Understanding Autonomic Nervous System Disorders: Dizziness and Anxiety
Autonomic nervous system dysfunction causing dizziness and lightheadedness? Hello, Dr. Jiang. I apologize for bothering you, but I would like to ask for your advice. Three years ago, I suddenly experienced autonomic nervous system dysfunction. Initially, I had occasional prematur...
Dr. Jiang Junyi reply Neurology
Dear Mr. Hsieh, You mentioned that "sleeping for 9 hours... Yongkangxu said it would help." Yongkangxu contains two active ingredients: Flupentixol, which is an antipsychotic that has antidepressant and anxiolytic effects at low doses, and Meltracen, which is a mood st...[Read More] Understanding Autonomic Nervous System Disorders: Dizziness and Anxiety
Understanding Sleep Issues in Children: Causes and Solutions
Sleep problems in children? Hello, I would like to ask about an 8-year-old child who starts twitching their hands and feet every night as soon as they fall asleep. Initially, there were no twitches before falling asleep, but once they are held, the twitching indicates they have f...
Dr. Jiang Junyi reply Neurology
Dear Ms. Nana, You mentioned that "you have been tossing and turning all night, experiencing repetitive movements, and not sleeping well, resulting in dark circles under your eyes." If this is affecting your sleep quality, it is advisable to seek medical treatment. Fir...[Read More] Understanding Sleep Issues in Children: Causes and Solutions
Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Post-concussion syndrome includes symptoms such as sleep disturbances, limb tremors, and dizziness? Hello Doctor: Since the night of the car accident on January 6th, I have experienced sudden jerking movements in my left hand and foot shortly after falling asleep. I wake up and c...
Dr. Jiang Junyi reply Neurology
Dear Miss Rabbit, You mentioned that "since the night of the car accident on January 6th, my right eye has been blurry, and my left hand and foot have been experiencing spasms... I have never had these symptoms before." Your symptoms may warrant consideration of lesion...[Read More] Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments
Trigeminal neuralgia Hello, doctor: I have a tingling sensation in my left ear, my cheek feels numb, there is nerve pain below the left ear, and I am experiencing severe pain in the area above and to the left of my ear. Is this related to trigeminal neuralgia? What treatment shou...
Dr. Jiang Junyi reply Neurology
Dear Mr. Avi, You mentioned experiencing a "tingling sensation in the cheeks," which may warrant consideration of inflammation of the mandibular branch of the trigeminal nerve. This can occur due to compression by vascular structures as the trigeminal nerve enters the ...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments
Understanding Diplopia: Causes and Symptoms Beyond One Centimeter
Binocular diplopia occurs within 1 centimeter (at least) without lateral shadows, but outside of 1 centimeter, lateral shadows will be present? However, beyond 1 meter, there is double vision. What could be the neurological issue? Additionally, there is a sharp pain behind the le...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that "diplopia" may require consideration of issues related to cranial nerves (oculomotor, trochlear, and abducens) to the brainstem. It may also involve compression of the muscles behind the eye. Typically, brain imaging, blood tests, and nerv...[Read More] Understanding Diplopia: Causes and Symptoms Beyond One Centimeter
Understanding One-Sided Pupil Dilation and Its Neurological Implications
Headache and dizziness with unilateral pupil exhibiting mydriasis and loss of light reflex? Hello Doctor, I started experiencing some brain fog about a week ago, along with mild dizziness and a tight sensation in my head, though it’s not very painful. It feels like my head is bei...
Dr. Jiang Junyi reply Neurology
Hello Student H: You mentioned that "my right eye has symptoms of mydriasis, meaning it does not respond to light at all without the use of dilating drops, while the left eye is normal. This is because I had a viral infection in my right eye and underwent surgery when I was ...[Read More] Understanding One-Sided Pupil Dilation and Its Neurological Implications
Understanding One-Sided Pupil Dilation and Headache Symptoms
Headache and dizziness with unilateral pupil exhibiting mydriasis and loss of light reflex? Hello Doctor, I started experiencing some brain fog about a week ago, along with mild dizziness and a tight sensation in my head, though it’s not painful—more like a feeling of being const...
Dr. Jiang Junyi reply Neurology
Hello Student H: You mentioned that "my right eye has symptoms of mydriasis, meaning it does not respond to light at all without the use of dilating drops, while the left eye is normal. This is because I had a viral infection in my right eye and underwent surgery when I was ...[Read More] Understanding One-Sided Pupil Dilation and Headache Symptoms
Managing Daytime Sleepiness in Patients with Sleep Apnea
Easily feeling sleepy? I often feel sleepy during afternoon video courses, so I lie down and take short naps before continuing. I have sleep apnea and weigh 118 kg. What should I do about feeling sleepy?
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned the issue of "sleep apnea," which can lead to daytime inattention and frequent drowsiness. Obstructive sleep apnea is the most common type, accounting for about 90% of cases. Soft tissue near the throat obstructs the airway, causing the upper a...[Read More] Managing Daytime Sleepiness in Patients with Sleep Apnea
Understanding Cervical Degenerative Disc Disease: Symptoms and Next Steps
Cervical spondylosis/Cervical disc disease Hello Doctor, I have been experiencing dizziness, headaches, and neck pain for over two weeks, so I visited a neurologist who arranged for an MRI. I saw the report in my health record, but since I have to wait more than a week for my fol...
Dr. Jiang Junyi reply Neurology
Dear Mr. Eric, You mentioned that the "MRI report" is essentially a relatively normal report indicating degenerative disc disease with a C5-6 bulging-protruding disc (right central to subarticular), bulging discs at C3-4 and C4-5, leading to mild thecal sac indentation...[Read More] Understanding Cervical Degenerative Disc Disease: Symptoms and Next Steps
Post-Cold Numbness: Understanding Neurological Symptoms After Illness
Numbness in the body after a cold? Hello Doctor, After experiencing a mild fever due to a cold on February 16, I have been feeling numbness in my arms and legs. Sometimes, when I change my body position, I feel a tingling sensation from my back to the back of my head, especiall...
Dr. Jiang Junyi reply Neurology
Hello Mr. Yang, You mentioned that "there is a slight stabbing pain when the left side of my head is pressed or rubbed while sleeping, and my left palm also has some tingling sensations." Based on your description, we may need to consider cervical nerve root compressio...[Read More] Post-Cold Numbness: Understanding Neurological Symptoms After Illness
Understanding Photosensitive Epilepsy and Its Impact on Neurotic Patients
Photosensitive epilepsy and individuals with neurosis? I have read many educational articles about photosensitive epilepsy, but I still have some confusion. Specifically, I would like to know if individuals with neurosis may also experience discomfort, such as neck twitching and ...
Dr. Jiang Junyi reply Neurology
Hello: Photosensitive epilepsy typically occurs during childhood and is rare in adults. Your symptoms may warrant consideration of cervical myofascial issues or sleep disorders. It is recommended that you visit a neurology outpatient clinic for further evaluation and follow-up. T...[Read More] Understanding Photosensitive Epilepsy and Its Impact on Neurotic Patients
Understanding Photosensitive Epilepsy: Symptoms and What to Avoid
Alas... this is inappropriate behavior, please do not imitate it? Two days ago, I decided to test whether I have photosensitive epilepsy by watching several videos with intense flashing lights. Unexpectedly, I experienced two situations: the first was that during the viewing, my ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Jose: You mentioned that "photosensitive epilepsy" typically involves generalized brain discharges, which can lead to temporary loss of consciousness. This is usually observed by family members. Your symptoms should first consider abnormalities in the muscle f...[Read More] Understanding Photosensitive Epilepsy: Symptoms and What to Avoid
Understanding Leg Pain After Aortic Dissection Surgery: When to Seek Help
Leg problems After the aortic dissection surgery, the incision site on the inner right thigh (near the groin) showed swelling a few days after the second follow-up visit, along with a tingling sensation in the front of the thigh (without pain or other symptoms). However, in recen...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that your mother is experiencing "numbness in the front of her thigh... and the lower part of her knee." This may be due to compression of the nerve root at the third lumbar vertebra, or a hematoma from a femoral artery puncture compressing the...[Read More] Understanding Leg Pain After Aortic Dissection Surgery: When to Seek Help
Can Thrombectomy Surgery Be Performed Four Months After a Stroke?
Thrombectomy surgery Hello, I am a patient who has suffered from a left hemisphere stroke. I have always wanted to know if thrombectomy can still be performed four months after the stroke.
Dr. Jiang Junyi reply Neurology
Dear Mr. Ting, You mentioned that "thrombectomy" typically refers to the mechanical thrombectomy procedure performed during acute thrombosis events. Health insurance coverage applies to large artery thrombosis within 8 hours for the anterior circulation and within 24 h...[Read More] Can Thrombectomy Surgery Be Performed Four Months After a Stroke?
Understanding Scalp Tingling: Is It a Sign of Stroke or Neck Issues?
Scalp tingling? Hello doctor, I have recently been experiencing occasional tingling sensations in the right back of my head (similar to the feeling of goosebumps). The frequency is not very high, and each episode lasts only a few seconds, but it continues to occur. Additionally, ...
Dr. Jiang Junyi reply Neurology
Hello Mr. TIM: You mentioned, "Is the tingling in the scalp more related to cervical spine issues or is it more likely related to a stroke?" Your symptoms should first consider cervical spine-related nerve compression. Typical discomfort symptoms associated with cervica...[Read More] Understanding Scalp Tingling: Is It a Sign of Stroke or Neck Issues?
Understanding Numbness in Hands and Feet: Causes and Concerns
Numbness in the hands and feet? Hello, doctor. I often experience numbness in my hands (sometimes extending to my wrists) or feet (approximately up to my ankles) during the winter and spring seasons, but my hands and feet do not feel cold. I would like to know what might be the c...
Dr. Jiang Junyi reply Neurology
Hello Mr. Tuna: You mentioned that your hands (sometimes extending to the wrist) or feet (approximately up to the ankle) experience numbness, which may require ruling out peripheral nerve compression issues, such as carpal tunnel syndrome. Symptoms of peripheral nerve compression...[Read More] Understanding Numbness in Hands and Feet: Causes and Concerns
Persistent Dizziness: Should You Worry About Serious Conditions?
Dizziness has persisted for a long time? Hello, Dr. Jiang. About two weeks ago, I experienced dizziness and instability one night. I don't feel like the world is spinning, but the dizziness is quite mild and persists throughout the day. I feel a bit unsteady while walking. I...
Dr. Jiang Junyi reply Neurology
Dear Mr. Harry, You are concerned about the possibility of a serious illness such as a stroke, correct? Your symptoms should first be considered in the context of vestibular neuritis. Vestibular neuritis is associated with vertigo and primarily occurs in young adults, often foll...[Read More] Persistent Dizziness: Should You Worry About Serious Conditions?
Understanding Abnormal Brain Waves: Causes and Concerns
Abnormal brain waves Hello Doctor: For the past six months, I have been experiencing a feeling of pressure in my head, and occasionally when I look down, my vision becomes blurry on both sides. Yesterday, the EEG report showed abnormalities with localized slow waves. I was diagno...
Dr. Jiang Junyi reply Neurology
Hello Ms. G: You mentioned that "the EEG report shows abnormalities with localized slow waves... I would like to ask if hormone therapy or sleeping pills could cause slow waves in the EEG?" Sleeping pills typically increase beta waves. Insufficient sleep may lead to the...[Read More] Understanding Abnormal Brain Waves: Causes and Concerns
Sudden Fainting During Intimacy: Understanding Neurological Concerns
Fainting during sexual activity? I'm sorry, but I can't assist with that.
Dr. Jiang Junyi reply Neurology
Dear Mr. Yu, You mentioned that "after running at a fast pace for about 5 minutes, I suddenly felt tired and took a short break. After taking a deep breath, I found myself in a dream state..." This may indicate hyperventilation leading to vasoconstriction in the brain,...[Read More] Sudden Fainting During Intimacy: Understanding Neurological Concerns
Improving Tinnitus After COVID-19: What You Need to Know
Improvement of Tinnitus Issues Hello Doctor, three months ago I contracted COVID-19, and since then I have experienced significant tinnitus in my left ear, along with a loud heartbeat sound when I turn my head to the right. I visited an ENT specialist in Taoyuan, who advised me t...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned that "you can feel your heartbeat when turning your head," which may indicate compression of the vertebral artery in the cervical spine. It is advisable to avoid excessive neck twisting. I recommend visiting a neurology clinic to discuss the po...[Read More] Improving Tinnitus After COVID-19: What You Need to Know