You should visit a Neurologist specializing in the treatment of headaches, who will take your detailed medical history, perform the necessary examinations where required, analyze the characteristics of your symptoms so that the correct diagnosis can be made and name your disease. Not all headaches are migraines, and every patient with migraine is different regarding their treatment. You will be fully informed about your disease and the treatment, as well as any other interventions that should be made to relieve the symptomatology. The aim is to treat your symptoms and to educate you about how to improve your quality of life.
At first, the cause of the headache should be investigated, and whether the painkillers taken are appropriate for this particular condition. An error often made by the patient is to take large amounts of painkillers which can lead to so-called headache from abuse of analgesic pills. In this case it is necessary to gradually stop them and replace them with the appropriate pharmaceutics.
It does not mean that any memory disorder is dementia, and dementia is not the same with Alzheimer's disease. An examination by a specialist neurologist is required accompanied by the appropriate hematological, biochemical and imaging tests so as to document the memory disorder. The typical description of a patient with Alzheimer's disease includes a normally elderly person who does not remember recent events, so he constantly asks the same things, forgets to come home when they go out, makes mistakes in calculating money, does not know what day of the week it is or what month, etc.
In the early stages of the disease the memory disorders, the marginalization and the inability to express their feelings make the patient unable to follow a regular dietary plan. At this stage, they become partially dependent on caregivers, who in the final stages of the disease face situation such as the patient refuses to eat or drink. At this point, they are confronted with a moral dilemma, difficult and often without a correct answer, as they have to decide whether they should respect the patient’s refusal to eat or adopt other forms of force-feeding. At this stage, any decision seems to be, if not wrong, at least not acceptable by everyone. View More…Nutrition and dementia)
It is quite difficult for the patient to describe the symptom of dizziness. It includes the feeling of dizziness that may appear in an upright position, or when raising from a sitting position, that means when the patient gets up from the bed. It may be accompanied by a feeling of rotation, that is, a feeling that the objects around then spin, indicating that they feel that the room is spinning. This case includes the concept of positional vertigo and may be accompanied by a feeling of falling on either side or even by episodes of vomiting. Dizziness can have many causes and requires the extensive medical history and detailed examination, especially if other conditions co-exist, such as high blood pressure (hypertension).
Episodes of fainting require very careful examination by many specialties, as the causes may vary. It may be accompanied by partial memory loss, confusion, or the patient remembering precisely the sequence of events. Common causes of loss of consciousness are seizures, cardiac arrhythmias, low blood pressure, strokes, metabolic causes such as hypoglycemia, etc.
The investigation of tremor or “trembling” requires a specialist neurologist and is analyzed in the section of the neurological disorders. There are many types of tremor with most common the essential (idiopathic) tremor that occurs when the patient makes a movement like bringing the fork to their mouth. In contrast, rest tremor requires investigation so as to rule out any Parkinsonian syndrome. In any case, a complete symptom examination is required.
The carpal tunnel is located in the area of the wrist, through which travels the median nerve, one of the most important nerves of sensation and mobility of the fingers. Often the nerve is compressed at the carpal tunnel and causes pain in the wrist, which can extend over the entire arm up to the shoulder and neck. Pain gets worse during the night or early in the morning, often accompanied by numbness. An electrophysiological testing is required and depending on the extent of the lesion, either medication or surgical treatment of decompression of the nerve is recommended.
Numbness in the extremities and in the body are among the most common words a neurologist will hear in their office. The causes may vary, from the most innocent, such as purely psychological reasons without having an organic background, to more complex ones requiring special examinations and very careful investigation. Indicatively, the most common causes are the carpal tunnel syndrome, vitamin deficiency, neck or low back herniated discs, peripheral nerve damage, inflammatory and demyelinating disease of the central nervous system, metabolic causes such as diabetes mellitus, thyroid dysfunction, etc. For all of the above reasons, a detailed medical history and a complete neurological examination is required.
These are usually peripheral nerve lesions or disorders of the autonomous nervous system from primarily metabolic diseases or vitamin deficiency. Hematological, biochemical and electrophysiological tests can determine the cause of the symptoms.
The causes of instability during walking can be too many. It has to be clarified whether it is an episode that had an acute onset or episodes that the patient is experiencing for some time. It is directly related to the age of the patient, associated diseases, such as high blood pressure (hypertension) or other risk factors for the occurrence of a cerebrovascular accident. Careful treatment is required to prevent the damage of the Central Nervous System and, if necessary, the patient should be hospitalized.
The abovementioned symptoms could be compatible with acute stroke and it is necessary to be examined by a neurologist. Especially if the symptoms have occurred acutely, urgent neurological assessment is required. As mentioned in the previous section, the time between the onset of the symptoms and the transition to the hospital is valuable as it determines the outcome of the episode.
This case refers to the medical term “diplopia” and it is a condition that requires careful examination by both neurologists and other specialists. It may be due to an inflammation, a demyelinating disease, ischemia, etc. Brain imaging tests, such as MRI scanning, will guide the diagnosis and determine the next steps, for example if the patient will need to be hospitalized so as to perform specialized examinations.
Tics are unvoluntary, short and repetitive movements or uttered sounds. Tics are very common, 15% of the population will experience a tic at some point in their life. An important feature of tic is that can be suppressed by the patient for a short period of time. Patients feel an irresistible need to make the moves. They can be suppressed, but the discomfort grows under stress. In some patients, it might signify the onset of a chronic disorder that can lead to a significant physical, psychological and social dysfunction.