Understanding EEG Reports: Insights into Mild Diffuse Slow Waves
Electroencephalogram (EEG) Report Type of Recording: Routine Condition: Awake 1. EEG Diagnosis: Abnormal Mild occasional diffuse slow waves 2. EEG Description: a. Background Activities: Alpha 9-10Hz 20-40µV, posterior dominant rhythm; symmetry +; reactiv...
Dr. Jiang Junyi reply Neurology
Dear Ms. Jim, You mentioned "Theta 5-6Hz, 20-40uV, occasional, diffuse" slow waves in a localized area, indicating potential damage to that brain region, which requires special attention. The presence of diffuse slow waves typically suggests that the subject may be dro...[Read More] Understanding EEG Reports: Insights into Mild Diffuse Slow Waves
Understanding Sleep-Related Muscle Twitches and Anxiety Disorders
Teeth clenching and facial muscle twitching upon falling asleep? Hello Dr. Jiang: I have been experiencing anxiety and autonomic nervous system dysregulation for the past six years. During severe episodes, I take half a Xanax for relief. In recent years, I have noticed that somet...
Dr. Jiang Junyi reply Neurology
Hello Ms. Cocoa: You mentioned that "the eyelid nerves and even the facial nerves at the corners of the mouth are twitching involuntarily... the teeth are clenching involuntarily, and after clenching, the facial muscles (near the cheekbones) also start to twitch significantl...[Read More] Understanding Sleep-Related Muscle Twitches and Anxiety Disorders
Understanding Involuntary Muscle Twitches in the Hand: Causes and Solutions
Involuntary muscle twitching in the palm? Hello Doctor, I have been experiencing intermittent rapid muscle twitching in my palms (both inside and outside). During these episodes, my palms and fingers tend to curl up as if I were trying to make a fist (similar to a chicken claw), ...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "your fingers seem to be in a fist-like position (like a chicken claw) and cannot be extended." This may indicate a consideration of abnormal muscle tone, characterized by persistent muscle contractions that can sometimes lead to limb twi...[Read More] Understanding Involuntary Muscle Twitches in the Hand: Causes and Solutions
Understanding Autonomic Nervous System Disorders and Their Symptoms
Autonomic nervous system dysfunction? Hello, last week I visited a clinic due to a cold and was prescribed medication. After taking the medication, I started experiencing thirst and dry lips, and no matter how much water I drank, I couldn't quench my thirst; in fact, it seem...
Dr. Jiang Junyi reply Neurology
Hello Mr. Xiao Ming, You mentioned that "you have stopped taking medication for about a week... and the thirst is not as severe the next day." Since the duration of the drug's action has exceeded five half-lives, the effects of these two medications should be rule...[Read More] Understanding Autonomic Nervous System Disorders and Their Symptoms
Neck Injury After Basketball: When to See a Doctor?
Neck issues A few days ago, while playing basketball, I jumped and got hit by someone, causing my head to tilt backward in the air. I heard a cracking sound from my neck, and afterward, I felt some stiffness in my neck. By the evening, I started experiencing dizziness, and it has...
Dr. Jiang Junyi reply Neurology
Dear Mr. Huang, You mentioned that "I started feeling dizzy in the evening, and it has persisted for several days." I apologize for the delay in my response. Your symptoms may suggest a possible muscle injury in the cervical spine. If you experience any ischemic neurol...[Read More] Neck Injury After Basketball: When to See a Doctor?
Understanding Facial Numbness: Insights for Ankylosing Spondylitis Patients
Frequent facial numbness? I was diagnosed with ankylosing spondylitis (AS) this May. In addition to the pain associated with AS, I have been experiencing persistent numbness on the right side of my face and right lip, along with occasional numbness in my right ear. This numbness ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Lee, You mentioned that "cervical disc herniation can affect facial numbness," specifically regarding high cervical nerve root compression at the levels of C1 to C3. Since the nerves pass through the trigeminal nerve nucleus, this may be related to the persist...[Read More] Understanding Facial Numbness: Insights for Ankylosing Spondylitis Patients
Could Your Evening Diarrhea Be Linked to Autonomic Nervous System Dysfunction?
Could diarrhea be caused by autonomic nervous system dysfunction? Hello, Dr. Jiang. I am a patient with diarrhea-predominant irritable bowel syndrome (IBS-D). I have undergone numerous gastrointestinal examinations, including a colonoscopy, and my body has shown no issues. I have...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned that "you often experience diarrhea after dinner... but there are no issues with lunch or late-night snacks... and you suspect autonomic nervous system dysfunction." First, it's important to clarify that if diarrhea is caused by dietary fa...[Read More] Could Your Evening Diarrhea Be Linked to Autonomic Nervous System Dysfunction?
Understanding Right-Sided Head Pain: Possible Causes and Solutions
Only the right side of my head feels uncomfortable? Hello, doctor. For the past three days, I've been experiencing pain on the right side of my temple, teeth, ear, and back of my neck. The pain is intermittent and persistent. I have seen a dentist, but they said there is no ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Lu: You mentioned that you are experiencing pain in your teeth, ears, and the back of your neck, which may suggest considering cervical myofascial pain. The myofascia around the cervical spine has small muscles that connect to the head, while the larger superficial musc...[Read More] Understanding Right-Sided Head Pain: Possible Causes and Solutions
Facial Surgery Complications: Inability to Smile and Eye Closure Issues
After the facelift surgery, the left side of the face is unable to express emotions? I underwent a three-layer facelift surgery on September 19, and now the left side of my face cannot lift the corner of my mouth, causing my smile to be lopsided. The lower eyelid cannot close pro...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned the symptoms of "a crooked smile and the inability to close the lower eyelid," which may indicate inflammation of the facial nerve. During the acute phase, due to nerve damage, improvement of symptoms may take some time. The use of corticoster...[Read More] Facial Surgery Complications: Inability to Smile and Eye Closure Issues
Understanding Groin Pain and Iron Deficiency: Insights on Restless Legs
Groin discomfort, iron deficiency, restless legs syndrome, and tightness of the cremaster muscle? Hello, doctor. About 4-5 years ago, I underwent laparoscopic surgery for bilateral varicocele. Approximately 1-2 years post-surgery, I started experiencing a dull pain in the right g...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen, You mentioned that "the pain has spread to the inner side of the right thigh, the outer side of the right calf, and the right testicle experiences spasms and sometimes involuntary twitching." These symptoms may suggest a neuropathy related to the sacral...[Read More] Understanding Groin Pain and Iron Deficiency: Insights on Restless Legs
Understanding Groin Pain and Iron Deficiency: Insights on Restless Legs
Groin discomfort, iron deficiency, restless legs syndrome, and tightness of the cremaster muscle? Hello, doctor. About 4-5 years ago, I underwent laparoscopic surgery for bilateral varicocele. Approximately 1-2 years post-surgery, I began experiencing a vague, dull pain in the ri...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen: You mentioned that "the pain has spread to the inner thigh, posterior lateral side of the right calf, and the right testicle experiences spasms and sometimes involuntary twitching." These symptoms may suggest a neuropathy of the sacral plexus. Symptoms o...[Read More] Understanding Groin Pain and Iron Deficiency: Insights on Restless Legs
Could Your Symptoms Indicate ALS or Another Neurological Disorder?
Do these symptoms indicate amyotrophic lateral sclerosis (ALS), or could they be related to another neurological disorder? Hello, I started experiencing muscle tightness and soreness in my left forearm since last Saturday (9/23), accompanied by eyelid twitching, which occurred ab...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that the issues of muscle soreness and tremors may need to first rule out cervical spinal cord and nerve compression, as these are symptoms of lower motor neuron involvement. Lower motor neuron symptoms include muscle atrophy, weakness, and fasciculations. Th...[Read More] Could Your Symptoms Indicate ALS or Another Neurological Disorder?
Persistent Dizziness: Understanding Neurological Causes and Next Steps
Feeling dizzy all day long? Hello doctor, I have been experiencing dizziness since early May (it's not a spinning sensation, but I feel lightheaded all day). Initially, I thought it was heat exhaustion due to the combination of feeling hot and dizzy, but now I only have dizz...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "the ENT examination includes hearing tests, balance assessments, inner ear temperature differentials, eye movement tests, and brainstem response, while the neurology examination includes awake EEG, brainstem auditory evoked potentials, and carotid ...[Read More] Persistent Dizziness: Understanding Neurological Causes and Next Steps
Understanding Uncontrollable Body Shaking: Causes and Solutions
The body may occasionally experience involuntary muscle spasms or twitching? Hello Doctor: I would like to ask on behalf of my father! My father has diabetes, kidney disease, and hypertension, and he also suffers from ischemia. He experiences severe shaking every day, not just mi...
Dr. Jiang Junyi reply Neurology
Dear Ms. Fen, You mentioned that your father is experiencing "intense shaking accompanied by discomfort," which may warrant consideration of structural issues in the brain, commonly seen after cerebrovascular diseases. Tremors can often be attributed to essential tremo...[Read More] Understanding Uncontrollable Body Shaking: Causes and Solutions
Understanding Unilateral Head Numbness: Causes and Relief Strategies
Unilateral head numbness Hello Doctor, I am 22 years old and a few weeks ago I suddenly started experiencing numbness on the left side of my head, specifically from the back of my skull to the top of my head. This occurs whether I am sitting, standing, or walking, and even while ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Chen, You mentioned experiencing numbness on the left side of your head, specifically from the back of your skull to the top of your head. This symptom may be related to cervical nerve inflammation, particularly in individuals who frequently look down or overuse their c...[Read More] Understanding Unilateral Head Numbness: Causes and Relief Strategies
Understanding Skin Sensations: Is It Post-Shingles Nerve Pain?
Skin prickling Hello, for the past week, I've been experiencing a tingling sensation on my thigh whenever it comes into contact with my pants. I had shingles (herpes zoster) in mid-June on my abdomen, and I'm wondering if this could be a residual effect of the shingles....
Dr. Jiang Junyi reply Neurology
Hello Ms. Anita: You mentioned that "the skin on my thighs feels a bit prickly when it comes into contact with my pants, and I had shingles (on my abdomen) in mid-June." It may be necessary to consider inflammation of the lumbar nerves, specifically the second and third...[Read More] Understanding Skin Sensations: Is It Post-Shingles Nerve Pain?
Understanding Sensory Differences Between Left and Right Feet
There is a difference in sensation between the left and right foot? Several months ago, I started to occasionally feel a difference in sensation between my right and left foot. When I touch both feet, the left foot has a clear sensation, while the right foot feels somewhat numb o...
Dr. Jiang Junyi reply Neurology
Dear Ms. Wang, You mentioned that you have a habit of crossing your legs and that your mother has diabetes, but your last fasting blood glucose level was normal. Should diabetes be ruled out first? If it is not diabetes, what other conditions should be considered? Which specialt...[Read More] Understanding Sensory Differences Between Left and Right Feet
Post-Surgery Neck Tumor: Managing Persistent Numbness and Tightness
Sensory numbness and a tight pulling sensation after neck tumor resection? Hello doctor, I would like to ask about the persistent numbness and tightness in my neck three months after undergoing surgery to remove a neck tumor. The doctor mentioned that the nerve was severed and th...
Dr. Jiang Junyi reply Neurology
Dear Miss Alice, You mentioned "persistent numbness in the neck + a constant feeling of tightness... nerve severance." Essentially, once neuronal cells (brain cells and spinal cord neurons) die, they cannot regenerate. However, if it is due to surgery for a neck tumor,...[Read More] Post-Surgery Neck Tumor: Managing Persistent Numbness and Tightness
Intermittent Muscle Twitching in the Left Cheek: Causes and Solutions
Twitching in the left zygomatic bone area? Hello, doctor. For the past couple of days, I've been experiencing intermittent and irregular muscle twitching in the left cheekbone area (without pain). Each twitch lasts about one to two seconds. Sometimes, looking down triggers t...
Dr. Jiang Junyi reply Neurology
Hello Ms. Lin, You mentioned that "the muscles in the left cheekbone area intermittently but irregularly twitch... and this symptom may be triggered by looking down." This symptom may need to be considered in the context of cervical nerve inflammation, especially among...[Read More] Intermittent Muscle Twitching in the Left Cheek: Causes and Solutions
Understanding Head Trauma: Concerns About Skull Indentation After Injury
Head trauma Hello Doctor, two years ago at school, a classmate hit me hard on the right side of my head twice with a wooden broom, approximately near the frontal bone, causing the broom to crack. At that moment, I only experienced bleeding and no other discomfort. After returning...
Dr. Jiang Junyi reply Neurology
Hello Mr. Kg: You mentioned that "there is a dented groove where I was hit, while the other side of the skull does not have this." After researching related information, it seems that this could be a skull base fracture. However, the "skull base fracture" you ...[Read More] Understanding Head Trauma: Concerns About Skull Indentation After Injury