Uncontrollable Leg Tremors and Numb Fingers: Possible Neurological Issues
Involuntary trembling of the legs and numbness in the fingers? Hello, Doctor: My legs shake uncontrollably when I stand straight or adopt any other position that requires slight exertion (or even after walking a little), and I cannot stop them even if I try. My friends also notic...
Dr. Gao Chunde reply Neurology
To gain a better understanding of the onset time, progression speed, and the extent of related muscle strength and sensory deficits, I cannot specify a diagnosis at this moment. Conditions affecting both the central and peripheral nervous systems could be involved. I recommend sc...[Read More] Uncontrollable Leg Tremors and Numb Fingers: Possible Neurological Issues
Excessive Sleepiness: When to See a Doctor and What It Means
Sleeping excessively? Should I see a doctor if I am constantly feeling drowsy? What could this condition be?
Dr. Gao Chunde reply Neurology
It is recommended to search for "hypersomnia" keywords to find hypersomnia scales. If you find yourself unable to stay awake in situations where you shouldn't be sleeping, it is important to consider this. However, you should also take into account whether your dai...[Read More] Excessive Sleepiness: When to See a Doctor and What It Means
Understanding Head Noises: Causes and Connections to Hypertension
Headache? Hello doctor: I often hear sounds in my head that used to occur infrequently, but recently have become more common. Why do I hear a sound like wind in my head? I have high blood pressure; could that be related? Or is it tinnitus? Or could it be due to headaches?
Dr. Gao Chunde reply Neurology
It is advisable to first consult an otolaryngologist to ensure that there are no other issues with the ear, as my personal experience in this area is limited.[Read More] Understanding Head Noises: Causes and Connections to Hypertension
Understanding Hand Coordination Issues: When to Seek Medical Advice
Hand issues? Hello, Doctor: I would like to ask about my right hand. My fingers cannot move independently; for instance, my index and middle fingers can close together, and my ring and little fingers can close together, but I cannot separate them from the index and middle fingers...
Dr. Gao Chunde reply Neurology
This does not affect the normal functions required for hand use, indicating that your left hand has additional flexibility, but it does not mean there is an issue with your right hand. Most people have functionality similar to your right hand, and there is no need to see a doctor...[Read More] Understanding Hand Coordination Issues: When to Seek Medical Advice
Experiencing Dizziness While Walking: Possible Neurological Causes
Dizziness while walking? Hello, for the past two months, I've been experiencing slight dizziness when walking or making larger movements, but it doesn't occur when sitting or lying down. There is no tinnitus, just a bit of tightness in my neck. Recently, I visited a tra...
Dr. Gao Chunde reply Neurology
If there are no accompanying symptoms such as slurred speech, walking unsteadily to one side, or numbness or weakness in one side of the body or face, it is more likely to be benign paroxysmal positional vertigo, which is an inner ear issue. With adequate rest, it should improve ...[Read More] Experiencing Dizziness While Walking: Possible Neurological Causes
Understanding Severe Dizziness in Elderly Patients: Causes and Concerns
Dizziness in the elderly? Hello Doctor: My father has been experiencing severe dizziness frequently over the past month. When he lies down and closes his eyes, the whole room seems to spin intensely, and he often needs an injection to recover. He had similar dizziness episodes wh...
Dr. Gao Chunde reply Neurology
Vestibular dysfunction often presents as vertigo that is typically rotational in nature and may occur with certain specific postural changes. Symptoms can become severe but usually subside within a few seconds to a few minutes. Generally, with rest for about one to two weeks, the...[Read More] Understanding Severe Dizziness in Elderly Patients: Causes and Concerns
Understanding Headaches and Nausea: Causes and Solutions
Headache and nausea? Hello, Dr. Gao! Due to school activities, I had to wake up very early these past two days, around 5 or 6 AM. I am naturally tall and thin, measuring 173 cm and weighing 44 kg. I have a habit of staying up late. After participating in a school event early yest...
Dr. Gao Chunde reply Neurology
Elevated intraocular pressure can be associated with blurred vision, commonly referred to as glaucoma. If this is not the case, more frequently, it may present as a migraine, characterized by pulsating pain, nausea, and sensitivity to light and sound. However, if there is neck st...[Read More] Understanding Headaches and Nausea: Causes and Solutions
Understanding Dizziness and Heavy Head: Causes and Solutions for Young Adults
Dizziness when walking, along with a heavy head and light legs? Earlier this year, I experienced frequent dizziness and a feeling of heaviness in my head and lightness in my legs. At a blood pressure measurement station at Taipei's Xingtian Temple, my blood pressure was reco...
Dr. Gao Chunde reply Neurology
If all tests are normal but you still experience dizziness and headaches, you may want to visit a neurology clinic. It could just be a type of chronic headache, such as tension-type headache. However, it is essential to consult a neurologist who can evaluate other symptoms and pe...[Read More] Understanding Dizziness and Heavy Head: Causes and Solutions for Young Adults
Chronic Head Tension: Seeking Solutions for Persistent Pain and Discomfort
Head tightness I sent an email yesterday inquiring about my condition, but it seems it didn't go through, so I'm trying again today. I have been experiencing chronic tension and involuntary twitching in my head and ears, which is very painful and constant. For nearly te...
Dr. Gao Chunde reply Neurology
Your issues and symptoms seem quite persistent, but the specialty and treatment you are receiving are the most appropriate and correct. I am also a specialist trained at Taipei Veterans General Hospital, and I believe in the quality of medical care here. Your physician will certa...[Read More] Chronic Head Tension: Seeking Solutions for Persistent Pain and Discomfort
Numbness in Fingers and Toes: Causes and When to Seek Help
Numbness in fingers and toes? I have been experiencing numbness in my left ring finger and pinky finger for some time. Recently, I noticed that my left foot's ring toe and pinky toe have started to feel numb as well. Could you please tell me what might be the issue and which...
Dr. Gao Chunde reply Neurology
First, consult a neurologist. The issue with the left hand could be related to a single ulnar nerve problem or a cervical nerve issue. The left foot may also be due to a single nerve lesion or a lumbar nerve problem. Further examination by a physician is necessary to determine th...[Read More] Numbness in Fingers and Toes: Causes and When to Seek Help
Feeling Heavy Head Without Pain: Understanding Neurological Concerns
No headache, but a feeling of heaviness in the head? Hello, Doctor Gao: I would like to ask you some questions. I have high blood pressure, which causes me headaches, but after recently visiting a doctor and taking antihypertensive medication, my condition has gradually improved....
Dr. Gao Chunde reply Neurology
If the headache is related to hypertension, it should improve once the blood pressure is managed. Therefore, you can compare your blood pressure readings when experiencing a heavy head with those when you have no symptoms. If they are similar, it is possible that your initial hea...[Read More] Feeling Heavy Head Without Pain: Understanding Neurological Concerns
Experiencing Numbness in Your Left Pinky Toe? Here's What to Know
Numbness in the left little toe? Recently, I have been experiencing a tingling sensation in my left little toe, similar to when you wake up with your hand feeling numb after resting it on a table. However, my left little toe is not as severe; it's just that it doesn't f...
Dr. Gao Chunde reply Neurology
You may want to pay attention to any habitual postures that could be putting pressure on the outer side of your left foot, or if your shoes are too tight or rigid. If not, try to incorporate some regular but gentle exercise into your daily routine and see if there is any improvem...[Read More] Experiencing Numbness in Your Left Pinky Toe? Here's What to Know
Understanding Chronic Headaches: Causes and Treatment Options
Chronic headache issues? I experience headaches for several days each month, and when they occur, the pain is unbearable, almost feeling like I'm about to explode. I usually rely on painkillers to function normally at work. I initially thought it was premenstrual syndrome, a...
Dr. Gao Chunde reply Neurology
Migraine typically presents in the following manner, but it is important to consider the characteristics of the pain: moderate to severe intensity, pulsating quality, accompanied by nausea or vomiting, sensitivity to light and sound, and worsening pain with head movement. If the ...[Read More] Understanding Chronic Headaches: Causes and Treatment Options
Persistent Right Forehead Pain: Seeking Answers After Medication
I have a migraine near the right forehead area. I have seen a doctor, and after taking medication, I still feel some discomfort? Hello, Doctor. I started experiencing headaches about three weeks ago on a Monday. At that time, the symptoms felt like there was a pulsating pressure ...
Dr. Gao Chunde reply Neurology
Initially, the symptoms were consistent with migraines. After treatment, the headache should improve, but it may evolve into a tension-type headache. If discomfort persists, it is advisable to return for a follow-up appointment for reevaluation by a physician. Any necessary exami...[Read More] Persistent Right Forehead Pain: Seeking Answers After Medication
Exploring Stem Cell Treatments for Cerebellar Atrophy in Taiwan
Hello! My father has issues related to cerebellar atrophy? Hello! My father has issues related to cerebellar atrophy. He is currently still able to walk, but his movements are becoming increasingly slow. I would like to know if there have been any advancements in stem cell therap...
Dr. Gao Chunde reply Neurology
To my knowledge, there are over twenty types of hereditary cerebellar ataxia, and currently, there are no effective treatment options available. Stem cell transplantation is still in the animal testing phase abroad, and there have likely been no published human trials yet. Howeve...[Read More] Exploring Stem Cell Treatments for Cerebellar Atrophy in Taiwan
Understanding and Treating Vertebrobasilar Insufficiency: A Guide for Families
Basilar Artery Insufficiency Hello, Dr. Gao! My grandmother has been experiencing persistent dizziness lately. I did some research and found that her symptoms closely match those of vertebrobasilar insufficiency. I would like to ask you, Dr. Gao, is this condition treatable? What...
Dr. Gao Chunde reply Neurology
An accurate diagnosis still relies on a professional physician's physical examination and cerebrovascular ultrasound. Subsequently, treatment will be based on the location and severity of the blood flow obstruction, utilizing different antiplatelet or even anticoagulant medi...[Read More] Understanding and Treating Vertebrobasilar Insufficiency: A Guide for Families
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? Hello, doctor. Recently, for the past month or two, I have been experiencing involuntary muscle twitching in various parts of my body, including my lips, neck, and even the soles of my feet. It seems to occur in almost all my muscles, but it is more ...
Dr. Gao Chunde reply Neurology
Pay attention to see if there is any muscle weakness or atrophy; if not, there's no need to overthink it, as most cases are simply benign muscle twitches related to excessive tension.[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Heavy Headaches: Causes, Symptoms, and Treatment Options
Headaches can make the head feel very heavy? Hello, Doctor Gao: I would like to ask you a few questions related to my headaches. Recently, I have been experiencing frequent headaches and dizziness, especially when the weather changes or when it is hot and humid. The pain is locat...
Dr. Gao Chunde reply Neurology
Tension-type headaches are generally not directly related to blood pressure. If there is hypoxia, it is likely due to prolonged tension in the neck and head muscles, leading to a sensation of heaviness or pressure in the head. To alleviate this, one can engage in outdoor activiti...[Read More] Understanding Heavy Headaches: Causes, Symptoms, and Treatment Options
Understanding Dizziness: Causes, Treatments, and When to Seek Help
About dizziness? Hello Doctor: I would like to ask about my dizziness. I have been experiencing dizziness for over a week. I consulted a neurologist who believes it is due to inner ear imbalance. I am currently taking Merislon, but I still feel no improvement; I continue to exper...
Dr. Gao Chunde reply Neurology
Inner ear imbalance mostly refers to positional vertigo. Generally, resting and recovering physical strength will lead to self-resolution, with young individuals often recovering within a week. In more severe cases, medication or canalith repositioning treatment may be considered...[Read More] Understanding Dizziness: Causes, Treatments, and When to Seek Help
Understanding Visual Perception: How Memory Shapes Our Sight
Eyes and brain When a doctor mentions that seeing a small point of light on the highway might be perceived as a streetlight, is this perception based on experience and memory? If there are parts that have never been seen before, is it also inferred from previous experiences? When...
Dr. Gao Chunde reply Neurology
The human brain is not as simple as we might imagine. Your eagerness to learn is commendable. If you have the opportunity, you should consider enrolling in a relevant graduate program and use this topic as your research focus for your master's or doctoral studies; you will c...[Read More] Understanding Visual Perception: How Memory Shapes Our Sight