Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Suspected autonomic nervous system dysfunction? Hello Doctor, I have been experiencing episodes of physical agitation about 1 to 2 times a month. Even though I feel like I’m not thinking about anything in particular and don’t feel anxious, my body becomes agitated involuntarily. ...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Cheng: Based on the symptoms mentioned, it is recommended to visit a neurology clinic for an examination to determine if there is a neurological disorder.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Scalp Numbness: Causes and Concerns for Your Health
Scalp tingling? I've been experiencing frequent shoulder and neck pain over the past couple of days, and I feel a tingling sensation in the scalp at the back of my left head. I'm worried it might be a stroke or meningitis. My hands and feet also feel numb when I wake up...
Dr. Cai Zongzhang reply Neurology
Hello: The most common cause of the above symptoms is poor posture or prolonged bending of the head while using a mobile phone or laptop. Please avoid these activities and see if there is any improvement. If there is no improvement, please visit a neurology clinic.[Read More] Understanding Scalp Numbness: Causes and Concerns for Your Health
Understanding Involuntary Shoulder Twitches in Young Children: Causes and Concerns
Involuntary shoulder twitching? My grandson is currently three and a half years old, and I have recently noticed that his shoulders are often twitching involuntarily. What could be the reason for this?
Dr. Cai Zongzhang reply Neurology
Hello, Lianzi: It is not possible to determine the cause or whether treatment is needed based solely on the symptom description. It is recommended to visit a pediatric neurology clinic.[Read More] Understanding Involuntary Shoulder Twitches in Young Children: Causes and Concerns
Is Autonomic Nervous System Disorder Linked to Cervical Spine Issues?
Is autonomic nervous system dysfunction caused by cervical spine issues? Hello, doctor. A couple of years ago, after sitting for a long time, I suddenly experienced symptoms such as chest tightness and sharp chest pain. After a while, I felt increasingly uncomfortable and fainted...
Dr. Cai Zongzhang reply Neurology
Hello Johnny: Based on the symptom description, it is recommended to visit a neurology outpatient clinic to check for any neurological pain.[Read More] Is Autonomic Nervous System Disorder Linked to Cervical Spine Issues?
Can Epilepsy Patients Safely Supplement with 5-HTP for Sleep?
Can patients with epilepsy supplement with 5-HTP? Hello Doctor, my mother has epilepsy and is currently prescribed one "Xanax" at bedtime. Since developing epilepsy, she has been dreaming every night and usually remembers her dreams upon waking. Although her daytime ene...
Dr. Cai Zongzhang reply Neurology
Hello, Xiao K: Sleep disorders and frequent dreaming are commonly caused by age-related central nervous system degeneration. Symptomatic treatment with medication may be used, but there are other possible underlying causes. It is recommended to visit a neurology outpatient clinic...[Read More] Can Epilepsy Patients Safely Supplement with 5-HTP for Sleep?
Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study
Massive hemorrhagic stroke with severe coma? Hello, doctor! My father has a history of hypertension and has been a long-time smoker and drinker. A month ago, he underwent gallbladder removal surgery due to gallstones, during which arrhythmia was discovered. Two weeks after the in...
Dr. Cai Zongzhang reply Neurology
Hello Ms. Hsueh: 1. Brainstem hemorrhage can lead to post-hemorrhagic hydrocephalus, and ventriculostomy is a reasonable medical intervention. However, the timing of the surgery should be determined based on the patient's condition, so please collaborate with your physicia...[Read More] Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study
Post-Surgery Memory Loss: When to Seek Help After Brain Tumor Removal
Recurrent amnesia after brain tumor surgery? Hello Dr. Tsai, my older brother was diagnosed with a brain tumor in the fifth grade (he is currently 29 years old) and underwent immediate surgical resection. Post-surgery, he occasionally experienced transient amnesia and dizziness, ...
Dr. Cai Zongzhang reply Neurology
Hello: Post-operative residual epilepsy is a common sequela of brain tumors. The aforementioned symptoms may be attributed to seizure activity, and it is recommended to visit a neurology outpatient clinic.[Read More] Post-Surgery Memory Loss: When to Seek Help After Brain Tumor Removal
Left Tongue Numbness and Loss of Taste: Understanding Neurological Issues
Numbness on the left side of the tongue with diminished taste sensation? Hello doctor, my left tongue has been uncomfortable for three days, and then I experienced facial nerve dysfunction on the left side of my face. Four weeks later, my face is almost recovered, but my left ton...
Dr. Cai Zongzhang reply Neurology
Hello, Huang Xiaoming: The symptoms mentioned above are typical of facial nerve paralysis. It is recommended to visit a neurology outpatient clinic.[Read More] Left Tongue Numbness and Loss of Taste: Understanding Neurological Issues
Understanding Partial Epilepsy: Treatment, Triggers, and Lifestyle Tips
Focal epilepsy Hello, Doctor. I was diagnosed with focal epilepsy over a month ago. My first seizure occurred while I was exercising and sweating heavily; I suddenly felt like my right hand was being electrocuted, then I collapsed and experienced generalized convulsions. A week l...
Dr. Cai Zongzhang reply Neurology
Hello, Yiyi: During the initial treatment of epilepsy, it is essential to have regular outpatient follow-ups to adjust the medication dosage until the condition stabilizes. It may take some time to observe the efficacy of the medication and make adjustments, so please be patient ...[Read More] Understanding Partial Epilepsy: Treatment, Triggers, and Lifestyle Tips
Can MRI Detect Epilepsy Four Days After Seizure? Insights from Neurology
Can a test detect epilepsy four days after a seizure? I would like to ask you, during my first seizure, it occurred in the morning. The precursor was a feeling of fear, and then I lost consciousness. When I woke up, I was sitting on the sofa with a bump on my head. However, about...
Dr. Cai Zongzhang reply Neurology
Hello: During the first seizure, the physician will arrange for blood tests and brain imaging studies to diagnose the underlying cause of epilepsy. Typically, blood tests are completed immediately upon presentation, checking for any abnormalities in blood components. The purpose ...[Read More] Can MRI Detect Epilepsy Four Days After Seizure? Insights from Neurology
Understanding Tinnitus and Chronic Fatigue: Insights from Neurology
Tinnitus and fatigue issues? Hello Dr. Tsai, I am not only troubled by tinnitus, but I also experience fatigue and overall exhaustion. No matter what I do, I just can't seem to muster any energy; I feel very tired. I am not working and have no stress. My tinnitus was checked...
Dr. Cai Zongzhang reply Neurology
Hello Ms. Chen: There are many causes of tinnitus. If there are no abnormalities found during the examination by an otolaryngologist, you may consider seeing a neurologist for further evaluation.[Read More] Understanding Tinnitus and Chronic Fatigue: Insights from Neurology
Understanding Eyebrow Bone Pain: Causes and When to Seek Help
Frontal bone pain In the past year or two, I have started experiencing pain in my brow bone, which I initially thought might be due to the use of electronic devices. As a result, I significantly reduced my usage of these devices for a while. I also visited the ophthalmology depar...
Dr. Cai Zongzhang reply Neurology
Hello, Ms. Chang: The pain occurring in the brow area may have other potential causes, including sinusitis or trigeminal neuralgia. If the ophthalmic examination shows no abnormalities, it is recommended to consult an otolaryngologist and a neurologist for further evaluation.[Read More] Understanding Eyebrow Bone Pain: Causes and When to Seek Help
Understanding Dizziness and Concentration Issues: Possible Causes and Treatments
Dizziness / tightness in the back of the head / difficulty concentrating? Hello Doctor, since mid-2021, I have been experiencing intermittent tightness and numbness in the back of my head, along with dizziness (similar to motion sickness), accompanied by difficulty concentrating ...
Dr. Cai Zongzhang reply Neurology
Hello Ms. Chen: Based on the above, after a thorough examination, including an MRI, it has been confirmed that there are no organ abnormalities. It is recommended to improve sleep quality and engage in moderate exercise, in conjunction with medication treatment.[Read More] Understanding Dizziness and Concentration Issues: Possible Causes and Treatments
Understanding Your Carotid Ultrasound and MRI Results: A Guide for Patients
CT Report Hello Doctor, I have diabetes and have been experiencing frequent headaches lately, which makes me worry about a stroke. I had a neck ultrasound and a brain MRI done in June, and I would like your assistance in understanding any important points to note. Thank you. Car...
Dr. Cai Zongzhang reply Neurology
Hello, Xiaoping: Both the carotid ultrasound and MRI show no abnormalities, indicating that there are no serious pains in the organs. It is recommended to improve sleep, increase physical activity, and enhance the control of blood sugar and lipids to alleviate symptoms.[Read More] Understanding Your Carotid Ultrasound and MRI Results: A Guide for Patients
Understanding Fluctuating Weakness: Is It Anxiety or a Neurological Issue?
The soft tissue in the area is moving around? Recently, I woke up with sudden weakness and soreness in my left arm (it felt as sour as squeezing a lemon), and the next day it shifted to my right leg. The following day, I woke up with a stiff neck. After visiting a rehabilitation ...
Dr. Cai Zongzhang reply Neurology
Hello, Ms. Shu: Based on the symptoms mentioned above, it is recommended to consult a neurologist for an examination.[Read More] Understanding Fluctuating Weakness: Is It Anxiety or a Neurological Issue?
Unexplained Dizziness: Seeking Answers After Multiple Doctor Visits
After multiple consultations, the cause of the head dizziness has not yet been identified? Hello Doctor: Last month (December 21, 2023) in the evening, due to the cold weather and wearing lighter clothing, I seemed to have caught a chill. However, I did not exhibit any obvious co...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Li: There are various causes of dizziness. It is recommended to first visit a neurologist to arrange for a vascular ultrasound examination. Identifying the cause is essential for determining the correct treatment direction.[Read More] Unexplained Dizziness: Seeking Answers After Multiple Doctor Visits
Understanding Your Neurology Report: Key Findings and Next Steps
Examination Report Hello Doctor, this is the examination I had done in June last year. I would like to ask for your help in reviewing it for any issues that I should be aware of, as I have diabetes and have recently been experiencing headaches, which makes me fearful of a stroke....
Dr. Cai Zongzhang reply Neurology
Hello, Xiaoping: The right side examination report shows no evidence of cerebral infarction, and the degree of carotid artery atherosclerosis is mild. It is recommended to actively manage diabetes and to follow up with carotid ultrasound annually.[Read More] Understanding Your Neurology Report: Key Findings and Next Steps
Understanding Right Neck and Shoulder Pain: When to Seek Neurology Help
Right shoulder and neck tightness and pain? Hello Doctor: For the past six months, I have been experiencing a tight and painful sensation on the right side of my neck, extending from my head down to a certain point on my shoulder, similar to a nerve issue. I have difficulty turni...
Dr. Cai Zongzhang reply Neurology
Hello Ms. Liu: It is recommended to visit the neurology department for a cervical spine examination.[Read More] Understanding Right Neck and Shoulder Pain: When to Seek Neurology Help
Overcoming Insomnia: Tips for Managing Sleep Disruptions from Trigeminal Neuralgia
Insomnia and difficulty falling asleep? Doctor, I experienced severe pain from trigeminal neuralgia that kept me awake until around 4 AM one day. Since then, I haven't had a recurrence while awake, but I still suffer from insomnia. When I lie down, my mind races with thought...
Dr. Cai Zongzhang reply Neurology
Hello Wei-Feng: It is recommended to discuss with a physician who specializes in treating trigeminal neuralgia, as both issues can be addressed simultaneously.[Read More] Overcoming Insomnia: Tips for Managing Sleep Disruptions from Trigeminal Neuralgia
Essential Tests for Tinnitus: A Guide to Neurology Evaluations
Tinnitus and pulsatile tinnitus issues? Dr. Tsai, you just mentioned that I should see a neurologist for an examination. I would like to ask you, what specific tests should be conducted for tinnitus?
Dr. Cai Zongzhang reply Neurology
Hello Ms. Chen: It is recommended to have a consultation first before deciding which tests to schedule.[Read More] Essential Tests for Tinnitus: A Guide to Neurology Evaluations