Managing Parkinson's Disease: Addressing Anxiety and Daily Challenges
Parkinson's disease Dear Dr. Jiang, My mother was diagnosed with Parkinson's disease last August at the age of 66. She has had long-standing insomnia issues and has a naturally introverted and anxious personality. It wasn't until last year that she experienced wea...
Dr. Jiang Junyi reply Neurology
Hello Ms. Chen, You mentioned, "Heavy metal testing, due to living in the countryside and working in hotel housekeeping for 25 years. If there has indeed been excessive exposure and treatment, would it improve symptoms, and would her mood improve?" For atypical Parkins...[Read More] Managing Parkinson's Disease: Addressing Anxiety and Daily Challenges
Understanding Unilateral Tinnitus and Ear Pain: Seeking the Right Specialist
Tinnitus in the right ear with three different types, pain in the temple, and pain in the ear slightly higher towards the left? Every night, I experience persistent unilateral tinnitus that has evolved into three types: pulsatile tinnitus synchronized with my heartbeat, a mid-fre...
Dr. Jiang Junyi reply Neurology
Hello Ms. Lin: You mentioned "unilateral tinnitus, ear pain, pulsatile tinnitus, pain in the temple area, and discomfort in the back of the head that radiates towards the ear, with increased pain when leaning slightly to the left." I recommend that you first stabilize t...[Read More] Understanding Unilateral Tinnitus and Ear Pain: Seeking the Right Specialist
Managing Nerve Pain and Discomfort in Hands and Feet
Numbness and pain in the hands and feet? Hello Dr. Jiang, I previously underwent rehabilitation treatment for my cervical spine issues, during which the numbness and tingling in my fingers were not as severe. However, after moving, I have had less opportunity to continue rehabil...
Dr. Jiang Junyi reply Neurology
Dear Ms. Peng, You mentioned that "I must lie down to feel better, and lifting heavy objects or walking exacerbates the numbness and pain in my fingers, which has recently become unbearable." Your symptoms may suggest peripheral nerve compression, and there could also ...[Read More] Managing Nerve Pain and Discomfort in Hands and Feet
Understanding the Differences Between Keppra and Trileptal for Epilepsy Treatment
Differences in medications? Recently, I experienced seizures and other symptoms related to epilepsy, so I went to the hospital where I was prescribed Keppra 500mg to take once in the morning and once at night. During my follow-up appointment today, the doctor prescribed a differe...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that you went to the hospital and were prescribed Keppra 500mg twice daily, and during your follow-up visit, the doctor prescribed another medication, Trileptal 300mg twice daily. Generally, the control of epilepsy is achieved with one medication reachi...[Read More] Understanding the Differences Between Keppra and Trileptal for Epilepsy Treatment
Understanding Electromyography Results: Insights on Chronic Denervation and Neuropathy
Electromyography Interpretation I'm sorry, doctor. Due to symptoms of a herniated disc in the early stages, I underwent a month of treatment, including various tests such as MRI of the spine, X-rays, and electromyography (EMG). The EMG doctor mentioned that aside from some a...
Dr. Jiang Junyi reply Neurology
Hello Mr. Shang: You mentioned that the "Needle EMG study showed chronic denervation changes in the right tibialis anterior," which suggests chronic localized peroneal nerve pathology. This is not a typical finding for motor neuron disease. I recommend discussing this w...[Read More] Understanding Electromyography Results: Insights on Chronic Denervation and Neuropathy
Understanding Complex Head and Neck Pain: Possible Causes and Solutions
Pain in the neck, occipital region, temples, eyebrows, and cheekbones? Hello doctor, last Wednesday I carried two bottles of formula, each weighing 1.6 kg, home by bike. It was noon and the sun was very strong and glaring. After getting home, I started to have a headache. I initi...
Dr. Jiang Junyi reply Neurology
Hello Ms. A: You mentioned that "when lying down, I feel very uncomfortable from the back of my head to my shoulders, and my head hurts when I lie down. Additionally, my gums around the upper left wisdom tooth have been inflamed recently, and I experience throbbing pain in t...[Read More] Understanding Complex Head and Neck Pain: Possible Causes and Solutions
Exploring Neurological Causes of Cold, Numb Feet in Seniors
Foot problems I would like to ask about my mother, who is 65 years old. Since this year, she has been experiencing cold, numb, and tingling sensations in her feet. Her body does not feel cold, but she still needs to wear very thick socks on her feet. She has seen a cardiothoracic...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned experiencing "numbness with a tingling sensation," which may indicate peripheral neuropathy. Common clinical symptoms include: 1. Pain characterized by burning or electric shock sensations. 2. Symptoms that have a specific dermatomal distribu...[Read More] Exploring Neurological Causes of Cold, Numb Feet in Seniors
Understanding Right-Sided Numbness: Stroke Warning Signs Explained
Numbness starting from the right leg? Hello: Last night I noticed numbness on the outer side of my right foot, and this afternoon the outer side of my right leg and the outer side of my hand and arm also started to feel numb. Just now, I also felt slight numbness on the right sid...
Dr. Jiang Junyi reply Neurology
Hello Ms. Huang, You mentioned that "the right side of my face and neck feel slightly numb; could this be a sign of a stroke?" The presence of unilateral neurological symptoms may warrant consideration of lesions along the sensory pathways from the brain to the spinal ...[Read More] Understanding Right-Sided Numbness: Stroke Warning Signs Explained
Understanding Facial and Scalp Numbness: Causes and Next Steps
Regarding facial and scalp numbness (medical examination has been conducted)? Hello, doctor. For the past two months, I have been experiencing intermittent numbness on the right side of my scalp and cheek, and occasionally around my nose. I do not have diabetes, hypertension, or ...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "the right side of the scalp and cheek area experiences intermittent numbness, and occasionally there is a tingling sensation near the nose." The MRI report did not reveal any lesions related to the trigeminal nerve. The symptoms should b...[Read More] Understanding Facial and Scalp Numbness: Causes and Next Steps
Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus
Numbness in the hands and face accompanied by tinnitus? Previously, I visited a traditional Chinese medicine practitioner for a stiff neck, and after some time, my shoulder and neck pain improved. However, I suddenly started experiencing numbness in my hands, so I went to a nearb...
Dr. Jiang Junyi reply Neurology
Hello Mr. Hsu: You mentioned that "sometimes when I wake up, I find my hands completely numb, and it takes about a few seconds to recover. The rehabilitation doctor said that invasive tests are needed to understand the symptoms." It may be necessary to consider compress...[Read More] Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus
Understanding Lip Numbness: COVID-19 Symptoms or Stroke Warning?
Numbness of the lips? Hello, doctor. During my COVID-19 diagnosis at the end of August, I experienced lip numbness, which has since become more frequent, often lasting over a day. The numbness is located on the outer edge of my lips. Is this a symptom of COVID-19, or could it be ...
Dr. Jiang Junyi reply Neurology
Dear Ms. A-Liang, You mentioned that "your lips feel numb, and the frequency of this numbness has increased, often lasting more than a day, with the numbness occurring around the outer edges of the lips." Your symptoms may suggest that hyperventilation could be causing...[Read More] Understanding Lip Numbness: COVID-19 Symptoms or Stroke Warning?
Understanding Hand Numbness and Memory Lapses in Seniors
Numbness in the hands and brief episodes of mental blankness? Hello, my father is 68 years old and has been experiencing insomnia and numbness in his hands for about six months. Recently, while playing Mahjong with friends at night, he found it difficult to arrange the tiles. He ...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "you found it difficult to arrange the Mahjong tiles... and your father is concerned whether it is dementia." This symptom is indeed indicative of cognitive dysfunction. Clinically, we would inquire about the patient's medical history and ...[Read More] Understanding Hand Numbness and Memory Lapses in Seniors
Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Sometimes, there are goosebumps on the right foot? Why does my right foot sometimes have goosebumps and a tingling sensation? I have also experienced occasional sharp pain in my right chest; could this indicate a nerve issue or a potential stroke? Previously, I never experienced ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hui, You mentioned that "sometimes there are goosebumps and a tingling sensation in your right foot." Your symptoms may suggest that the lumbar nerve roots are being compressed. Peripheral nerve issues are typically evaluated using electrophysiological tests t...[Read More] Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Understanding Foot Pain: Neurological Causes and Symptoms Explained
Foot pain issues? Hello Dr. Jiang, I would like to ask if lumbar nerve compression can cause swelling or inflammation in the soles of the feet, along with foot pain after prolonged standing, and symptoms such as tightness and stiffness in the calf muscles. Does slow nerve conduct...
Dr. Jiang Junyi reply Neurology
Dear Mr. Hsiao: You mentioned that "lumbar nerve compression... slow nerve conduction equals nerve compression." Symptoms of peripheral nerve compression are commonly observed as follows: 1. Pain characterized by burning sensations and tingling. 2. Symptoms have a spec...[Read More] Understanding Foot Pain: Neurological Causes and Symptoms Explained
Understanding MRI Limitations in Central Nervous System Assessment
Interpretation of Central Nervous System MRI Hello Dr. Jiang, after undergoing brain surgery last year, I developed symptoms related to the trigeminal and facial nerves. During this period, I have undergone blood tests, nerve conduction studies, and magnetic resonance imaging (MR...
Dr. Jiang Junyi reply Neurology
Dear Mr. Zolt, You mentioned that the tests for trigeminal and facial nerve symptoms, including blood tests, nerve conduction studies, and MRI scans, showed normal results for the first two, but the MRI results indicated that the physician could not accurately assess the conditi...[Read More] Understanding MRI Limitations in Central Nervous System Assessment
Understanding Polyneuropathy: Steroids vs. Immunoglobulin Treatment
Systemic neuropathy Dear Dr. Jiang, I visited a neurologist yesterday, and the doctor diagnosed me with "multiple neuritis." He prescribed corticosteroids for two weeks. I would like to ask whether it is more effective to receive intravenous immunoglobulin (IVIG) treatm...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "immunoglobulin" is clinically used in acute inflammatory demyelinating polyradiculoneuropathies (AIDP), also known as Guillain-Barré syndrome. The typical clinical symptoms include bilateral symmetric progressive weakness, limb pain, and tingl...[Read More] Understanding Polyneuropathy: Steroids vs. Immunoglobulin Treatment
Understanding Limb Weakness: Anxiety and Autonomic Nervous System Impact
There is a persistent issue of weakness in the limbs? Hello Doctor, I am a junior in college and I have anxiety disorder. I tend to become very anxious about physical symptoms. I take Diazepam in the morning and evening, and Clonazepam before bed. Recently, for more than two week...
Dr. Jiang Junyi reply Neurology
Hello, Student Chen: You mentioned that "for more than two weeks, there has been sudden weakness in the limbs and stiffness in the shoulders and neck, with shaking occurring when bending the arms and legs to a point of exertion." It may be necessary to first consider t...[Read More] Understanding Limb Weakness: Anxiety and Autonomic Nervous System Impact
Managing Peripheral Neuropathy: Medications and Symptoms Explained
Systemic neuropathy Hello Dr. Jiang: I would like to ask, if this is a peripheral nerve issue, what medications should be used for management? After receiving the vaccine last year, the burning sensation in my palms disappeared after about a month, while the burning in my soles l...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned, "Is taking medications like Lyrica and Topamax, as well as Rivotril, helpful?" Based on clinical experience, the recommendation for neurological disorders is to "start low and go slow." You can begin with a low dose and try one medication...[Read More] Managing Peripheral Neuropathy: Medications and Symptoms Explained
Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Hello, doctor. I would like to ask about some unusual phenomena related to tinnitus? Hello Dr. Jiang, I have been experiencing unilateral tinnitus with a buzzing sound in my left ear for about two weeks. I have already undergone hearing and tympanometry tests at other large hosp...
Dr. Jiang Junyi reply Neurology
Hello HJK: You mentioned that "when chewing food or yawning, the tinnitus becomes louder..." This could potentially be related to issues with the nerves or muscles around the ear. One possible cause is related to the Eustachian tube, as yawning and chewing help to equal...[Read More] Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? Hello Doctor, since September 25th, I have been experiencing numbness in my fingers upon waking up. Initially, I thought it would resolve on its own, but by September 26th, the numbness extended to my toes and the soles of my feet. As of now, Octob...
Dr. Jiang Junyi reply Neurology
Dear Ms. Apple, You mentioned that "blood tests, nerve conduction studies, and spinal tap examinations all reported normal results, and the cerebrospinal fluid analysis was also normal, with only a noted slowing of nerve conduction." You pointed out abnormal sensory ne...[Read More] Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions