Understanding Uncontrolled Muscle Contractions: A Neurological Perspective
The body may experience uncontrollable urges to exert force? I experience episodes infrequently, during which I am conscious and able to talk, but my body is uncontrollable. Sometimes it affects specific areas, while other times it is generalized. I feel my muscles tightening, wi...
Dr. Cai Zongzhang reply Neurology
Hello, it is recommended that you consult a neurologist or a rehabilitation physician for further evaluation and treatment.[Read More] Understanding Uncontrolled Muscle Contractions: A Neurological Perspective
Understanding Epilepsy: Managing Symptoms and Seeking Solutions
Questions about epilepsy? Hello, Doctor. I was diagnosed with abnormal brain wave activity due to sleepwalking and other factors when I was five years old, and I started medication until middle school. I discontinued the medication in middle school as my symptoms improved. Howeve...
Dr. Cai Zongzhang reply Neurology
Hello, based on your description, it seems to be symptoms of epilepsy. There may be an adjustment period during the medication process, so I recommend that you continue to communicate with your physician.[Read More] Understanding Epilepsy: Managing Symptoms and Seeking Solutions
Understanding Sleep Movements in Children: Is It Epilepsy?
Children may experience eyelid twitching, chewing, and swallowing during sleep? Hello Doctor: My son is currently 3 and a half years old. Recently, I have noticed that he often exhibits chewing and swallowing movements while sleeping, along with eyelid twitching and exertion of o...
Dr. Cai Zongzhang reply Neurology
Hello, the symptoms you mentioned cannot be directly attributed to neurological responses; they may be reactions related to the sleep process. It is advisable to seek further evaluation and treatment from a pediatrician.[Read More] Understanding Sleep Movements in Children: Is It Epilepsy?
Post-Head Injury Seizures: Duration of Medication and Return to Work
Post-craniotomy seizures following a car accident? Hello, Doctor: After a car accident, I experienced intracranial hemorrhage and underwent skull surgery, which led to seizures (in March 2019). Since taking the medication prescribed by my doctor, I have not had any further seizur...
Dr. Cai Zongzhang reply Neurology
Hello, if you have a physician that you are regularly following up with, it is recommended that you continue to have regular check-ups. You can also discuss any adjustments and management of related medications with your physician.[Read More] Post-Head Injury Seizures: Duration of Medication and Return to Work
Understanding Hand Tremors: When to See a Neurologist and Treatment Options
Finger tremors? Hello, I have been researching but haven't found a similar issue. My job requires me to use a computer for 8-9 hours a day, and over time, I am unsure if the excessive use of my fingers for fine motor tasks (such as writing, using chopsticks, or turning pages...
Dr. Cai Zongzhang reply Neurology
Hello, if your symptoms are interfering with your daily life or work, it is advisable to seek further evaluation or treatment from a neurologist.[Read More] Understanding Hand Tremors: When to See a Neurologist and Treatment Options
Understanding Acute Intracerebral Hemorrhage: Recovery and Rehabilitation Insights
Acute intracerebral hemorrhage Dr. Tsai, I hope you don’t mind me asking. My mother suddenly fainted while working, with left-sided movement, tremors, and urinary incontinence. She was urgently taken to the hospital, where it was immediately discovered that she had a right-sided ...
Dr. Cai Zongzhang reply Neurology
Hello, I understand that you are very anxious about your mother's condition and are seeking a second medical opinion. I recommend that you proactively discuss your concerns with your mother's attending physician. If you have any doubts, you can ask the medical team to p...[Read More] Understanding Acute Intracerebral Hemorrhage: Recovery and Rehabilitation Insights
Severe Headaches: Understanding Causes and Seeking the Right Specialist
Severe headache? Hello, doctor. I am a patient with hypertension. I know that high blood pressure can cause headaches. However, in addition to experiencing headaches when my blood pressure is high, I also experience severe pain in the back of my head when riding a motorcycle over...
Dr. Cai Zongzhang reply Neurology
Hello, it is recommended that you seek further follow-up diagnosis and treatment from a neurosurgeon or neurologist.[Read More] Severe Headaches: Understanding Causes and Seeking the Right Specialist
Why Do My Fingernails Swell and Hurt After Trimming?
Swelling and pain around the fingernail often occurs after trimming the nails? The nails on my fingers often start to swell and become painful after I trim them. Initially, I thought it was due to bacteria on the nail clippers, so I disinfected them with alcohol wipes, but the sw...
Dr. Cai Zongzhang reply Neurology
Hello, regarding the pain beside your finger, I am not sure if it is caused by an ingrown nail. I recommend seeking assistance from a surgeon.[Read More] Why Do My Fingernails Swell and Hurt After Trimming?
Understanding Head Pain: Symptoms and When to Seek Help
Headache issues Hello Doctor, I have been experiencing pain in the back of my head, dizziness, nausea, memory issues, and tinnitus recently. I visited a clinic where the doctor examined my ears and blood pressure, both of which were normal. The doctor suggested that it might be a...
Dr. Cai Zongzhang reply Neurology
Hello, both physiological and psychological factors can contribute to headaches. It is recommended that you relax and maintain a regular routine. If the headache does not improve, it is advisable to consult a neurologist.[Read More] Understanding Head Pain: Symptoms and When to Seek Help
Understanding Myoclonic Epilepsy with Absence Seizures: A Patient's Journey
Myoclonic epilepsy with absence seizures Hello Doctor, I have been diagnosed with epilepsy since I was in the third year of junior high school. It started after I went on a roller coaster, and the next morning I suddenly knocked over a cup of water. I didn't think much of it...
Dr. Cai Zongzhang reply Neurology
Hello, you are continuing your medication, but are you regularly attending check-ups and undergoing relevant tests? The decision to discontinue antiepileptic medications must be carefully evaluated, weighing the benefits of stopping the medication against the risk of seizure recu...[Read More] Understanding Myoclonic Epilepsy with Absence Seizures: A Patient's Journey
Understanding Involuntary Eye and Limb Movements: A Neurology Perspective
Involuntary twitching of the eyes and a feeling of weakness in the limbs? Hello Doctor, Two weeks ago, I started experiencing twitching in the area under my right eye, which has continued until now. A few days later, I noticed frequent twitching in the back of my left foot and ...
Dr. Cai Zongzhang reply Neurology
Hello, you have many concerns about your symptoms. You have undergone relevant examinations, and it is recommended that you follow up with your physician based on the test results. Until a diagnosis is confirmed, try to relax and not let worry affect your mood.[Read More] Understanding Involuntary Eye and Limb Movements: A Neurology Perspective
Is Weakness in Right Hand, Foot, and Eye a Stroke Warning Sign?
Weakness in the hands, feet, and eyes? Hello: I usually sleep on my right side. Recently, I have felt weakness in my right hand and foot. In the past few days, I suddenly noticed that the strength to close my right eye and mouth tightly is weaker than on the left side. My cholest...
Dr. Cai Zongzhang reply Neurology
Hello, weakness in the hands and feet may be related to muscle or nerve issues. You should consider visiting a hospital for relevant examinations. As for maintenance, it is recommended to maintain a regular routine and a balanced diet.[Read More] Is Weakness in Right Hand, Foot, and Eye a Stroke Warning Sign?
Understanding Autonomic Nervous System Disorders: Symptoms and Connections
Autonomic nervous system disorders? Hello doctor, two years ago, I suddenly felt a wave of dizziness one day, as if I were about to faint, but I never actually lost consciousness. Since that day, I have felt like I am constantly swaying, as if I were on a boat, whenever I am awak...
Dr. Cai Zongzhang reply Neurology
Hello, it is recommended that you maintain a regular sleep schedule and a balanced diet, identify sources of stress in your life, and practice stress-relief techniques. This should help improve your condition. If the issues persist, it is advisable to have regular follow-up appoi...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Connections
Understanding Hand Cramps: Causes, Symptoms, and Relief Strategies
Prolonged hand cramps? I started feeling discomfort in my hand since last night. I used the restroom that day and had some alcohol before going to bed. When I tried to sleep, I experienced painful muscle cramps in my hand, which made it impossible to fall asleep. After some stret...
Dr. Cai Zongzhang reply Neurology
Hello, alcohol consumption may affect neuronal transmission, especially if you experienced fatigue the previous day. It is advisable to continue monitoring your condition, and if symptoms persist, it is recommended to seek further medical attention.[Read More] Understanding Hand Cramps: Causes, Symptoms, and Relief Strategies
Numbness Around the Right Eye: Causes and When to Seek Help
There is a tingling sensation around the area from the eye to the temple on the right side? Sometimes I experience this symptom, mostly after I am very tired (after surfing or finishing work). It usually occurs while sitting and looking at the computer, where I feel a tingling se...
Dr. Cai Zongzhang reply Neurology
Hello, you might be feeling a bit tired. I recommend that you take a good rest and relax. If the discomfort persists, please seek medical attention for further evaluation.[Read More] Numbness Around the Right Eye: Causes and When to Seek Help
Understanding Burning Sensation in the Right Elbow: Possible Causes and Solutions
Burning sensation in the right elbow? Hello, doctor. For the past two weeks, I have been experiencing a burning sensation on the inner side of my right elbow, even though there has been no injury. Wearing long-sleeved clothing exacerbates the burning and stabbing pain, and at tim...
Dr. Cai Zongzhang reply Neurology
Hello, generally speaking, having undergone carpal tunnel release and ulnar nerve decompression surgery on the left hand should not affect the right hand. It is recommended that you visit a neurologist for further evaluation.[Read More] Understanding Burning Sensation in the Right Elbow: Possible Causes and Solutions
Understanding Sudden Severe Dizziness: Causes and Medical Advice
Sudden severe dizziness? Hello, doctor. I am 35 years old. Last night before bed (September 30), I suddenly felt an abnormal sensation in my head, followed by severe dizziness (intermittently), a spinning sensation, blurred vision, cold sweats, nausea, and a rapid heartbeat. I fe...
Dr. Cai Zongzhang reply Neurology
Hello, it is advisable to seek medical attention anytime you experience any discomforting symptoms, so that they can be properly assessed and treated in a timely manner.[Read More] Understanding Sudden Severe Dizziness: Causes and Medical Advice
High Blood Pressure: Should You See a Neurologist or Cardiologist?
Hypertension Hello Doctor: My mother is 80 years old and has a history of stroke. Recently, her health check revealed high blood pressure (consistently measuring between 152 and 165 over the past week). Should we consult a neurologist or a cardiologist for her high blood pressure...
Dr. Cai Zongzhang reply Neurology
Hello, I recommend that you consult a cardiologist. Thank you.[Read More] High Blood Pressure: Should You See a Neurologist or Cardiologist?
Understanding Sleep Disturbances: Involuntary Body Jerks Before Sleep
Body twitching before sleep? Hello Doctor: Recently, I've been experiencing hand numbness that has led to sleep issues. While the numbness has improved significantly, I have started to experience involuntary body movements before falling asleep. Sometimes my back muscles twi...
Dr. Cai Zongzhang reply Neurology
Hello, it sounds like the numbness in your hands is affecting your sleep and causing you distress. I recommend that you consult with a psychiatrist or a specialist in sleep disorders, as it may be helpful for you.[Read More] Understanding Sleep Disturbances: Involuntary Body Jerks Before Sleep
Why Does My Hand Suddenly Retract While Side Sleeping?
When sleeping on the side, the hand may suddenly retract? I have a habit of sleeping on my side. When I sleep on my side, if the hand that is underneath my body is extended straight and perpendicular to my body, it suddenly bends and retracts as I am about to fall asleep, causing...
Dr. Cai Zongzhang reply Neurology
Hello, I am trying to understand your condition based on your description. I recommend that you visit a neurologist for further examinations, or you may consider undergoing a sleep study for a more detailed diagnosis.[Read More] Why Does My Hand Suddenly Retract While Side Sleeping?