Dr. Cai Zongzhang reply Neurology Question - Page 17

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Understanding Carotid Artery Stenosis: Symptoms, Risks, and Management

Carotid artery stenosis? Hello Doctor, this month I underwent an MRI due to a pituitary tumor issue, and the report included a finding related to the carotid artery. When I inquired about the report, the doctor mentioned that it was just a narrowing and that the risk of stroke wa...


Dr. Cai Zongzhang reply Neurology
Hello: If there is only vascular stenosis without any cerebral infarction lesions, it is recommended to manage risk factors such as blood pressure, blood sugar, and lipid levels, and to follow up at a neurology outpatient clinic.

[Read More] Understanding Carotid Artery Stenosis: Symptoms, Risks, and Management


Understanding Involuntary Leg Movements Before Sleep: Causes and Solutions

Foot problems Recently, when I lie down to prepare for sleep, my legs often shake uncontrollably while I remain still. It feels somewhat like trembling but is slightly different, almost like a sensation of blood flow reversing, and it only occurs in my lower body. The shaking las...


Dr. Cai Zongzhang reply Neurology
It is recommended to visit the neurology outpatient clinic.

[Read More] Understanding Involuntary Leg Movements Before Sleep: Causes and Solutions


Understanding Cognitive Decline: Memory Loss and Attention Issues

Decreased cognitive function and memory decline? Doctor, I have noticed that my attention has become scattered, and I cannot concentrate on tasks. Even when I am engaged in conversations and trying hard to listen, I find it difficult to understand the content. When studying, I st...


Dr. Cai Zongzhang reply Neurology
It is recommended to undergo an examination by a neurologist.

[Read More] Understanding Cognitive Decline: Memory Loss and Attention Issues


Managing Epilepsy: Recognizing Relapse After Medication Withdrawal

Relapse after discontinuation of antiepileptic medication? Hello, Dr. Tsai. I have focal epilepsy and underwent an EEG examination two and a half years ago. My symptoms include headaches and occasional forgetfulness regarding unimportant matters. After receiving medication treatm...


Dr. Cai Zongzhang reply Neurology
It is recommended to discontinue the medication after an evaluation by a neurologist, and the method of discontinuation should be discussed with the physician.

[Read More] Managing Epilepsy: Recognizing Relapse After Medication Withdrawal


Understanding Chronic Headaches in Children: Causes and Solutions

My child frequently experiences headaches? I have a son who frequently experiences headaches, which are often accompanied by severe nausea, vomiting, and dizziness. He reports that his headaches initially cause some blurriness in his vision, followed by numbness in his hands and ...


Dr. Cai Zongzhang reply Neurology
Based on the symptom description, these symptoms are paroxysmal and not persistent, and the cause may not be identifiable upon examination. It is recommended to seek immediate medical attention (neurology) during the onset of symptoms.

[Read More] Understanding Chronic Headaches in Children: Causes and Solutions


Understanding Dizziness and Weakness: Causes and Solutions

Dizziness, numbness in the head, and weakness? Taking care of a sick child at night, I felt anxious and scared, only managing to sleep for an hour. When I woke up, I occasionally experienced dizziness, during which my head felt empty, and I also had a tingling sensation in my hea...


Dr. Cai Zongzhang reply Neurology
Based on the described symptoms, it may be caused by insufficient sleep. It is recommended to first improve sleep quality; if there is no improvement, please visit a neurology outpatient clinic.

[Read More] Understanding Dizziness and Weakness: Causes and Solutions


Understanding Finger Spasms: Causes and Solutions for Neurological Issues

Inability to open fingers of both hands? Initially, there were spasms in the fingers, such as when holding a pen or chopsticks, causing the fingers to seem to curl inward and unable to open. Now, the frequency has increased, and almost every time I perform fine motor tasks, it oc...


Dr. Cai Zongzhang reply Neurology
It is recommended to visit the neurology outpatient clinic for examination.

[Read More] Understanding Finger Spasms: Causes and Solutions for Neurological Issues


Managing Long-Term Effects of Severe Concussions: A Patient's Guide

Approximately four years ago, I suffered a severe concussion? Hello Doctor: About 5 years ago, I suffered a severe concussion due to external force. I was in a coma for 3 days and was hospitalized for observation and recovery for about half a month before returning home to recupe...


Dr. Cai Zongzhang reply Neurology
It is recommended to visit the neurology outpatient clinic.

[Read More] Managing Long-Term Effects of Severe Concussions: A Patient's Guide


Navigating Unclear MRI Results: Seeking Effective Treatment for Stroke Symptoms

Magnetic resonance imaging (MRI) shows no evidence of thrombosis or is inconclusive, making rehabilitation treatment unfeasible? Hello, my mother experienced weakness in her legs, unclear speech, and difficulty swallowing in mid-June, although the symptoms were not very pronounce...


Dr. Cai Zongzhang reply Neurology
Based on the aforementioned symptoms, there are multiple possible diagnoses for the patient, and further examinations must be arranged. For example: Parkinson's disease, thyroid function, etc. It is recommended to first admit the patient for evaluation in the neurology depar...

[Read More] Navigating Unclear MRI Results: Seeking Effective Treatment for Stroke Symptoms


Understanding Left Shoulder and Arm Pain with Heart-Related Symptoms

Pain and discomfort in the left shoulder and arm, along with a sharp pain in the area near the heart? Last week, I had a mild cold and took medication, which helped, but I started experiencing a dry cough and an itchy throat a few days ago. I'm not sure if it's because ...


Dr. Cai Zongzhang reply Neurology
Based on the described symptoms, in addition to cardiology, cervical nerve lesions may also present with the aforementioned symptoms. It is recommended to undergo an examination by a neurologist.

[Read More] Understanding Left Shoulder and Arm Pain with Heart-Related Symptoms


Understanding Symptoms of Autonomic Nervous System Disorders in Teens

Similar to autonomic nervous system dysfunction? My symptoms began in December 2019 when I experienced pain in my jaw and a clicking sound when opening my mouth. I thought it was nothing serious, so I ignored it. However, after catching a cold in January, my condition has worsene...


Dr. Cai Zongzhang reply Neurology
Based on the described symptoms, it is recommended to consult a neurologist for evaluation.

[Read More] Understanding Symptoms of Autonomic Nervous System Disorders in Teens


White Fingertip and Numbness Months After Wasp Sting: Causes and Concerns

A few months after a bee sting, the ring finger occasionally appears pale? Hello: I'm not sure if this is a post-reaction to a wasp sting, but several months after being stung, my ring finger sometimes turns pale and feels numb. The sting occurred at the second joint of the ...


Dr. Cai Zongzhang reply Neurology
Hello: It may be peripheral nerve damage causing vasoconstriction. It is recommended to visit a neurologist for examination.

[Read More] White Fingertip and Numbness Months After Wasp Sting: Causes and Concerns


Could Your Symptoms Indicate Autonomic Nervous System Dysfunction?

I am not sure if it is autonomic nervous system dysfunction? Hello doctor, I have been experiencing frequent dizziness and chest tightness lately. When I talk to others, I feel short of breath and very fatigued. Sometimes my hands and feet feel numb, and I have noticed that my me...


Dr. Cai Zongzhang reply Neurology
Hello: Based on the described symptoms, it is recommended to consult a neurologist for an examination.

[Read More] Could Your Symptoms Indicate Autonomic Nervous System Dysfunction?


Understanding Fainting and Tremors During Blood Draws: A Neurology Perspective

Loss of consciousness during blood draw, accompanied by whole-body tremors and wide-open eyes? Whenever I have a slightly larger blood draw (or if I haven't eaten before the blood draw), I experience a series of symptoms: my vision goes dark, I lose consciousness, my eyes wi...


Dr. Cai Zongzhang reply Neurology
This symptom is likely neurogenic syncope; it is recommended to undergo a detailed examination by a neurologist.

[Read More] Understanding Fainting and Tremors During Blood Draws: A Neurology Perspective


Medications to Pause Before Brain CT Scan: A Guide

Which medications should be discontinued first? The doctor is going to perform a brain CT scan with a non-ionic contrast agent, but I am taking the following medications. Which medications should I stop one day or one week in advance? After the procedure, how many days should I w...


Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to have a response from a radiologist.

[Read More] Medications to Pause Before Brain CT Scan: A Guide


Burning and Tingling in Calves After 30 Minutes of Exercise: Causes and Concerns

Numbness and burning sensation in the calves after 30 minutes of exercise? I am overweight, weighing 110 kg and standing 183 cm tall. I have hyperthyroidism and go to the gym three to four times a week, doing one hour of cardio. However, over the past two days, I have experienced...


Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to visit a neurology clinic to check for any abnormalities in autonomic nervous system function.

[Read More] Burning and Tingling in Calves After 30 Minutes of Exercise: Causes and Concerns


Understanding Toe Twitching: Causes and Treatment Options

Toe twitching I have been experiencing twitching in the index finger of my left foot for over a year, and recently the index finger of my right foot has also started twitching. The twitching appears as a side-to-side shaking and is not very frequent at times, but it tends to occu...


Dr. Cai Zongzhang reply Neurology
Hello: It is advisable to conduct hospitalization for further investigation of the cause, but if there are constraints regarding budget or time, outpatient follow-up examinations can be an alternative.

[Read More] Understanding Toe Twitching: Causes and Treatment Options


Understanding Jaw Tremors Linked to Neck Artery Pulsations

Recently discovered? Hello Doctor: Recently, I have noticed that when I open my mouth and move it side to side, the carotid artery in my neck pulsates continuously, causing my mouth to tremble as well.


Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to visit the neurology outpatient clinic for examination.

[Read More] Understanding Jaw Tremors Linked to Neck Artery Pulsations


Understanding the Sensation of Vibrations in the Sole of the Foot

There is a sensation of vibration in the soles of the feet, similar to that of a mobile phone vibrating? In the past two days, I have experienced a vibrating sensation in the sole of my right foot, similar to a phone vibrating. The sensation has a rhythmic quality, but when I tou...


Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to visit a neurology outpatient clinic for examination.

[Read More] Understanding the Sensation of Vibrations in the Sole of the Foot


Understanding Blurry Vision: Is It a Neurological Issue?

The dynamic imaging is unclear? Hello doctor, I find that I cannot see clearly and everything appears blurry when watching dynamic images on television (for example, people running or jumping in the scene) or the scrolling news ticker. Could this be a problem with my optic nerve?...


Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to visit an ophthalmology clinic for an examination.

[Read More] Understanding Blurry Vision: Is It a Neurological Issue?


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