Could My Symptoms Indicate ALS or Myasthenia Gravis?
Is it possible to have amyotrophic lateral sclerosis (ALS)? Hello Doctor, I am the person who asked question #114246. I would like to know if these symptoms could possibly be related to conditions like amyotrophic lateral sclerosis (ALS) or myasthenia gravis. I am really scared t...
Dr. Gao Chunde reply Neurology
The weakness in individuals with amyotrophic lateral sclerosis (ALS) does not fluctuate over several days; it progresses gradually step by step. To determine whether the weakness is indeed present, relevant examinations must be conducted, and the decision should be made by the ph...[Read More] Could My Symptoms Indicate ALS or Myasthenia Gravis?
Understanding Ultrasound Results: Implications for Neurological Symptoms
Ultrasound examination results Hello Doctor, I have been experiencing long-term fatigue, intermittent headaches, difficulty thinking, excessive sleepiness, and blurred vision with a slightly darkened field, feeling as if I have heatstroke that just won't improve (and is gett...
Dr. Gao Chunde reply Neurology
There is significant stenosis in the intracranial vertebral artery blood flow that requires treatment. Initial management can involve medical therapy. If there is improvement, including a reduction in clinical symptoms and follow-up imaging showing improved blood flow, then stent...[Read More] Understanding Ultrasound Results: Implications for Neurological Symptoms
Understanding Your Nerve Conduction Study Results: Key Insights
Nerve Conduction Study Report Hello Doctor, this is my nerve conduction study report. The conclusion states: The NCS, F-wave, and H-reflex of the four limbs showed: - Prolonged distal latency (4.3 ms) of the right median compound muscle action potential (CMAP), normal amplitudes...
Dr. Gao Chunde reply Neurology
Relevant reports indicate that only the left fifth lumbar nerve and the left tibial nerve have issues that may be related to the foot; however, they are not associated with plantar fasciitis. Your symptoms are primarily consistent with plantar fasciitis.[Read More] Understanding Your Nerve Conduction Study Results: Key Insights
Understanding Muscle Weakness and Involuntary Twitches in the Legs
Weakness in the leg muscles and involuntary muscle twitching? Hello Doctor, I experienced a sensation of muscle weakness in my legs (calves and soles) around mid-September. It felt as if my legs were weak, and even when I was at rest, I had a persistent feeling of soreness and we...
Dr. Gao Chunde reply Neurology
When feeling weak, it is advisable to consult a neurologist to check potassium levels in the blood.[Read More] Understanding Muscle Weakness and Involuntary Twitches in the Legs
Understanding Chronic Headaches: When to Seek Neurology Care
Persistent headache? Doctor, I would like to ask: My mother has been experiencing headaches recently, and they last for one to two months at a time. What could this be? Additionally, her headaches worsen when she has her period. Which specialty should she see for this issue? Than...
Dr. Gao Chunde reply Neurology
If the headache persists and does not improve, it is necessary to seek medical attention, and you can consult a neurologist.[Read More] Understanding Chronic Headaches: When to Seek Neurology Care
Persistent Headaches for a Week: Understanding Your Symptoms
The headache has been ongoing for about a week? Hello Doctor, I started experiencing symptoms similar to dizziness about a week ago. Previously, I had been sneezing and visited my usual doctor, who prescribed me cold medication (Rhin Tab) for about three days, along with stomach ...
Dr. Gao Chunde reply Neurology
Perhaps the initial headache is not a cold, but rather a tension-type headache. The medication taken may contain analgesic components, which could provide some relief. If it is a tension-type headache, it is generally advisable to relax the shoulders and neck, take breaks from th...[Read More] Persistent Headaches for a Week: Understanding Your Symptoms
Understanding Muscle Numbness Above the Knee: Causes and Solutions
The muscles just above the knee are experiencing numbness? Hello, doctor. Over the past year, I have had to sit for long periods due to my studies. The year before, I worked part-time and had to stand for at least two days a week for 6 to 8 hours. After a long flight back home (a...
Dr. Gao Chunde reply Neurology
You can find time to engage in gentle exercises regularly, such as walking, cycling, or playing some ball sports. If the symptoms worsen or do not improve, seek a detailed evaluation from a healthcare professional.[Read More] Understanding Muscle Numbness Above the Knee: Causes and Solutions
Understanding Fatigue, Neck Tension, and Cognitive Issues: A Neurology Perspective
Mental fatigue, heavy tiredness, frequent yawning, and tightness in the neck? In the past few days, my mental state has not been good; I often feel distracted, and I experience slight pressure and pain in my head, which is not too severe. I frequently yawn and occasionally feel n...
Dr. Gao Chunde reply Neurology
Symptoms such as stress and lack of sleep can be alleviated by spending more time outdoors during the day to relax, applying a warm towel to the shoulders and neck before bedtime, and maintaining a regular sleep schedule. If these measures do not improve the situation, consider s...[Read More] Understanding Fatigue, Neck Tension, and Cognitive Issues: A Neurology Perspective
Facial Muscle Tremors When Smiling: Possible Causes and Concerns
Facial muscle twitching when laughing? Hello, doctor. For the past two months, I've noticed that sometimes when I smile, the muscles around my smile area twitch, but it doesn't happen every time I smile. Could you please tell me what this situation might be? Is it relat...
Dr. Gao Chunde reply Neurology
Muscles are prone to twitching after extensive use, but resting will usually resolve the issue. However, if you notice facial asymmetry, it is important to seek medical attention for further evaluation.[Read More] Facial Muscle Tremors When Smiling: Possible Causes and Concerns
Understanding Neck Tension and Breathing Difficulties: A Neurology Perspective
Tightness in the shoulders and neck can lead to difficulty breathing? Doctor, about six months ago, I started to occasionally feel tightness in my shoulders and neck while walking, along with some difficulty breathing. Now, whenever I stand up and walk, my shoulders and neck beco...
Dr. Gao Chunde reply Neurology
Standing posture can lead to tightness in the shoulders and neck, making it difficult to breathe, and it can be challenging to determine the underlying issue. In neurology, if your symptoms are accompanied by orthostatic headaches that improve when lying down, it may be related t...[Read More] Understanding Neck Tension and Breathing Difficulties: A Neurology Perspective
Is Your Neck Discomfort a Sign of Stroke? Understanding the Symptoms
Is the risk of stroke high? Hello, Dr. Jiang: On October 14th, I felt a pressure in the left side of my neck below the ear, which was uncomfortable. On the morning of October 15th, when I woke up, my vision suddenly went black for about 20 seconds before turning white, and I felt...
Dr. Gao Chunde reply Neurology
Neck compression can be a sensation or the presence of a palpable mass. If there is an issue with the neck vessels, the most concerning condition is arterial dissection, such as carotid or vertebral artery dissection, which can occur due to external trauma or severe neck twisting...[Read More] Is Your Neck Discomfort a Sign of Stroke? Understanding the Symptoms
Managing Chronic Head Trauma: Effective Strategies Beyond Medication
Head trauma I often bump my head, and it's been a long time—some of these incidents happened years ago. However, the bruising seems to have not dissipated. When I apply light pressure, it hurts, but sometimes I experience severe, sharp pain. Regardless of what I do, it hurts...
Dr. Gao Chunde reply Neurology
The bruising should not last this long. It typically hurts with light pressure and remains painful when at rest, but the discomfort slightly alleviates with pressure. These symptoms are indicative of tension-type headaches, which can be relieved through massage and warm towel com...[Read More] Managing Chronic Head Trauma: Effective Strategies Beyond Medication
Understanding Parkinson's Disease: Symptoms and Diagnosis Clarified
Parkinson's disease My mother is 59 years old and was diagnosed with Parkinson's disease a year ago. At that time, the doctor informed us that medication would be highly effective for Parkinson's disease. However, my mother sometimes has quick reactions and other t...
Dr. Gao Chunde reply Neurology
The symptoms of Parkinson's disease do not necessarily include tremors or rigidity; however, bradykinesia refers to slowness of movement, not to the slowness in speech or difficulty in recalling words. When a physician prescribes Parkinson's medication, it can cause dis...[Read More] Understanding Parkinson's Disease: Symptoms and Diagnosis Clarified
Understanding Excessive Daytime Sleepiness: Is It Narcolepsy?
The trouble of frequently dozing off? Since elementary school, I have often dozed off during classes. This symptom was noticed by my aunt when I was in the ninth grade, and I underwent a medical examination, but no specific cause was found. However, even in college, I continued t...
Dr. Gao Chunde reply Neurology
The symptoms are quite consistent with narcolepsy. You can visit a large hospital's sleep medicine department or a neurology department that specializes in sleep disorders for evaluation and to arrange further sleep studies for confirmation.[Read More] Understanding Excessive Daytime Sleepiness: Is It Narcolepsy?
Unexplained Dizziness and Pressure: Seeking Answers for Persistent Symptoms
Unexplained dizziness and a feeling of heaviness in the head? Hello Doctor, for the past month and a half, I have been experiencing a constant feeling of dizziness. It's not the spinning type of dizziness, but rather a dull, pressure-like sensation in the back of my head tha...
Dr. Gao Chunde reply Neurology
The neurologist's examination is aimed at ruling out some tumors and inflammation in the posterior cranial fossa, particularly in the brainstem. Sometimes, tension-type headaches or emotional stress, including anxiety, can present symptoms similar to yours. If these issues c...[Read More] Unexplained Dizziness and Pressure: Seeking Answers for Persistent Symptoms
Understanding Subtle Dizziness: Neurological Insights and Symptoms
To feel faint or not to feel faint? This condition has persisted for a week. There's no significant dizziness, but it feels somewhat like heat exhaustion. However, I am still able to move around, just not as energetically as usual. If I don't mention it, others wouldn&#...
Dr. Gao Chunde reply Neurology
It could be due to fatigue or lack of sleep, or it might be a mild cold. Generally, these conditions will gradually improve with rest. If the symptoms persist or worsen, it is advisable to visit a family medicine or general internal medicine clinic for further evaluation, particu...[Read More] Understanding Subtle Dizziness: Neurological Insights and Symptoms
Understanding Persistent Numbness in the Left Middle Toe: Causes and Treatments
Numbness in the left foot's middle toe for an extended period? Dear Doctor, I have been experiencing significant numbness in the middle toe of my left foot for nearly ten years (the right foot is unaffected). This sensation is particularly uncomfortable when I walk barefoot...
Dr. Gao Chunde reply Neurology
In principle, the nerves in this area are quite peripheral, and it may not be easy to identify a specific nerve during examination. Compression refers to situations where shoes are too tight, causing the toes to be squeezed together, especially in pointed shoes. It can also refer...[Read More] Understanding Persistent Numbness in the Left Middle Toe: Causes and Treatments
Can Needle Leakage During IV Injection Cause Prolonged Hand Numbness?
Will a needle leak cause hand numbness? Hello, doctor. I am a nurse. A few months ago, I administered an intravenous injection to a patient. His veins were difficult to access, so I noticed a vein on the inner side of his wrist (the area where we usually check the pulse) that see...
Dr. Gao Chunde reply Neurology
If the needle unfortunately injures a nerve at the moment of insertion, the patient will experience intense pain or a sensation similar to an electric shock. However, it seems that is not the case for you. Most likely, what is gradually occurring is that the medication, which did...[Read More] Can Needle Leakage During IV Injection Cause Prolonged Hand Numbness?
Should You Worry About Mild Hand Tremors? When to Seek Medical Advice
Mild tremors; I'm unsure whether I should seek medical evaluation? Hello, Dr. Gao. I have noticed that I have a tremor in my hands since my junior year in college, but it hasn't been severe. I can still perform some fine dissection experiments as long as I rest my wrist...
Dr. Gao Chunde reply Neurology
If the symptoms have not progressively worsened over the years or been accompanied by new neurological symptoms, many people with primary tremors can live peacefully with it for a lifetime without needing examinations or medication. However, if there are changes as I described ea...[Read More] Should You Worry About Mild Hand Tremors? When to Seek Medical Advice
Unexplained Leg Pain Without Exercise: What Could Be Wrong?
Experiencing unexplained soreness in certain areas of the body without engaging in physical activity? Initially, I experienced pain in the tendons behind my ankles without engaging in any exercise. This pain then shifted to my calves, and now it has progressed to a point where th...
Dr. Gao Chunde reply Neurology
It is recommended to visit a rheumatologist for further examination and treatment.[Read More] Unexplained Leg Pain Without Exercise: What Could Be Wrong?