Understanding Parkinson's Disease: Symptoms and Self-Assessment Insights
Parkinson's disease Hello Doctor, I saw online about a self-check for Parkinson's disease using the index and thumb fingers. I found that my left hand becomes stiff after pressing down for 40 times, and I start to slow down. I also tested this six years ago and experien...
Dr. Hong Weibin reply Neurology
Hello: Generally speaking, in a self-assessment for Parkinson's disease, repeatedly pressing the thumb usually shows a decrease in movement amplitude within 10 to 20 presses. If I press it 40 times, many normal individuals may experience hand fatigue. Additionally, Parkinson...[Read More] Understanding Parkinson's Disease: Symptoms and Self-Assessment Insights
Investigating Post-AZ Vaccine Neurological Issues: A Case of Myasthenia Gravis
Development of myasthenia gravis after receiving the AZ vaccine? Hello Doctor: After receiving my first dose of the AZ vaccine in mid to late July 2021, I noticed that I frequently fell from late July to early August. I initially thought it was due to not exercising for a long ti...
Dr. Hong Weibin reply Neurology
Hello: Currently, similar case reports can be found in the PubMed search engine of the National Library of Medicine at the National Institutes of Health in the United States.[Read More] Investigating Post-AZ Vaccine Neurological Issues: A Case of Myasthenia Gravis
Understanding Neck Pain: Causes, Symptoms, and Relief Strategies
Neck pain Hello doctor, I have been experiencing frequent pain in the area connecting the back of my head to my neck, which is also causing headaches, dizziness, and occasional nausea. I have been unable to find a suitable position to alleviate the pain. Do you have any recommend...
Dr. Hong Weibin reply Neurology
Hello: If there is persistent pain in that area, it may be caused by fascial inflammation, often due to prolonged poor posture. It is advisable to seek assistance from a rehabilitation specialist or a physical therapist.[Read More] Understanding Neck Pain: Causes, Symptoms, and Relief Strategies
Morning Headaches: Causes and Solutions for Better Sleep
Sometimes I experience headaches after waking up in the morning? Hello doctor, I would like to ask about experiencing headaches upon waking up in the morning (occurring about once or twice every one to two weeks). Sometimes it resolves on its own, while other times I need to take...
Dr. Hong Weibin reply Neurology
Hello: Possible factors for waking up with a headache include poor sleep quality, sleep apnea, medications, caffeine, and increased intracranial pressure, among others. It is recommended that you seek consultation with a neurologist for further evaluation and assistance.[Read More] Morning Headaches: Causes and Solutions for Better Sleep
Understanding Dizziness and Limb Weakness: A Neurological Perspective
Dizziness, intermittent weakness in the right limbs, and sensations of numbness and tingling? Good day, Dr. Hong: I have developed a habit of exercising in recent years. During one pull-up exercise, I experienced dizziness and weakness in my right limbs. After resting for a few m...
Dr. Hong Weibin reply Neurology
Hello: It is recommended to maintain normal breathing during exercise and avoid excessive breath-holding, as this can lead to insufficient cerebral blood flow, dizziness, and symptoms such as weakness and numbness in the limbs due to the Valsalva maneuver. Your neck ultrasound ap...[Read More] Understanding Dizziness and Limb Weakness: A Neurological Perspective
Neck Movement Causing Stiffness and Pain in the Back of the Head
Neck rotation causing stiffness and pain in the occipital region of the head? Hello, doctor. I have a question. When I turn my neck at certain fixed angles, it causes stiffness and pain in the back of my head, especially on the left side, which is more painful. The pain also radi...
Dr. Hong Weibin reply Neurology
Hello: For neck pain, you can consult either a neurologist or an orthopedic specialist. Poor posture over a long period is the most common cause of neck pain and stiffness in the occipital region. It is recommended to limit the use of electronic devices and to avoid looking down ...[Read More] Neck Movement Causing Stiffness and Pain in the Back of the Head
Understanding Sleep Disturbances: Hallucinations and Breathing Issues
Hallucinations upon falling asleep, difficulty breathing, and a feeling of pressure? Hello Doctor: I am currently a senior high school student preparing for the university entrance exam, and I often feel a lot of pressure from studying, which leads to feelings of inexplicable sad...
Dr. Hong Weibin reply Neurology
Hello: Based on your description, it is recommended that you seek assistance from a sleep specialist at a hospital (such as a pediatric psychiatry or neurology department). It is important to consider whether there may be narcolepsy or depression involved. Additionally, your slee...[Read More] Understanding Sleep Disturbances: Hallucinations and Breathing Issues
Understanding CT Scans for Headaches: With or Without Contrast?
Headache CT scan? Hello, doctor. I would like to ask about my recent visit due to headaches. The doctor arranged a CT scan without the use of contrast dye, stating that the contrast would be more effective in detecting tumors. However, based on my symptoms, the doctor believes it...
Dr. Hong Weibin reply Neurology
Hello: Generally, contrast agents are administered when there is suspicion of tumors, brain inflammation, infections, or similar conditions. After intravenous injection of the contrast agent, patients may experience discomfort, including swelling and warmth. Some individuals may ...[Read More] Understanding CT Scans for Headaches: With or Without Contrast?
Understanding Brain Vibrations and Sensations of Electric Currents
Vibrations in the brain, feeling like microcurrents? Hello, doctor. I am 20 years old and, unfortunately, due to a history of consuming a lot of rich foods, I have developed hereditary hypertension. My blood pressure at home is around 130/75, but it surprisingly rises to 150/90 a...
Dr. Hong Weibin reply Neurology
Hello: It is recommended that you regularly measure your blood pressure, twice a day. Does this sensation of "blood rushing to your head, creating a feeling of pressure as if something is pressing down on your head" only occur when you are using your phone? Does it happ...[Read More] Understanding Brain Vibrations and Sensations of Electric Currents
Understanding Neck and Back Pain: When to Worry About Serious Conditions
Pain in the occipital region of the neck? Hello Doctor: I have been experiencing symptoms such as neck pain and upper back pain since early last year. I have consulted with rehabilitation and neurology specialists, and underwent several neurological and X-ray examinations, which ...
Dr. Hong Weibin reply Neurology
Hello: Based on your description, it may be related to neck muscle stiffness. It is recommended to relax the muscles.[Read More] Understanding Neck and Back Pain: When to Worry About Serious Conditions
Understanding Muscle Twitches: Neurological Insights and Concerns
Muscle twitching In the past few weeks, I have been experiencing muscle twitching, so I underwent nerve conduction studies and electromyography (EMG). 1. I would like to ask if it is sufficient to perform the EMG on just one side? 2. I have noticed that my left big toe does not l...
Dr. Hong Weibin reply Neurology
1. So I would like to ask, is it sufficient to perform an electromyography (EMG) test on just one side? Since EMG involves inserting needles into the muscles to measure physiological electrical activity, it can cause discomfort to the subject. Therefore, it is usually performed o...[Read More] Understanding Muscle Twitches: Neurological Insights and Concerns
Should You Wake Someone Who Talks in Their Sleep? Expert Insights
Is it necessary to wake someone who is talking in their sleep? My brother (40 years old) talks in his sleep (very excitedly); should I wake him up? Is it correct that I shouldn't disturb his brain activity, as I've read online? Sometimes he also screams in his sleep (no...
Dr. Hong Weibin reply Neurology
Talking in one's sleep or exhibiting bodily movements during sleep does not require waking the individual if there is no risk to their own safety or that of their bed partner. Consultation with a sleep medicine specialist is recommended for further discussion. Generally, mel...[Read More] Should You Wake Someone Who Talks in Their Sleep? Expert Insights
Understanding Stroke Symptoms: When to Seek Emergency Care for Your Loved One
Dizziness, inability to measure blood pressure in the right arm, cold fingers, and numbness and soreness in the hand? The mother, aged 83, suffered a stroke while sleeping before the Mid-Autumn Festival. The doctor determined that it was beyond the 3-hour window for administering...
Dr. Hong Weibin reply Neurology
Hello: Please go to the emergency department as soon as possible, as there may be a peripheral artery occlusion.[Read More] Understanding Stroke Symptoms: When to Seek Emergency Care for Your Loved One
Understanding Parkinson's Disease: Managing Symptoms and Lifestyle Changes
Parkinson's disease Hello Doctor, I would like to ask about my mother's condition. She has been experiencing this for several years. Initially, she only had slight tremors in her hand, but it has progressively worsened to the point where she can no longer care for her r...
Dr. Hong Weibin reply Neurology
Hello: Parkinson's disease is a type of neurodegenerative disorder. Neurodegenerative disorders imply that the disease will progressively worsen over time. Both pharmacological treatment and non-pharmacological interventions can only slow the progression of the disease; they...[Read More] Understanding Parkinson's Disease: Managing Symptoms and Lifestyle Changes
Understanding TIA: Insights from Carotid Ultrasound Results
TIA - Carotid Ultrasound Examination Issues Hello Dr. Hong, I would like to ask the following questions: Q1: Have the results and conditions from the two ultrasound examinations worsened? (1) 2021/9/14 (2) 2022/8/16 Q2-1: If I consume too much salt, I experience dizziness. Is ...
Dr. Hong Weibin reply Neurology
Hello: 1. The results from the two carotid ultrasounds show that both the peak systolic velocity (PSV) and end diastolic velocity (EDV) as well as the flow are normal. 2. Consuming too much salt can lead to dehydration, and when the body is dehydrated, it can cause brain fog and ...[Read More] Understanding TIA: Insights from Carotid Ultrasound Results
Understanding Dementia: Discrepancies in PET and SPECT Imaging Results
Is it dementia? Hello Doctor: I have been experiencing sleep disturbances since November of last year, along with afternoon dizziness and brain fog. Despite consulting various doctors, no cause has been identified. In January of this year, I started taking psychiatric medication,...
Dr. Hong Weibin reply Neurology
Hello: FDG-PET and ECD-SPECT are both functional imaging tests that provide information about the current metabolic state of the brain. The image quality can vary significantly between different machines, and there may also be differences in interpretation among various physician...[Read More] Understanding Dementia: Discrepancies in PET and SPECT Imaging Results
Understanding Meniere's Disease: Can a Concussion Trigger Symptoms?
Meniere's disease I would like to inquire about a concussion I sustained from a motorcycle accident six months ago, and I am now diagnosed with Meniere's disease. I understand that there are many potential causes for Meniere's disease, but I am curious if the concu...
Dr. Hong Weibin reply Neurology
Hello: The exact cause of Meniere's disease is currently unclear, but it is believed to be related to an imbalance of endolymphatic fluid in the inner ear (accumulation of endolymph in the inner ear labyrinth). Therefore, any factors that may affect the flow of this fluid co...[Read More] Understanding Meniere's Disease: Can a Concussion Trigger Symptoms?
Understanding TIA: Insights from Carotid Ultrasound Results
TIA - Carotid Ultrasound Examination Issues Hello Dr. Hong, I would like to ask the following questions: Q1: Have the results and conditions from the two ultrasound examinations worsened? (1) September 14, 2021 (2) August 16, 2022 Q2-1: If I consume too much salt, I feel dizzy...
Dr. Hong Weibin reply Neurology
Hello: 1. The results from two carotid ultrasounds show that both the peak systolic velocity (PSV) and end diastolic velocity (EDV) as well as the flow are normal. 2. Consuming too much salt can lead to dehydration, and when the body is in a dehydrated state, it can cause brain f...[Read More] Understanding TIA: Insights from Carotid Ultrasound Results
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching Hello, doctor. Since April of last year, I have been experiencing muscle twitching, primarily located just below the left arch of my foot (I have flat feet and a collapsed arch; additionally, I had a severe ankle sprain in high school that resulted in tightness i...
Dr. Hong Weibin reply Neurology
Hello: The body's muscles are controlled by nerves, which function like electrical wires, transmitting currents to control muscle movements. However, these wires can occasionally be affected by external factors such as temperature and humidity, leading to electrical leakage....[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Occipital Pain: Causes, Symptoms, and When to Seek Help
Occipital pain Two days ago, I went out and initially thought it was due to lack of sleep. I started experiencing pain in the back of my head. When I woke up today, I felt a heavy sensation throughout the back of my head, and it is still painful. There is no vomiting, and my memo...
Dr. Hong Weibin reply Neurology
Hello: Based on your description, it is recommended that you seek assistance from a neurologist at a hospital for a personal examination by the physician.[Read More] Understanding Occipital Pain: Causes, Symptoms, and When to Seek Help