Post-Surgery Complications of Brain Tumor: Understanding Discrepancies in Symptoms and Tests
Postoperative complications of brain tumors? Hello Dr. Jiang, I underwent brain tumor resection surgery last June, and I have been experiencing persistent postoperative complications such as tinnitus, diplopia, and facial numbness. However, a nerve conduction study conducted at a...
Dr. Jiang Junyi Reply:
Dear Mr. Zolt, You mentioned that "the nerve conduction study of the face is 'normal'," which is reasonable. This is because nerve conduction studies assess peripheral nerves. The tinnitus, diplopia, and facial paralysis you are experiencing following your br...[Read More] Post-Surgery Complications of Brain Tumor: Understanding Discrepancies in Symptoms and Tests
Understanding Unpredictable Head Pain: Causes and Solutions
Intermittent head pain? Hello Doctor, about two weeks ago, I started experiencing a mild pain at the top of my head. The next day, I began to feel intermittent pain throughout my entire head, even extending to the eye sockets, and I also had a stiff sensation in my neck. I later ...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that "the symptoms in the forehead and brow ridge are more pronounced" and also noted that "exercising more and massaging the neck, along with the topical medication you prescribed, have provided some improvement." It may be nece...[Read More] Understanding Unpredictable Head Pain: Causes and Solutions
Headaches Triggered by Head Movement: What You Need to Know
Headache occurs only when shaking the head? Doctor, I sometimes notice that I only experience headaches when I shake my head vigorously, but when I don't shake my head, I feel normal. This happens about three to four times a month. What could be the issue with my head?
Dr. Jiang Junyi Reply:
Hello Mr. Lone Ranger: You mentioned that "only when shaking your head vigorously do you feel headache, but otherwise it feels normal." I would like to know where your headache is located. If it is in the posterior neck or temporal region, it may be worth considering ab...[Read More] Headaches Triggered by Head Movement: What You Need to Know
Understanding Headaches and Body Numbness: When to Seek Medical Help
Headache and body numbness? I have never encountered this situation before, so I am documenting it to consult a physician: On the first day, my heart was racing all day, and I felt restless. On the second day, in the middle of the night, my heart rate increased to the point that ...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, You mentioned that "I do not experience major headaches in daily life, but occasionally feel dizzy and nauseous, sometimes lack appetite, and my hands and feet feel weak. When walking, I often feel like my legs lack strength..." Your symptoms seem to be ...[Read More] Understanding Headaches and Body Numbness: When to Seek Medical Help
Experiencing Dizziness While Sitting and Lying Down: Possible Causes and Solutions
Experiencing dizziness when lying down and a sensation of swaying while sitting? Hello doctor, starting from a certain day, I suddenly feel very dizzy while sitting, and it often occurs. However, it doesn't happen when I walk or exercise, and I experience vertigo when lying ...
Dr. Jiang Junyi Reply:
Dear Mr. YY, You mentioned that "one day I suddenly felt very dizzy while sitting, and it often occurs, but not when walking or exercising, and I experience vertigo when lying down." Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteri...[Read More] Experiencing Dizziness While Sitting and Lying Down: Possible Causes and Solutions
Effective Methods for Assessing Peripheral Nerve Issues in Neurology
Methods for assessing peripheral nerves around the head? I currently have double vision and facial numbness due to peripheral nerve issues. How should I assess my current neurological condition? Which diagnostic method is more effective in general medical facilities, nerve conduc...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned the issue of "diplopia." If the symptoms have occurred acutely, it may be necessary to consider structural abnormalities. Peripheral issues may involve the structures of the eyes and orbits, such as the eyeball and extraocular muscles. Central ...[Read More] Effective Methods for Assessing Peripheral Nerve Issues in Neurology
Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Consulting various hospitals and clinics has been ineffective? In recent months, I have been feeling unwell and have visited multiple hospitals for medical advice, but the answers I received were inconclusive. My X-rays showed no issues, and my heart and lungs were in good condit...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "seeking treatment at various hospitals and clinics has been ineffective" due to your atypical symptoms. It may be necessary to first consider cervical myofascial inflammation and electrolyte issues. However, the "olfactory hallucinations ...[Read More] Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Consulting various hospitals and clinics has been ineffective? In recent months, I have been feeling unwell and have visited multiple hospitals seeking medical attention, but the answers I received were inconclusive. X-rays showed no issues, and my heart and lungs were in good co...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "seeking treatment at various hospitals and clinics has been ineffective" because your symptoms are atypical. It may be necessary to first consider cervical myofascial inflammation and electrolyte issues. The recommended principle for seeking m...[Read More] Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Sudden Sharp Pain in Right Forehead: Possible Causes and Concerns
Sudden piercing pain in the right forehead radiating backward? I first told the doctor that my occupation is a daytime security guard. I am overweight, weighing approximately 120 kg and standing 173 cm tall. Currently, I have not been diagnosed with any chronic diseases. However,...
Dr. Cai Zongzhang Reply:
Hello Allen: The symptoms mentioned are not related to a stroke. If the symptoms persist, it is recommended to visit a neurology outpatient clinic.[Read More] Sudden Sharp Pain in Right Forehead: Possible Causes and Concerns
Understanding Unilateral Tremors: Causes and Solutions for Neurological Issues
Unilateral tremor Hello, I recently experienced insomnia and hand tremors due to exam stress. I thought it was just because I was too anxious, but now that the exams are over, I find myself excessively sleepy, sleeping more than 12 hours a day. When I write, I have difficulty hol...
Dr. Cai Zongzhang Reply:
Hello Ms. Hsiao: Anxiety and lack of sleep can both trigger hand tremors. If there is no improvement after adequate rest, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Unilateral Tremors: Causes and Solutions for Neurological Issues
Understanding Tongue Tremors: Causes and Anxiety Connections
Tongue twitching Hello Doctor: My tongue cannot relax and feels very tense; it keeps wanting to twitch. Sometimes I also feel a tightness in my throat. I would like to know what the cause of this might be. I have a history of anxiety disorder; could this be related to my anxiety?
Dr. Cai Zongzhang Reply:
Hello Wan-Ting: If the symptoms mentioned above appeared after starting psychiatric medication, please discuss with your physician whether the medication may be the cause. If you have not taken any medication, it is recommended to visit a neurology clinic.[Read More] Understanding Tongue Tremors: Causes and Anxiety Connections
Can You Get the COVID Vaccine with Dizziness and Ear Issues?
Can individuals experiencing dizziness or vertigo receive the COVID-19 vaccine? Hello, doctor. I am scheduled to receive the second dose of the AZ vaccine soon, but I have some health concerns that make me hesitant. I would like to ask for your opinion: I have been experiencing i...
Dr. Hong Weibin Reply:
Hello: Although dizziness and body swaying are not contraindications for receiving the COVID-19 vaccine, if you have not been feeling well recently, it is advisable to prioritize your health and recover before getting vaccinated. Hong Wei-bin[Read More] Can You Get the COVID Vaccine with Dizziness and Ear Issues?
Understanding Involuntary Head Tremors: Causes and Solutions
Involuntary head tremors? Hello, doctor. Since around middle school, I've noticed that whenever I get nervous, my head starts to shake involuntarily (side to side). During high school, when I had to give presentations, I found it even harder to control. Sometimes, even when ...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may be essential tremor, which is one of the most common movement disorders. Head tremors (for example, during "yes" or "no" movements) occur without abnormal head posture. Emotional excitement, high stress, fever, physical...[Read More] Understanding Involuntary Head Tremors: Causes and Solutions
Understanding Visual Disturbances After Traumatic Experiences in Teens
After seeing or thinking about bloody and nauseating images, the visual field becomes narrowed? Hello Doctor, my son is 19 years old. Since he was about 11, he has experienced episodes where his vision narrows after seeing graphic images (such as corpses or dissection scenes), bu...
Dr. Hong Weibin Reply:
Hello: 1. I have not heard of cases where visual field narrowing occurs intermittently. 2. Most issues related to the brain or eyes that cause changes in the visual field tend to be persistent. 3. It is unlikely that if a fall causes injury to the brain or eyes, nerve damage woul...[Read More] Understanding Visual Disturbances After Traumatic Experiences in Teens
Understanding Long-Term Dizziness and Occasional Hand Tremors
Chronic dizziness with occasional hand tremors? Hello Doctor, I am currently abroad, so it's a bit inconvenient for me to seek medical attention. I would like your help in assessing how serious my condition is and how I might improve it. I have been experiencing sudden episo...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may be due to vestibular dysfunction in the inner ear causing dizziness, such as Meniere's disease. It is advisable to schedule an appointment for examination. There is a type of shaking known as enhanced physiologic tremor, which can be ...[Read More] Understanding Long-Term Dizziness and Occasional Hand Tremors
Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Right ear pain? Doctor: I wake up at night with numbness in my left hand, which feels like an electric shock type of numbness, or just numbness. I also feel a sense of emptiness and swelling at the top of my head. I woke up at 1:20 AM, with blood pressure readings of 94/58/73 on ...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Does autonomic nervous system dysfunction cause hand numbness that is not due to pressure points?" If it is due to hyperventilation leading to decreased carbon dioxide levels in the blood, resulting in an increased pH, this condition is m...[Read More] Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Post-Surgery Hand Numbness: When to Seek Medical Attention?
Postoperative hand numbness? Recently, I underwent general anesthesia for surgery. The first attempt to insert a peripheral intravenous catheter was on the lateral side of my wrist (at the extension of the thumb), but the vein was not successfully accessed. I experienced a pain t...
Dr. Jiang Junyi Reply:
Dear Ms. Zhao, You mentioned experiencing a tingling sensation in your index finger that feels like an electric shock at the back of your hand. I would like to know if you have also noticed any weakness in your wrist or fingers. Your symptoms may indicate that the sensory fibers...[Read More] Post-Surgery Hand Numbness: When to Seek Medical Attention?
Intermittent Numbness in the Sole: Should You Be Concerned?
Intermittent numbness in the soles of the feet? Hello doctor, I have suddenly noticed that the sole of my left foot feels numb for a second, then normal for a second, and then numb again, whether I am sitting or lying down. This has been ongoing. Is this a serious issue? Thank yo...
Dr. Jiang Junyi Reply:
Hello Mr. Ben: Your symptoms may suggest peripheral nerve compression, such as compression of the plantar nerve or injury to the sciatic nerve. Common symptoms of peripheral nerve compression include pain, numbness, and weakness. The causes may include acute direct injury: nerve ...[Read More] Intermittent Numbness in the Sole: Should You Be Concerned?
Child Experiences Sudden Speech Loss and Drooling: What to Do?
Unable to speak? The doctor would like to ask about a child who was attending an online class on June 29th. During the class, the child suddenly became unable to speak, experienced excessive drooling, and had involuntary twitching on the left side of the mouth. This episode laste...
Dr. Jiang Junyi Reply:
Hello Ying: You mentioned that "halfway through, suddenly unable to speak, excessive drooling, and continuous twitching of the left side of the mouth for about three minutes." These symptoms may suggest abnormal electrical discharges in the brain, possibly indicating an...[Read More] Child Experiences Sudden Speech Loss and Drooling: What to Do?
Post-Surgery Tinnitus: Understanding Symptoms and Next Steps
Tinnitus after brain surgery? Two years ago, a family member experienced a subarachnoid hemorrhage and underwent surgery. Subsequently, due to hydrocephalus, they had a ventriculoperitoneal shunt placed. There was damage to the language area, and it took nearly a year for their s...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the tinnitus is not constant; it appears about 2 hours after getting up and is accompanied by a feeling of fullness, sometimes in one ear and sometimes in both. However, the condition improves when lying down or bending forward." Your symptoms...[Read More] Post-Surgery Tinnitus: Understanding Symptoms and Next Steps