Zhang is 76 years old, the last two years dizziness, head sinking gradually aggravated, from the beginning of one to two times a day, dizziness, drowsiness, to now to night dizziness sinking. Zhang told the doctor, “It’s like a grinding wheel pressing on his head, with pain and soreness in his neck.
Although he had an MRI of his head and cervical spine, the doctors said that the MRI did not explain the symptoms of dizziness and pressure on the top of his head.
The doctor at the unit’s medical office suggested infusion treatment, which was effective at first, but in the past year, the infusion could not reduce the symptoms. Zhang also felt that it was not easy to concentrate, and he was not interested in anything, and he was easily tired, but he did not sleep well. Although he could fall asleep well, he was as dreamy as if he hadn’t slept. Yu Minxuan, Department of Neurology, Peking University First Hospital
I can’t sleep at 3:00 or 4:00 a.m., and I have to get up and walk to calm down.
I saw this patient and did a review of his previous examinations and treatment. A variety of tests could not fully explain Zhang’s series of symptoms; a variety of vasodilator drugs and various Chinese herbal medicines for Qi and Blood could not alleviate the appeal symptoms.
I gave the patient a psychological examination, which showed moderate anxiety and depression, and somatization. Some Chinese herbal medicines for dizziness and insomnia were given for the treatment. Although the symptoms were reduced after one month, they did not resolve the head pressure. The patient was given antidepressants and anxiolytics, and the symptoms basically disappeared after two months.
For patients with symptoms like Zhang’s, they account for about one-third of the patients seen in the neurology department.
In the past, they were treated for cerebral blood supply deficiency, which was sometimes effective and sometimes reduced after the patient changed his lifestyle and environment (e.g., travel).
In fact, this is caused by a decrease in a neurotransmitter in the cerebral cortex and subcortical nerve cells. A variety of physical symptoms occur, with loss of concentration and memory, fatigue, and depression.
This disease is more common in elderly patients (over 65 years old) with cerebral infarction and diabetes mellitus. Giving due attention to these symptoms and this disease, the correct treatment is necessary to reduce the patient’s suffering, prevent complications of the disease and improve the quality of life.