Head Injury from Rolling Door: Symptoms and Next Steps
Hit the top of the head against a rolling metal door? Hello, doctor. Yesterday, I accidentally bumped into a rolling shutter door that was just about to rise while I was bending down. At the moment of impact, I felt nauseous once and experienced a temporary loss of vision twice. ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I can't really turn my head, and washing my hair while bending over causes severe pain. The right side also hurts a lot while sleeping, but it feels a bit better after waking up." Your symptoms may suggest inflammation of the cervic...[Read More] Head Injury from Rolling Door: Symptoms and Next Steps
Understanding Neck and Transcranial Ultrasound Results: What Do Noises and High Flow Speeds Mean?
Cervical ultrasound and cranial ultrasound? The physician who performed the neck and transcranial ultrasound indicated that there is turbulence in the blood flow on both sides of the neck and transcranial areas, with the ultrasound showing a mixture of red and blue colors. The ma...
Dr. Cai Zongzhang Reply:
Hello Sunny: The presence of bruit or increased blood flow velocity may be caused by atherosclerosis or stenosis. It is advisable to discuss with your physician whether treatment is necessary.[Read More] Understanding Neck and Transcranial Ultrasound Results: What Do Noises and High Flow Speeds Mean?
Common Neurology Questions: Head Injury, Nausea, and Dizziness Explained
Hello, doctor. I would like to ask you some questions? Hello, doctor. I have three questions to ask: 1. When I was 20 years old, I slipped down the stairs and hit the back of my head, resulting in continuous bleeding. At that moment, I felt dizzy and had a loss of consciousness...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: 1. If you experience persistent headaches after a head injury, accompanied by unilateral numbness or weakness, please seek medical attention immediately. 2. The three symptoms are indicative of a temporary dysfunction of the vestibular nerve, which is not a cause ...[Read More] Common Neurology Questions: Head Injury, Nausea, and Dizziness Explained
Understanding the Causes and Concerns of ALS: A Patient's Journey
The causes of amyotrophic lateral sclerosis (ALS)? Hello, doctor. I apologize for the interruption. On November 21, I visited a clinic due to static tremors in my hands and feet, where I underwent four X-rays—two of my cervical spine and two of my lumbar spine. It was found that ...
Dr. Cai Zongzhang Reply:
Hello, Xiao Bo: There are various possible causes for involuntary muscle twitching, and it cannot be directly attributed to amyotrophic lateral sclerosis (ALS). If the symptoms do not improve after adequate rest, it is recommended to visit a neurology clinic for evaluation.[Read More] Understanding the Causes and Concerns of ALS: A Patient's Journey
Should You See a Doctor After a Mild Head Injury?
Head injury? Last night, I stood up and bumped into the door handle of the dryer. At the moment, I didn't experience severe head pain, but when I woke up the next day, I noticed some dizziness and a slight tenderness when I touch my head. I would like to know if I need to se...
Dr. Cai Zongzhang Reply:
Hello, Jie: If the headache persists or if you experience numbness or weakness on one side of the body, please seek medical attention immediately.[Read More] Should You See a Doctor After a Mild Head Injury?
Understanding Pituitary Tumors: Risks, Symptoms, and Treatment Options
Pituitary gland Dear Dr. Jiang, I am Xin from case 202879. First of all, I would like to thank you for your prompt response despite your busy schedule. I would like to ask you again: what do you mean by saying that there are many uncertainties regarding the surgery? Are these un...
Dr. Jiang Junyi Reply:
Dear Mr. Xin, If your finances allow, would you consider undergoing another MRI of the brain on a self-pay basis in a month? Thank you for your inquiry, and if you have any related questions, feel free to discuss further! Wishing you and your wife good health, safety, and happi...[Read More] Understanding Pituitary Tumors: Risks, Symptoms, and Treatment Options
Understanding Muscle Pain and Weakness After Pregnancy: A Neurological Perspective
Muscle fasciculations, soreness, weakness..? Hello, Doctor. I apologize for bothering you, but I would like to ask a question. I gave birth around mid-May this year. Due to a short cervical length, I had to undergo bed rest for about three months. After giving birth, I experience...
Dr. Jiang Junyi Reply:
Hello Miss Hsuan-er: You mentioned that "my whole body feels like it's getting thinner and I don't feel like I have any muscle left; is it all atrophying?" Muscle atrophy may first require consideration of insufficient protein intake. Your concerns might also ...[Read More] Understanding Muscle Pain and Weakness After Pregnancy: A Neurological Perspective
Muscle Twitches and Weakness: Are They Early Signs of ALS?
Muscle twitching has persisted for four days, and there is a sensation of soreness in the limbs. There is concern that it may be amyotrophic lateral sclerosis (ALS)? Hello Dr. Jiang, I am 43 years old. In the early morning of November 25th, I noticed that all my muscles were twit...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned experiencing "high-frequency twitching in all your muscles," which may require consideration of more common issues, as amyotrophic lateral sclerosis (ALS) is a rare disease. Typically, muscle atrophy is observed in such cases. Your symptoms...[Read More] Muscle Twitches and Weakness: Are They Early Signs of ALS?
Understanding Head Pain and Body Tremors: When to Seek Neurological Help
Body shaking and headache? Hello, doctor! Sometimes I suddenly feel a pressure in my head (on both sides of my temples) accompanied by a headache, and my body also shakes! Sometimes even when I am still, my body shakes. Additionally, I have some difficulty breathing! What kind of...
Dr. Jiang Junyi Reply:
Hello Mr. Dzz: You mentioned that you are experiencing "pressure on both temples" accompanied by headaches and body shaking. Your symptoms may suggest tension-type headaches, which are caused by muscle tightness in the head. Common manifestations include tight, constric...[Read More] Understanding Head Pain and Body Tremors: When to Seek Neurological Help
Managing Pituitary Prolactinoma: When to Consider Surgery?
Pituitary prolactinoma stroke Hello Doctor: My wife has a 0.3 cm prolactinoma that has been managed with medication for a long time. In August of this year, her blood test showed a PRL level of 68, and a follow-up MRI revealed a hemorrhagic stroke with a fluid level measuring 1.5...
Dr. Jiang Junyi Reply:
Dear Mr. Xin, You mentioned, "Is it possible that the tumor bleeding will slow down and be absorbed on its own if we continue to observe without surgery? (Three years ago, there was a bleeding episode when it was 0.9 cm, and it later resolved)." Essentially, pituitary ...[Read More] Managing Pituitary Prolactinoma: When to Consider Surgery?
Managing Withdrawal Symptoms After Steroid Treatment: What to Expect
Withdrawal side effects Hello, doctor. In April 2023, I was diagnosed with edema at the seventh cervical vertebra and was treated with corticosteroids. I stopped taking corticosteroids at the end of October and have been prescribed B vitamins and B12 to continue. Currently, I am ...
Dr. Wu Mukhan Reply:
Hello, it is unclear from the article what caused your cervical spine edema (inflammation, infection, or injury are all possibilities), making it difficult to determine whether it is related to your current symptoms. I recommend consulting your original physician to clarify the c...[Read More] Managing Withdrawal Symptoms After Steroid Treatment: What to Expect
Post-Hospitalization: Managing Blurry Vision and Dizziness After a Car Accident
One month after hospitalization? When I wake up in the hospital, I often experience blurred vision and dizziness. I was discharged because I was involved in a car accident.
Dr. Jiang Junyi Reply:
Dear Mr. Df, You mentioned that you often experience blurred vision and dizziness upon waking up, particularly after the car accident. I would like to know how long you experienced loss of consciousness, as this could indicate potential post-concussion syndrome. Additionally, we...[Read More] Post-Hospitalization: Managing Blurry Vision and Dizziness After a Car Accident
Understanding Head and Neck Discomfort: Possible Neurological Issues
Head issues Hello doctor, I am 26 years old. Recently, for the past 5-6 days, I have been feeling a heaviness in my head and neck, and occasionally I feel a bit lightheaded (not severe dizziness). I also feel easily fatigued and tired, and there is occasionally a slight tightness...
Dr. Peng Shiwei Reply:
If there is no improvement after rest, please seek evaluation from a neurologist. Thank you.[Read More] Understanding Head and Neck Discomfort: Possible Neurological Issues
Exploring Atypical Cases of Guillain-Barré Syndrome in Neurology
Suspected Guillain-Barré Syndrome? Hello Dr. Tsai, thank you for your previous response despite your busy schedule. My mother's test results show that her inflammatory markers have not decreased, and her liver enzymes are slightly elevated. She is currently experiencing stom...
Dr. Cai Zongzhang Reply:
Hello: In patients with Guillain-Barré syndrome, cerebrospinal fluid analysis may not necessarily show abnormal protein levels. The diagnosis primarily relies on clinical symptoms and nerve conduction studies, and it is essential to rule out other similar conditions.[Read More] Exploring Atypical Cases of Guillain-Barré Syndrome in Neurology
Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Feeling chronically anemic without actually being anemic? To summarize the usual symptoms: I experience dizziness after prolonged sitting, after eating, and when standing up from a squatting position. I also feel dizzy and have headaches when I fall asleep while sitting. It feels...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing dizziness when squatting and standing up, which may indicate insufficient cerebral blood flow due to changes in posture. If the symptoms are more severe, fainting may occur. "Fainting" is defined as a sudden, temporary loss of co...[Read More] Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Assessing Potential Concussion Symptoms After a Head Injury
The right occipital region was hit by a ball? Hello, Doctor. On November 9th, during gym class at 10 AM, a pickleball (about the size of a baseball, hollow plastic, and quite light) suddenly hit me on the back of my right head. It came from about 4 or 5 meters away. At the mome...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "At the moment, I don't feel it will be very painful and I think it will get better soon, so I didn't go to the health room... The pain seems to radiate to my forehead." This symptom is more indicative of cervical myofascial inflamm...[Read More] Assessing Potential Concussion Symptoms After a Head Injury
Breathing Difficulties and Numbness: Understanding Neurological Symptoms
Feeling short of breath, with numbness and dizziness? Hello, Dr. Jiang. Recently, when I go to work, I feel like I can't get enough air, my breathing speeds up (over 20 breaths per minute), and I experience numbness in my hands, feet, and face, as well as chest numbness. Dee...
Dr. Jiang Junyi Reply:
Hello Mr. You: You mentioned experiencing numbness in your hands, feet, and face, as well as chest numbness, and that deep breathing does not help... Your symptoms may need to be considered in the context of autonomic nervous system dysfunction. Hyperventilation can lead to decre...[Read More] Breathing Difficulties and Numbness: Understanding Neurological Symptoms
Understanding Migraine, Breathing Issues, and Digestive Problems
Migraine, respiratory issues, abdominal problems, constipation? Hello, doctor. I would like to inquire about my friend's long-term migraine issues (experiencing pain almost every day). Sometimes, they also suddenly have difficulty breathing, needing to take deep breaths to f...
Dr. Jiang Junyi Reply:
Dear Mr. Yan, You mentioned the issue of "chronic migraines (almost experiencing pain every day... stomach pain and nausea after eating)." Your friend's symptoms may need to consider the side effects of medications, especially pain relievers. Regarding chronic mig...[Read More] Understanding Migraine, Breathing Issues, and Digestive Problems
Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Facial nerve Hello, doctors! I am 28 years old, and in March of this year, I noticed weakness on the right side of my face, with difficulty closing my right eye. I have noticeable asymmetry in my eyes, and when I drink, water leaks from the right side of my mouth. When I try to m...
Dr. Jiang Junyi Reply:
Hello Dr. De: You mentioned that "some doctors said I have both facial nerve paralysis and spasms... (I am completely confused)." Generally speaking, facial nerve paralysis occurs due to inflammation, which prevents the muscle tissue it innervates from contracting adequ...[Read More] Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Understanding Guillain-Barré Syndrome: Symptoms, Diagnosis, and Treatment Options
Guillain-Barré Syndrome Hello Dr. Tsai, my mother is currently 74 years old and was previously an active person. Last year's blood test results were normal except for high cholesterol. On October 20, she had a mild cold with a runny nose and slight cough. Starting October 23...
Dr. Cai Zongzhang Reply:
Hello, Ms. Wu: Based on the symptoms mentioned, your mother is suspected to have a severe infection causing a significant increase in the inflammatory marker CRP. Many superficial infections may not provide immediate diagnostic reports and require various tests for confirmation. ...[Read More] Understanding Guillain-Barré Syndrome: Symptoms, Diagnosis, and Treatment Options