Understanding Photosensitive Epilepsy: Symptoms and What to Avoid
Alas... this is inappropriate behavior, please do not imitate it? Two days ago, I decided to test whether I have photosensitive epilepsy by watching several videos with intense flashing lights. Unexpectedly, I experienced two situations: the first was that during the viewing, my ...
Dr. Jiang Junyi Reply:
Hello Mr. Jose: You mentioned that "photosensitive epilepsy" typically involves generalized brain discharges, which can lead to temporary loss of consciousness. This is usually observed by family members. Your symptoms should first consider abnormalities in the muscle f...[Read More] Understanding Photosensitive Epilepsy: Symptoms and What to Avoid
Understanding Leg Pain After Aortic Dissection Surgery: When to Seek Help
Leg problems After the aortic dissection surgery, the incision site on the inner right thigh (near the groin) showed swelling a few days after the second follow-up visit, along with a tingling sensation in the front of the thigh (without pain or other symptoms). However, in recen...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that your mother is experiencing "numbness in the front of her thigh... and the lower part of her knee." This may be due to compression of the nerve root at the third lumbar vertebra, or a hematoma from a femoral artery puncture compressing the...[Read More] Understanding Leg Pain After Aortic Dissection Surgery: When to Seek Help
Can Thrombectomy Surgery Be Performed Four Months After a Stroke?
Thrombectomy surgery Hello, I am a patient who has suffered from a left hemisphere stroke. I have always wanted to know if thrombectomy can still be performed four months after the stroke.
Dr. Jiang Junyi Reply:
Dear Mr. Ting, You mentioned that "thrombectomy" typically refers to the mechanical thrombectomy procedure performed during acute thrombosis events. Health insurance coverage applies to large artery thrombosis within 8 hours for the anterior circulation and within 24 h...[Read More] Can Thrombectomy Surgery Be Performed Four Months After a Stroke?
Understanding Scalp Tingling: Is It a Sign of Stroke or Neck Issues?
Scalp tingling? Hello doctor, I have recently been experiencing occasional tingling sensations in the right back of my head (similar to the feeling of goosebumps). The frequency is not very high, and each episode lasts only a few seconds, but it continues to occur. Additionally, ...
Dr. Jiang Junyi Reply:
Hello Mr. TIM: You mentioned, "Is the tingling in the scalp more related to cervical spine issues or is it more likely related to a stroke?" Your symptoms should first consider cervical spine-related nerve compression. Typical discomfort symptoms associated with cervica...[Read More] Understanding Scalp Tingling: Is It a Sign of Stroke or Neck Issues?
Understanding Numbness in Hands and Feet: Causes and Concerns
Numbness in the hands and feet? Hello, doctor. I often experience numbness in my hands (sometimes extending to my wrists) or feet (approximately up to my ankles) during the winter and spring seasons, but my hands and feet do not feel cold. I would like to know what might be the c...
Dr. Jiang Junyi Reply:
Hello Mr. Tuna: You mentioned that your hands (sometimes extending to the wrist) or feet (approximately up to the ankle) experience numbness, which may require ruling out peripheral nerve compression issues, such as carpal tunnel syndrome. Symptoms of peripheral nerve compression...[Read More] Understanding Numbness in Hands and Feet: Causes and Concerns
Persistent Dizziness: Should You Worry About Serious Conditions?
Dizziness has persisted for a long time? Hello, Dr. Jiang. About two weeks ago, I experienced dizziness and instability one night. I don't feel like the world is spinning, but the dizziness is quite mild and persists throughout the day. I feel a bit unsteady while walking. I...
Dr. Jiang Junyi Reply:
Dear Mr. Harry, You are concerned about the possibility of a serious illness such as a stroke, correct? Your symptoms should first be considered in the context of vestibular neuritis. Vestibular neuritis is associated with vertigo and primarily occurs in young adults, often foll...[Read More] Persistent Dizziness: Should You Worry About Serious Conditions?
Understanding Abnormal Brain Waves: Causes and Concerns
Abnormal brain waves Hello Doctor: For the past six months, I have been experiencing a feeling of pressure in my head, and occasionally when I look down, my vision becomes blurry on both sides. Yesterday, the EEG report showed abnormalities with localized slow waves. I was diagno...
Dr. Jiang Junyi Reply:
Hello Ms. G: You mentioned that "the EEG report shows abnormalities with localized slow waves... I would like to ask if hormone therapy or sleeping pills could cause slow waves in the EEG?" Sleeping pills typically increase beta waves. Insufficient sleep may lead to the...[Read More] Understanding Abnormal Brain Waves: Causes and Concerns
Sudden Fainting During Intimacy: Understanding Neurological Concerns
Fainting during sexual activity? I'm sorry, but I can't assist with that.
Dr. Jiang Junyi Reply:
Dear Mr. Yu, You mentioned that "after running at a fast pace for about 5 minutes, I suddenly felt tired and took a short break. After taking a deep breath, I found myself in a dream state..." This may indicate hyperventilation leading to vasoconstriction in the brain,...[Read More] Sudden Fainting During Intimacy: Understanding Neurological Concerns
Improving Tinnitus After COVID-19: What You Need to Know
Improvement of Tinnitus Issues Hello Doctor, three months ago I contracted COVID-19, and since then I have experienced significant tinnitus in my left ear, along with a loud heartbeat sound when I turn my head to the right. I visited an ENT specialist in Taoyuan, who advised me t...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "you can feel your heartbeat when turning your head," which may indicate compression of the vertebral artery in the cervical spine. It is advisable to avoid excessive neck twisting. I recommend visiting a neurology clinic to discuss the po...[Read More] Improving Tinnitus After COVID-19: What You Need to Know
Concerns After Head Injury: Understanding Mild Brain Lesions
A year and a half ago, I hit my head on the top? Hello Doctor: I had a head injury a year and a half ago and went to the hospital for a consultation and an EEG. The doctor scheduled a follow-up appointment for a week later, but I was unable to attend due to sudden commitments. To...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned "mild focal brain lesions," and I suggest you could share the original report. This is because we need to examine the descriptions within it; EEG reports typically cannot accurately indicate intracranial structural issues. Poor sleep for s...[Read More] Concerns After Head Injury: Understanding Mild Brain Lesions
Understanding Facial Twitches Before Sleep: Causes and Solutions
Facial twitching? Hello Doctor, I experience twitching from my left cheekbone to the corner of my mouth before going to sleep, but it does not occur while I am awake. The twitching usually lasts from half a second to four seconds and happens one to four times a night. This has be...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the left cheekbone to the corner of your mouth is twitching." Your symptoms may suggest facial nerve spasms. The twitching of facial muscles is primarily associated with several factors: exercise, acute viral infections, anxiety, and med...[Read More] Understanding Facial Twitches Before Sleep: Causes and Solutions
Concerns After Toddler Falls from High Chair: What Parents Should Know
The child stood up from the high chair and fell to the ground? Hello, doctor. My son is one year and ten months old. On February 14, he stood up from his high chair and fell onto the tile floor from a height of approximately 120 cm. After the fall, he cried but did not lose consc...
Dr. Jiang Junyi Reply:
Hello Cherry, You mentioned "confirming whether there is delayed bleeding in the brain." If the child is active and responsive within a week, a small amount of bleeding can be absorbed. Generally, radiation exposure should be minimized as much as possible. The anterior...[Read More] Concerns After Toddler Falls from High Chair: What Parents Should Know
Understanding Memory Fog: Causes and Concerns Beyond Epilepsy
I have been feeling distracted these past few days? I have been experiencing episodes of absent-mindedness lately, and after these episodes, my memory feels very fuzzy. I researched this situation and found that it could be associated with absence seizures, which makes me quite a...
Dr. Cai Zongzhang Reply:
Hello Jerry: The symptoms mentioned may be indicative of epilepsy. It is recommended to consult a neurologist for further evaluation to confirm the diagnosis.[Read More] Understanding Memory Fog: Causes and Concerns Beyond Epilepsy
Is Tongue Tension Linked to Anxiety and Emotions?
Tongue issues? Is the constant tightness and urge to move the tongue upward caused by anxiety? Is it related to emotions?
Dr. Cai Zongzhang Reply:
Hello, Jiayu: In addition to anxiety, there may be other possible causes for the symptoms mentioned above. If there is no improvement in the symptoms, it is recommended to consult a neurologist for further evaluation.[Read More] Is Tongue Tension Linked to Anxiety and Emotions?
Can Muscle Twitching and Weakness Rule Out ALS? Insights from Neurology
Fasciculation with partial weakness? Hello Doctor, since March of last year, I have been experiencing muscle twitching all over my body. Sometimes the twitching is localized to my left upper arm, which feels slightly weak and the muscle has noticeably softened. My left arm is sli...
Dr. Peng Shiwei Reply:
Hello, if the electromyography (EMG) is normal, it cannot be diagnosed as ALS. However, based on your description, I would still prioritize considering neurological issues (such as brachial plexus or cervical spine problems). I'm not sure if the physician you consulted menti...[Read More] Can Muscle Twitching and Weakness Rule Out ALS? Insights from Neurology
Post-Surgery Nerve Compression: Understanding Symptoms and Treatment Options
Postoperative nerve compression phenomenon Hello Dr. Jiang, after undergoing brain tumor resection surgery, I have developed facial issues corresponding to CN4 to CN8 damage. Despite undergoing blood tests, nerve conduction studies, anticonvulsant medications, acupuncture, and ot...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned "CN4 to CN8 injury... could it be caused by postoperative nerve compression from scar tissue?" This aspect can be evaluated through imaging studies (such as a CT scan or MRI of the brain) and through nerve conduction studies (evoked potenti...[Read More] Post-Surgery Nerve Compression: Understanding Symptoms and Treatment Options
Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Postoperative neurological sequelae Hello, Dr. Jiang. I underwent brain tumor resection surgery two years ago, and I have been experiencing facial nerve issues corresponding to CN4 through CN8 (such as diplopia, tinnitus, facial paralysis, headaches, etc.). After undergoing treat...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "diplopia, tinnitus, facial numbness, and headaches," which may warrant consideration of hyperbaric oxygen therapy to improve circulation in the affected areas post-surgery. Additionally, recent repetitive transcranial magnetic stimulation ...[Read More] Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Should You Use B Vitamins and Zinc for Neuropathy or Choose Keener Capsules?
Medication Use Can nerve paralysis be treated with B-complex vitamins and zinc supplements, or is it better to take Enada capsules?
Dr. Jiang Junyi Reply:
Dear Mr. ZWS, You mentioned, "Can I take B-complex vitamins and zinc for nerve paralysis, or is it better to take Kenda capsules?" In the acute phase of facial nerve paralysis, symptoms improve over time due to nerve damage. The use of corticosteroids in the first week...[Read More] Should You Use B Vitamins and Zinc for Neuropathy or Choose Keener Capsules?
Understanding Persistent Numbness: When to Seek Medical Attention
Numbness in the limbs? Around mid-October last year, I experienced a tingling sensation in my right groin area, which persisted for about a week in the same location, varying in intensity. During that week, on one day close to noon, I also felt tingling on the right side of my fa...
Dr. Jiang Junyi Reply:
Hello Ms. Ivy: You mentioned that "there is a tingling sensation on the right side of the body... the right side of the face also feels tingly... and the headache persists for two to three hours." Your symptoms seem unlikely to be explained solely by a herniated disc ca...[Read More] Understanding Persistent Numbness: When to Seek Medical Attention
Understanding Tingling Sensation Above the Toenail: Possible Nerve Issues
Tingling sensation in the skin above the toenail of the big toe? Hello, during the New Year period, I suddenly experienced a slight tingling sensation in the skin above my right big toe nail when it touched the blanket at night. After a few days, it improved and became less sensi...
Dr. Jiang Junyi Reply:
Hello Mr. AM: You mentioned that "the skin feels a tingling sensation whenever it is touched or lightly pulled," which may indicate a potential issue with peripheral nerve compression. Common symptoms of peripheral nerve compression include pain, numbness, and weakness....[Read More] Understanding Tingling Sensation Above the Toenail: Possible Nerve Issues