second type of medication is corticosteroids, because this disease is caused by an abnormal inflammatory response. Therefore, taking corticosteroids can suppress the inflammatory response. Treatment generally starts with a small dose and gradually increases, maintaining for a period before gradually tapering off. It may also be necessary to take other immunosuppressants. (Please take the medication under the guidance of a doctor)
Causes of subarachnoid hemorrhage
Subarachnoid hemorrhage is a very dangerous disease, in which patients experience severe headaches, noticeable nausea, vomiting, restlessness, and agitation. If the bleeding is extensive, the patient can quickly become comatose and may develop serious complications such as cerebral vasospasm and hydrocephalus. Common causes of cerebral hemorrhage include: First, cerebral aneurysms. Cerebral aneurysms are the most common cause of subarachnoid hemorrhage and may be related to congenital developmental abnormalities or acquired factors such as smoking. Second, arteriovenous malformations, which are also a common cause of bleeding. Third, there are other causes, such as trauma or coagulation disorders, and long-term use of anticoagulant medications may also be contributing factors.
What to do about senile dementia?
When dementia occurs in the elderly, there is a noticeable decline in cognitive function. Initially, it is important to identify the cause of the dementia; some cerebrovascular diseases can also cause dementia. For example, cerebral infarction in certain specific areas of the brain can lead to dementia if it affects the intelligence center. For dementia caused by these reasons, it is recommended to treat with antithrombotic medications, including antiplatelet aggregation drugs and brain cell protective medications. Additionally, if the dementia is caused by Alzheimer's disease, close care is needed to prevent incidents like the patient getting lost. It is advisable to write contact numbers in the pockets of their clothes and administer acetylcholinesterase inhibitors to increase the levels of acetylcholine in the brain, which can improve cognitive function to a certain extent. (Note: This answer is for reference only. Medication should be prescribed and managed under the guidance of a professional physician, and self-medication should be avoided.)
What should not be eaten with facial neuritis?
Bell's palsy primarily refers to the idiopathic paralysis of the facial nerve. This condition is quite common and can occur in individuals of any age. Essentially, it is a non-specific immune inflammatory response. Patients should be cautious about their diet, avoiding spicy and stimulating foods, as these can exacerbate facial nerve swelling, which is detrimental to recovery. Additionally, alcohol consumption should be avoided as it can significantly damage the nerves. There are no special dietary restrictions otherwise; it is recommended to consume more fresh vegetables and fruits, such as greens, apples, and oranges. Consuming foods rich in B vitamins, like buckwheat, sorghum, and corn, is also advised.
What can be eaten with cerebral hemorrhage?
Intracerebral hemorrhage is an extremely dangerous neurological disease. Its onset is very sudden, with patients experiencing headaches, nausea, vomiting, as well as symptoms like limb paralysis, numbness, and speech impairments. Additionally, the gastrointestinal function of patients is significantly affected during an intracerebral hemorrhage, making them very susceptible to acute ulcers and acute gastric mucosal lesions. Hence, there are some precautions to consider regarding diet. In the acute phase of intracerebral hemorrhage, it is recommended to eat softer, easily digestible foods, such as rice porridge, millet porridge, sesame paste, etc., which are easier to digest and can help reduce the burden on the gastrointestinal tract. After the acute phase, the patient should consume more fresh vegetables and fruits, which can help maintain regular bowel movements, beneficial for the recovery from intracerebral hemorrhage. These also provide a rich source of vitamins that can protect vascular endothelial cells and reduce the recurrence of intracerebral hemorrhage. Additionally, eating high-quality proteins such as drinking milk, eating eggs, and lean meats can help enhance the patient's resistance and reduce complications.
Imaging manifestations of cerebral infarction
For patients with cerebral infarction, in addition to collecting medical history and clarifying symptoms and signs, imaging examinations are also very important for the diagnosis and differential diagnosis of cerebral infarction. They are indispensable tools in clinical examinations. Cerebral infarction primarily requires cranial CT and MRI scans. On cranial CT, cerebral infarction lesions mainly appear as low-density areas and are easily distinguishable from cerebral hemorrhage. The lesions may cause swelling and have a certain mass effect. In cranial MRI, the appearance of cerebral infarction is primarily seen in diffusion-weighted imaging as a distinctly high signal, making it very easy to identify the responsible lesions. In T2-weighted images, the high signal is also clearly visible and easier to differentiate.
Is encephalitis hereditary?
Encephalitis is mostly caused by viral infections. For instance, Epidemic B encephalitis is caused by the B encephalitis virus, and herpes simplex encephalitis is caused by the herpes simplex virus. Therefore, encephalitis is not related to genetic mutations and is not hereditary, so there is no need for special concern. It is important to note that some cases of encephalitis are not directly related to viral infections and may be related to autoimmune responses. For example, autoimmune encephalitis can occur in patients experiencing immune system disorder, which may be accompanied by some tumors. A disordered immune system can produce antibodies that attack one's own brain tissue, leading to autoimmune encephalitis. This type of encephalitis also has no genetic tendencies.
Acupuncture treatment for myasthenia gravis
Patients with myasthenia gravis suffer from a systemic autoimmune disease, primarily affecting the neuromuscular junctions, which leads to corresponding clinical manifestations. The essence of the disease is caused by immune dysfunction, where the body produces specific antibodies that affect the transmission of impulses. Patients typically experience general weakness, double vision, drooping eyelids, and in severe cases, weakened respiratory muscles leading to respiratory paralysis. The treatment of myasthenia gravis mainly involves medication, including corticosteroids, immunoglobulins, acetylcholinesterase inhibitors, and other immunosuppressants. Additionally, there are some newer drugs that modulate the immune system. Acupuncture treatment, as an important method of traditional Chinese medicine, can also be used in the management of myasthenia gravis, primarily to improve the patients' resistance, enhance physical constitution, and play a significant role in preventing complications and reducing the dosage of other medications. (Specific medications should be administered under the guidance of a physician.)
Is encephalitis serious?
The severity of encephalitis varies greatly among individuals. Some mild cases of encephalitis, even with some degree of self-healing, do not require special treatment. For example, encephalitis caused by some enteroviruses and respiratory viruses has a very good recovery, and it is only necessary to prevent complications. However, some types of encephalitis are very dangerous and can even threaten the life of the patient. For instance, herpes simplex virus encephalitis can cause necrosis of the cerebral cortex, leading to high fever, headache, nausea, vomiting, and even epileptic seizures, psychiatric symptoms, and a significant increase in intracranial pressure, requiring urgent treatment.