The nervous system is very complicated, has many pathologies; It is not easy to find causes and difficulties in preventing and treating diseases. Understanding how to prevent and treat neurological diseases according to scientific evidence is important.

Therefore, in today's livestream program (April 7, 2020), Assoc.Prof. Dr. Nguyen Thi Hung will share and answer questions for you about the necessary information about common neurological diseases. the time for answering each specific situation, the patient sends him to Dr. Hung for advice. Hopefully, through the program, you will update more useful information to help protect your health as well as your family members.

What are the common neurological conditions?

Assoc. Prof. Dr. Nguyen Thi Hung:

Currently, according to WHO, the 21st century is a century of non-communicable diseases. Recently, there was Covid-19 infectious disease, but with non-communicable disease, neuropathy is a big problem such as dementia, stroke, parkinson's disease ... Because the world's population is getting older, The elderly are better cared for, the life expectancy is longer, so the survival rate is long. In addition, there are many good devices for screening diseases, lifestyles in civilized society, in developing countries so the detection of neurological diseases in the elderly is very large.

Diseases such as diabetes, diabetes, blood fat ... are the risk leading to stroke, dementia, Alzheimer's (memory loss) ... 

Livestream with Q&A about neurological conditions with Assoc.Prof.Dr. Nguyen Thi Hung.

Are headaches a common disease in the nervous system?

Assoc. Prof. Dr. Nguyen Thi Hung:

The disease of the 21st century is a disease of the vascular system. Vascular disorders, occlusion will cause cardiovascular disease, brain ... It is the process of accumulation of the process of life from a young age to an old age. As is well known, any problems related to blood vessels and headaches also correlate between nerves and blood vessels. And headache is a very common disease of all ages.

What highly causes neuropathy?

Assoc. Prof. Dr. Nguyen Thi Hung:

Due to the lifestyle, modern testing facilities help detect diseases not only neurological. The diagnostic imaging helps to detect early neurological diseases such as CT, MRI ... early detection of lesions.

As a doctor with more than 30 years of experience treating Parkinson's disease, can he share more details about these conditions?

Assoc. Prof. Dr. Nguyen Thi Hung: 

Parkinson's disease is an aging brain in the elderly. If we care and have early treatment, it will help the patients a lot. The majority of patients come to the examination, the disease is in advanced stages. Therefore, it is still advisable to have an early examination to identify risk factors for the disease. Prompt prevention helps a lot in the treatment of parkinson's disease. Typically, when discovering a husband or family member having insomnia, trembling from the beginning, the treatment will be much more effective.

The herbicide exposure is at risk of parkinsonism, drinking coffee in moderation will be slow to appear parkinson's disease right?

Assoc. Prof. Dr. Nguyen Thi Hung: 

It is still unknown what causes parkinson's disease. However, there are a number of studies showing that chemicals (herbicides) when on the person at risk of parkinsonism. Or living in quiet places, drinking well water, heavy metal exposure is at higher risk of parkinsonism than ordinary people. However, not everyone with the above factors will suffer from parkinson's. In general, lifestyle factors are also a risk factor.

How do you know if you are at risk for parkinson's disease?

Assoc. Prof. Dr. Nguyen Thi Hung:  

I was lucky enough to be able to study in Parkinson's in France. Most parkinson's patients in the early stages are a bit like Alzhemer's symptoms (memory loss). Sometimes patients are confused with other pathologies but most patients find out in the early symptoms such as tremor, forgetfulness ... The screening and treatment are quite important, if hiding the disease, treatment will be a lot harder.

Typical symptoms:

  • Rigid hands, sluggish, less flexible, less talk, less laugh ....
  • Prolonged insomnia, a period of real depression (sadness without cause), no sense of smell ...

When symptoms of tremor on one side, stiffness, walking, walking, think parkinson immediately and visit a neurologist to be diagnosed and treated promptly. 

Can Dr. Hung share more about Epilepsy?

Assoc. Prof. Dr. Nguyen Thi Hung: 

Seizures are more common in poorly developed countries. Economically developed epilepsy countries have lower rates. So with epilepsy, relatives need more care and attention. Seizures can be caused by many causes, genetics, accidents affecting the brain, environmental factors ...

Prevention of epilepsy: Need medication treatment and close monitoring in the patient's life. If seizures occur a lot, it is necessary to take medicine and when to take medicine, epilepsy people should not do any work ... Many problems need to be consulted by a doctor.

The diagnosis and treatment of epilepsy is very important because with epilepsy patients taking the wrong medication will cause a lot of harm to the patient.

Who are at risk of  Epilepsy ?

Assoc. Prof. Dr. Nguyen Thi Hung:  

Seizures can occur in many different subjects. Seizures due to traumatic brain injury, parasitic infections on the brain ... lead to epilepsy.

Treatment of epilepsy requires long-term perseverance. Depending on the patient, the duration of treatment varies. Proper treatment of medication is important for patients to reduce seizures. When patients reduce seizures, health stability from 1 to 2 years, then the problem of reducing the amount of drug treatment. Careful consultation with a neurologist is needed for specific advice on a case by case basis.

Here are some good questions from readers sent to City International Hospital consulted by Assoc. Prof. Dr. Nguyen Thi Hung.

Dear doctor, my child often faints, every time like that, your face is pale, sweaty like a shower and sometimes twitching limbs. So, is it epilepsy?

Assoc. Prof. Dr. Nguyen Thi Hung:  

It is necessary to redefine the situation in which your child fainted. When touched, when hungry or when maintaining the standing position for too long because fainting can be due to many causes such as anxiety disorders, postural hypotension, cardiac arrhythmia, dehydration; These causes are more common.

And epilepsy is a pathological condition due to abnormal discharge from the nerve cell cortex should cause symptoms of spasticity, convulsions, loss of consciousness, urination of pants, tongue biting, neurologists will diagnose seizures of local or general type. In addition, seizures last from a few seconds to a few minutes, while fainting only lasts a few seconds and when the patient is lying down, it is easier to wake up. For example, in cases of fainting due to low blood pressure, placing the patient in a lying position and raising the high leg will also help the patient recover.

My child has frequent migraines, the headache lasts for 1-2 days, cannot work, sometimes vomiting. The disease has lasted for 5 years and has been diagnosed by many hospitals as migraine, so is there a way to reduce the headache?

Assoc. Prof. Dr. Nguyen Thi Hung:  

Describing it is true that migraine disease, this disease is also known as semi-early, usually occurs in women, genetic factors, worse when stress, when eating more MSG, chocolate.

Currently, there are many types of medicines for cutting off a very new headache, but the price is quite expensive. If the headache occurs 5-10 times a month and affects daily life, preventive medicine should be used. It should be noted that precautions such as meditation, regular exercise, a healthy diet, avoiding stress and insomnia can also reduce the number of headaches. The current good preventive drugs are anti-epileptic drugs such as topiramate, valproate de sodium, flunarizin, amitriptyllin, the choice of these drugs needs to be consulted by a physician to use appropriate preventive medicine and avoid the effects. side of the drug.

The use of preventive medicine and lifestyle changes will significantly reduce the number of headaches.

My husband doesn't talk much at this level and he doesn't talk to me as much as before. I think his left hand trembling a little bit, is Parkinson's disease doctor?

Assoc. Prof. Dr. Nguyen Thi Hung:  

Parkinson's disease is a neurodegenerative disease that accounts for a very high proportion in the elderly. The disease is manifested by sluggish motor movements, limb stiffness, and trembling when the patient relaxes. Symptoms of slow, stiff and trembling symptoms only occur on one side and then on the other. The patient remains awake, does not suffer from amnesia at first but thinking and starting the movements will be slowed slowly over time, the patient will suffer from back hunches, loss of posture and symptoms. other diseases such as depression, autonomic neurological disorders, dementia, ... the progression of the disease gradually gets worse over the period of 5-7 years. Current treatment is still a priority to replace dopamine, which Parkinson's nerve cells lack.

However, when using this drug, the response to the medication will decrease over time. The drug no longer works, so Parkinson's symptoms appear more often or patients show signs of disturbance because the blood levels of the blood and nerve cells are out of control.

My mother had had a stroke twice and was diagnosed with a cerebral infarction nearly 2 years ago. Currently, my mother forgets a lot, the new children and grandchildren who come to visit do not recognize who they are, go home sometimes when they have the wrong address, is it Alzheimer's disease?

Assoc. Prof. Dr. Nguyen Thi Hung:  

Alzheimer's disease is a neurodegenerative disease that often occurs in the elderly, the disease has an unknown cause, many hypotheses about pathogenesis such as toxins, viruses, risk factors such as low education level, increase blood pressure, genetics, ...

The disease has worsened over the years with prominent symptoms of dementia. The first is to forget the usual things, gradually the patient will forget and keep repeating a question and need help for example, remember the name, remember the death anniversary, payday, etc. and need help. to repeat, gradually forgets and does not recognize the face of an acquaintance, unable to perform common actions such as lighters, jerking toilets or driving. This is a dangerous period because the patient is unable to do everyday tasks and is dependent on relatives and because the memory is erased, the patient will show a mind like a child.

And her mother's case may be dementia due to vascular causes of dementia and other cognitive disorders that occur due to multiple stroke and this cerebral infarction located in the war zone. That is, the areas that affect the memory and cognitive ability of the person.

This is a complex area and requires psychiatric tests to diagnose and exploit history factors such as brain stroke, history of dyslipidemia, hypertension, diabetes, etc.

Thank you for an exellent Q&A session !

Assoc. Prof. Dr. Nguyen Thi Hung

About Assoc. Prof. Dr. Nguyen Thi Hung:  

With the ingenuity and intelligence, experience in management as well as management, City International Hospital's Board of Directors would like to wish Dr. Thi Hung a lot of achievements and contribute to the hospital. International City is growing bigger and stronger.

Dr. Nguyen Thi Hung is known as a highly specialized, dedicated physician and has many years of experience in the examination and treatment of neurological specialties. He has many years of training and working at prestigious medical universities in France, USA, Singapore ...

Assoc.Prof.Dr. Nguyen Thi Hung was the first doctor to apply Botulinum toxin technology for Movement Disorders in 1998 and Parkinson's Disease (Deep Brain Stimulation) Program in 2012.

In addition to holding the position of Medical Director at City International Hospital, former Director of Nguyen Tri Phuong Hospital, Assoc. Prof. Nguyen Thi Hung also held positions such as:

  • Commissioner of ASEAN Neurological Association (ASNA) .
  • Member of the American Academy of Neurology (AAN)
  • Former Vice President of Chi Minh City Society of Neurology
  • Former Head of Neurological Department, Pham Ngoc Thach University of Medicine
  • President of Ho Chi Minh City  Association of Pain and Vice President of Vietnam Association of Pain.

Dr. Hung is a top 10 doctors specializing in neuroscience in Vietnam. Doctors specialized in examining and treating diseases such as:

  • Medical Conditions:

    • Parkinson disease.
    • Motor disorders, anxiety disorders.
    • Neuropathy
    • Epileptic.
    • And many other specialized pathology neurology.

Book an appointment with Assoc. Nguyen Thi Hung

Assoc. Prof. Nguyen Thi Hung examines Neurology at Monday and Friday morning from 07:30 - 12:00. Book your appointment with Dr. Hung by:

  • Phone: (028) 6280 3333 or 0987.853.793.
  • Website: https://cih.com.vn/en
  • Email: This email address is being protected from spambots. You need JavaScript enabled to view it..

For more information about Assoc.Prof. Dr. Nguyen Thi Hung, please click here.

Should you have any questions, please do not hesitate to contact us

City International Hospital

  • Address: No. 3, 17A Street, Binh Tri Dong B Ward, Binh Tan Dist. (Next to AEON Mall Binh Tan). Ho Chi Minh City.
  • Operator: (+8428) 6280 3333, ext. 0
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General disclaimer

 Always consult your doctor regarding any concern about your health. Your doctor will be in the best position to give the appropriate medical advice. For suspected undesirable drug reaction and seek medical attention immediately.