Dr. Jiang Junyi reply Neurology Question - Page 15

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Understanding Your EEG Report: What High Beta Waves Mean for You

Interpretation of EEG Report Due to a headache, an EEG report was conducted. Since the follow-up appointment is in two weeks, I checked the health insurance app and the report has been uploaded. EEG description: This EEG was performed when the patient was awake and at rest (GCS =...


Dr. Jiang Junyi reply Neurology
Dear Ms. Yue, You mentioned, "Is the beta wave high according to the report?" Your report indicates that it is within the normal range. Typically, beta waves increase when we are engaged in thought processes. It is possible that during the EEG, you were actively thinki...

[Read More] Understanding Your EEG Report: What High Beta Waves Mean for You


Understanding Cervical Disc Herniation: Recovery and Treatment Insights

Cervical disc herniation issues? Hello Dr. Jiang: Recently, I have been experiencing back pain due to my fitness routine. Initially, I sought treatment from traditional Chinese medicine focusing on my thoracic spine. After some improvement, there was no further progress, so I dec...


Dr. Jiang Junyi reply Neurology
Dear Mr. Hsiao-fu, You mentioned the issue of low bone density (seemingly below -3), which may be due to my consistently low body weight since birth. However, will this affect my recovery from a herniated disc? A herniated disc is typically caused by improper posture combined wi...

[Read More] Understanding Cervical Disc Herniation: Recovery and Treatment Insights


Understanding Heavy Hips and Muscle Tightness: A Neurological Perspective

Heavy and weak hips, abnormal tightness in leg muscles? Hello Doctor, I have been experiencing a heavy and weak sensation in my hip. When I try to sit up straight in a chair, it feels like my back muscles are doing all the work to lift my body. If I stand on my feet for a while (...


Dr. Jiang Junyi reply Neurology
Hello Mr. Chen: You mentioned that "the hip feels very heavy and weak, and when trying to sit up from a chair, it feels like the back muscles are the ones pulling the body up; standing on both feet for a while (5 minutes) makes them feel very tight, heavy, and weak; when one...

[Read More] Understanding Heavy Hips and Muscle Tightness: A Neurological Perspective


Understanding Head Pressure: When to Seek Neurological Help

Inquiry about Head Pressure Until yesterday, I had been staying up late for a week to complete assignments, with a sleep schedule of going to bed at 8 AM and waking up at 3 PM. For the past two nights, I experienced significant swelling in my head (above the temples on both sides...


Dr. Jiang Junyi reply Neurology
Dear Mr. Wood, You mentioned that "after a week of continuous late nights... my head is very swollen (above the temples on both sides)," and we should first consider tension-type headache. The symptoms of this type of headache are as follows: 1. It is often bilateral...

[Read More] Understanding Head Pressure: When to Seek Neurological Help


Understanding Knee Sensory Loss: Causes and Treatment Options

Diminished sensation in the anterior aspect of the knee? Hello, Doctor. I have been practicing aerial yoga once a week and occasionally doing light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my knee...


Dr. Jiang Junyi reply Neurology
Dear Ms. Tsao, You mentioned, "I feel numbness and still have the sensation of wanting to take anesthetics." This is a typical symptom of peripheral nerve injury. The statement "I feel pain when pressing on the inner side of my knee" indicates localized tissu...

[Read More] Understanding Knee Sensory Loss: Causes and Treatment Options


Understanding Arm Numbness Upon Waking: Causes and Risks

Causes and Potential Risks of Experiencing Numbness in the Arm Upon Waking Up Hello, Doctor! Recently, I have noticed that sometimes while sleeping, I unconsciously raise one arm above my head (resting it on the pillow behind my head rather than pressing it underneath). When I wa...


Dr. Jiang Junyi reply Neurology
Dear Mr. Awei, Your symptoms, as you described, are due to nerve compression. You mentioned, "If this happens often, could it be harmful? For example, could my hand become necrotic one day and require amputation?" This is typically a consequence of vascular obstruction...

[Read More] Understanding Arm Numbness Upon Waking: Causes and Risks


Understanding Diplopia: Follow-Up Tests and Stroke Risk Management

Follow-up examinations for binocular diplopia? Hello Doctor: Recently, I experienced double vision after suddenly looking at certain objects, but my vision returned to normal afterward. I went to the hospital for an examination, and the ophthalmology report showed no issues. Howe...


Dr. Jiang Junyi reply Neurology
Hello Mr. Green Tea, You mentioned "normal blood sugar levels" in relation to cardiovascular disease risk factors. In addition to diabetes, other risk factors include hypertension, smoking, and hyperlipidemia. Prolonged exposure to these risk factors can lead to athero...

[Read More] Understanding Diplopia: Follow-Up Tests and Stroke Risk Management


Understanding Dizziness: Causes and Solutions for Better Health

Causes of Dizziness I have a female friend who has been unable to stay up late recently; otherwise, she feels discomfort in her head when lying down. It is said that this might be caused by insufficient blood flow to the head, possibly due to weak heart function. She drinks a lit...


Dr. Jiang Junyi reply Neurology
Hello Ms. Chen: You mentioned that "lying down makes my head feel uncomfortable, and I heard it might be due to blood not reaching the head, possibly because the heart isn't strong enough..." You might be referring to syncope. It is more likely to occur when standi...

[Read More] Understanding Dizziness: Causes and Solutions for Better Health


Understanding Recurrent Dizziness: Insights from Neurology and ENT

Dizziness issues? Hello, doctor. Thank you very much for your previous response. I am the person who asked question #195465. My dizziness issue has been recurring since the second half of last year. In February of this year, I consulted a neurologist who diagnosed me with vestibu...


Dr. Jiang Junyi reply Neurology
Hello, Miss: Vestibular migraine may be related to the pathophysiological mechanisms of migraine, such as vasoconstriction and vasodilation, neural hyperexcitability, or central nervous system dysfunction. It is recommended that you use a medication like Naoqing for prevention du...

[Read More] Understanding Recurrent Dizziness: Insights from Neurology and ENT


Persistent Eye Blinking and Strain: Understanding Neurological Causes

Incessant blinking and excessive effort in eyelid movement? Hello, doctor. Since the beginning of 2021, I started wearing orthokeratology lenses, but I stopped using them in early 2022 due to an infection and inflammation. After a few days of treatment with steroid eye drops pres...


Dr. Jiang Junyi reply Neurology
Dear Ms. Liang, You mentioned that "the blinking in Tourette syndrome does not feel as forceful and does not have a foreign body sensation..." Generally speaking, symptoms of Tourette syndrome can be temporarily suppressed by willpower, but this is often followed by a ...

[Read More] Persistent Eye Blinking and Strain: Understanding Neurological Causes


Understanding Knee Sensory Loss: Causes and When to Seek Neurology Help

Diminished sensation in the anterior knee? Hello, doctor. I have been doing aerial yoga once a week and occasionally engaging in light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my knee, similar to ...


Dr. Jiang Junyi reply Neurology
Dear Ms. Tsao, You mentioned that "there is a sensation of numbness and a desire for anesthesia." This is a typical symptom of peripheral nerve injury. The statement "there is pain when pressing on the inner side of the knee" indicates localized tissue inflam...

[Read More] Understanding Knee Sensory Loss: Causes and When to Seek Neurology Help


Understanding Knee Sensory Loss: Causes and Treatment Options

Diminished sensation in the anterior aspect of the knee? Hello, doctor. I have been doing aerial yoga once a week and occasionally engaging in light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my kne...


Dr. Jiang Junyi reply Neurology
Dear Ms. Tsao, Your symptoms of "electric shock sensation have disappeared, and your knee can move freely, but the feeling of numbness and the desire for anesthesia still persist." It seems that the nerves are gradually healing. I recommend increasing your intake of B ...

[Read More] Understanding Knee Sensory Loss: Causes and Treatment Options


Understanding Lower Back Pain: Causes and When to Seek Help

Lumbar pain Yesterday, I spent the entire day moving heavy objects. Since I rarely exercise, I relied heavily on my lower back for strength. After finishing the lifting, I felt fine until bedtime. However, this morning when I woke up, I noticed pain on my right side, specifically...


Dr. Jiang Junyi reply Neurology
Dear Mr. Yang, You mentioned, "It hurts a little when I press on it, but only on the right side. I'm not sure if this pain is due to a tendon strain or if it has affected my lumbar vertebrae or coccyx." Your symptoms, particularly the presence of tenderness, are m...

[Read More] Understanding Lower Back Pain: Causes and When to Seek Help


Understanding Abnormal Sensations in Feet: Causes and Solutions

Abnormal sensation Hello Doctor, I have recently been experiencing a strange sensation in my feet, where they often feel cold (or hot? It's a peculiar feeling that starts from my toes and extends upwards). Although my feet feel cold, their actual temperature seems normal. I&...


Dr. Jiang Junyi reply Neurology
Hello Student H: You mentioned that "the neurologist said an MRI was not necessary, and only advised me to exercise more, maintain a regular sleep schedule, and eat more B vitamins, without prescribing any medication. At that time, I did not have the unusual symptom of coldn...

[Read More] Understanding Abnormal Sensations in Feet: Causes and Solutions


Understanding Spinal Issues: Neurological Pain and Diagnosis

Spinal issues Due to pain in the lumbar spine, nerve conduction studies and electromyography were performed during military service medical examination. Attached are the relevant reports and X-rays. I would like to inquire whether there is a nerve issue, as the pain is severe eno...


Dr. Jiang Junyi reply Neurology
Dear Mr. W: (As the attached file is no longer readable.) You mentioned experiencing pain so severe that you cannot stand or sleep, and that it extends to your toes. This may indicate symptoms of nerve compression due to a herniated disc or peripheral nerve compression. 1. The...

[Read More] Understanding Spinal Issues: Neurological Pain and Diagnosis


Understanding Leg Neuropathic Pain: Causes and Management Strategies

Leg neuropathy, polyneuropathy? Hello Doctor, I have consulted multiple physicians (in rehabilitation, orthopedics, neurosurgery, and neurology), but I still cannot identify the problem... I am 32 years old and work as a software engineer. My symptoms seem quite variable, and I h...


Dr. Jiang Junyi reply Neurology
Hello Mr. Zac, You mentioned that "when walking, the outer side of my left ankle feels like it's being electrified, and after this pain sensation appeared, my outer calf and the sole of my foot began to feel numb and tingly (which may indicate nerve damage)." This...

[Read More] Understanding Leg Neuropathic Pain: Causes and Management Strategies


Understanding Your Neck Ultrasound Results: A Guide to Carotid Atherosclerosis

Neck ultrasound examination Hello, doctor. In 2020, I had a neck ultrasound examination, and the doctor said everything was normal, did not prescribe any medication, and did not mention the need for follow-up tests. However, I found on Google Translate that there might be issues ...


Dr. Jiang Junyi reply Neurology
Dear Ms. Heifetz, You mentioned, "Neck ultrasound report: Conclusion Mild carotid atherosclerosis without significant hemodynamic change." Essentially, this examination report indicates that the level of atherosclerosis is within the normal range. Common risk factors f...

[Read More] Understanding Your Neck Ultrasound Results: A Guide to Carotid Atherosclerosis


Understanding Dizziness and Neck Tension After Weightlifting: A Neurology Perspective

Brain issues (hypoxia, dizziness) Two weeks ago, while working out (performing incline bench press with a barbell), I struggled to lift the barbell on the last rep due to near exhaustion. Immediately after, I felt tightness around my forehead extending to the back of my head, fol...


Dr. Jiang Junyi reply Neurology
Hello Mr. L: You mentioned that "there is a tightness around the forehead extending to the back of the head... and I have been experiencing tightness in the back of the neck and dizziness due to exertion and hypoxia." It may be necessary to first consider issues related...

[Read More] Understanding Dizziness and Neck Tension After Weightlifting: A Neurology Perspective


Electromyography and Nerve Conduction Study: Contraindications and Alternatives

Contraindications for Electromyography (EMG) and Nerve Conduction Studies (NCS) Hello Dr. Jiang, my family member is scheduled to undergo electromyography (EMG) and nerve conduction studies (NCS). They have a pacemaker and have previously undergone mechanical valve replacement. W...


Dr. Jiang Junyi reply Neurology
Hello Mr. Wang, I am not sure what disease your family suspects that requires electromyography (EMG) and nerve conduction studies (NCS) for diagnosis. Generally, "patients with a history of artificial valve replacement are not suitable for these tests" because they req...

[Read More] Electromyography and Nerve Conduction Study: Contraindications and Alternatives


Understanding Unexplained Dry Heaving: Possible Neurological Causes

Frequent unexplained dry heaving? Hello Doctor, I am currently 21 years old and a university student. For the past three years, I have occasionally experienced dry heaving and nausea. Initially, I suspected that it might be due to eye strain from prolonged use of my phone or comp...


Dr. Jiang Junyi reply Neurology
Hello Mr. Kevin, You mentioned experiencing symptoms of bright vision and dry heaving occurring simultaneously, which typically requires a day of rest and sleep for the symptoms to resolve the next day. I wonder if you are also experiencing headaches? It may be worth considering...

[Read More] Understanding Unexplained Dry Heaving: Possible Neurological Causes


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