Understanding Dizziness and Confusion: When to Seek Neurological Help
Dizziness and a feeling of mental confusion? Around July 28, I started experiencing a feeling of pressure on the top of my head and intermittent nausea in my forehead. My shoulders and neck initially felt very tight, and I could hear sounds when I moved them. I also experienced i...
Dr. Hong Weibin reply Neurology
Hello: Based on your description, it is possible that you have been experiencing high levels of stress and poor sleep quality recently. I recommend that you take some time to rest and relax both your body and mind. If the situation persists, you may want to seek assistance from a...[Read More] Understanding Dizziness and Confusion: When to Seek Neurological Help
Understanding Dizziness and Lightheadedness: Causes and Solutions
Dizziness with slight swaying? Hello Doctor: Recently, I often feel dizzy when sitting or lying down, with a slight swaying sensation, and sometimes I even feel a bit nauseous (though I haven't actually vomited, just the sensation). However, as soon as I stand up and walk ar...
Dr. Hong Weibin reply Neurology
Hello: Based on your description, the most likely cause of your dizziness may stem from an imbalance in the inner ear, with benign paroxysmal positional vertigo being the most common reason. You may seek assistance from an otolaryngologist or a neurologist.[Read More] Understanding Dizziness and Lightheadedness: Causes and Solutions
Managing Cervical Dystonia in a 70-Year-Old: Treatment Options and Recommendations
Cervical dystonia in a 70-year-old adult? Hello Doctor, my mother is 70 years old and has been suffering from cervical dystonia for the past two years. Her neck often moves involuntarily to one side. She has tried various treatment options, such as Botox injections, medications, ...
Dr. Hong Weibin reply Neurology
Hello: Cervical dystonia can cause muscle pain and significantly impact the quality of life. Currently, the most effective treatment remains muscle injection of botulinum toxin. This method involves injecting botulinum toxin into the muscles responsible for cervical dystonia, all...[Read More] Managing Cervical Dystonia in a 70-Year-Old: Treatment Options and Recommendations
Understanding Leg and Wrist Pain: When to Seek Neurology Care
Pain in the posterior right calf and discomfort in the wrist? Hello, doctor. Last month, due to a confirmed diagnosis, I spent nearly a week lying on a recliner or sitting. Since then, I have experienced pain when pressing on the back of my right calf (which is not present now). ...
Dr. Hong Weibin reply Neurology
Hello: It may be due to prolonged rest, which has caused the muscles to become tight and stiff. You can start by consulting a rehabilitation specialist or a physical therapist for assistance in relaxing the tight muscles, and then gradually increase your activity level, which sho...[Read More] Understanding Leg and Wrist Pain: When to Seek Neurology Care
Can You Get the COVID Vaccine with Dizziness and Ear Issues?
Can individuals experiencing dizziness or vertigo receive the COVID-19 vaccine? Hello, doctor. I am scheduled to receive the second dose of the AZ vaccine soon, but I have some health concerns that make me hesitant. I would like to ask for your opinion: I have been experiencing i...
Dr. Hong Weibin reply Neurology
Hello: Although dizziness and body swaying are not contraindications for receiving the COVID-19 vaccine, if you have not been feeling well recently, it is advisable to prioritize your health and recover before getting vaccinated. Hong Wei-bin[Read More] Can You Get the COVID Vaccine with Dizziness and Ear Issues?
Understanding Involuntary Head Tremors: Causes and Solutions
Involuntary head tremors? Hello, doctor. Since around middle school, I've noticed that whenever I get nervous, my head starts to shake involuntarily (side to side). During high school, when I had to give presentations, I found it even harder to control. Sometimes, even when ...
Dr. Hong Weibin reply Neurology
Hello: Based on your description, it may be essential tremor, which is one of the most common movement disorders. Head tremors (for example, during "yes" or "no" movements) occur without abnormal head posture. Emotional excitement, high stress, fever, physical...[Read More] Understanding Involuntary Head Tremors: Causes and Solutions
Understanding Visual Disturbances After Traumatic Experiences in Teens
After seeing or thinking about bloody and nauseating images, the visual field becomes narrowed? Hello Doctor, my son is 19 years old. Since he was about 11, he has experienced episodes where his vision narrows after seeing graphic images (such as corpses or dissection scenes), bu...
Dr. Hong Weibin reply Neurology
Hello: 1. I have not heard of cases where visual field narrowing occurs intermittently. 2. Most issues related to the brain or eyes that cause changes in the visual field tend to be persistent. 3. It is unlikely that if a fall causes injury to the brain or eyes, nerve damage woul...[Read More] Understanding Visual Disturbances After Traumatic Experiences in Teens
Understanding Long-Term Dizziness and Occasional Hand Tremors
Chronic dizziness with occasional hand tremors? Hello Doctor, I am currently abroad, so it's a bit inconvenient for me to seek medical attention. I would like your help in assessing how serious my condition is and how I might improve it. I have been experiencing sudden episo...
Dr. Hong Weibin reply Neurology
Hello: Based on your description, it may be due to vestibular dysfunction in the inner ear causing dizziness, such as Meniere's disease. It is advisable to schedule an appointment for examination. There is a type of shaking known as enhanced physiologic tremor, which can be ...[Read More] Understanding Long-Term Dizziness and Occasional Hand Tremors
Involuntary Muscle Twitches in the Inner Left Foot: When to Seek Help?
Involuntary muscle twitching on the inner side of the left foot? The inner side of my left foot has been twitching involuntarily, and sometimes the big toe also twitches along with it. This condition persisted for an entire day the day before yesterday, and since then it has not ...
Dr. Hong Weibin reply Neurology
Hello: The muscles in the body are controlled by nerves, which function like electrical wires, transmitting signals to control muscle movements. However, just as electrical wires can occasionally experience leakage due to external factors like temperature and humidity, muscles ma...[Read More] Involuntary Muscle Twitches in the Inner Left Foot: When to Seek Help?
Understanding Weakness and Numbness in Limbs: Possible Causes and Concerns
Weakness in the calves? Hello doctor, I experienced a sudden increase in blood pressure today, and I'm not sure why. Sometimes my hands feel weak, and I have a tingling sensation in the thumb area of my palm. I also feel weakness in my calves, and at times my legs feel weak,...
Dr. Hong Weibin reply Neurology
Hello: Based on your description, it seems difficult to pinpoint a specific neurological disorder. If daily activities, including walking, exercising, and self-care, are not problematic, it may be due to psychosocial stress or environmental factors. It would be advisable to conti...[Read More] Understanding Weakness and Numbness in Limbs: Possible Causes and Concerns
Post-Recovery Numbness in Hands and Feet: Causes and Solutions
After recovering from the diagnosis, there may be numbness in the hands and feet? I was diagnosed with COVID-19 last week. One day, I experienced low blood pressure that caused numbness throughout my body, starting from my hands and feet, then my chest. Now that I am recovering, ...
Dr. Hong Weibin reply Neurology
Hello: You can seek assistance from a neurologist, who can arrange for a nerve conduction velocity test to check for any nerve damage. If there is no damage, you may take neuroprotective medications such as B vitamins, which should help you gradually recover within 1 to 2 months.[Read More] Post-Recovery Numbness in Hands and Feet: Causes and Solutions
Understanding Periodic Body Jerks During Sleep: A Neurological Insight
Rhythmic twitching of various body parts during sleep? Hello, doctor. I am a 28-year-old female, 160 cm tall and weighing 43 kg. I am a "sleep-onset" type. My partner has informed me that while I am asleep, my body exhibits rhythmic shaking or twitching, which feels lik...
Dr. Hong Weibin reply Neurology
Hello: Based on your description, it is possible that you are experiencing Periodic Limb Movement Disorder (PLMD). I recommend seeking assistance from a neurologist or a sleep specialist, or visiting a hospital with a sleep center. Depending on the situation, blood tests and a po...[Read More] Understanding Periodic Body Jerks During Sleep: A Neurological Insight
Sudden Loss of Feeling in Left Leg Upon Waking: What Could It Mean?
Suddenly feeling numbness in the left leg upon waking up and then falling? Hello, doctor. I am a 16-year-old high school student. This morning when I got up, I suddenly fell to the floor and was unable to stand up immediately; it took me a few seconds to slowly get back on my fee...
Dr. Hong Weibin reply Neurology
Hello: If this has only happened once, you can observe and rest well; usually, the symptoms can improve. However, if it occurs frequently within the next 1-2 weeks, it is recommended that you go directly to the hospital to seek assistance from a neurologist, who will arrange for ...[Read More] Sudden Loss of Feeling in Left Leg Upon Waking: What Could It Mean?
Understanding Inner Thigh Numbness: Causes and When to Seek Help
Numbness in the inner thigh of the left leg? Hello Doctor, I would like to ask about my condition. Last month, I initially experienced pain in my right lower back, which after about a week progressed to pain in the upper back (around the scapula). Four days later, the pain shif...
Dr. Hong Weibin reply Neurology
Hello: Based on your description, there may be a possibility of a muscle strain or sprain, which could temporarily lead to peripheral nerve injury. It is advisable to rest more and avoid intense physical activity. You can observe the situation for about 1-2 months, and if symptom...[Read More] Understanding Inner Thigh Numbness: Causes and When to Seek Help
Understanding Inner Thigh Numbness: Causes and When to Seek Help
Numbness in the inner thigh of the left leg? Hello Doctor: I would like to ask about my condition. Last month, I initially experienced pain in my right lower back, which then shifted to the upper back (around the scapula) after about a week. Four days later, the pain transitioned...
Dr. Hong Weibin reply Neurology
Hello: Based on your description, there may be a possibility of a muscle strain or sprain, which could temporarily lead to peripheral nerve injury. It is recommended to rest more and avoid vigorous exercise. You can observe the situation for about 1-2 months, and if symptoms do n...[Read More] Understanding Inner Thigh Numbness: Causes and When to Seek Help
Understanding Persistent Dizziness: Seeking the Right Medical Guidance
Dizziness while walking? Hello, doctor. I have been experiencing episodes of dizziness intermittently over the years, but it has become more frequent in the past six months. Two years ago, I suspected a stroke and went to a major hospital to see a neurologist, where I underwent a...
Dr. Hong Weibin reply Neurology
Hello: The majority of dizziness is caused by degenerative abnormalities of the vestibular structures in the inner ear. If you have already undergone thorough examinations and no dangerous underlying conditions have been found, the focus should be on identifying factors that exac...[Read More] Understanding Persistent Dizziness: Seeking the Right Medical Guidance
Can B12 and Micobalance Help Restore My Lost Sense of Smell?
Should I supplement with Micobalance for the loss of smell? What else can I do? Hello, doctor. Two years ago, I had an accident where I fell from a height, resulting in a skull fracture at the back of my head, intracranial hemorrhage, and a Glasgow Coma Scale score of 3. I was in...
Dr. Hong Weibin reply Neurology
Hello: If there has already been damage to the olfactory nerve, recovery may be more challenging. Vitamin B12 can be purchased over the counter at pharmacies or community drugstores; it may be worth trying, but it is likely to help maintain the current condition and reduce furthe...[Read More] Can B12 and Micobalance Help Restore My Lost Sense of Smell?
Understanding Isaac's Syndrome: Managing Muscle Spasms and Mobility Issues
Involuntary muscle twitching? Since July of last year, I have been experiencing involuntary muscle twitching in my legs, and now it has become difficult for me to move; even standing and walking are problematic. I have been to the hospital for examinations, and they diagnosed me ...
Dr. Hong Weibin reply Neurology
Hello: It is recommended that you discuss the disability assessment with your primary physician. Typically, to confirm whether it is amyotrophic lateral sclerosis (ALS), an electromyography (EMG) test will be conducted. You may want to discuss this with your physician.[Read More] Understanding Isaac's Syndrome: Managing Muscle Spasms and Mobility Issues
Persistent Heartbeat Sensation While Lying Down: Seeking Solutions
Palpitations are more pronounced when lying down or at rest? Six months ago, I suddenly became very aware of my heartbeat while sleeping (60-70 beats per minute, regular and stable, with normal blood pressure). It felt like my whole body was shaking. It was not like typical palpi...
Dr. Hong Weibin reply Neurology
Hello: If you have already undergone cardiac-related examinations and confirmed that there are no abnormalities, it is recommended to continue monitoring and follow-up.[Read More] Persistent Heartbeat Sensation While Lying Down: Seeking Solutions
Understanding Throat Issues: When to Worry About Swallowing Difficulties
Throat issues Hello Doctor, I am the person who previously inquired about concerns regarding ALS. Over the past three days, I have noticed that when I eat, if I am not careful, I tend to aspirate a small amount of liquid into my trachea, which almost leads to choking but I manage...
Dr. Hong Weibin reply Neurology
Hello: If you have difficulty swallowing, it is recommended to consult an otolaryngologist or a gastroenterologist, who may arrange for a swallowing study based on your condition.[Read More] Understanding Throat Issues: When to Worry About Swallowing Difficulties