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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 are the symptoms of cerebral atrophy?
Some patients with brain atrophy may not exhibit any specific clinical symptoms and are only found to have brain atrophy through imaging studies, such as magnetic resonance imaging (MRI) of the brain. Some patients do exhibit clinical symptoms, and the common symptoms of brain atrophy mainly include the following manifestations. First, patients may experience a decline in memory function, such as frequently forgetting things they have just done, forgetting where they placed their wallet, or forgetting to bring keys when going out. Second, there may also be a decline in executive functions, such as difficulties in dressing or brushing teeth by oneself. Third, there may be a decline in computational abilities, to the extent that the patient cannot perform simple arithmetic. Additionally, brain atrophy may also present some psychiatric symptoms, such as hallucinations and incoherent speech.
What vitamins to take for optic neuritis
Optic neuritis is primarily caused by the demyelination of the optic nerve. It is a type of central nervous system demyelinating disease. Therefore, patients with optic neuritis can take some vitamins, mainly B vitamins, including vitamin B12, vitamin B6, vitamin B1, etc. These can nourish the nerves and promote the regeneration of the myelin sheath. In addition, patients with optic neuritis also need to use some corticosteroids. Corticosteroids mainly suppress the immune response and inhibit the body's antibodies from damaging the myelin sheath of the optic nerve, playing a very important role in foundational treatment. Additionally, some severe cases of optic neuritis may even require the use of immunoglobulin and other immunosuppressive agents are also used in patients with optic neuritis.
Can optic neuritis recover by itself?
Optic neuritis is a demyelinating disease of the central nervous system, caused by an immune-inflammatory response of the body. Most patients with optic neuritis have severe immune dysfunction, making full recovery on their own very difficult. Although a very small number are fortunate enough to potentially self-heal without specific treatment, such cases are rare. Treatment for optic neuritis is essential because if left untreated, it could likely lead to permanent vision reduction. Additionally, the disease may also affect the brain and spinal cord, leading to clinical manifestations such as paralysis of limbs. Therefore, it is advisable to actively treat this condition. The primary treatment involves administration of corticosteroids and possibly long-term oral intake of immunomodulators to prevent recurrence. (Medications should be used under the guidance of a doctor based on specific conditions.)
Does facial neuritis need treatment?
Bell's palsy is a nonspecific inflammatory reaction, primarily caused by impairment of the facial nerve leading to paralysis of the facial muscles. In general, if the symptoms of Bell's palsy are mild, such as slight drooping of the corner of the mouth and drooling, there is a possibility for spontaneous recovery. However, if the symptoms of Bell's palsy are severe, and the patient also has risk factors for diabetes, these symptoms mainly include noticeably shallower forehead wrinkles, weakness in opening and closing the eyes, inability to close the eyes while sleeping, and very severe facial paralysis. In such cases, spontaneous recovery is difficult, and active treatment is required. Treatment mainly includes corticosteroid drugs and B vitamins, along with some rehabilitative training. In summary, Bell's palsy can resolve on its own if the symptoms are mild; however, if the symptoms are severe, timely treatment is necessary to avoid lasting effects.
How to relieve migraine
The incidence of migraines is quite high, and the pain experienced can be severe. Patients often find it unbearable and refrain from physical activities, as everyday activities can significantly aggravate the headache. Therefore, rapid alleviation of migraine pain is crucial for improving patients' quality of life and maintaining stability in work and study. The main methods of alleviation include: The first method is relief through medication. Medications primarily include some non-steroidal pain relievers, along with other symptomatic treatment drugs. For example, if patients frequently experience vomiting, antiemetic drugs are necessary. Another category of drugs refers to benzodiazepine sedatives, which also play an important role in alleviating headaches. Additionally, there are specific drugs for treating migraines, mainly the triptan class of medications. The second aspect is that patients need to focus on resting and maintaining a quiet environment. A quiet environment plays a very important role in the management of migraines. (Note: This answer is for reference only. Medication should be taken under the guidance of a professional physician, and blind medication should be avoided.)
How many days does optic neuritis require hospitalization?
Patients with optic neuritis generally experience a decrease in vision, which may occur in one eye or in both if both optic nerves are involved. This condition is often caused by non-specific inflammatory responses that lead to the demyelination of the optic nerve, such as in multiple sclerosis and neuromyelitis optica, leading to changes in optic neuritis. This condition is quite severe and requires hospitalization. If not treated promptly, it can cause permanent vision loss, severely affecting the patient's future life. Typically, hospitalization lasts about 10-14 days. During this period, comprehensive examinations including MRI and lumbar puncture are needed, along with high-dose corticosteroid treatment lasting 10-14 days. After discharge, the patient must continue taking oral medications and undergo rehabilitation training.
Subarachnoid hemorrhage nursing rounds
Subarachnoid hemorrhage is a rather dangerous disease. Patients may experience significant symptoms such as headache, nausea, vomiting, and irritability. There can also be complications related to the nervous system. Besides medical and surgical treatment, nursing care is equally crucial. Key aspects to focus on during nursing rounds include: First, fully assess the patient's consciousness to see if they are alert or have slipped into a coma; second, observe the pupils to check if they are symmetrical and how they react to light; third, examine if there is any noticeable stiffness in the neck or signs of meningeal irritation; additionally, look at the pathological reflexes of the lower limbs; also, observe if the patient's mood is notably irritable; finally, monitor if the patient exhibits complications such as fever, cough, or expectoration, and provide the corresponding treatment.
What to do about cerebral embolism?
The onset of cerebral embolism is very sudden, and most cases of cerebral embolism are caused by heart disease. For instance, atrial fibrillation or myocardial infarction can lead to cerebral embolism, which requires immediate medical attention. If it is within the time window for arterial thrombectomy, it is best to proceed with the arterial thrombectomy treatment, and this window typically ranges from six to eight hours. If the time window is missed, the patient should primarily be kept on bed rest and given medications to protect and nourish brain cells. If intracranial pressure is high, medications to reduce dehydration and lower cranial pressure should be administered. After the acute phase, anticoagulation treatment should also be provided to prevent future occurrences of cerebral embolism. Additionally, care should be taken to prevent complications such as pulmonary infections, urinary system infections, and bedsores.
Determination of Senile Dementia
The assessment of dementia primarily encompasses three aspects: The first aspect mainly involves relevant neurological scales, which can scientifically and effectively measure the cognitive functions of elderly patients. These scales include the MSE (Mini-Mental State Examination) and the MoCA (Montreal Cognitive Assessment). The second aspect of the assessment involves some imaging tests, mainly cranial MRI scans. Cranial MRI can determine if there is brain atrophy in the elderly and examine for any related lesions in the temporal lobes and hippocampi. The third major aspect involves the analysis of cerebrospinal fluid, assessing the levels of amyloid proteins, which also play an important role in the assessment of dementia. In summary, the assessment of dementia primarily involves evaluations using neurological scales, cranial MRI, and cerebrospinal fluid analysis.
Can Parkinson's patients drink alcohol?
It is recommended that patients with Parkinson's disease avoid drinking alcohol. This is because the condition in Parkinson's patients is caused by the death of certain neurons in the substantia nigra of the midbrain. It is well-known that alcohol has a direct damaging effect on neurons. Therefore, drinking alcohol could potentially worsen the symptoms of Parkinson's disease, and it is advised not to drink alcohol. Additionally, patients with Parkinson's disease are prone to panic and unstable gait. If alcohol consumption affects the function of the cerebellum, it will exacerbate the patient's instability in walking, making them very prone to falls and potentially causing complications such as fractures. Furthermore, drinking alcohol can lead to orthostatic hypotension, which is a lower blood pressure when standing up. Parkinson's disease itself can also cause this type of orthostatic hypotension, and the combination of the two can cause a significant drop in blood pressure in patients, posing a risk when standing.