Understanding Hand Tremors: Causes and When to Seek Help
Body tremors? Hello doctor, I have recently been experiencing slight tremors in my hands, especially when holding objects. I also feel a bit shaky when bending down or leaning forward, and when I lie flat, my body seems to pulse in rhythm with my heartbeat.
Dr. Cai Zongzhang reply Neurology
Hello, Ms. Chiu! It is recommended that you visit the neurology outpatient clinic.[Read More] Understanding Hand Tremors: Causes and When to Seek Help
Understanding Seizures After Brain Hypoxia: Treatment and Recovery Insights
Due to brain hypoxia-related lesions, the doctor stated that there is abnormal electrical discharge in the brain, resulting in epilepsy? Dear Doctor, The abnormal electrical discharges in the brain following hypoxia are quite mild. The patient experienced cardiac arrest due to ...
Dr. Cai Zongzhang reply Neurology
Hello, A-Zhou! The symptoms described above are all sequelae caused by cerebral hypoxia injury. If the shaking severely affects caregiving, then medication should be considered to avoid the patient becoming drowsy due to the medication.[Read More] Understanding Seizures After Brain Hypoxia: Treatment and Recovery Insights
Understanding Uncontrollable Leg Stretching During Sleep
The foot unconsciously wants to stretch forward? Hello, doctor! My right foot experiences difficulty sleeping due to an urge to stretch it forward, and even after stretching, there is no improvement. Could you please tell me what kind of symptoms this might be?
Dr. Cai Zongzhang reply Neurology
Hello, Ms. Tsai! It is recommended that you visit the neurology outpatient clinic for an examination.[Read More] Understanding Uncontrollable Leg Stretching During Sleep
Managing Toe Cramps for Better Sleep in ALS Patients
Toe neuropathy causing twitching makes it hard to sleep! Doctor, I am inquiring on behalf of my mother! This year, she was diagnosed with ALS (Amyotrophic Lateral Sclerosis). At night, she experiences symptoms as mentioned in the title. How can we alleviate this? She reports that...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Wu! It is recommended that you visit the neurology outpatient clinic for examination and treatment.[Read More] Managing Toe Cramps for Better Sleep in ALS Patients
Understanding Involuntary Movements After Sudden Physical Activity
After rapid movements, the body may exhibit involuntary jerking or twitching? Hello doctor, there is something that has been bothering me for a long time. Since I was in elementary school, whenever I quickly stand up and start moving or running from a stationary position, I exper...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Chen! Based on the symptoms you described, it appears to be a movement disorder. I recommend that you visit a neurology clinic for treatment.[Read More] Understanding Involuntary Movements After Sudden Physical Activity
Unexplained Head Tremors: When to See a Neurologist for Evaluation
Involuntary head shaking? Hello Doctor, I’m not sure when it started (maybe two or three years ago), but I’ve noticed that my mother (62 years old) has been experiencing slight involuntary head shaking, a very subtle side-to-side movement that is visible to the naked eye. I’m won...
Dr. Cai Zongzhang reply Neurology
Hello Heidi! It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Unexplained Head Tremors: When to See a Neurologist for Evaluation
Understanding Involuntary Muscle Twitches: Is It Tourette Syndrome?
Involuntary muscle contractions? This condition has been ongoing for a while, where every few minutes, a certain part of the body experiences what feels like muscle twitching. It is not visibly noticeable, but it can be felt. Sometimes it occurs in the arms, other times in the th...
Dr. Cai Zongzhang reply Neurology
Hello, Lin! It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Involuntary Muscle Twitches: Is It Tourette Syndrome?
Understanding Left Chest Pain: Causes and When to Seek Medical Help
Left chest pain? Hello Doctor, last night while I was sleeping, I experienced a slight stabbing pain in the upper left side of my chest (closer to the center). The duration felt quite long, and it also felt somewhat like a mild cramp. I'm unsure if this is related to nerve p...
Dr. Cai Zongzhang reply Neurology
Hello, Li! It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Left Chest Pain: Causes and When to Seek Medical Help
Post-Concussion Symptoms After Car Accident: Managing Chronic Head Pain
Post-traumatic sequelae following head injury from a car accident? In 2018, I was involved in a car accident where I collided with a window on the left side of my head. At the time, I experienced dizziness and faintness. Although there were no external injuries at the impact site...
Dr. Cai Zongzhang reply Neurology
Hello LILI! It is recommended to see a neurologist for an examination![Read More] Post-Concussion Symptoms After Car Accident: Managing Chronic Head Pain
Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Parkinson's disease Hello Doctor, my father is nearly 50 years old and recently started experiencing tremors in his right hand. He also walks with his body close to his side and does not swing his arms much. Last month, he visited the China Medical University Hospital, where...
Dr. Cai Zongzhang reply Neurology
Hello, A-Liang! Delaying the use of levodopa and reducing the dosage can postpone the onset of dyskinesia. It is recommended to discuss medication options with your physician.[Read More] Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Childhood Head Injuries: Risk Factors for Parkinson's Disease in Later Life
As a child, I often accidentally bumped or hit my head? I have heard about the case of boxing champion Muhammad Ali. If someone accidentally hits their head during childhood and does not show any external injuries, does that increase the likelihood of developing Parkinson's ...
Dr. Cai Zongzhang reply Neurology
Hello, Mr. Kito! There is no direct relationship between the causes of Parkinson's disease and head trauma. However, it is still important to avoid head injuries to prevent brain damage that could lead to degeneration.[Read More] Childhood Head Injuries: Risk Factors for Parkinson's Disease in Later Life
Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Parkinson's disease Hello Doctor, my father is nearly 50 years old and recently began experiencing tremors in his right hand. He also walks with his body close to his side and doesn't swing his arms much. Last month, he visited China Medical University Hospital, where t...
Dr. Cai Zongzhang reply Neurology
Hello, A-Liang! Delaying the use of levodopa and reducing the dosage can postpone the onset of dyskinesia. It is recommended to discuss medication options with your physician.[Read More] Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Evaluating Long-Term Effects of Traumatic Brain Injury on Neurological Health
Four years ago, I sustained a concussion to the right posterior part of my brain? Doctor: Hello, four years ago during my postpartum period, I fell from a table and hit the back right side of my head, resulting in a large swelling. I was taken to the emergency room, and after a C...
Dr. Cai Zongzhang reply Neurology
Hello, Ms. Yuan! If you have a head injury that did not involve the brain, it should not leave any lasting effects. If you are still experiencing symptoms after four years, there may be another underlying cause. It is recommended that you visit a neurology outpatient clinic.[Read More] Evaluating Long-Term Effects of Traumatic Brain Injury on Neurological Health
Nutritional Support and Medication Management for Epilepsy in Children
Nutrition and Medication in Epilepsy Hello, my son suffered from hypoxic-ischemic encephalopathy due to oxygen deprivation at birth, accompanied by seizures, and underwent hypothermia treatment. Initially, he only experienced minor seizures just before falling asleep, which occur...
Dr. Cai Zongzhang reply Neurology
Hello! Exaggerated startle reflex is a common sequela of hypoxic brain injury, which can be triggered by any stimuli (e.g., sound, touch). If the symptoms are mild, medication may not be necessary; if medication is required, low doses can be used to alleviate symptoms. For genera...[Read More] Nutritional Support and Medication Management for Epilepsy in Children
Understanding Hand Numbness: Causes and Concerns for Your Health
Numbness in the hands? I apologize for bothering you, doctor. Some time ago, I spent a long time in bed using my phone and computer, and I have been experiencing pain in my left shoulder and neck that radiates down to my ring and little fingers, which sometimes feel numb. Occasio...
Dr. Cai Zongzhang reply Neurology
Hello! Based on the above, these symptoms do not match the clinical characteristics of amyotrophic lateral sclerosis (ALS). It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Hand Numbness: Causes and Concerns for Your Health
Do I Need Imaging Tests for My Persistent Migraines?
Do I need to undergo an examination? Hello, Dr. Tsai. Last week, I suddenly experienced a migraine that caused dizziness and vomiting three times, and my eyes also felt uncomfortable. I called an ambulance and went to the emergency room. After assessing my condition, the doctor a...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Lin! It is recommended that you first consult a neurologist, who will then determine whether an MRI scan is necessary.[Read More] Do I Need Imaging Tests for My Persistent Migraines?
Understanding Breathing Difficulties and Brain Oxygen Deprivation Symptoms
Frequently experiencing difficulty in breathing and cerebral hypoxia? Hello Doctor, I often experience periods of difficulty breathing, as if my airways are constricted, and I feel like oxygen is not reaching my brain. It's not extremely severe, but I need to take deep breat...
Dr. Cai Zongzhang reply Neurology
Hello, Ms. Lin! It is recommended that you visit the neurology outpatient clinic.[Read More] Understanding Breathing Difficulties and Brain Oxygen Deprivation Symptoms
Can Epilepsy Patients Safely Receive Vaccinations?
Can individuals with epilepsy receive vaccinations? Currently, the pandemic is severe, and the authorities are continuously encouraging the public to get vaccinated. However, as a chronic disease patient, there are concerns that the current vaccine (AstraZeneca) may lead to death...
Dr. Cai Zongzhang reply Neurology
Hello, Afa! Epilepsy is not listed as a contraindication for the COVID-19 vaccine.[Read More] Can Epilepsy Patients Safely Receive Vaccinations?
Understanding Sudden Ear Pain: Causes and Treatment Options
Sudden sharp pain behind the ear? Hello Doctor: I would like to inquire about the causes of sudden sharp pain behind the ear. I am a frontline service worker and received the COVID-19 vaccine around mid-June. About a week later, I experienced sudden sharp pain behind my right ear...
Dr. Cai Zongzhang reply Neurology
Hello, Hsiao-Yu! Pain behind the ear may be a sign of nerve inflammation. It is recommended to visit a neurology clinic.[Read More] Understanding Sudden Ear Pain: Causes and Treatment Options
Managing Autonomic Nervous System Disorders: Concerns with Amberning Medication
Issues with taking Ambien for autonomic nervous system dysfunction? Hello Doctor, I tend to be anxious and overly worried. Since March of this year, I have noticed issues with autonomic nervous system dysfunction. The most prominent symptoms include tightness in my neck leading t...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Wu! Amberning does not harm the stomach and is used for the treatment of anxiety disorders. It is recommended to discuss the dosage with your physician.[Read More] Managing Autonomic Nervous System Disorders: Concerns with Amberning Medication