Managing Epilepsy in Teens: When to Consider Medication and Triggers
A child experiencing a seizure in the first year of high school? Hello, Doctor. My child had their first seizure in the third year of junior high school, characterized by stiffening of the limbs, upward eye movement, and loss of consciousness for about 1-2 minutes (this occurred ...
Dr. Gao Chunde reply Neurology
It is really difficult to convince oneself and the patient to take medication daily for an event that occurs only once a year. However, if there are indeed structural lesions in the brain, then treatment and medication are necessary. If not, regular follow-up visits are required,...[Read More] Managing Epilepsy in Teens: When to Consider Medication and Triggers
Understanding Right-Sided Numbness: When to Seek Medical Help
Numbness on the right side of the body? Hello Doctor: Three months ago, I woke up one day with sudden numbness on the right side of my body. I went to a large hospital, and the doctor said it was not a stroke because I still had sensation and pain on the right side, so it should ...
Dr. Gao Chunde reply Neurology
Numbness on the right side has improved over the course of a month, but has recurred. The right side of the face and head are affected, which may indicate a central nervous system issue or a precursor to seizures. An electroencephalogram (EEG) can be used to assess for abnormal e...[Read More] Understanding Right-Sided Numbness: When to Seek Medical Help
Understanding Unexplained Neurological Decline: A Patient's Journey
Central nervous system degeneration? In March 2014, my weight inexplicably dropped from 70 kg to 58 kg within a month (and eventually down to 48 kg over the last six months) with no abnormalities found during health check-ups, and it was not due to intentional weight loss. Betwee...
Dr. Gao Chunde reply Neurology
You described your condition in great detail, and the persistent symptoms on one side of your body primarily suggest a central nervous system issue. However, your electromyography (EMG) and nerve conduction studies also show abnormalities, indicating that there may be peripheral ...[Read More] Understanding Unexplained Neurological Decline: A Patient's Journey
Understanding Concussion Symptoms After a Fall: What to Watch For
Suspected concussion? Hello Doctor: My family member fell in the bathroom 6 days ago. I'm not sure if they hit their head, but their symptoms are very similar to a concussion (according to what I found online). They have been experiencing dizziness, weakness in their limbs, ...
Dr. Gao Chunde reply Neurology
Is your age possibly incorrect? If you are experiencing weakness in your limbs, double vision, and if you tend to veer to one side while walking, it is advisable to seek medical attention promptly to rule out any intracranial lesions.[Read More] Understanding Concussion Symptoms After a Fall: What to Watch For
Understanding Severe Headaches, Dizziness, and Breathing Difficulties
Headache, dizziness, palpitations, and shortness of breath? Two weeks ago in the evening, I suddenly experienced a severe headache and difficulty breathing, prompting me to rush to the emergency room. I told the doctor that my head was pounding, I had tinnitus, and most important...
Dr. Gao Chunde reply Neurology
In general, a neurologist will conduct a detailed assessment based on your headache and related symptoms. If there is a consideration for a specific type of headache, they will explain it to you. If not, it indicates that they believe they can manage your treatment effectively, a...[Read More] Understanding Severe Headaches, Dizziness, and Breathing Difficulties
Understanding Persistent Lower Back Pain: When to Seek Medical Help
Lower back pain Doctor, while brushing my teeth, I slightly leaned forward and suddenly felt a sharp pain in my lower back. I immediately stood up straight, but I keep experiencing episodes of pain. I have been using a lumbar support, but it doesn't always alleviate the pain...
Dr. Gao Chunde reply Neurology
You can consult with a neurosurgeon or an orthopedic surgeon to evaluate any potential issues with your lumbar spine.[Read More] Understanding Persistent Lower Back Pain: When to Seek Medical Help
Understanding Ear Twitches: When to See a Neurologist
Ear twitching I have been experiencing twitching in the area above and around my ear for the past few days. I'm not sure what the cause is; which specialist should I see?
Dr. Gao Chunde reply Neurology
Generally, it is small muscle fasciculations occurring, similar to eyelid twitching or muscle spasms. If there are no functional deficits such as numbness, abnormal sensations, or muscle weakness, one can initially observe the condition. However, if the twitching becomes more fre...[Read More] Understanding Ear Twitches: When to See a Neurologist
Should You See a Doctor After a Head Injury Near the Temple?
Head trauma The left side of the head near the temple was struck hard. Currently, the person is conscious and did not lose consciousness at the time of the impact. There is a slight headache, and there is pain when pressing on the area. Should they see a doctor immediately, or ca...
Dr. Gao Chunde reply Neurology
If there is a depression in the bone or a noticeable hematoma, along with symptoms of neurological dysfunction such as double vision, drowsiness, or unsteady gait, it is advised to seek medical attention promptly.[Read More] Should You See a Doctor After a Head Injury Near the Temple?
Understanding Your Headaches: Causes and When to Seek Help
Thank you, doctor? I apologize for the disturbance. Recently, for the past week or two, I have been experiencing frequent headaches, primarily in the temples, but not on a specific side. Sometimes the pain is on the right side, sometimes on the left, and at times it also occurs a...
Dr. Gao Chunde reply Neurology
Dizziness, vertigo, headache, without nausea, resembling a tension-type headache, but also accompanied by dizziness. A consultation with a neurologist is recommended for further evaluation and analysis to determine whether it is peripheral or central vertigo. Relevant tests will ...[Read More] Understanding Your Headaches: Causes and When to Seek Help
Understanding Facial and Neck Numbness: Possible Causes and Solutions
Numbness in the left cheek and neck? Hello, Dr. Gao. I would like to ask you about my condition. I have bone spurs and degenerative changes in my cervical vertebrae at levels C4 and C5. For the past eight months, I have occasionally experienced numbness in my left cheek and left ...
Dr. Gao Chunde reply Neurology
The C4-C5 cervical vertebrae are unlikely to cause facial numbness; considering the trigeminal nerve is a more reasonable approach. It is also common for examinations to not reveal a clear cause. This could be due to the lesion being too small for current imaging techniques to de...[Read More] Understanding Facial and Neck Numbness: Possible Causes and Solutions
Why Does My Lower Back Hurt When Sitting Up from Lying Down?
Experiencing back pain when transitioning from lying down to sitting up? If you often experience pain in your lower back when getting up from a lying position, and even slight elevation of your hips while lying down causes discomfort, it could be due to several reasons such as mu...
Dr. Gao Chunde reply Neurology
How long have you been experiencing the symptoms? Have there been any instances of improper use or excessive exercise that could have led to muscle strains or inflammation? Typically, resting for a few days or taking some anti-inflammatory pain relievers or muscle relaxants can h...[Read More] Why Does My Lower Back Hurt When Sitting Up from Lying Down?
Understanding Sudden Arm Cramps: Causes and Solutions
Muscle cramps I have recently been experiencing a sudden sensation of numbness and tingling in my hand, starting from the elbow and extending to the palm. It lasts for about 1 to 2 seconds and seems to be accompanied by a brief feeling of weakness. What could be the issue, doctor...
Dr. Gao Chunde reply Neurology
With the palm facing up, the ulnar nerve or the eighth cervical nerve is on the side of the body, while the sixth cervical nerve is on the outer side, and the seventh cervical nerve is in between. The sudden onset of numbness and tingling makes it difficult to determine the issue...[Read More] Understanding Sudden Arm Cramps: Causes and Solutions
Severe Headaches and Dizziness: Understanding Neurological Issues
Dizziness and a feeling of heaviness in the head, if left untreated for too long, can escalate to severe pain and vomiting? Hello Doctor: I started experiencing headaches about a year ago. Initially, it was just dizziness, which gradually progressed to pain, and eventually to sev...
Dr. Gao Chunde reply Neurology
Severe headaches accompanied by vomiting can be indicative of migraines or other causes of increased intracranial pressure. A neurologist will differentiate between secondary headaches, which are problematic, and primary headaches. If there is a specific underlying cause, treatme...[Read More] Severe Headaches and Dizziness: Understanding Neurological Issues
Understanding Pain in the Upper Right Jaw After Facial Nerve Rehabilitation
Pain in the upper right maxilla? Doctor, I apologize for the interruption. May I ask if it is normal to experience pain in the area of the upper right jaw near the right eye after undergoing rehabilitation for right facial nerve paralysis, or could it indicate some other conditio...
Dr. Gao Chunde reply Neurology
Facial nerve paralysis typically does not cause pain in the maxilla, and there should be no pain after rehabilitation. In this area, inflammatory issues related to the sinuses or the orbit should be considered.[Read More] Understanding Pain in the Upper Right Jaw After Facial Nerve Rehabilitation
Headaches and Side Effects: Is Your SSRI Medication to Blame?
Recently, there have been instances of headaches? Hello, doctor. I started taking escitalopram, an SSRI antidepressant, a little over two weeks ago. During the first week, I didn't notice much of a change, but in the second week, after the dosage was increased, I began exper...
Dr. Gao Chunde reply Neurology
Headache and nausea with vomiting can be side effects of this medication, especially since you have just started using it. The first consideration should be the medication-related side effects. It is recommended that you return to the prescribing physician's clinic to inform...[Read More] Headaches and Side Effects: Is Your SSRI Medication to Blame?
Understanding Headaches and Dizziness: Neurological Insights
Headache and dizziness issues? It started around last Saturday when I began experiencing headaches and dizziness, primarily around the temples, with a throbbing pain. Sometimes the pain also occurs at the top of my head, but pressing on my eyeballs does not worsen the headache. M...
Dr. Gao Chunde reply Neurology
Sometimes migraine attacks can cause the dizziness and throbbing pain you mentioned. Similarly, the onset of a cold can present with similar symptoms. It is important to monitor for the gradual appearance of other cold-related symptoms or any changes in the headache and dizziness...[Read More] Understanding Headaches and Dizziness: Neurological Insights
Understanding Dizziness and Headaches: Neurological Insights
Dizziness and headache? Hello, I started experiencing headaches and dizziness around last Saturday. The headache mainly occurs around the temples and is characterized by a throbbing pain. Sometimes it also happens at the top of my head, but pressing on my eyeballs does not worsen...
Dr. Gao Chunde reply Neurology
Sometimes migraine attacks can cause the dizziness and throbbing pain you mentioned. Similarly, the onset of a cold can present with similar symptoms. It is important to observe whether other cold-related symptoms gradually appear or if there are any changes in the headache and d...[Read More] Understanding Dizziness and Headaches: Neurological Insights
Numbness in Left Pinky and Arm: When to See a Specialist?
The left little finger and the area near the left triceps have been experiencing numbness for the past two weeks? Hello, Doctor Gao. Recently, for the past two to three weeks, I have been experiencing mild numbness extending from my left pinky finger to the area under my left arm...
Dr. Gao Chunde reply Neurology
The nerves in this area correspond to the distribution of the eighth cervical vertebra. It may be advisable to refer the patient to a neurologist for further evaluation to confirm the diagnosis and arrange for treatment.[Read More] Numbness in Left Pinky and Arm: When to See a Specialist?
Understanding Tongue Numbness and Dizziness After Lying Down
Experiencing tongue numbness while lying down? Hello, doctor. After exercising and taking a shower, I often experience dizziness. Recently, when I lie down to sleep, it feels like blood is rushing to my head. I also feel a tightness in my chest, and my nose feels heavy and conges...
Dr. Gao Chunde reply Neurology
Regarding dizziness and blood flow to the brain, it may be helpful to check blood pressure first. Issues with the nose and tongue, as well as sleep problems, can be evaluated by an otolaryngologist to determine if there are any related issues, particularly with nasopharyngeal all...[Read More] Understanding Tongue Numbness and Dizziness After Lying Down
Understanding Sleep Medications: Concerns About Seizures and Side Effects
I often have racing thoughts before bed, making it difficult for me to fall asleep? Doctor, I often find myself thinking about various things at night when I try to sleep. I visited a clinic, and the doctor prescribed medication for me, which I've been taking for about three...
Dr. Gao Chunde reply Neurology
Antiepileptic drugs can be used to treat various non-epileptic conditions, such as involuntary movements, neuropathic pain, migraines, and certain types of anxiety or panic disorders. As for Sinopril, I personally do not have knowledge in that area, and I couldn't find any i...[Read More] Understanding Sleep Medications: Concerns About Seizures and Side Effects