Neurology Q&A - Page 25

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Understanding Tiny Acute Ischemic Infarcts: Causes and Management

Physical examination revealed signs of a previous minor stroke? Hello Doctor: Last month, the MRI results for my brain were interpreted as follows: Z719 Counseling, unspecified, V6540 Counseling, not otherwise specified, ||cre:0, eGFRr:0 Imaging findings: Brain MRI study without ...


Dr. Jiang Junyi Reply:
Hello, sir: You mentioned "A tiny acute ischemic infarct, left occipital subcortical white." An elder relayed that it was a concussion; could this have related effects? MRI primarily detects cerebral infarctions within a month. It cannot explain events that occurred muc...

[Read More] Understanding Tiny Acute Ischemic Infarcts: Causes and Management


Understanding Lower Back Pain and Leg Numbness: Causes and Solutions

Lower back pain with leg numbness? Hello, doctor. I originally had pain on the left side of my lower back near the iliac bone, but it was only occasional. Today, when my back hurt, I experienced numbness above my left knee and in my thigh. Although the numbness in my thigh has be...


Dr. Jiang Junyi Reply:
Hello, You mentioned that "when experiencing lower back pain, there is numbness in the upper side of the left knee and thigh." Your symptoms may suggest compression of the lumbar nerve roots. Typical discomfort associated with lumbar nerve root pathology includes pain...

[Read More] Understanding Lower Back Pain and Leg Numbness: Causes and Solutions


Understanding Facial Pain: When to See a Neurologist

My cheeks feel a bit strange? Hello, doctor: I am experiencing intermittent pain in the muscles of both my upper and lower cheeks, along with pain in my cheekbones. There is also a tingling, prickling sensation, and itching. The pain persists even with pressure, and my cheeks fee...


Dr. Wu Mukhan Reply:
Hello! Based on your description, your symptoms, including facial numbness, tingling, and abnormal sensations, may be related to a trigeminal nerve issue. It is recommended that you visit a hospital's neurology department for evaluation and to determine if further testing is...

[Read More] Understanding Facial Pain: When to See a Neurologist


Understanding Dizziness and Blurred Vision: Causes and Solutions

Dizziness/Blurred vision Hello Doctor: I have been feeling normal before going out these past few days, but after being outside for a while, I started to feel unwell (cold sweats, rapid breathing, dizziness, blurred vision, gastrointestinal discomfort, dry mouth, tinnitus, etc.)....


Dr. Jiang Junyi Reply:
Hello Ms. Wu, You mentioned that "standing for a long time makes you feel dizzy." Given the recent high temperatures, we should first consider mild heat syncope as a possible cause. The primary reason is that in high-temperature outdoor environments, the microvasculatu...

[Read More] Understanding Dizziness and Blurred Vision: Causes and Solutions


Which Specialist to Consult for Hand Coordination and Numbness Issues?

For issues related to fine motor skills in the hands and symptoms of numbness in the hands and feet, you should consult a neurologist for diagnosis and treatment? Hello Doctor, I would like to ask, I have had poor fine motor skills in my hands since childhood, and I also experien...


Dr. Peng Shiwei Reply:
Hello, I recommend that you visit a neurology outpatient clinic for consultation. Thank you for your inquiry.

[Read More] Which Specialist to Consult for Hand Coordination and Numbness Issues?


Weight Gain from Medication: Struggling to Lose After Switching Drugs

Medication-induced weight gain can be a concern, and even after switching medications, some individuals may struggle to lose weight? Due to schizophrenia, I have been on medication for a year now. Initially, I gained 25 kilograms because of the side effects. In the middle of my t...


Dr. Cai Zongzhang Reply:
Hello, Youyou: The symptoms mentioned above are not caused by a neurological disorder. It is recommended that you discuss medication with the psychiatrist who is treating you for schizophrenia.

[Read More] Weight Gain from Medication: Struggling to Lose After Switching Drugs


High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes

Frequent muscle twitching throughout the body and a feeling of weakness? Muscle twitching occurs frequently, with some localized spasms. It intensifies when I feel restless. I experience a tingling sensation similar to being electrocuted when sitting or lying down. I feel fatigue...


Dr. Jiang Junyi Reply:
Hello Mr. Pao, You mentioned experiencing a sensation similar to being electrocuted when sitting or lying down, which is a symptom of peripheral nerve compression. This is not indicative of amyotrophic lateral sclerosis (ALS), which is a type of motor neuron disease. ALS present...

[Read More] High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes


Feeling Dizzy and Disconnected: Understanding Neurological Symptoms

Feeling lightheaded and disoriented? Hello, doctor. Recently, while traveling in Japan, I have been experiencing difficulty concentrating, feeling spaced out, and a sense of lightheadedness. I also have persistent muscle twitches, both localized and generalized, and I feel comple...


Dr. Peng Shiwei Reply:
Hello, online consultations are limited in scope and cannot replace an in-person examination, making it difficult to fully understand your issue. If your symptoms are causing you significant distress, please schedule an appointment for a proper evaluation by a physician. Thank yo...

[Read More] Feeling Dizzy and Disconnected: Understanding Neurological Symptoms


Understanding Muscle Twitching: Causes, Symptoms, and When to Seek Help

Involuntary muscle twitching? Hello doctor, over the past month, my muscles (not limited to any specific area, but mostly in my thighs and right shoulder) have been twitching involuntarily. The symptoms worsen during times of anxiety, tension, or panic. In the past few days, I&#x...


Dr. Jiang Junyi Reply:
Hello, Guo: You mentioned feeling "weakness in breathing, shallow breaths, and a sense of bodily weakness." Your concern about amyotrophic lateral sclerosis (ALS) primarily relates to issues with motor neurons. Motor neurons control muscle movement; generally, the moto...

[Read More] Understanding Muscle Twitching: Causes, Symptoms, and When to Seek Help


Dizziness After Exercise or Work: Understanding Your Symptoms

Dizziness or lightheadedness after exercise or work? Hello, recently I have been experiencing dizziness after intense exercise or during activities that involve holding my breath. I often feel dizzy when there is significant movement or shaking of my head and neck, especially aft...


Dr. Jiang Junyi Reply:
Hello Ms. Alex, You mentioned that you often feel dizzy after intense exercise or breath-holding activities, and after exertion (or standing up too quickly after bending down for a long time). This may indicate symptoms similar to syncope. When cerebral blood flow drops below 30...

[Read More] Dizziness After Exercise or Work: Understanding Your Symptoms


Could My Symptoms Indicate ALS? Understanding the Risks and Next Steps

Is it amyotrophic lateral sclerosis (ALS)? Hello Doctor, last month a family elder was diagnosed with ALS, and blood tests are currently being analyzed to determine if there is a genetic mutation or hereditary cause. Since then, I have started to feel weakness in my right hand an...


Dr. Jiang Junyi Reply:
Dear Mr. Yu, You are concerned about ALS, which is a chronic muscle-wasting disease that can lead to muscle atrophy. If upper motor neurons die, abnormal signal transmission may cause muscle twitching. In the early stages, it is actually difficult to diagnose. Approximately only...

[Read More] Could My Symptoms Indicate ALS? Understanding the Risks and Next Steps


Understanding Sudden Heat in the Right Ankle: Possible Causes and Concerns

Heat in the right ankle? Hello, doctor. Recently, I've been experiencing sudden warmth in my right ankle that goes away quickly, but then returns after a while. I would like to know what could be causing this. Is it possible that it could be due to a brain tumor pressing on ...


Dr. Jiang Junyi Reply:
Hello Mr. Long: You mentioned that the area around your right ankle suddenly feels warm. I wonder if you are experiencing any abnormal sensations such as tingling or numbness? Are there any other neurological symptoms? We may need to consider peripheral tissue issues, particularl...

[Read More] Understanding Sudden Heat in the Right Ankle: Possible Causes and Concerns


Understanding Involuntary Muscle Twitches: Causes and Concerns

Involuntary muscle twitching? I am a 35-year-old male, non-smoker, non-drinker, and I do not consume betel nut or coffee. I am 180 cm tall and weigh 55 kg. I have a regular exercise routine that includes both strength training and aerobic exercises. Over two years ago, I suddenly...


Dr. Jiang Junyi Reply:
Hello Mr. Hsuan, You mentioned experiencing "twitching in your toes, similar to after finishing a hike, a jog, walking a long distance, or sitting on a specific sofa..." The muscle twitching you are experiencing may be related to several factors: exercise, acute viral ...

[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns


Understanding Language Expression Difficulties: When Thoughts and Words Diverge

Language expression difficulties? Dear Dr. Peng, Thank you for taking the time to read and respond to my questions. Recently, I have noticed that while I have no difficulty in expressing sentences or maintaining fluency while speaking, there are instances where the words I say d...


Dr. Peng Shiwei Reply:
Hello, your symptoms are consistent with a speech disorder. It is recommended that you seek a consultation with a neurologist as soon as possible to rule out any brain lesions. Thank you for your inquiry.

[Read More] Understanding Language Expression Difficulties: When Thoughts and Words Diverge


Understanding Persistent Pulsations in the Lower Abdomen: When to Worry

Lower abdominal issues? Hello doctor, I would like to ask about a pulsating sensation in the lower abdomen near the uterus that has been ongoing for over a week without any pain. Is this a serious concern? Thank you.


Dr. Jiang Junyi Reply:
Hello Ms. Yun: You mentioned that there is a continuous pulsation in the middle of your uterus but no pain. It may be necessary to first consider the pulsation of the abdominal aorta. Diagnosis and differentiation can be performed using abdominal ultrasound combined with vascular...

[Read More] Understanding Persistent Pulsations in the Lower Abdomen: When to Worry


Understanding the Reality of Neurological Sensations and Hallucinations

The sensation of a burning feeling in the brain? Recently, I have been considered to have a dissociative disorder and I wonder if it is caused by hallucinations, but they feel very real. I experience sensations of spinning, a line, and an inability to think; it feels like there a...


Dr. Jiang Junyi Reply:
Dear Mr. Hsueh, You mentioned "dissociative disorder, wondering if it is caused by hallucinations." Your symptoms may need to first rule out structural issues in the brain, as abnormal electrical discharges can sometimes present similar symptoms. I recommend that you v...

[Read More] Understanding the Reality of Neurological Sensations and Hallucinations


Understanding Neurofibromatosis: When to Seek Further Testing for Your Child

The necessity of examination for neurofibromas? Hello Dr. Jiang, my child was not diagnosed with café-au-lait spots at birth, but we discovered more than six café-au-lait spots of various sizes when he turned one month old. There appear to be about a dozen spots visually. I have ...


Dr. Jiang Junyi Reply:
Hello, Ms. Jun: You mentioned, "Are the symptoms related to neurofibromatosis hereditary?" This can be assessed through genetic testing. Below is information from the Pediatric Neurology Department of Kaohsiung Veterans General Hospital. For infants and young children...

[Read More] Understanding Neurofibromatosis: When to Seek Further Testing for Your Child


Post-Operative Challenges of Occipital Lobe Hemorrhage: Recovery Insights

Postoperative issues related to intracranial hemorrhage in the occipital lobe? Hello, my mother is currently 60 years old and recently underwent a right occipital lobectomy due to a cerebral hemorrhage. She has experienced narrowing of the visual field in her left eye (which was ...


Dr. Peng Shiwei Reply:
Hello, regarding your questions: 1. Visual field loss due to damage to the occipital lobe is relatively difficult to recover in the short term, but the brain still has plasticity, so it is advisable to observe for a period of time. During this time, please remind the caregiver to...

[Read More] Post-Operative Challenges of Occipital Lobe Hemorrhage: Recovery Insights


Understanding Unexplained Tremors and Fatigue: When to Seek Help

Feeling extremely fatigued and on the verge of fainting, with involuntary body tremors? I would like to consult a doctor. Recently, I have been experiencing involuntary body tremors at night before sleep. I am unsure if this is due to excessive tension. My eyelids also twitch int...


Dr. Peng Shiwei Reply:
Hello, based on your symptoms, there are currently no specific findings and no neurological localization. Additionally, since the symptoms occur at specific times, the likelihood of a stroke is low. Furthermore, smoking is detrimental to your health, so please quit smoking immedi...

[Read More] Understanding Unexplained Tremors and Fatigue: When to Seek Help


Understanding Muscle Twitches: Causes and Concerns in Strength Training

I would like to inquire about muscle twitching issues? A few days ago, I experienced muscle twitching in my shoulder that occurs intermittently. I have been weight training, and although my performance has not declined or changed, the twitching in my left shoulder gives me a slig...


Dr. Jiang Junyi Reply:
Hello Mr. CC: You mentioned that you have a slight feeling of weakness in your left hand, describing it as "soft and sore." This symptom may suggest cervical radiculopathy. This is a type of peripheral nerve abnormality that often presents with: 1. Pain characterized by...

[Read More] Understanding Muscle Twitches: Causes and Concerns in Strength Training




Neurology FAQ

Als Alzheimer'S Disease
Amyotrophic Lateral Sclerosis Ankle
Arm Soreness Autonomic Nervous System Dysfunction
Back Blood Circulation
Blood Pressure Body Shaking
Body Tremors Brain
Breathing Calf
Car Accident Injury Carpal Tunnel Syndrome
Cerebellar Atrophy Cerebral Hemorrhage
Cerebral Infarction Cerebral Stroke
Cerebrovascular Embolism Cervical Spine
Cervical Spondylosis Cervical Ultrasound
Coma Concussion
Dementia Dizziness
Dorsum Of The Foot Drowsiness
Drug Interactions Ear Noise
Eeg Electroencephalogram
Epilepsy Eye
Eyelid Eyelid Muscle Twitching
Eyelid Twitching Face
Facial And Hand Numbness Facial Nerve
Facial Nerve Palsy Facial Numbness
Facial Twitching Fainting
Family Medicine Finger
Finger Numbness Foot
Foot Numbness Foot Pain
Gastrointestinal Disorder Hand Numbness
Hands Hand Weakness
Head Headache
Head Injury Injection
Insomnia Intracranial Hemorrhage
Involuntary Body Movements Involuntary Muscle Movement
Joints Knee
Left Chest Pain Left Shoulder Bone Pain
Leg Leg Numbness
Leg Weakness Lip Numbness
Lower Back Pain Medical Consultation
Medication Medication Consultation
Medication Inquiry Medication Side Effects
Memory Meningitis
Migraine Ms
Multiple Sclerosis Muscle Cramp
Muscle Fasciculation Muscle Pain
Muscles Muscle Tremors
Muscle Twitching Myasthenia Gravis
Neck Neck Pain
Nerve Compression Nerve Damage
Nerves Neuralgia
Numbness Numbness And Weakness In Hands And Feet
Numbness In Hands And Feet Numbness In Limbs
Oral Cavity Others
Pain In Limbs Pain In The Back Of The Head
Palm Parkinson'S Disease
Peripheral Nerve Peripheral Neuropathy
Polyneuropathy Post-Car Accident
Psychoneurosis Scalp Numbness
Sensory Numbness Shoulder And Neck
Shoulder Joint Pain Sleep
Sleep Disorder Sole Of The Foot
Spine Sports Injury
Stroke Sympathetic Nervous System
Tendon Tingling In Hands And Feet
Tingling Sensation Tinnitus
Toe Tongue
Traditional Chinese Medicine Tremor
Tremors Trigeminal Nerve
Trigeminal Neuralgia Ulnar Nerve
Vertigo Vision
Weakness In Hands And Feet Which Department Should I See?