Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues
Nerve conduction study Hello, doctor. Recently, I've been experiencing occasional pain in my right hand, so I went to check for ulnar nerve compression. The doctor arranged for nerve conduction studies and cervical spine examinations. The results showed that the conduction v...
Dr. Jiang Junyi reply Neurology
Dear Mr. Thelewa, You mentioned that "Lou Gehrig's disease" is a rare condition. Ulnar nerve injury is commonly associated with resting the elbow on a hard surface, such as a table, and applying pressure to the elbow can also lead to cubital tunnel syndrome. Activ...[Read More] Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues
Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry
I have a severe headache that feels like an explosion on both sides, and the ringing in my ears has become louder? I have a terrible headache. I thought taking a nap would help, but the pain woke me up. I first went to a neurologist for an MRI, which showed no issues. I visited a...
Dr. Jiang Junyi reply Neurology
Dear Ms. Lin, You mentioned issues related to "headaches and cranial noises," which may suggest tension-type headache, a form of myofascial pain. Myofascia refers to the connective tissue that envelops the surface of muscles. Tension-type headaches are caused by tightn...[Read More] Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry
Can Head Injuries Lead to Mental Illness? Understanding the Risks
Can a head injury lead to mental illness? When my brother was in the second year of junior high school, we were playing basketball, and in a moment of anger, I pushed him while he was in the air. This caused him to fall face-first onto the ground. At that moment, he had facial br...
Dr. Jiang Junyi reply Neurology
Hello Mr. Stephen: Generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious local hematomas, head trauma is mostly mild. You mentioned that "a few months later, your brother developed a high fever and experienced symptoms of epilepsy," ...[Read More] Can Head Injuries Lead to Mental Illness? Understanding the Risks
Head Pain When Swallowing: Understanding Neurological Symptoms
Swallowing saliva causes headaches? In late June, after I sneezed forcefully, I experienced a sharp pain at the top right of my head. Initially, I had headaches when swallowing, but that subsided. However, I still occasionally feel pain when swallowing saliva, although eating foo...
Dr. Jiang Junyi reply Neurology
Hello Mr. Wu: You mentioned that "swallowing saliva causes headaches." Your symptoms may suggest the possibility of high cervical nerve root compression, specifically at the levels of C1 to C3. This is because the nerves pass through the trigeminal nerve nucleus. These ...[Read More] Head Pain When Swallowing: Understanding Neurological Symptoms
Understanding Occasional Numbness and Tingling in Limbs: Causes and Concerns
Occasional tingling or numbness in the hands and feet? Hello doctor, last week I experienced soreness in my left eye for four to five days and consulted a physician who mentioned that my eyes were fatigued. During this time, I occasionally felt tingling sensations in my left arm ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Zhe, You mentioned that "the right side has somewhat similar symptoms," which may still warrant consideration of spinal nerve root compression. Additionally, cerebrovascular diseases should also be ruled out. Multiple sclerosis is considered a rare disease in...[Read More] Understanding Occasional Numbness and Tingling in Limbs: Causes and Concerns
Understanding Body Tingling: Possible Causes and Concerns
Tingling sensation in the body? Hello, doctor. Last night, I suddenly felt a tingling sensation on the left side of my torso, which went away while I was sleeping after about 4-5 hours. I have experienced this symptom occasionally in the past, and it usually resolves within 1-2 d...
Dr. Jiang Junyi reply Neurology
Dear Mr. Guang, You mentioned, "Is it possible that it's multiple sclerosis, or is it multiple neuritis? ... Could it be caused by issues with the cervical and lumbar spine?" Your symptoms may need to first consider problems with the cervical and lumbar spine. The...[Read More] Understanding Body Tingling: Possible Causes and Concerns
Understanding Long-Term Effects of Head Injuries from Falls
Hello, doctor. I would like to ask about injuries from falls? Hello doctor, when I was 19 years old, I accidentally fell while going up the stairs and hit my head. At that time, I only felt dizzy but was fully conscious. Since there was bleeding, I went to the hospital. The docto...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen, You mentioned, "For the past 6 years, if I experience dizziness, will it be related to my previous injury?" Generally speaking, if there is no loss of consciousness, no anticoagulant medication use, or obvious local hematoma, head trauma is usually mild...[Read More] Understanding Long-Term Effects of Head Injuries from Falls
Can Piracetam Improve Brain Development and Focus in Adults?
Piracetam medication consultation? As a 27-year-old who has been taking piracetam, you have experienced slower cerebellar development since childhood, which has affected your learning and comprehension abilities, impacting your work and studies. You are currently seeking to impro...
Dr. Jiang Junyi reply Neurology
Hello Mr. A-Yang: You mentioned, "Does piracetam enhance concentration in the brain? Can it increase the release of dopamine?" Piracetam acts on the central nervous system by regulating neurotransmission, promoting neuroplasticity, and protecting neuronal metabolism. It...[Read More] Can Piracetam Improve Brain Development and Focus in Adults?
Understanding MRI Results: When to Seek Further Medical Advice
Magnetic Resonance Imaging Interpretation Issues Hello, doctor. I have been experiencing some health issues, so I underwent a health check-up and paid for a full-body MRI. I would like to ask the following questions: 1. The MRI report from the health check-up only mentioned a cy...
Dr. Jiang Junyi reply Neurology
Dear Mr. Wang, You mentioned, "it's not a significant issue, so it wasn't documented." This often reflects the personal judgment of the radiologist who interprets the report; some physicians may choose to minimize descriptions to avoid complicating explanatio...[Read More] Understanding MRI Results: When to Seek Further Medical Advice
Can Neuromyelitis Optica Be Transmitted Through Bodily Fluids?
Neuromyelitis optica (NMO) is not transmitted through bodily fluids and does not pose a risk of infection affecting health in this manner? Hello, I have read about the causes of neuromyelitis optica and understand that it may be related to genetic factors or viral triggers. Howev...
Dr. Jiang Junyi reply Neurology
Dear Ms. R: You mentioned that "neuromyelitis optica" is usually the result of various factors leading to autoimmune responses in the body. The concern you have regarding fluid transmission does not occur with normal sexual activity. If a patient requires long-term ste...[Read More] Can Neuromyelitis Optica Be Transmitted Through Bodily Fluids?
Understanding Nerve Pain: When Hand and Foot Numbness Occurs
Numbness in the hands followed by numbness in the feet? In May, I experienced a stiff neck and accidentally strained my back while lifting heavy objects. I applied heat therapy, which helped somewhat. However, starting in mid-June, I began to experience unexplained pain in my arm...
Dr. Jiang Junyi reply Neurology
Hello Ms. HARU: You mentioned that "the joints in your fingers hurt and your shoulders are stiff." If your issue involves multiple joints, it may be related to a multi-joint disease. You might also want to consider autoimmune-related arthritis. Thank you for your inquir...[Read More] Understanding Nerve Pain: When Hand and Foot Numbness Occurs
Understanding Sharp, Lightning-Like Pain in the Ankle: Causes and Solutions
Sharp, lightning-like needle sensations? Hello Dr. Jiang: In the past week, I have been experiencing intermittent sharp, lightning-like pain on the inner side of my left ankle. The frequency is irregular, and if it occurs while I am sleeping, it wakes me up. I also feel a crawlin...
Dr. Jiang Junyi reply Neurology
Dear Ms. Yen, Based on your description of experiencing a crawling sensation in your limbs and a lightning-like prickling feeling on the inner side of your right ankle, it is important to consider the possibility of lumbar nerve root compression. Symptoms of peripheral nerve com...[Read More] Understanding Sharp, Lightning-Like Pain in the Ankle: Causes and Solutions
Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes
Severe headache on one side at a specific time during sleep? Since last week, I have been waking up in severe pain around five or six in the morning. The pain starts from my left temple and radiates to the entire left side of my face, lasting about five minutes before subsiding f...
Dr. Jiang Junyi reply Neurology
Dear Ms. Qianyu, You mentioned that "you are often awakened by severe pain around five or six in the morning, starting from the left temple." Your symptoms may suggest a consideration of sinus headache. Typically, there is a feeling of pressure or fullness around the e...[Read More] Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes
Headaches Triggered by Strong Smells: Understanding the Connection
Headache and Taste Sensation Hello, doctor. After quitting smoking for a year or two, I have been experiencing headaches triggered by the smell of smoke or strong food aromas. The pain can be so intense that it only improves the next day after I wake up. For example, I have stron...
Dr. Jiang Junyi reply Neurology
Dear Ms. Jun, You mentioned that "smelling smoke or food odors can trigger headaches," which may warrant consideration of migraine issues. The diagnosis of migraine includes the following criteria: 5: Headaches occurring more than 5 times. 4: Headaches lasting more th...[Read More] Headaches Triggered by Strong Smells: Understanding the Connection
Understanding Sensory Loss: Possible Causes and Solutions
Numbness sensation Hello Doctor: About three days ago, I noticed a reduction of approximately 80% in the sensation of cold and heat in my left hand's ring and little fingers, along with a slight decrease in strength, but there is no significant numbness or pain. In addition ...
Dr. Jiang Junyi reply Neurology
Dear Ms. K: You mentioned that you have decreased sensitivity to temperature in your left ring and little fingers. Your symptoms may suggest an abnormality in ulnar nerve function. The ulnar nerve innervates part of the little finger, half of the ring finger, and the correspondi...[Read More] Understanding Sensory Loss: Possible Causes and Solutions
Understanding Tiny Acute Ischemic Infarcts: Causes and Management
Physical examination revealed signs of a previous minor stroke? Hello Doctor: Last month, the MRI results for my brain were interpreted as follows: Z719 Counseling, unspecified, V6540 Counseling, not otherwise specified, ||cre:0, eGFRr:0 Imaging findings: Brain MRI study without ...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned "A tiny acute ischemic infarct, left occipital subcortical white." An elder relayed that it was a concussion; could this have related effects? MRI primarily detects cerebral infarctions within a month. It cannot explain events that occurred muc...[Read More] Understanding Tiny Acute Ischemic Infarcts: Causes and Management
Understanding Lower Back Pain and Leg Numbness: Causes and Solutions
Lower back pain with leg numbness? Hello, doctor. I originally had pain on the left side of my lower back near the iliac bone, but it was only occasional. Today, when my back hurt, I experienced numbness above my left knee and in my thigh. Although the numbness in my thigh has be...
Dr. Jiang Junyi reply Neurology
Hello, You mentioned that "when experiencing lower back pain, there is numbness in the upper side of the left knee and thigh." Your symptoms may suggest compression of the lumbar nerve roots. Typical discomfort associated with lumbar nerve root pathology includes pain...[Read More] Understanding Lower Back Pain and Leg Numbness: Causes and Solutions
Understanding Dizziness and Blurred Vision: Causes and Solutions
Dizziness/Blurred vision Hello Doctor: I have been feeling normal before going out these past few days, but after being outside for a while, I started to feel unwell (cold sweats, rapid breathing, dizziness, blurred vision, gastrointestinal discomfort, dry mouth, tinnitus, etc.)....
Dr. Jiang Junyi reply Neurology
Hello Ms. Wu, You mentioned that "standing for a long time makes you feel dizzy." Given the recent high temperatures, we should first consider mild heat syncope as a possible cause. The primary reason is that in high-temperature outdoor environments, the microvasculatu...[Read More] Understanding Dizziness and Blurred Vision: Causes and Solutions
High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes
Frequent muscle twitching throughout the body and a feeling of weakness? Muscle twitching occurs frequently, with some localized spasms. It intensifies when I feel restless. I experience a tingling sensation similar to being electrocuted when sitting or lying down. I feel fatigue...
Dr. Jiang Junyi reply Neurology
Hello Mr. Pao, You mentioned experiencing a sensation similar to being electrocuted when sitting or lying down, which is a symptom of peripheral nerve compression. This is not indicative of amyotrophic lateral sclerosis (ALS), which is a type of motor neuron disease. ALS present...[Read More] High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes
Understanding Muscle Twitching: Causes, Symptoms, and When to Seek Help
Involuntary muscle twitching? Hello doctor, over the past month, my muscles (not limited to any specific area, but mostly in my thighs and right shoulder) have been twitching involuntarily. The symptoms worsen during times of anxiety, tension, or panic. In the past few days, I&#x...
Dr. Jiang Junyi reply Neurology
Hello, Guo: You mentioned feeling "weakness in breathing, shallow breaths, and a sense of bodily weakness." Your concern about amyotrophic lateral sclerosis (ALS) primarily relates to issues with motor neurons. Motor neurons control muscle movement; generally, the moto...[Read More] Understanding Muscle Twitching: Causes, Symptoms, and When to Seek Help