The Acute Paralysis Center, Ramkhamhaeng Hospital is equipped with advanced technology that enables doctors to diagnose abnormalities and plan effective treatments accurately. The center also utilizes technology to widen narrowed arteries in the neck, which helps prevent paralysis.
Acute paralysis can happen when someone has an ischemic stroke, which means their brain is not getting enough blood. This can cause various symptoms depending on which part of the brain is affected. Some common signs include facial expressions, leg or arm weakness, numbness on one side of the body, mouth or face drooping, double visions, troubled walking, or sudden, severe headaches. These symptoms indicate possible disorders like hemorrhagic stroke or atherosclerosis.
Detection of this condition can be conducted through various technologies such as ultrafast computed tomography (CT), magnetic resonance imaging (MRI), and vascular ultrasound. Vascular ultrasound is particularly effective and widely used internationally because it's quick, non-invasive, and less expensive than other methods. This technology helps doctors see any abnormalities and plan the most effective treatment for the patient without causing any pain.
The doctor will guide the patient to undergo a CT scan to locate the precise position before planning treatment with balloon angioplasty, which is a procedure similar to coronary artery angioplasty. The doctor will first use a device resembling an umbrella to insert it to support fragments of the artery wall and blood clots, preventing them from flowing and blocking the cerebral arteries during the dilation process. After that, a catheter will be inserted into the blood vessel, and a stent will be placed in the artery wall near the neck to allow for easier blood flow.
Captain Khachit Hapnanon shares his experiences with transient cerebral ischemia, warning signs of paralysis.
"While I walking, exercising around the evening at my home as usual. After walking only 3-4 hundred meters, I felt tired faster than ever but I thought that it was because of the hot weather, so I took a rest for about 10 minutes but I’m still tired, so I decided to stop walking so as not to force myself...
When it's time for food. I can eat 2-3 times, put a spoon, and sit back and watch TV. But in truth I felt tired After a while, my wife came to talk and asked several questions, which my wife had already wondered, why did not answer correctly As for me, I don't know what to answer, but I feel dizzy as I sleep, but when I close my eyes, I'm tired ...
My wife told me to go to the doctor. While I’m standing up, my fingertips trembled. The left hand is completely numb, the index finger, middle finger and ring finger become numb, so I massage myself. But soon the arms were numbed to the shoulders. So I started to notice that this is a classic case of paresis. I had a history of large blood vessels, brain blockage at the neck last year. It’s Make me wonder to be the same again. Which may have a fat cube or something to fill ... but while waiting for the car to pick up for about 2 minutes, the numbness disappears. As soon as it disappeared, I’m not falling asleep anymore, my eyes lit up immediately… "
Dr. Ariya Thima, MD. Brain and nervous system specialist of Ramkhamhaeng Hospital
After the patient visits as well as "Electromagnetic waves" or MRI Scan and I know that ... The veins previously detected have narrowed 50% ... is a "transient ischemic attack" or TIA, so many symptoms appear, but they disappear in just 5-10 minutes. Regarded as a warning sign of paralysis by narrowing of blood vessels in the left hemisphere Which is the communication control center. Causing the patient to speak or answer questions that are not relevant. Also, the patient had a history of diphtheria arteriosclerosis. If it is slightly narrowed, either in the brain or the neck. Treatment with antiplatelet drugs, along with saline and blood pressure-lowering drugs In which case, fortunately, the fat flakes are not very large, so they melt on their own. By causing a temporary ischemic brain and self-healing What is joyful is that I was not alone at the time of the symptoms.
Statistically, about 10% of patients will have a recurrence in the first 72 hours, so I have to tell myself that TIA is a warning sign of paralysis. Therefore, if it occurs after 5-10 minutes, then it is advisable to go to the hospital as soon as possible.
Former Brain Tumor Patient
"I must say, after only two TMS sessions over just two days, my life changed instantly. It truly brought my quality of life back to normal in just two days."
Ms. Thidarat Teetong (daughter) shares information
My mother, who has high blood pressure, developed a condition where she couldn't eat or drink, not even milk, without choking and vomiting. We admitted her to a hospital, but after only two weeks at home, her dizziness returned.
"...We felt her quality of life was terrible. The doctor said she needed constant care, so we hired someone. She'd often get phlegm when sitting, requiring assistance to get up. Someone had to watch her all night. Sometimes there was a gurgling sound in her throat, and after days of tube feeding, she developed bedsores from lying down. Every time she hiccupped, both she and we felt, 'Oh no, not again!' Each hiccup lasted hours, completely demoralizing us both. We realized that if medication couldn't stop the hiccups, the only solution was sedatives to make her sleep. This couldn't be right; 10 days in the hospital with no improvement was torture for both of us. We talked to a doctor we knew who recommended seeing a neurologist. We researched and found TMS (Transcranial Magnetic Stimulation) as a treatment option. We decided to bring her to Ramkhamhaeng Hospital and spoke with Dr. Ariya, who felt it was a good treatment approach and very convenient as no admission was needed. We just needed to come for TMS the next day as scheduled.
After two TMS sessions, we saw results; my mother started to swallow. In fact, after the very first session, the doctor tested her with water, and she could swallow, something she couldn't do before without choking. However, after the first session, she still had a sore throat and phlegm due to a long-term infection from the feeding tube, so the doctor gave her antibiotics. Two days later, she had her second TMS session. While waiting for the second session, we fed her liquid hospital food through the tube. But after the second session, the feeding tube could be removed because she could swallow again and started eating soft rice. The doctor advised her to look down when swallowing, but she hasn't choked since. Both she and we were incredibly happy. After the third session, she could sit up in bed, though still needed support and a walker to walk. Now, her voice has improved; it used to be hoarse and barely audible, but now she can talk on the phone and call her friends."
Dr. Ariya Thima, a brain and neurological specialist at Ramkhamhaeng Hospital, explains:
"Cerebral infarction in the brainstem caused her inability to eat, drink water or milk without choking. This resulted from a non-functioning neurotransmitter in the brain that controls the vocal cords, preventing the vocal cords from closing. The cause was a blood clot affecting the nervous system. Choking during swallowing can be dangerous, risking fatal lung infection, so doctors inserted a feeding tube through her nostril to her stomach to prevent aspiration. Furthermore, the patient had no voice, stiff tongue, slurred speech, and difficulty balancing because the brainstem area with the clot directly controls swallowing, choking, hiccups, speech, and balance. After the first TMS stimulation, her voice immediately returned; the response was excellent. Mr. Prasert's children wanted TMS to help with his swallowing, but after just one TMS session, he could speak and showed signs of being able to eat from the first session, making it a fortunate case."
I have had symptoms of facial nerve inflammation in the fifth pair for about 5 years, but in the last three months, the symptoms started to get worse. From the long lower lip to the lower ear area. Very sore. At first, it feels like teething, sore teeth. At first, I thought that it might be a dream of decay. Or having teeth-related symptoms but not
The disease is related to everyday life such as eating, talking, or just opening your mouth, drinking coffee, drinking water, or taking a shower, stroking your hand on your face, and it hurts sorer and sorer than giving birth. This disease so decided to undergo surgery because 3 months of weight lost 10 kg.
I want to tell people who think they may have fifth neuropathy if they touch their face or that the wind blows. Or if you rubbed your hand on the cheek and hurt You don't have to wait for it to chew or can't open your mouth. Or waiting for the tooth to be extracted To hurry to see a doctor.
And then had asthma, a congenital disease. Which has to spray a bronchodilator every day. Used to consult a doctor at another hospital. Cannot perform surgery Until seeing Dr. Methi At Ramkhamhaeng Hospital, And he said that it could be dissected without any side effects. And not dangerous so decided to have surgery at Ramkhamhaeng Hospital.
Asst. Prof. Methee Wongsirisuwan Neurosurgeon Doctor
Pain in the face like being electrocuted. Treatment by separating the blood vessels that reach the fifth nerve by surgery. Nowadays, advances in medical technology have enabled laparoscopic surgery. Allows the size of the wound behind the ear to be 2 inches without any need to shave. Just separate some of the hair around the back of the ear to keep the wound clean. The surgery takes about an hour. To separate the blood vessels that reach the nerves apart. Then block the medical material so that it doesn't come back to touch the nerve again. After a few days, Most patients can go home.
Captain Khachit Hapnanon shares his experiences with transient cerebral ischemia, warning signs of paralysis.
"While I walking, exercising around the evening at my home as usual. After walking only 3-4 hundred meters, I felt tired faster than ever but I thought that it was because of the hot weather, so I took a rest for about 10 minutes but I’m still tired, so I decided to stop walking so as not to force myself...
When it's time for food. I can eat 2-3 times, put a spoon, and sit back and watch TV. But in truth I felt tired After a while, my wife came to talk and asked several questions, which my wife had already wondered, why did not answer correctly As for me, I don't know what to answer, but I feel dizzy as I sleep, but when I close my eyes, I'm tired ...
My wife told me to go to the doctor. While I’m standing up, my fingertips trembled. The left hand is completely numb, the index finger, middle finger and ring finger become numb, so I massage myself. But soon the arms were numbed to the shoulders. So I started to notice that this is a classic case of paresis. I had a history of large blood vessels, brain blockage at the neck last year. It’s Make me wonder to be the same again. Which may have a fat cube or something to fill ... but while waiting for the car to pick up for about 2 minutes, the numbness disappears. As soon as it disappeared, I’m not falling asleep anymore, my eyes lit up immediately… "
Dr. Ariya Thima, MD. Brain and nervous system specialist of Ramkhamhaeng Hospital
After the patient visits as well as "Electromagnetic waves" or MRI Scan and I know that ... The veins previously detected have narrowed 50% ... is a "transient ischemic attack" or TIA, so many symptoms appear, but they disappear in just 5-10 minutes. Regarded as a warning sign of paralysis by narrowing of blood vessels in the left hemisphere Which is the communication control center. Causing the patient to speak or answer questions that are not relevant. Also, the patient had a history of diphtheria arteriosclerosis. If it is slightly narrowed, either in the brain or the neck. Treatment with antiplatelet drugs, along with saline and blood pressure-lowering drugs In which case, fortunately, the fat flakes are not very large, so they melt on their own. By causing a temporary ischemic brain and self-healing What is joyful is that I was not alone at the time of the symptoms.
Statistically, about 10% of patients will have a recurrence in the first 72 hours, so I have to tell myself that TIA is a warning sign of paralysis. Therefore, if it occurs after 5-10 minutes, then it is advisable to go to the hospital as soon as possible.
Former Brain Tumor Patient
"I must say, after only two TMS sessions over just two days, my life changed instantly. It truly brought my quality of life back to normal in just two days."
Ms. Thidarat Teetong (daughter) shares information
My mother, who has high blood pressure, developed a condition where she couldn't eat or drink, not even milk, without choking and vomiting. We admitted her to a hospital, but after only two weeks at home, her dizziness returned.
"...We felt her quality of life was terrible. The doctor said she needed constant care, so we hired someone. She'd often get phlegm when sitting, requiring assistance to get up. Someone had to watch her all night. Sometimes there was a gurgling sound in her throat, and after days of tube feeding, she developed bedsores from lying down. Every time she hiccupped, both she and we felt, 'Oh no, not again!' Each hiccup lasted hours, completely demoralizing us both. We realized that if medication couldn't stop the hiccups, the only solution was sedatives to make her sleep. This couldn't be right; 10 days in the hospital with no improvement was torture for both of us. We talked to a doctor we knew who recommended seeing a neurologist. We researched and found TMS (Transcranial Magnetic Stimulation) as a treatment option. We decided to bring her to Ramkhamhaeng Hospital and spoke with Dr. Ariya, who felt it was a good treatment approach and very convenient as no admission was needed. We just needed to come for TMS the next day as scheduled.
After two TMS sessions, we saw results; my mother started to swallow. In fact, after the very first session, the doctor tested her with water, and she could swallow, something she couldn't do before without choking. However, after the first session, she still had a sore throat and phlegm due to a long-term infection from the feeding tube, so the doctor gave her antibiotics. Two days later, she had her second TMS session. While waiting for the second session, we fed her liquid hospital food through the tube. But after the second session, the feeding tube could be removed because she could swallow again and started eating soft rice. The doctor advised her to look down when swallowing, but she hasn't choked since. Both she and we were incredibly happy. After the third session, she could sit up in bed, though still needed support and a walker to walk. Now, her voice has improved; it used to be hoarse and barely audible, but now she can talk on the phone and call her friends."
Dr. Ariya Thima, a brain and neurological specialist at Ramkhamhaeng Hospital, explains:
"Cerebral infarction in the brainstem caused her inability to eat, drink water or milk without choking. This resulted from a non-functioning neurotransmitter in the brain that controls the vocal cords, preventing the vocal cords from closing. The cause was a blood clot affecting the nervous system. Choking during swallowing can be dangerous, risking fatal lung infection, so doctors inserted a feeding tube through her nostril to her stomach to prevent aspiration. Furthermore, the patient had no voice, stiff tongue, slurred speech, and difficulty balancing because the brainstem area with the clot directly controls swallowing, choking, hiccups, speech, and balance. After the first TMS stimulation, her voice immediately returned; the response was excellent. Mr. Prasert's children wanted TMS to help with his swallowing, but after just one TMS session, he could speak and showed signs of being able to eat from the first session, making it a fortunate case."
I have had symptoms of facial nerve inflammation in the fifth pair for about 5 years, but in the last three months, the symptoms started to get worse. From the long lower lip to the lower ear area. Very sore. At first, it feels like teething, sore teeth. At first, I thought that it might be a dream of decay. Or having teeth-related symptoms but not
The disease is related to everyday life such as eating, talking, or just opening your mouth, drinking coffee, drinking water, or taking a shower, stroking your hand on your face, and it hurts sorer and sorer than giving birth. This disease so decided to undergo surgery because 3 months of weight lost 10 kg.
I want to tell people who think they may have fifth neuropathy if they touch their face or that the wind blows. Or if you rubbed your hand on the cheek and hurt You don't have to wait for it to chew or can't open your mouth. Or waiting for the tooth to be extracted To hurry to see a doctor.
And then had asthma, a congenital disease. Which has to spray a bronchodilator every day. Used to consult a doctor at another hospital. Cannot perform surgery Until seeing Dr. Methi At Ramkhamhaeng Hospital, And he said that it could be dissected without any side effects. And not dangerous so decided to have surgery at Ramkhamhaeng Hospital.
Asst. Prof. Methee Wongsirisuwan Neurosurgeon Doctor
Pain in the face like being electrocuted. Treatment by separating the blood vessels that reach the fifth nerve by surgery. Nowadays, advances in medical technology have enabled laparoscopic surgery. Allows the size of the wound behind the ear to be 2 inches without any need to shave. Just separate some of the hair around the back of the ear to keep the wound clean. The surgery takes about an hour. To separate the blood vessels that reach the nerves apart. Then block the medical material so that it doesn't come back to touch the nerve again. After a few days, Most patients can go home.
