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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 foods should be eaten for Parkinson's disease?
Parkinson's disease does not have any specific dietary restrictions, but the following aspects are recommended for patients: First, patients should consume more laxative vegetables and fruits, such as spinach, bananas, and celery, which help maintain the motility of the large intestine and promote bowel movements. Since many Parkinson's patients suffer from constipation, these foods can greatly improve their bowel movements and are recommended. Second, Parkinson's patients can also eat foods that nourish brain cells, such as pine nuts, walnuts, and pistachios. Third, patients may consume some plant oils, mainly olive oil, which can also play a good regulatory role. Fourth, Parkinson's patients should be cautious about the timing of protein intake in relation to their medication schedule, to avoid affecting the absorption of the medication.
Where should I go for treatment of myasthenia gravis?
Myasthenia gravis is classified as a neurology disease. Therefore, patients should visit the neurology department for medical consultation. Fundamentally, it is an immune disorder of the nervous system characterized by the production of abnormal antibodies. These antibodies affect the acetylcholine receptors on the postsynaptic membrane, thereby impacting the transmission of nerve impulses at the neuromuscular junction, which leads to various clinical symptoms. Patients may experience ptosis, double vision, and potentially compromised swallowing function, causing overall weakness. Symptoms typically worsen towards the evening. Many patients also present with thymus abnormalities. Treatment generally involves oral medications, predominantly corticosteroids and cholinesterase inhibitors.
Early symptoms of Parkinson's disease
Parkinson's disease in its early stages may primarily manifest as clumsiness in limb movement, especially in fine motor skills, such as difficulty in wrapping dumplings, rolling dumpling wrappers, or slow buttoning, which are clinical signs of early symptoms. Some patients may initially experience slight trembling in the limbs, which is generally more pronounced during rest and relaxation and diminishes during activity. Additionally, some individuals with early Parkinson's disease primarily exhibit non-motor symptoms, such as constipation, depression, reduced sense of smell, and may also experience rapid eye movement sleep behavior disorder, characterized by shouting and physical actions like punching or kicking during sleep.
The difference between amyotrophic lateral sclerosis and myasthenia gravis
These two are distinctly different diseases. Amyotrophic lateral sclerosis (ALS) refers to a motor neuron disease, which is a degenerative neurological condition primarily affecting the upper and lower motor neurons. Patients may exhibit symptoms such as muscle atrophy, muscle twitching, general weakness, as well as potential difficulties in swallowing, articulation disorders, and atrophy of the tongue muscles. The mechanism of this disease is not very clear, symptoms progressively worsen, and there are no effective treatment methods. Neurogenic changes can be observed in electromyography. Myasthenia gravis, on the other hand, is a typical neuromuscular junction disease caused by immune dysfunction. It presents with skeletal muscle fatigue and weakness, typically worsening in the evening. Treatment with immunosuppressants has been shown to be effective.
Migraine vertigo symptoms
There is a special type of migraine called vestibular migraine, where the main symptoms during an attack are significant dizziness, accompanied by nausea, vomiting, and unsteady walking. A headache may or may not occur. This type of migraine-induced dizziness is relatively common in clinical practice, and patients generally experience severe dizziness, along with pale complexion and cold sweats among other clinical symptoms. The treatment for the dizziness caused by this type of migraine primarily follows the treatment protocols for migraine attacks, and may include taking certain non-steroidal anti-inflammatory pain medications. Additionally, administering calcium channel blockers and antiemetic medications can also achieve very good results. Furthermore, some sedative medications can also be used and can improve the patient's symptoms.
Can facial neuritis patients eat beef?
Most patients with facial neuritis have a relatively good prognosis, as long as timely drug treatment is provided, along with some acupuncture rehabilitation and therapy training. Many patients will completely recover from their symptoms within one to two months, and most will not suffer from any long-term sequelae. There are no special dietary requirements for patients with facial neuritis, and they can eat beef. Beef contains rich, high-quality proteins that can boost the body's immune system and help prevent complications caused by facial neuritis, so it is permissible to eat beef. In addition, patients with facial neuritis should also consume more cereals because cereals are rich in B vitamins, which are beneficial for recovery. It is also advocated that patients eat plenty of fresh vegetables and fruits. Moreover, patients should avoid smoking, drinking alcohol, and consuming spicy and irritating foods, such as chili peppers.
Clinical manifestations of stroke
Firstly, the patient may experience aphasia, such as not understanding others' conversations and being unable to accurately express their own opinions. Signs of facial paralysis, such as a skewed mouth, drooling, and nasolabial fold, may also appear. Secondly, limb paralysis is a common clinical symptom, generally presenting as hemiplegia. There may also be hemisensory disturbances, such as numbness on one side of the body. Thirdly, patients may experience a decline in cognitive functions, exhibiting slow reactions, reduced memory capabilities, and decreased computational skills. If a stroke affects the posterior circulation, the patient may experience symptoms such as dizziness, double vision, and hemianopia.
Is facial neuritis prone to recurrence?
For idiopathic facial neuritis, this is a nonspecific inflammatory reaction caused by an immune function disorder of the body. The probability of recurrence of this disease is not particularly high. Patients should pay attention to exercising and enhancing their physical fitness. During the onset of the disease, treatment with corticosteroids, B vitamins, etc., should be given, and the prognosis is generally good with a very low recurrence rate. However, it should be noted that sometimes facial paralysis may be caused by other diseases, such as some tumors, especially malignant lymphomas, whose initial symptoms might affect the facial nerve, causing repeated paralysis. Clinically, when seeing patients with repetitive facial neuritis, it is crucial to consider the possibility of such diseases to avoid missed diagnoses. (Medication should be used under the guidance of a doctor.)
Migraine continues to hurt for several days.
Migraine headaches that persist for several days might be a sign of a migraine condition. It's essential to handle this promptly to alleviate pain and improve the patient's quality of life. The following treatments are recommended for such patients. First, it's crucial to take pain-relief medication as soon as possible. For example, non-steroidal anti-inflammatory drugs can be used. If the pain remains severe and the effect is not apparent after taking these, one could use specific migraine medications like ergot preparations or triptans. Additionally, beta-blockers and calcium channel blockers may be used, which can also produce good results. Migraine patients often suffer from sleep disorders, anxiety, and irritability. It might be appropriate to administer benzodiazepines, which can also benefit headache relief. (Please use medication under professional medical guidance and do not self-medicate.)
Does encephalitis cause fever?
If the patient's encephalitis is caused by a viral infection, they usually exhibit fever, often a high fever with temperatures reaching above 39°C, accompanied by significant symptoms such as headache, nausea, and vomiting. Some patients may also experience cognitive dysfunction, epileptic seizures, and psychiatric symptoms. Therefore, it is crucial to seek medical attention promptly, complete examinations such as electroencephalography, lumbar puncture, and cranial magnetic resonance imaging, and timely apply effective antiviral medications. It should be noted that some encephalitis is caused by autoimmune reactions, referred to as autoimmune encephalitis, which is relatively rare clinically. This type of encephalitis generally does not present with fever. (Please use medications under the guidance of a doctor.)