Understanding Neck Stiffness and Dizziness: When to Seek Medical Help
Stiffness in the shoulders and neck with dizziness? Hello, I have been experiencing dizziness and stiffness in my shoulders and neck intermittently for about a year. I feel a heavy sensation in my head that I can't relax from, especially noticeable in cold weather and during...
Dr. Gao Chunde reply Neurology
The symptoms are more likely to be associated with tension-type headaches and chronic fatigue in the neck and shoulders, leading to muscle tightness and contractions. It is advisable to consult a neurologist for further diagnosis or to arrange relevant examinations.[Read More] Understanding Neck Stiffness and Dizziness: When to Seek Medical Help
Understanding Neonatal Hypoxia: Early Seizures and Prognosis
Neonatal brain hypoxia Hello, doctor. I am the one who just inquired about the issue of hypoxia in newborns. I would like to ask again, when you mentioned that seizures detected within 24 hours indicate a certain condition, does that mean the baby experienced seizures within 24 h...
Dr. Gao Chunde reply Neurology
It refers to symptoms that begin within 24 hours of birth, are localized, and can be quickly controlled with medication. The prognosis pertains to the overall damage caused by hypoxic-ischemic encephalopathy.[Read More] Understanding Neonatal Hypoxia: Early Seizures and Prognosis
Understanding Neonatal Brain Injury: Causes, Effects, and Treatment Options
Neonatal brain hypoxia Hello Doctor, my daughter was born ten days ago. After her birth, the pediatrician examined her and found everything to be normal. However, the next day, we noticed that her right hand and foot were involuntarily twitching, rather than stretching. Later, th...
Dr. Gao Chunde reply Neurology
Neonatal brain hypoxia can be assessed based on the timing of seizure onset. If seizures occur within the first 24 hours after birth, they are generally easier to control and are classified as moderate hypoxic-ischemic encephalopathy, with a possibility of complete recovery withi...[Read More] Understanding Neonatal Brain Injury: Causes, Effects, and Treatment Options
Understanding Primary Hypersomnia: Symptoms, Diagnosis, and Treatment Options
Primary hypersomnia Hello Doctor, following up on the previous questions regarding OSA and surgery, the treatment is being managed at a medical center where the doctors are mostly sleep specialists (including psychiatrists). After controlling OSA, the patient still experiences fa...
Dr. Gao Chunde reply Neurology
In cases of hypersomnia related to brain nerves, narcolepsy must first be ruled out, which requires another type of sleep study called the Multiple Sleep Latency Test (MSLT). If abnormalities are found, there are several medications that physicians can consider prescribing. If me...[Read More] Understanding Primary Hypersomnia: Symptoms, Diagnosis, and Treatment Options
Can Herniated Discs Affect Sexual Function? Recovery Insights
Herniated disc Is it likely that a herniated disc affects sexual function? I have had a herniated disc for two to three years, and during this time, I have also lifted heavy objects. Is it possible for the damaged nerves to recover?
Dr. Gao Chunde reply Neurology
If a herniated disc compresses the cauda equina, leading to cauda equina syndrome, it can significantly affect sexual function. The duration of the condition is less important; what matters is whether there is compression and the severity of that compression. Patients commonly en...[Read More] Can Herniated Discs Affect Sexual Function? Recovery Insights
Navigating Post-Surgery Sleep Issues: Understanding OSA and UARS Symptoms
Difficult to decide? Hello Doctor, I apologize for summarizing my previous questions again. Fatigue, excessive daytime sleepiness, altered consciousness, difficulty thinking, and poor memory are typical symptoms of Obstructive Sleep Apnea (OSA). Initially, I had severe OSA with a...
Dr. Gao Chunde reply Neurology
Based on your situation, it appears to be a relatively unique and rare case. Therefore, I recommend seeking a specialist in sleep medicine at a medical center for a more thorough analysis.[Read More] Navigating Post-Surgery Sleep Issues: Understanding OSA and UARS Symptoms
Is My Eye Pain a Sign of Migraine? Understanding Symptoms and Genetics
Symptoms of migraine include: 1. Intense, throbbing headache, often on one side of the head. 2. Nausea and vomiting. 3. Sens Hello Doctor, I would like to ask about a symptom that occurs once every 2 to 3 years. It starts with blurred vision and seeing shadows, followed by pain...
Dr. Gao Chunde reply Neurology
The nerves of the eyes are also considered part of the head. If the eye pain is not caused by conditions such as acute glaucoma or inflammation, along with other accompanying symptoms, a more reasonable explanation would be a prodromal migraine, also known as a typical migraine.[Read More] Is My Eye Pain a Sign of Migraine? Understanding Symptoms and Genetics
Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Could this be autonomic nervous system dysfunction? Hello, Doctor. I have been experiencing palpitations frequently for about a month. During this time, I underwent an echocardiogram, which diagnosed me with mild mitral valve prolapse and mild arrhythmia. The doctor said it was n...
Dr. Gao Chunde reply Neurology
Actually, autonomic nervous system dysfunction is not a true medical diagnosis; it is a result of underlying factors such as stress, anxiety, and irregular sleep patterns. When the parasympathetic nervous system is supposed to be active during rest and relaxation, inappropriate s...[Read More] Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Could My Dizziness Be Related to the Cerebellum?
Is this related to the cerebellum? Recently, I have been experiencing a higher frequency of dizziness and a feeling of heaviness in my head, which is quite uncomfortable. I can't sleep for long periods without feeling dizzy. Occasionally, I also experience episodes of vertig...
Dr. Gao Chunde reply Neurology
If there is a problem with the cerebellum, there may be coordination difficulties, walking like a penguin, slurred speech, and clumsiness when eating, holding a bowl, or writing. Your situation could be considered another manifestation of chronic shoulder and neck fatigue or tens...[Read More] Could My Dizziness Be Related to the Cerebellum?
Addressing Sleep Issues: Understanding SWS Deficiency and Treatment Options
Sleep issues Hello Doctor, I previously inquired about the lack of SWS in sleep structure. After a Brain MRI, the doctor mentioned that there were no significant issues, which aligns with what you said. Given my age, I should still have SWS. Although I have mild OSA, it shouldn&#...
Dr. Gao Chunde reply Neurology
To increase Slow Wave Sleep (SWS), some non-pharmacological methods can be considered, such as taking a warm bath before bedtime and engaging in vigorous exercise during the day. However, increasing the proportion of sugary foods in the diet is not recommended, as it can have neg...[Read More] Addressing Sleep Issues: Understanding SWS Deficiency and Treatment Options
Are My Symptoms Side Effects? Understanding Neurological Drug Reactions
Symptoms resembling side effects? Hello, doctor. I noticed in the previous text that it mentioned "taking antiepileptic medication, patient side effects, drowsiness, lethargy, poor appetite, and chest tightness." Personally, I lack N3 and N4 sleep stages, and even after...
Dr. Gao Chunde reply Neurology
N3 and N4 stages correspond to Slow Wave Sleep (SWS). Gabapentin can increase GABA levels in the brain, and another structurally similar neurotransmitter, GHBA, can also enhance SWS. Therefore, physicians may repurpose gabapentin, originally used for treating epilepsy, to address...[Read More] Are My Symptoms Side Effects? Understanding Neurological Drug Reactions
Understanding Sleep Jerks and Talking: When to Seek Neurology Help
Frequent movements during sleep? Hello doctor, I would like to ask about my boyfriend who often experiences a big jerk or tremor in his hands or legs when falling asleep. I read on other websites that this can be normal occasionally, but he does this at least 3-5 times every time...
Dr. Gao Chunde reply Neurology
Occasionally twitching or jerking while falling asleep is mostly physiological and is common among many people. Talking in your sleep is also a common occurrence and generally shouldn't be a cause for concern. When chatting and on the verge of falling asleep, you may be in a...[Read More] Understanding Sleep Jerks and Talking: When to Seek Neurology Help
Understanding Lower Back Pain: Causes and Management Strategies
Lower back pain Hello, Doctor. I would like to ask you about issues related to lower back pain. A month ago, I visited a traditional Chinese medicine clinic for spinal manipulation. The practitioner asked me to lie on my side and struck my lower back once on each side. At that mo...
Dr. Gao Chunde reply Neurology
A month ago, after treatment, the pain has persisted until now. If it were a muscle inflammation or strain, it shouldn't last this long unless there was no rest and repetitive movements that could exacerbate the inflammation. If that is not the case, issues with the lumbar v...[Read More] Understanding Lower Back Pain: Causes and Management Strategies
Understanding Foot Numbness and Pain: Causes and Solutions
Numbness in the dorsum of the foot and sharp nerve pain when squatting or applying pressure? Hello doctor, my foot has been feeling numb. At first, it would sting a bit when I got out of bed in the morning, but for the past few days, it has been consistently numb. The area affect...
Dr. Gao Chunde reply Neurology
It may be that a ligament or tendon in the dorsum of the foot is compressing a branch of the deep peroneal nerve. For a detailed assessment and analysis, please consult a neurologist who can examine you in person.[Read More] Understanding Foot Numbness and Pain: Causes and Solutions
Understanding Dizziness Starting from the Back of the Head: A Neurology Perspective
Dizziness originating from the back of the head? I have been receiving treatment in cardiology for 2 years and 4 months. Twenty years ago, I was treated for Meniere's disease for about a year. During middle school, I injured my right eardrum while playing basketball, which l...
Dr. Gao Chunde reply Neurology
Your symptoms are experienced by many people, often occurring after periods of fatigue or busy tasks, and sometimes around the time of a cold when physical strength is diminished. Often, examinations reveal no significant issues. I can only explain that it may be a slight vestibu...[Read More] Understanding Dizziness Starting from the Back of the Head: A Neurology Perspective
Persistent Dizziness and Throat Foreign Body Sensation: Next Steps in Diagnosis
Dizziness and a sensation of a foreign body in the throat? I have been experiencing dizziness for the past two years. The symptoms include feeling dizzy all day, a heavy sensation in my head, and a sense of imbalance, particularly in the back of my head. Initially, I also had sym...
Dr. Gao Chunde reply Neurology
The tests related to dizziness, palpitations, and sweating seem to be normal. I can't think of any further questions. However, if dizziness is accompanied by a sensation of a foreign body in the throat, it may sometimes be a manifestation of increased tension in the nervous ...[Read More] Persistent Dizziness and Throat Foreign Body Sensation: Next Steps in Diagnosis
Understanding Unexplained Dizziness: Causes and Necessary Tests
Intermittent dizziness? Hello Doctor: Recently, I have been experiencing frequent dizziness over the past month. It starts with sudden shortness of breath, followed by a feeling that something is not quite right with my body. Then, I experience discomfort in my stomach and abdome...
Dr. Gao Chunde reply Neurology
It may be related to the blood supply to the brain and transient discharges. At your age, it is important to consider intracranial vascular abnormalities. There may be a reduction in blood flow distribution to the brain during activity or after meals, leading to a steal phenomeno...[Read More] Understanding Unexplained Dizziness: Causes and Necessary Tests
Loss of Sensation in Calf After Thigh Surgery: When to See a Neurologist?
Loss of sensation in the calf after thigh surgery? Hello, doctor. I underwent femoral osteotomy in early September last year, and it has been four months since the surgery. After the operation, I frequently experience a tingling sensation in my calf, and I have no sensation to ex...
Dr. Gao Chunde reply Neurology
It is recommended to directly visit a neurologist for further evaluation and to arrange for relevant examinations.[Read More] Loss of Sensation in Calf After Thigh Surgery: When to See a Neurologist?
Persistent Neck Pain and Bruising: Understanding Possible Causes
There is a bruising pain when pressing the neck down to the left? Hello Doctor, I have a history of migraines and have been experiencing discomfort in my neck for the past two weeks. An ENT specialist examined my neck and found no significant lumps, but I have been coughing and h...
Dr. Gao Chunde reply Neurology
It may be due to chronic fatigue or inflammation of the neck muscles. Generally, an evaluation by an otolaryngologist is performed to rule out any infections or masses in the head and neck region. If those are excluded, abnormalities related to the muscles and nerves can be consi...[Read More] Persistent Neck Pain and Bruising: Understanding Possible Causes
Understanding the Differences Between Migraines and Neuralgia Pain
Different places Could you please explain the differences between migraines and neuralgia? Are there differences in the nature of the pain? Thank you!
Dr. Gao Chunde reply Neurology
Migraine is a type of vascular headache characterized by pain that occurs after the blood vessels constrict and then excessively dilate. The pain is pulsating and synchronized with the heartbeat, often accompanied by nausea, vomiting, and sometimes sensitivity to light and sound....[Read More] Understanding the Differences Between Migraines and Neuralgia Pain