Understanding Chronic Subdural Hematoma and Epilepsy After Brain Injury
The patient sustained a brain injury from a car accident and has been hospitalized for nearly six months, during which they have been continuously taking antiepileptic medication for treatment. MRI scans have revealed multiple issues. Could the physician please provide an explana...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Li: Brain hemorrhage often has epilepsy as a sequela. The duration of medication depends on the frequency of seizures. Whether chronic subdural hematoma requires surgical treatment also depends on the symptoms. It is recommended to visit a neurosurgery outpatient clinic...[Read More] Understanding Chronic Subdural Hematoma and Epilepsy After Brain Injury
Uncontrollable Body Shaking and Sleep Disturbances: A Neurological Concern
Involuntary body shaking and inability to sleep? Hello Doctor, I apologize for the lengthy question. After being diagnosed with chronic gastritis in May, my doctor prescribed me Sucralfate for a month. However, three days after stopping the medication, I began to hear my heartbea...
Dr. Cai Zongzhang reply Neurology
Hello, Ruo Xue: Based on the above information, the results of the thyroid function and carotid artery examinations are normal. Autonomic nervous system dysfunction is the most likely diagnosis. It is recommended to cooperate with the physician for medication treatment and to avo...[Read More] Uncontrollable Body Shaking and Sleep Disturbances: A Neurological Concern
Loss of Appetite and Weakness: When to Seek Neurological Help
Loss of appetite and physical weakness? Hello doctor, for the past week, I have been experiencing a loss of appetite, lack of energy, and sometimes a feeling of shortness of breath. I feel hungry in my stomach but have no desire to eat. After taking a few bites, I feel nauseous, ...
Dr. Cai Zongzhang reply Neurology
Hello DingDang: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic for an examination to determine the cause.[Read More] Loss of Appetite and Weakness: When to Seek Neurological Help
Understanding Facial and Hand Numbness: Possible Neurological Causes
Numbness in the face, hands, and scalp (mild tingling sensation)? Hello, I would like to ask about experiencing symptoms of facial and scalp numbness that occur repeatedly. Sometimes it affects the right cheek and the scalp at the back of the head, and after a while, it may shift...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Huang: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic to determine the cause.[Read More] Understanding Facial and Hand Numbness: Possible Neurological Causes
Understanding Trigeminal Neuralgia: Causes and Sleep Disruptions
Pain issues, thank you? Hello, doctor. I would like to ask why I wake up with trigeminal neuralgia just before fully waking up. It seems that the pain from the trigeminal nerve wakes me up first. What could be the reason for this? I started experiencing this after having a bone s...
Dr. Cai Zongzhang reply Neurology
Hello: Trigeminal neuralgia that lasts longer than 6 months is classified as chronic pain, which is difficult to cure. Medications can be used to help control and reduce the intensity and frequency of the pain.[Read More] Understanding Trigeminal Neuralgia: Causes and Sleep Disruptions
Facial Numbness When Touching Left Side: What Could It Mean?
Touching the face can cause numbness? Hello, doctor. I have noticed that when I touch my left cheek or left ear, I experience a tingling sensation in my face, while touching my right cheek does not produce this sensation. This has been ongoing for quite some time. I would like to...
Dr. Cai Zongzhang reply Neurology
Hello: The above symptoms are suggestive of trigeminal nerve inflammation. It is recommended to visit a neurology outpatient clinic.[Read More] Facial Numbness When Touching Left Side: What Could It Mean?
Understanding Muscle Tremors: When to See a Neurologist
Muscle tremors issue? Hello, Doctor. About two to three weeks ago, I started experiencing involuntary muscle tremors throughout my body, along with a smooth urinary flow but no sensation of needing to urinate. In the past week, I've also developed intermittent sharp pain all...
Dr. Cai Zongzhang reply Neurology
Hello, Xiao Lin: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic for an examination to confirm the underlying cause.[Read More] Understanding Muscle Tremors: When to See a Neurologist
Understanding Persistent Headaches After Intense Exercise: Causes and Concerns
Persistent headaches after exercise? This evening, I did V-squats at the gym, and wanting to challenge myself, I increased the weight. During the squats, I forgot to breathe, and at the last rep, I felt a sensation like something in the back of my head was cracking or breaking. A...
Dr. Cai Zongzhang reply Neurology
Hello: Based on the symptoms mentioned, it is possible that there is a cervical disc displacement. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Persistent Headaches After Intense Exercise: Causes and Concerns
Understanding Neurological Symptoms: When to Seek Further Medical Help
Numbness in the head, facial numbness, and finger twitching, etc? Hello Dr. Tsai, a year and a half ago I experienced chest numbness, chin pain, pain in my left shoulder and left arm, and soreness in my left fingers and wrist. Subsequently, I developed numbness on the right side ...
Dr. Cai Zongzhang reply Neurology
Hello: Insufficient sleep can also trigger multiple neuropathic pain, making it harder to fall asleep and creating a vicious cycle. It is recommended to first improve sleep, which may also alleviate pain symptoms. Magnetic resonance imaging (MRI) has ruled out structural diseases...[Read More] Understanding Neurological Symptoms: When to Seek Further Medical Help
Understanding Urological and Spinal Nerve Issues: A Patient's Journey
Uro-neurology or spinal nerves Hello, about 3-4 years ago, I had an incident while exercising where I twisted my ankle and fell, resulting in a skin tear on my foreskin. The next day, I experienced pain while urinating and was diagnosed with a urinary tract infection. During urin...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Hong: Based on the symptoms mentioned, the most common cause of groin and thigh pain is lumbar nerve compression. An MRI scan is arranged to help confirm the diagnosis.[Read More] Understanding Urological and Spinal Nerve Issues: A Patient's Journey
Understanding Nasal Nerve Sensations: Causes and Recommended Tests
Nasal nerve questions? Hello, Doctor! I would like to ask about a situation where I feel a sensation of swelling and nerve discomfort in my nose whenever I lie down, making it very uncomfortable and preventing me from sleeping. I have seen many ENT specialists who have said that ...
Dr. Cai Zongzhang reply Neurology
Hello, Sha: The symptoms mentioned may be indicative of a dysfunction of the nasal nerves. These nerves are very fine and cannot be detected through imaging studies. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Nasal Nerve Sensations: Causes and Recommended Tests
Effective Strategies for Tapering Off Sleep Medications Safely
Withdrawal from sleeping pills? Hello Doctor: I have been taking Rifapentine 0.5 mg for a year and a half, and later I reduced the dosage to half a pill, which I have been taking for the past three months. During these three months, I have experienced difficulty sleeping for abou...
Dr. Cai Zongzhang reply Neurology
Hello, Xiao P: Improving insomnia cannot rely solely on medication. Avoid napping during the day, engage in moderate exercise, and combine these with medication before gradually tapering off.[Read More] Effective Strategies for Tapering Off Sleep Medications Safely
Uncontrollable Hand Tremors and Weakness: A Neurological Concern
For a month, I have been experiencing intermittent hand tremors that I cannot control. After maintaining a position for a long time, my legs feel weak when I try to stand up? Hello Doctor: In the past month, I've been experiencing some fine motor difficulties, such as trembl...
Dr. Cai Zongzhang reply Neurology
Hello Gemma: The symptoms mentioned have many possible causes. If there is no improvement after sufficient rest and sleep, it is recommended to visit a neurology clinic.[Read More] Uncontrollable Hand Tremors and Weakness: A Neurological Concern
Understanding Right Big Toe Tremors: Possible Neurological Insights
Trembling of the right big toe? Hello Doctor, I previously worked in the tech industry and left my job due to excessive stress, which led to symptoms resembling panic attacks, such as chest tightness, difficulty breathing, and palpitations (without medical diagnosis). I initially...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Chen: Based on the symptoms mentioned, it is recommended to visit a neurologist for further evaluation to confirm the underlying cause.[Read More] Understanding Right Big Toe Tremors: Possible Neurological Insights
Understanding Autonomic Nervous System Disorders: A Patient's Inquiry
Inquiry for clarification? Hello Dr. Tsai, I would like to discuss my mother's condition. For the past 2 to 3 years, she has experienced symptoms such as elevated blood pressure, palpitations, and increased heart rate during times of labor, fatigue, or anxiety. Sometimes, r...
Dr. Cai Zongzhang reply Neurology
Hello Kris: Fatigue or anxiety can stimulate the sympathetic nervous system, affecting heart rate and blood pressure. This is a normal response of the sympathetic nervous system to stress. Treatment should focus on avoiding excessive fatigue and reducing anxiety. Additionally, in...[Read More] Understanding Autonomic Nervous System Disorders: A Patient's Inquiry
Impact of Alcohol on Autonomic Nervous System Disorders: A Medical Perspective
Drinking alcohol with autonomic nervous system dysfunction? Hello doctor, I would like to ask you about my husband who has been suffering from autonomic nervous system dysfunction for many years. He takes sedatives before bed, but he has a bad habit of being unable to quit drinki...
Dr. Cai Zongzhang reply Neurology
Hello, A-Zhu: Long-term excessive alcohol consumption has many sequelae, including brain and peripheral nerve degeneration, as well as liver cirrhosis. It is advisable to moderate alcohol intake. If you need assistance from a physician to quit drinking, you can visit the psychiat...[Read More] Impact of Alcohol on Autonomic Nervous System Disorders: A Medical Perspective
Understanding Cervical Spine Issues and Central Sleep Apnea Symptoms
Cervical spine issues and sleep apnea? Hello, Doctor. Thank you very much for your response. I have been suspecting that I might have central sleep apnea. About a year ago, I frequently stayed up late and later began to feel extremely fatigued. Whenever I didn't get enough s...
Dr. Cai Zongzhang reply Neurology
Hello: Based on the symptom description, the cause may be related to cervical spine disease. It is recommended to visit a neurologist for a definitive diagnosis.[Read More] Understanding Cervical Spine Issues and Central Sleep Apnea Symptoms
Understanding Limb Weakness and Insomnia: A Neurological Perspective
Weakness in the limbs accompanied by insomnia? Hello Doctor, I have been experiencing weakness in my limbs since February 28, and now it is April 14. During this time, I have noticed that some sensory symptoms have disappeared, but they have reappeared. Currently, I am experienci...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Hu: Based on the symptoms mentioned, it is recommended to consult a neurologist to investigate the underlying cause.[Read More] Understanding Limb Weakness and Insomnia: A Neurological Perspective
Managing Bruising and Swelling After Head Injury: Expert Advice
A question posed by a patient with a hairy cell vascular condition? On March 25th, I accidentally fainted and hit my head against the wall, resulting in a laceration that bled. The stitches have been removed and it is healing well, but there is a small bruise nearby that is sligh...
Dr. Cai Zongzhang reply Neurology
Hello, Candy: Based on the above, since the incident occurred more than 3 days ago, it is recommended to use topical application of Xylitol for treatment.[Read More] Managing Bruising and Swelling After Head Injury: Expert Advice
How Long Does It Take for Keppra to Control Seizures?
Questions regarding the leisure use of Keppra? Hello Doctor: I have already learned some information about Keppra from the Q&A, but I haven't seen anyone ask how long it typically takes for this medication to achieve the effect of suppressing abnormal discharges (I am cu...
Dr. Cai Zongzhang reply Neurology
Hello: There is a certain degree of variability in how each individual absorbs this medication, making it difficult to determine exactly how long it will take to achieve its effects. Generally, initial use requires several weeks of dosage adjustments and observation. Any antiepil...[Read More] How Long Does It Take for Keppra to Control Seizures?