Head Injury from Stair Climbing: Understanding Neurological Symptoms
While working, I bumped my head while climbing stairs? I bumped my head while climbing stairs at work on February 27. At the time, I didn't feel much, but starting the next day, February 28, I began to experience weakness in my limbs and a sense of imbalance. However, I have...
Dr. Jiang Junyi Reply:
Dear Mr. Pan, You mentioned that "you hit your head while climbing stairs and didn't feel much at the time, but starting from the next day, February 28, you began to experience weakness in your limbs and a sense of imbalance." Based on your description, the likeli...[Read More] Head Injury from Stair Climbing: Understanding Neurological Symptoms
Understanding Muscle Pain: Exploring Neurological and Cardiac Symptoms
Muscle pain There are several main issues: 1. Palpitations, occasionally feeling a strong heartbeat; 2. A sensation of electric shock throughout the body when startled; 3. Intermittent sharp pain and soreness in the left upper body; 4. Pain in the left upper body when exerting, w...
Dr. Jiang Junyi Reply:
Hello Mr. Lucas: You mentioned that "the pain is noticeably felt during pressure," which may indicate a muscular issue. It is advisable to consult a rehabilitation physician to discuss your daily posture. Pain specialists typically provide nerve block treatments after r...[Read More] Understanding Muscle Pain: Exploring Neurological and Cardiac Symptoms
Understanding MRI Findings and Tinnitus: What You Need to Know
MRI Report Issues & Tinnitus Hello, I have been experiencing tinnitus for the past few years (I hear a motor sound similar to a heartbeat frequency before falling asleep at night). When the sound is loud, people nearby can also hear it if they are close to my head. Recently, ...
Dr. Jiang Junyi Reply:
Dear Miss Xiao Tao, You mentioned that "the MRI images show some white spots, indicating arteriosclerosis, and you should pay attention to the issues related to the three highs (hypertension, hyperlipidemia, and hyperglycemia)." It is recommended that you undergo a sec...[Read More] Understanding MRI Findings and Tinnitus: What You Need to Know
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left posterior part of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using th...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai: You mentioned experiencing a pulsating pain in the left posterior part of your head for a few seconds, and the physician diagnosed it as a fourth cranial nerve palsy. For the headache component, it may be necessary to consider abnormalities in the cervical spine. ...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Managing Ear Pain and Sensitivity: Understanding Neurological Triggers
Sharp pain in the inner ear, with surrounding muscle tension, and a desire to dig in? Whenever I feel anxious or hear loud noises, I experience a sharp, stabbing pain in my ears, along with a sensation of foreign objects. I have an urge to dig in my ears, but I can't find an...
Dr. Jiang Junyi Reply:
Dear Mr. Hong, You mentioned that the symptoms of "foreign body sensation in the ear" may need to consider neurogenic pruritus. This primarily involves the nerves of the ear, specifically the vagus nerve and the trigeminal nerve, both of which are closely related to th...[Read More] Managing Ear Pain and Sensitivity: Understanding Neurological Triggers
Understanding Facial Numbness: Possible Causes and When to Seek Help
Stroke causes neurological damage? Hello, Doctor! Four months after getting my front tooth crown, I started experiencing a tingling sensation in my right nostril, right cheekbone, and right ear. Sometimes, the right side of my head also feels this way. What could be the cause? Tw...
Dr. Jiang Junyi Reply:
Hello Ms. Vivi, You mentioned experiencing "numbness on the right side of your face? This past six months, you've also had issues with slurred speech and a thick tongue." These symptoms do not seem to be explainable by cervical degeneration or herniated discs. It ...[Read More] Understanding Facial Numbness: Possible Causes and When to Seek Help
Understanding the Mental Health of a 94-Year-Old: Self-Talk and Sleep Aids
A 94-year-old elderly person is talking to themselves with their eyes closed? The elderly person at home takes sleep aids like Eszopiclone and medication for prostate issues. He experiences hearing loss and during the day, he sits on the sofa with his eyes closed, talking to hims...
Dr. Peng Shiwei Reply:
It is recommended to take the elderly to a neurology outpatient clinic for evaluation by a physician. Thank you.[Read More] Understanding the Mental Health of a 94-Year-Old: Self-Talk and Sleep Aids
Understanding Hydrocephalus in the Elderly: Symptoms and Treatment Options
Hydrocephalus (in the elderly) Hello, Doctor. My father (83 years old) was diagnosed with hydrocephalus last year, but during the New Year period, he exhibited symptoms such as reversed sleep-wake cycles, irritability, and delusions. Could you please tell me if hydrocephalus can ...
Dr. Peng Shiwei Reply:
The clinical manifestations of normal pressure hydrocephalus, in addition to gait instability, often include mild dementia and urinary incontinence. Early diagnosis of normal pressure hydrocephalus and prompt drainage of cerebrospinal fluid can significantly improve the patient&#...[Read More] Understanding Hydrocephalus in the Elderly: Symptoms and Treatment Options
Understanding SPECT Cerebral Perfusion Scan Results in Dementia Diagnosis
CEREBRAL PERFUSION SCAN WITH SPECT REPORT INQUIRY Dear Doctor, Thank you for taking the time to assist with my inquiries. Below are the results from my father's (78 years old) Cerebral Perfusion Scan with SPECT conducted on February 21, 2024. I would like to ask the followi...
Dr. Peng Shiwei Reply:
Each individual's condition and physical status are different, so it is advisable to discuss with the elder's original attending physician. Thank you.[Read More] Understanding SPECT Cerebral Perfusion Scan Results in Dementia Diagnosis
Can Epilepsy Patients Safely Supplement with 5-HTP for Sleep?
Can patients with epilepsy supplement with 5-HTP? Hello Doctor, my mother has epilepsy and is currently prescribed one "Xanax" at bedtime. Since developing epilepsy, she has been dreaming every night and usually remembers her dreams upon waking. Although her daytime ene...
Dr. Cai Zongzhang Reply:
Hello, Xiao K: Sleep disorders and frequent dreaming are commonly caused by age-related central nervous system degeneration. Symptomatic treatment with medication may be used, but there are other possible underlying causes. It is recommended to visit a neurology outpatient clinic...[Read More] Can Epilepsy Patients Safely Supplement with 5-HTP for Sleep?
Understanding New Headaches: When to Seek Medical Attention
Newly Discovered Headache Hello, doctor. I have been experiencing frequent headaches for many years, usually characterized by a pressure-like pain accompanied by neck stiffness. However, in April of last year, I noticed a new type of headache that feels like a sharp, electric sho...
Dr. Jiang Junyi Reply:
Dear Ms. Vicky, You mentioned that "the headache feels like a sharp pain... almost like an electric shock," which may suggest cervicogenic headache. Given the new symptoms, it is advisable to consult a neurologist for further evaluation. Neurologists who specialize in ...[Read More] Understanding New Headaches: When to Seek Medical Attention
Managing Hypertension Medication: Addressing Fatigue and Dizziness
Issues with Hypertension Medications I am taking antihypertensive medication, and my blood pressure is normal after taking the medication, but I still feel very fatigued and dizzy, which is quite uncomfortable. I have tried switching medications several times without improvement....
Dr. Jiang Junyi Reply:
Hello Mr. Liu: You mentioned that "after taking the medication, my blood pressure is normal, but I still feel very fatigued and dizzy, which is quite uncomfortable. I have also tried switching medications several times without improvement." I wonder if any of your medic...[Read More] Managing Hypertension Medication: Addressing Fatigue and Dizziness
Understanding Numbness in the Top of the Foot and Toes: Causes and Solutions
Numbness in the dorsum of the foot and toes? On February 10, I began to experience a numb sensation in the area of the dorsum of my left foot near the toes, as well as in the toes themselves. There is no pain, and I still have sensation; walking is not an issue, but when wearing ...
Dr. Jiang Junyi Reply:
Dear Ms. Xiao Bao, You mentioned experiencing a numbness in the area of the dorsum of your left foot near the toes, as well as in the toes themselves. This may indicate peripheral nerve compression, particularly involving the nerve roots in the lumbar spine. Generally, periphera...[Read More] Understanding Numbness in the Top of the Foot and Toes: Causes and Solutions
Do Mild Concussions Require MRI Scans? Expert Advice for Parents
Is an MRI necessary for a mild concussion? Hello Doctor, my son had an accident while skiing in Japan before the Lunar New Year. He did not collide with any hard objects, but he experienced a mild concussion. At the time of the incident (around 10:00 PM, as it was night skiing), ...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Lin, You mentioned that your child needs an MRI, which is not inexpensive, and you would like to ask the doctor whether, given your child's current condition, an MRI is necessary for further examination. Currently, the out-of-pocket cost for MRI in Taiwan is...[Read More] Do Mild Concussions Require MRI Scans? Expert Advice for Parents
Understanding Peripheral Neuropathy: Causes and Treatment Options
Peripheral neuropathy in the hands and feet? I was diagnosed with Meniere's disease due to dizziness. Recently, after being diagnosed with Eustachian tube obstruction in 2023, my hearing has been affected, and my dizziness has worsened. I am currently undergoing Eustachian t...
Dr. Peng Shiwei Reply:
It is recommended that you consult with your attending physician during your next follow-up appointment, or you may also seek evaluation at a neurology outpatient clinic. Thank you.[Read More] Understanding Peripheral Neuropathy: Causes and Treatment Options
Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study
Massive hemorrhagic stroke with severe coma? Hello, doctor! My father has a history of hypertension and has been a long-time smoker and drinker. A month ago, he underwent gallbladder removal surgery due to gallstones, during which arrhythmia was discovered. Two weeks after the in...
Dr. Cai Zongzhang Reply:
Hello Ms. Hsueh: 1. Brainstem hemorrhage can lead to post-hemorrhagic hydrocephalus, and ventriculostomy is a reasonable medical intervention. However, the timing of the surgery should be determined based on the patient's condition, so please collaborate with your physicia...[Read More] Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study
Understanding Sleep Talking: Causes and Solutions for Nighttime Speech
Sleep talking? Hello, doctor: My family member talks in their sleep continuously, sometimes almost all night long. It's not just quiet mumbling; they recite long strings of words quite loudly and have no recollection of it upon waking, only feeling very thirsty. This has bee...
Dr. Peng Shiwei Reply:
It is recommended that family members first adjust their daily routines, diet, and stress relief methods. If there is no improvement, they should consider seeking evaluation from an endocrinologist or psychiatrist.[Read More] Understanding Sleep Talking: Causes and Solutions for Nighttime Speech
Post-Surgery Memory Loss: When to Seek Help After Brain Tumor Removal
Recurrent amnesia after brain tumor surgery? Hello Dr. Tsai, my older brother was diagnosed with a brain tumor in the fifth grade (he is currently 29 years old) and underwent immediate surgical resection. Post-surgery, he occasionally experienced transient amnesia and dizziness, ...
Dr. Cai Zongzhang Reply:
Hello: Post-operative residual epilepsy is a common sequela of brain tumors. The aforementioned symptoms may be attributed to seizure activity, and it is recommended to visit a neurology outpatient clinic.[Read More] Post-Surgery Memory Loss: When to Seek Help After Brain Tumor Removal
Left Tongue Numbness and Loss of Taste: Understanding Neurological Issues
Numbness on the left side of the tongue with diminished taste sensation? Hello doctor, my left tongue has been uncomfortable for three days, and then I experienced facial nerve dysfunction on the left side of my face. Four weeks later, my face is almost recovered, but my left ton...
Dr. Cai Zongzhang Reply:
Hello, Huang Xiaoming: The symptoms mentioned above are typical of facial nerve paralysis. It is recommended to visit a neurology outpatient clinic.[Read More] Left Tongue Numbness and Loss of Taste: Understanding Neurological Issues
Numbness and Weakness in Left Hand: When to See a Neurologist?
Numbness in the left ring and little fingers, along with weakness in the left hand? I have been sleeping on my left side and then switching to my right side. Recently, I have been experiencing numbness in my left ring and little fingers, weakness in my left hand (for example, I c...
Dr. Wu Mukhan Reply:
Hello, the symptoms you described may be related to an issue with the left ulnar nerve. If there is no improvement, it is advisable to consult a neurologist for nerve conduction studies or electromyography to confirm the diagnosis.[Read More] Numbness and Weakness in Left Hand: When to See a Neurologist?