Understanding Persistent Left Facial and Occipital Numbness: Causes and Concerns
Shoulder and neck pain? Hello doctor, I would like to ask what could be the cause of persistent numbness on the left side of my face and the back of my head for the past four days?
Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Persistent Left Facial and Occipital Numbness: Causes and Concerns
Understanding Muscle Tremors Near the Heart: Causes and Concerns
Chest muscle tremors? Hello Doctor, recently I have been experiencing involuntary rapid muscle twitching on the left side near my heart (similar to the vibration of a phone when someone is calling). When I touch it, I cannot feel the muscle twitching, and there is no pain in my h...
Dr. Cai Zongzhang reply Neurology
Hello: The above symptoms are indicative of neurological dysfunction, and it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Muscle Tremors Near the Heart: Causes and Concerns
Understanding Sleep-Related Headaches: Causes and Solutions
Sleep-related headache Hello doctor, my father is 55 years old and recently he has been waking up with headaches after sleeping for a certain period, especially around 7-8 AM when it is most likely to occur. A few days ago, he experienced headaches from the night until the mornin...
Dr. Cai Zongzhang reply Neurology
Hello: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Sleep-Related Headaches: Causes and Solutions
Which Imaging Test is Best for Diagnosing Dementia: CT, MRI, or PET?
Which imaging method is more accurate for diagnosing dementia: CT, MRI, or PET? I have a history of type 2 diabetes for 8 years and have been taking medication for depression for 15 years: DOXEPIN 25 mg (2 tablets) and Escitalopram 10 mg (1 tablet). I have had insomnia for 20 yea...
Dr. Cai Zongzhang reply Neurology
Hello: For memory function disorders, a CT scan is typically arranged, and an MRI is only ordered if there is suspicion of a stroke. PET scans are not helpful for assessing memory function.[Read More] Which Imaging Test is Best for Diagnosing Dementia: CT, MRI, or PET?
Understanding Sleep Disorders: Symptoms of Nighttime Disturbances
Sleep disorders Hello Doctor, my father has been experiencing episodes of shouting in his sleep and waking up startled over the past few months. His eyes open wide, but he does not respond when spoken to. Sometimes, he even cuddles up to family members nearby. The next day, when ...
Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to consult a neurologist for an examination.[Read More] Understanding Sleep Disorders: Symptoms of Nighttime Disturbances
Concussions and Epilepsy: Understanding Risks and Treatment Options
Concussion and Epilepsy Six years ago, I lost consciousness for no apparent reason, and a year later, it happened again. After seeking medical attention, the doctor suspected epilepsy. I had no idea what was happening, and both the brain MRI and EEG were normal. The sudden onset ...
Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to consult with a neurologist in the outpatient clinic.[Read More] Concussions and Epilepsy: Understanding Risks and Treatment Options
Persistent Dizziness for Two Months: Seeking Answers and Solutions
Dizziness for the past two months? Hello, I noticed dizziness when I woke up on the morning of June 9th. Initially, I thought it was due to standing up too quickly, but the dizziness persisted throughout the day, occurring whether I was standing, sitting, or lying down. My balanc...
Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to visit the neurology clinic for an examination.[Read More] Persistent Dizziness for Two Months: Seeking Answers and Solutions
Understanding Numbness in the Lower Lip: Possible Causes and Solutions
Numbness in the lower lip? Hello, I would like to ask about a recent issue I've been experiencing. When I brush my teeth, I feel a tingling sensation in my left lip, and when I touch the skin on my left jaw, I also feel a tingling sensation. Could you please explain what mig...
Dr. Cai Zongzhang reply Neurology
Hello: Based on the symptoms mentioned, it is suspected to be a trigeminal nerve disorder. It is recommended to consult a neurologist for examination and treatment.[Read More] Understanding Numbness in the Lower Lip: Possible Causes and Solutions
Do Jewelry and Smart Bands Affect EEG Results?
Could you please provide more context or specify what information you need regarding an EEG (electroencephalogram)? If I forgot to remove earrings, necklaces, bracelets, and a Xiaomi band during an EEG test, will it affect the results? I realized this after the test was completed...
Dr. Cai Zongzhang reply Neurology
Hello: 1. Environmental electromagnetic interference or abnormal physiological activity in the brain can be easily distinguished during an electroencephalogram (EEG). 2. During the EEG, it is necessary to simultaneously monitor the electrocardiogram (ECG), and the electrode patch...[Read More] Do Jewelry and Smart Bands Affect EEG Results?
Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Neck pain In 2019, there was an unexplained pain in the right side of the neck. After treatment by a physician, there were no major issues. However, since March of this year, any physical activity or use of neck strength leads to severe tightness and pain. For example, after abou...
Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to visit a neurologist for a detailed examination.[Read More] Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Understanding Swallowing Difficulties: A Neurological Perspective
Dysphagia Hello, doctor. I have mitral valve prolapse and have been experiencing palpitations for the past six months (it became particularly uncomfortable on August 7, which led to an echocardiogram diagnosis). Recently, I have been having some difficulty swallowing while eating...
Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to visit the neurology outpatient clinic for a detailed examination.[Read More] Understanding Swallowing Difficulties: A Neurological Perspective
Excessive Sleep in Teens: Understanding Prolonged Sleep Duration and Unresponsiveness
Children sleeping for an excessively long duration and being difficult to wake up? A 14-year-old middle school student has been experiencing sudden excessive sleep duration of over 12 hours daily, even reaching 18 hours, since June 9. During this sleep period, the student shows n...
Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to consult a pediatric neurologist for an examination.[Read More] Excessive Sleep in Teens: Understanding Prolonged Sleep Duration and Unresponsiveness
Understanding Weakness in Limbs: Could It Be Autonomic Nervous System Issues?
Weakness in the limbs (autonomic nervous system) Hello Doctor, I have been experiencing a sense of weakness for the past month (it's a strange feeling, not that I can't exert force), with episodes occurring at unpredictable times, lasting anywhere from 1-2 hours to as l...
Dr. Cai Zongzhang reply Neurology
"Could it be a problem with the autonomic nervous system?" It is possible. Symptoms of autonomic dysfunction can range from head to toe and may be mild (dizziness, headaches, dry and blurry eyes, poor sleep, dry mouth, throat discomfort, difficulty breathing, palpitatio...[Read More] Understanding Weakness in Limbs: Could It Be Autonomic Nervous System Issues?
Understanding Sleep Jerks: When to Seek Medical Advice for Your Partner
Sleep myoclonus My boyfriend often shakes his legs/body/hands while sleeping at night. It's not just a quick jolt like being startled; the shaking frequency is quite high (about 7-8 times within 5 minutes), and I can feel the movements even while lying next to him! He snores...
Dr. Cai Zongzhang reply Neurology
Hello: Based on the symptoms mentioned, there is a possibility of having sleep apnea. It is recommended to visit our sleep center for an evaluation.[Read More] Understanding Sleep Jerks: When to Seek Medical Advice for Your Partner
Genetic Testing for Epilepsy: Benefits and Treatment Options for Infants
Genetic testing for epilepsy? Hello, doctor. I would like to ask how many types of medications are currently available for treating epilepsy in infants? Could you please advise if genetic testing for epilepsy would be helpful in quickly treating the condition? If a specific epile...
Dr. Cai Zongzhang reply Neurology
Hello: Epilepsy is currently diagnosed based on clinical symptoms, with genetic testing serving only as a reference, as there is not yet a complete consistency between genotype and clinical phenotype. Medications for infants differ from those for adults, so it is recommended to c...[Read More] Genetic Testing for Epilepsy: Benefits and Treatment Options for Infants
Sudden Numbness and Pain in Left Hand and Foot: Stroke Warning Signs?
Sudden numbness and pain in the left hand and foot? Today, while taking my child out for a meal, I suddenly experienced numbness and pain in the left side of my limbs. The pain is not unbearable, but the numbness has persisted without relief. There are no issues with my facial mu...
Dr. Cai Zongzhang reply Neurology
Hello: Numbness and pain in the limbs on the same side, aside from a stroke, could be indicative of other conditions. It is recommended to visit a neurology clinic for an examination to determine the underlying issue.[Read More] Sudden Numbness and Pain in Left Hand and Foot: Stroke Warning Signs?
Understanding Facial Numbness and Twitching: Is It Trigeminal Neuralgia?
Left facial pain, with twitching of the upper left lip? Doctor, I have been experiencing a tingling sensation in the upper left corner of my mouth recently, and sometimes it twitches like a spasm. There is also soreness around the inner side of my left cheekbone. Could this be tr...
Dr. Cai Zongzhang reply Neurology
Hello, if your symptoms persist, it is recommended to visit a neurology outpatient clinic for further evaluation and treatment.[Read More] Understanding Facial Numbness and Twitching: Is It Trigeminal Neuralgia?
Understanding Epilepsy: Risks, Management, and Avoiding Seizures
Symptoms of epilepsy Hello, I would like to inquire whether epilepsy can lead to a vegetative state, and under what circumstances this might occur. For individuals who are already on a regular medication regimen, how can they avoid further seizures? Is it completely uncontrollabl...
Dr. Cai Zongzhang reply Neurology
Hello, epilepsy is a clinical manifestation caused by abnormal electrical discharges in brain cells. The primary prevention focuses on reducing any damage to the brain. Therefore, conditions such as hypertension, diabetes, heart disease, hyperlipidemia, and gout should be treated...[Read More] Understanding Epilepsy: Risks, Management, and Avoiding Seizures
Understanding Sudden Dizziness: Causes and Concerns for Office Workers
Sudden dizziness? Hello Doctor, I would like to ask about something. Since my job involves sitting at a desk, there have been a few instances while at work where I suddenly experience a brief moment of blankness in my vision and dizziness, lasting about one to two seconds, but ...
Dr. Cai Zongzhang reply Neurology
Hello, please be reminded that adequate rest is necessary and important. If your condition improves, it is recommended that you visit a neurology clinic for further evaluation to determine the possibility of vertigo.[Read More] Understanding Sudden Dizziness: Causes and Concerns for Office Workers
Understanding Right Arm Weakness and Pain: Possible Causes and Solutions
Weakness and pain in the right hand? Hello Dr. Tsai: About six months ago, I started feeling some pain in the area between my right elbow and shoulder. For the past three months, I have been unable to lift heavy objects with my right arm. Recently, I've noticed that the fron...
Dr. Cai Zongzhang reply Neurology
Hello, it is recommended that you consult a rehabilitation specialist for further evaluation and treatment.[Read More] Understanding Right Arm Weakness and Pain: Possible Causes and Solutions