Concerns After Head Injury: Understanding Mild Brain Lesions
A year and a half ago, I hit my head on the top? Hello Doctor: I had a head injury a year and a half ago and went to the hospital for a consultation and an EEG. The doctor scheduled a follow-up appointment for a week later, but I was unable to attend due to sudden commitments. To...
Dr. Jiang Junyi reply Neurology
Hello Mr. Huang: You mentioned "mild focal brain lesions," and I suggest you could share the original report. This is because we need to examine the descriptions within it; EEG reports typically cannot accurately indicate intracranial structural issues. Poor sleep for s...[Read More] Concerns After Head Injury: Understanding Mild Brain Lesions
Understanding Facial Twitches Before Sleep: Causes and Solutions
Facial twitching? Hello Doctor, I experience twitching from my left cheekbone to the corner of my mouth before going to sleep, but it does not occur while I am awake. The twitching usually lasts from half a second to four seconds and happens one to four times a night. This has be...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "the left cheekbone to the corner of your mouth is twitching." Your symptoms may suggest facial nerve spasms. The twitching of facial muscles is primarily associated with several factors: exercise, acute viral infections, anxiety, and med...[Read More] Understanding Facial Twitches Before Sleep: Causes and Solutions
Concerns After Toddler Falls from High Chair: What Parents Should Know
The child stood up from the high chair and fell to the ground? Hello, doctor. My son is one year and ten months old. On February 14, he stood up from his high chair and fell onto the tile floor from a height of approximately 120 cm. After the fall, he cried but did not lose consc...
Dr. Jiang Junyi reply Neurology
Hello Cherry, You mentioned "confirming whether there is delayed bleeding in the brain." If the child is active and responsive within a week, a small amount of bleeding can be absorbed. Generally, radiation exposure should be minimized as much as possible. The anterior...[Read More] Concerns After Toddler Falls from High Chair: What Parents Should Know
Post-Surgery Nerve Compression: Understanding Symptoms and Treatment Options
Postoperative nerve compression phenomenon Hello Dr. Jiang, after undergoing brain tumor resection surgery, I have developed facial issues corresponding to CN4 to CN8 damage. Despite undergoing blood tests, nerve conduction studies, anticonvulsant medications, acupuncture, and ot...
Dr. Jiang Junyi reply Neurology
Dear Mr. Chen, You mentioned "CN4 to CN8 injury... could it be caused by postoperative nerve compression from scar tissue?" This aspect can be evaluated through imaging studies (such as a CT scan or MRI of the brain) and through nerve conduction studies (evoked potenti...[Read More] Post-Surgery Nerve Compression: Understanding Symptoms and Treatment Options
Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Postoperative neurological sequelae Hello, Dr. Jiang. I underwent brain tumor resection surgery two years ago, and I have been experiencing facial nerve issues corresponding to CN4 through CN8 (such as diplopia, tinnitus, facial paralysis, headaches, etc.). After undergoing treat...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen: You mentioned "diplopia, tinnitus, facial numbness, and headaches," which may warrant consideration of hyperbaric oxygen therapy to improve circulation in the affected areas post-surgery. Additionally, recent repetitive transcranial magnetic stimulation ...[Read More] Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Should You Use B Vitamins and Zinc for Neuropathy or Choose Keener Capsules?
Medication Use Can nerve paralysis be treated with B-complex vitamins and zinc supplements, or is it better to take Enada capsules?
Dr. Jiang Junyi reply Neurology
Dear Mr. ZWS, You mentioned, "Can I take B-complex vitamins and zinc for nerve paralysis, or is it better to take Kenda capsules?" In the acute phase of facial nerve paralysis, symptoms improve over time due to nerve damage. The use of corticosteroids in the first week...[Read More] Should You Use B Vitamins and Zinc for Neuropathy or Choose Keener Capsules?
Understanding Persistent Numbness: When to Seek Medical Attention
Numbness in the limbs? Around mid-October last year, I experienced a tingling sensation in my right groin area, which persisted for about a week in the same location, varying in intensity. During that week, on one day close to noon, I also felt tingling on the right side of my fa...
Dr. Jiang Junyi reply Neurology
Hello Ms. Ivy: You mentioned that "there is a tingling sensation on the right side of the body... the right side of the face also feels tingly... and the headache persists for two to three hours." Your symptoms seem unlikely to be explained solely by a herniated disc ca...[Read More] Understanding Persistent Numbness: When to Seek Medical Attention
Understanding Tingling Sensation Above the Toenail: Possible Nerve Issues
Tingling sensation in the skin above the toenail of the big toe? Hello, during the New Year period, I suddenly experienced a slight tingling sensation in the skin above my right big toe nail when it touched the blanket at night. After a few days, it improved and became less sensi...
Dr. Jiang Junyi reply Neurology
Hello Mr. AM: You mentioned that "the skin feels a tingling sensation whenever it is touched or lightly pulled," which may indicate a potential issue with peripheral nerve compression. Common symptoms of peripheral nerve compression include pain, numbness, and weakness....[Read More] Understanding Tingling Sensation Above the Toenail: Possible Nerve Issues
Understanding Neck Tension: Causes, Exercises, and Relief Options
Shoulder and neck issues? There are no specific underlying conditions. About three to four days ago, I started feeling a slight tightness in the back of my neck when I bend my neck while reading or looking at my phone, which I have never experienced before. This sensation only oc...
Dr. Jiang Junyi reply Neurology
Hello Mr. Lin, You mentioned that "the back of my neck feels a bit tight... it only happens when I sit and look down at a book... should I use cupping therapy to relieve it?" The common cause of neck pain is cervical myofascial pain syndrome. Prolonged periods of looki...[Read More] Understanding Neck Tension: Causes, Exercises, and Relief Options
Understanding Dizziness and Autonomic Nervous System Disorders
Dizziness, autonomic nervous system issues? Hello Doctor, Subject: 1. I experienced several episodes of fainting in early December 2022 after performing 100 sit-ups in a short period as part of my exercise routine. A few days later, while walking on the street, I suddenly lost...
Dr. Jiang Junyi reply Neurology
Hello Mr. Li: You mentioned experiencing several episodes of syncope while walking, feeling as if you suddenly lost consciousness... Your symptoms are more likely caused by syncope. When cerebral blood flow drops below 30 ml per minute, it can lead to loss of consciousness, usu...[Read More] Understanding Dizziness and Autonomic Nervous System Disorders
Understanding Your Brain CT Report: Key Findings Explained
Head issues The CT report indicates the following findings: - There is no evidence of intracranial hemorrhage (ICH), subdural hematoma (SDH), epidural hematoma (EDH), or subarachnoid hemorrhage (SAH). - The skull is intact. - There are no discernible space-occupying lesions. - ...
Dr. Jiang Junyi reply Neurology
Hello Ms. Lala: You mentioned that "CT of the brain without contrast shows: -Absence of ICH/SDH/EDH/SAH. -Skull intact. -No discernible space-occupying lesions. -No definite midline shift." This is a normal report: there is no evidence of any type of intracranial hemo...[Read More] Understanding Your Brain CT Report: Key Findings Explained
Understanding Dizziness While Driving: Potential Neurological Concerns
Feeling dizzy and unwell while driving? Hello, doctor. I am inquiring on behalf of my family, specifically my mother, who is 28-30 years old. She traveled from Taipei to Yilan and Lala Mountain, driving through the Snow Tunnel and navigating over four hours of mountainous roads. ...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned experiencing dizziness and discomfort... taking medications for lowering blood sugar, and having a history of cancer with ongoing medication. If, in addition to dizziness, there are sudden neurological deficits such as limb weakness or slurred speech, the fir...[Read More] Understanding Dizziness While Driving: Potential Neurological Concerns
Assessing Risk of Chronic Subdural Hematoma After Head Injury
Head trauma Hello Doctor, my father is 52 years old and has a history of liver cirrhosis, currently undergoing medication treatment. Last week, he accidentally hit his head hard when closing the car door. The pain lasted for about two minutes, and there was no loss of consciousne...
Dr. Jiang Junyi reply Neurology
Hello Mr. Huang, You mentioned that "the rear door accidentally hit my head after closing, it was quite forceful, and it hurt for about two minutes. There was no loss of consciousness, and I did not experience any other discomfort." Generally speaking, if there is no l...[Read More] Assessing Risk of Chronic Subdural Hematoma After Head Injury
Can You Have Myasthenia Gravis Without Obvious Symptoms?
Can myasthenia gravis occur without obvious symptoms? Hello Doctor: Previously, I visited an ophthalmologist due to tightness around my eye muscles and dry eye syndrome. I informed the doctor that after using a medication containing "neostigmine" for about a month, my p...
Dr. Jiang Junyi reply Neurology
Hello, Miss: The main clinical manifestation of myasthenia gravis is muscle weakness, with weakness of the extraocular muscles that control eye movement being the most common. "Night sweats and palpitations" typically occur when the myasthenia gravis worsens and affects...[Read More] Can You Have Myasthenia Gravis Without Obvious Symptoms?
Understanding Your Brain CT Report: What It Means for Your Health
Head issues The CT report indicates the following findings: - There is no evidence of intracranial hemorrhage (ICH), subdural hematoma (SDH), epidural hematoma (EDH), or subarachnoid hemorrhage (SAH). - The skull is intact. - There are no identifiable space-occupying lesions in...
Dr. Jiang Junyi reply Neurology
Hello Ms. Lala, You mentioned that "CT of the brain without contrast shows: -Absence of ICH/SDH/EDH/SAH. -Skull intact. -No discernible space-occupying lesions. -No definite midline shift." This is a normal CT scan report: there is no evidence of any type of intracrani...[Read More] Understanding Your Brain CT Report: What It Means for Your Health
Is It Panic Attack or Seizure? Understanding Your Symptoms
Could you please clarify if this is considered a panic attack or an epileptic seizure? Hello Dr. Jiang: For the past three days, in addition to my pre-existing muscle twitching, I have been experiencing shortness of breath, panic, generalized weakness, and difficulty concentratin...
Dr. Jiang Junyi reply Neurology
Dear Mr. Jim Than, You mentioned experiencing "shortness of breath, panic, generalized weakness, and difficulty concentrating." Your symptoms may suggest a panic disorder. Generalized seizures typically result in loss of consciousness. If panic attacks lead to hyperven...[Read More] Is It Panic Attack or Seizure? Understanding Your Symptoms
Is It Panic Attack or Seizure? Understanding Your Symptoms
Could you please clarify if this is considered a panic attack or an epileptic seizure? Hello, Dr. Jiang: For the past three days, in addition to my pre-existing muscle twitching, I have been experiencing difficulty breathing, panic, generalized weakness, and difficulty concentrat...
Dr. Jiang Junyi reply Neurology
Dear Mr. Jim Than, You mentioned experiencing "shortness of breath, panic, generalized weakness, and difficulty concentrating." Your symptoms may suggest a panic disorder. Generalized seizures typically result in loss of consciousness. Approximately 50% of patients wit...[Read More] Is It Panic Attack or Seizure? Understanding Your Symptoms
Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Numbness in the soles of the feet? Hello, doctor. Three years ago, I was diagnosed with autonomic nervous system dysfunction due to dizziness. After taking medication, my condition improved significantly, and I stopped taking the medication. However, I have experienced intermitte...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hsuan, You mentioned experiencing dizziness that sometimes occurs with movement. Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of vertigo related to changes in head position, such as bending ov...[Read More] Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Understanding Facial Twitching: When to See a Neurologist
Facial twitching? Doctor, I started experiencing muscle twitching on the left side of my nose bridge while at work yesterday. The twitching is particularly noticeable when my body is relaxed, and it has persisted until now. Should I see a neurologist, or should I observe the symp...
Dr. Jiang Junyi reply Neurology
Hello Mr. Tian: You mentioned that "the muscle twitching on the left side of the nasal bridge, especially noticeable when the body is relaxed, has persisted until now." Facial movements are controlled by the facial nerve, and during the consultation, the physician will ...[Read More] Understanding Facial Twitching: When to See a Neurologist
Understanding Muscle Twitches: Causes and When to Seek Help
Muscle twitching is common? For the past ten years, I have experienced frequent muscle twitching throughout my body. However, since each episode lasted only a short time, I did not pay much attention to it. Now, this twitching has not ceased over time, and I find it quite distres...
Dr. Jiang Junyi reply Neurology
Dear Mr. Peter Zhan, You mentioned that "the muscles throughout my body often twitch, but since each twitch does not last long, I haven't paid much attention to it. However, this twitching has not stopped over time." Muscle twitching is primarily related to severa...[Read More] Understanding Muscle Twitches: Causes and When to Seek Help