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Understanding Sudden Shoulder Jerks in a Three-Year-Old Child

A three-year-old child suddenly experiences involuntary shoulder jerking? Dear Dr. Huang, Thank you for taking the time to respond despite your busy schedule. I am currently abroad and would greatly appreciate your advice. My three-year-old child has suddenly developed involunta...


Dr. Huang Yingzhe reply Neurology
Hello: Based on your description, it is possible that you are experiencing myoclonus. The localization and causes of myoclonus are diverse; if it is limited to the shoulders, it may be related to cervical spine issues. A definitive diagnosis requires further examination, as more ...

[Read More] Understanding Sudden Shoulder Jerks in a Three-Year-Old Child


Understanding Lumbar Pain: When to Seek Specialist Help

Bilateral lumbar pain? I would like to ask the doctor: I experience severe pain in my lower back, specifically around the lumbar region, when I stand up after sitting for less than a minute. Sometimes the pain is so intense that I cannot move forward. Previously, I consulted a ne...


Dr. Huang Yingzhe reply Neurology
Hello: If you have been taking pain relievers for a period of time without improvement, it is recommended to seek a second opinion or assistance from specialists such as a neurologist, orthopedic surgeon, or rehabilitation physician.

[Read More] Understanding Lumbar Pain: When to Seek Specialist Help


Impact of Smoking on Nerve Recovery After Surgery: A Case Study

Nerve damage Smoking can significantly impair the healing process after nerve repair surgery. It can reduce blood flow, hinder tissue regeneration, and increase the risk of complications. Therefore, it is advisable to avoid smoking to promote optimal recovery.


Dr. Huang Yingzhe reply Neurology
Smoking can affect the healing of injuries and the repair of nerves, so it should be avoided. Moreover, it poses risks to the lungs and cardiovascular system.

[Read More] Impact of Smoking on Nerve Recovery After Surgery: A Case Study


Understanding Childhood Epilepsy: Symptoms, Treatment, and Management

Pediatric epilepsy Hello, doctor. My child is currently 3 years old and has mild developmental delay. In March of this year, an EEG showed abnormal discharges (currently not on medication). In February, during an episode, he blinked his eyes and had a slight head nodding twice, b...


Dr. Huang Yingzhe reply Neurology
Absence seizures have a defined pattern on an electroencephalogram (EEG), so in addition to clinical symptoms, EEG findings are necessary for confirmation. However, it does sound like an epileptic seizure. It is advisable to consult a pediatric neurologist or pediatric epilepsy s...

[Read More] Understanding Childhood Epilepsy: Symptoms, Treatment, and Management


Understanding Dizziness: Is It a Neurological Issue?

Dizziness, like being in an elevator? Hello doctor, for the past two or three days, I have been feeling dizzy. It feels like I'm in an elevator, going up and down. It's very uncomfortable. Could you please tell me what might be the problem?


Dr. Huang Yingzhe reply Neurology
Given your age, most issues are related to inner ear balance problems, but a detailed neurological examination is still necessary, along with monitoring of the condition. It is recommended to consult a neurology outpatient clinic for further management.

[Read More] Understanding Dizziness: Is It a Neurological Issue?


Morning Dizziness and Nausea: Could It Be Post-Concussion Syndrome?

Dizziness and dry heaving upon waking up: Could it be a post-concussion syndrome? Dear Dr. Huang, Hello. In late August 2014, I experienced a direct impact to the back of my head when I hit the floor. That day, I had severe vomiting and unsteadiness while walking. I went to the ...


Dr. Huang Yingzhe reply Neurology
Based on the timeline, the brain CT scan performed last year should not be related to the concussion from the year before. Many people experience dizziness, which often requires a period of monitoring. It is recommended to first consult an otolaryngologist, and if there are conce...

[Read More] Morning Dizziness and Nausea: Could It Be Post-Concussion Syndrome?


Why Am I Prescribed Antiepileptic Drugs Without Having Epilepsy?

Why take epilepsy medication if there is no epilepsy? Hello Dr. Huang, I recently discovered that the medication I have been taking is for epilepsy. I initially visited a clinic due to dizziness, vomiting, and insomnia. Despite visiting other clinics, I continued to experience di...


Dr. Huang Yingzhe reply Neurology
Dizziness may be treated with anticonvulsants in certain specific situations. Some older medications for insomnia can also be used for epilepsy, but the two medications you mentioned are not among them! It is advisable to discuss with the prescribing physician to determine whethe...

[Read More] Why Am I Prescribed Antiepileptic Drugs Without Having Epilepsy?


Experiencing Electric Shock Sensation Near Temple When Yawning

Yawning causes a jolt to the head? Hello, doctor. Recently, when I yawn, I feel a sensation like an electric shock near the right side of my head, close to the temple. It happens occasionally. What could be the problem? I have no family history of genetic diseases.


Dr. Huang Yingzhe reply Neurology
The temporomandibular joint (TMJ) is the first area that should be examined to determine if inflammation is causing damage to nearby nerves. It is advisable to consult a neurologist for an evaluation.

[Read More] Experiencing Electric Shock Sensation Near Temple When Yawning


Can Aspirin Users Still Experience Stroke? Insights from Neurology

During the use of aspirin, is there still a risk of having a stroke? Hello, in mid-October last year, I experienced a right brain vascular embolism, which resulted in my left foot being unable to bear weight. I received TPA injection in the emergency department and was diagnosed ...


Dr. Huang Yingzhe reply Neurology
Clinically, there are still many cases where patients experience a recurrent stroke despite taking aspirin. Currently, there is no method that can absolutely prevent a second stroke.

[Read More] Can Aspirin Users Still Experience Stroke? Insights from Neurology


Understanding Facial Numbness: Insights on Trigeminal Nerve Issues

Facial numbness, trigeminal nerve issue? Hello, Dr. Huang. I previously consulted with you at Tainan Hospital. My issue began in early January of this year when I suddenly experienced numbness on the left side of my face. Subsequently, I underwent an MRI at Tainan Hospital, which...


Dr. Huang Yingzhe reply Neurology
The presence of herpes in your blood may not necessarily be related to the MRI findings you described. Your condition requires monitoring, so please come to the outpatient clinic for discussion and management to clarify the possible nature of the lesions.

[Read More] Understanding Facial Numbness: Insights on Trigeminal Nerve Issues


Understanding Bacterial Meningitis: Recovery and Rehabilitation Insights

Bacterial meningitis My elder brother is suffering from sepsis combined with bacterial meningitis. He has been undergoing treatment for about 50 days. An MRI indicates cerebral edema, and he has had a drain placed. His inflammatory markers have returned to normal levels, but curr...


Dr. Huang Yingzhe reply Neurology
Rehabilitation is certainly necessary! But how much recovery is possible? That should still be discussed with the attending physician. However, if it has been 50 days and there is still a brain tumor, it may be quite difficult to make significant progress.

[Read More] Understanding Bacterial Meningitis: Recovery and Rehabilitation Insights


Chronic Pain: Seeking Help for Unexplained Neurological Issues

Full body pain! Help! Hello doctor, I have been experiencing pain in my limbs and lower back for over ten years. However, in the past year or two, the pain has intensified, occurring almost every two to three days, and I have been relying on painkillers to get through my daily li...


Dr. Huang Yingzhe reply Neurology
Given your age, I would recommend starting with a consultation in immunology and rheumatology, and then considering neurology or psychosomatic medicine. It can indeed be challenging to make a diagnosis at times, and medication may be used initially to reduce pain.

[Read More] Chronic Pain: Seeking Help for Unexplained Neurological Issues


Post-Surgery Seizures: Understanding Risks and Recovery in Neurology

Postoperative complications of epilepsy? Hello Doctor, my father-in-law has a benign brain tumor and has undergone five surgeries for tumor resection. After the first four surgeries, he recovered normally and was in good health. However, after the fifth surgery, which was less th...


Dr. Huang Yingzhe reply Neurology
After brain surgery, some patients may indeed experience seizures, and at this time, antiepileptic medication may be necessary. Sometimes, prophylactic medication is also administered. Typically, if there have been no seizures for six months, the possibility of discontinuing the ...

[Read More] Post-Surgery Seizures: Understanding Risks and Recovery in Neurology


Understanding Children's Hand Cramps: Causes and Concerns

Childhood hand numbness Hello, Dr. Huang. I would like to ask about my child. Since she was little, when she gets upset and cries, her fingers tend to become stiff and spasm, and I can't straighten them out for her; she has to recover on her own. Although it hasn't caus...


Dr. Huang Yingzhe reply Neurology
It may still be necessary to take the child to a pediatric neurologist for evaluation. Epileptic seizures must be ruled out first, followed by other involuntary movements. There is insufficient information to make a judgment at this time, and I apologize for that.

[Read More] Understanding Children's Hand Cramps: Causes and Concerns


Unexplained Headaches: When to Seek Medical Attention

Unexplained headache? A few days ago, I was lying on the back seat of a car (I wasn't sleeping), and shortly after I got up, I developed a severe headache that lasted for a long time. However, I haven't had a headache in the past two days. Do I need to see a doctor?


Dr. Huang Yingzhe reply Neurology
If you have any questions or discomfort, you should definitely consult a physician to avoid missing important information about your health!

[Read More] Unexplained Headaches: When to Seek Medical Attention


Understanding Hearing Loss After a Car Accident: A Guide for Families

Regarding the impact of intracranial hemorrhage from a car accident on hearing loss in my father? Hello Dr. Huang, Last October, my father was involved in a car accident near his home and was admitted to Chang Gung Memorial Hospital's neurology department. Initially, the d...


Dr. Huang Yingzhe reply Neurology
It seems the issue lies in the fact that no physician can prove that the hearing loss was caused by the car accident! This is likely because there was no prior evidence for the two specialists to confirm that the hearing was normal before the accident, so they cannot provide you ...

[Read More] Understanding Hearing Loss After a Car Accident: A Guide for Families


Understanding Tegretol: Uses and Effects in Neurology

Drug Inquiry Tegretol, also known as carbamazepine, is a medication primarily used to treat epilepsy and certain types of nerve pain, such as trigeminal neuralgia. It works by stabilizing electrical activity in the brain and reducing the frequency of seizures. Additionally, it ma...


Dr. Huang Yingzhe reply Neurology
Tegretol is primarily used to treat epilepsy, but it is sometimes also used to manage neuropathic pain or numbness, and even to address mood disorders. For detailed information, please consult the prescribing physician.

[Read More] Understanding Tegretol: Uses and Effects in Neurology


Is Once Daily Pradaxa Dosage Sufficient for Mild Stroke Patients?

Medication Consultation (Supplementary Questions) First of all, I would like to express my gratitude to Dr. Huang for answering my questions. However, I would like to further inquire about my mother's situation. Our attending physician has expressed concerns that increasing ...


Dr. Huang Yingzhe reply Neurology
According to general experience, when a patient presents with hematuria after receiving warfarin, it is important to consider this issue when administering other anticoagulants as well. However, the benefits and risks must be weighed on a case-by-case basis, and there is no one-s...

[Read More] Is Once Daily Pradaxa Dosage Sufficient for Mild Stroke Patients?


Is Once-Daily Pradaxa Dosage Sufficient for Stroke Prevention in Elderly Patients?

Medication Consultation Hello Dr. Huang, my mother is 64 years old and experienced a mild stroke in early March of this year. Her overall recovery status is stable (she can walk and manage daily activities independently without a catheter). However, due to atrial fibrillation, he...


Dr. Huang Yingzhe reply Neurology
According to the recommended dosage, it is indeed twice a day; however, in clinical practice, adjustments are often necessary based on individual patient circumstances. Therefore, it is advisable to consult the attending physician for further guidance.

[Read More] Is Once-Daily Pradaxa Dosage Sufficient for Stroke Prevention in Elderly Patients?


Is Aspirin Safe for Women After a Stroke? Expert Insights on Medication Use

Medication consultation Hello Dr. Huang, my mother is 64 years old. She was hospitalized for acute ischemic stroke (suspected in the midbrain region) one and a half months ago and has been receiving treatment. Her recovery is going well, and she has returned home to rest and acti...


Dr. Huang Yingzhe reply Neurology
Bokey has a preventive effect on heart and cerebrovascular blockages (though not 100%) and is applicable to both men and women (except in certain situations where other medications may be used instead).

[Read More] Is Aspirin Safe for Women After a Stroke? Expert Insights on Medication Use


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