Understanding Intracranial Hemorrhage: Symptoms, Risks, and Recovery
Intracranial hemorrhage Hello Doctor, After having two upper molars extracted two years ago, I started feeling unwell. Later, at work, I was struck on the head by a heavy iron pipe that fell from above. 1. I am uncertain if I have hypertension; my company health check-ups hav...
Dr. Jiang Junyi reply Neurology
Hello Mr. Allen, You mentioned, "If there was a brain hemorrhage that was absorbed by itself, can it be seen on a CT scan? If the skull had previously fractured and healed, can a CT scan show that there was a prior injury?" Typically, in cases of severe brain injury, s...[Read More] Understanding Intracranial Hemorrhage: Symptoms, Risks, and Recovery
Understanding Chronic Dizziness: Seeking Answers Beyond Low Blood Pressure
Chronic dizziness with no identifiable cause? Hello Doctor, I am the person who previously asked question #186643. You mentioned orthostatic hypotension, but I don’t feel particularly dizzy when I first get up or get out of bed; instead, I feel dizzy while walking, accompanied by...
Dr. Jiang Junyi reply Neurology
You mentioned, "I have tested my autonomic nervous system and found that there is a dysfunction. The medication prescribed by the doctor hasn't been effective, and I thought about doing some exercise, but it made me feel even more dizzy, so I can't exercise properl...[Read More] Understanding Chronic Dizziness: Seeking Answers Beyond Low Blood Pressure
Understanding Sleep Myoclonus: Causes and Treatment Options
Involuntary movements during sleep Hello, doctor! I experience sudden muscle jerks that wake me up just as I'm about to fall asleep. This has been happening for three consecutive days. No matter when it is during the day, I keep waking up with these jerks whenever I'm c...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "your body suddenly jerks awake just as you're about to fall asleep," which may be related to a phenomenon known as hypnic jerks or sleep starts. When the breathing rate decreases significantly during sleep, or when dreaming of falling, th...[Read More] Understanding Sleep Myoclonus: Causes and Treatment Options
Understanding Persistent Dizziness: Causes and Next Steps
Chronic dizziness with no identifiable cause? I would like to ask the doctor, I have been experiencing dizziness for almost two years. It mainly occurs when I walk; I do not feel dizzy when sitting or lying down. There is no sensation of spinning, but I feel unsteady and have a s...
Dr. Jiang Junyi reply Neurology
Dear Ms. Lin, You mentioned that "I mainly feel fine when sitting or lying down, but I feel dizzy when walking. There is no sensation of spinning, but I do feel unsteady and a sense of falling, along with a feeling of pressure around my eyes and visual disturbances." T...[Read More] Understanding Persistent Dizziness: Causes and Next Steps
Understanding Saddle Area Sensory Loss: Causes and Concerns
Saddle area sensory loss or numbness? Hello, doctor. A few months ago, I strained my lower back, and since then, I've been experiencing pain in my lower back when sitting. About a month ago, I suddenly noticed a decrease in the urge to urinate and defecate, and my ability to...
Dr. Jiang Junyi reply Neurology
Hello Mr. Cheng, You mentioned that "lying on my right side for a few minutes causes numbness and loss of sensation in my buttocks, perineum, genitals, and adjacent thigh, with no pain even when pinched, while lying on my left side feels more normal." This may indicate...[Read More] Understanding Saddle Area Sensory Loss: Causes and Concerns
Understanding Restless Legs Syndrome: Symptoms and Causes Explained
Restless Legs Syndrome (RLS) The doctor would like to ask: I have been experiencing a cold for the past two days and visited a doctor who diagnosed it as a bacterial infection. My throat is very red, and I was prescribed antibiotics along with some other medications. However, I h...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that you have a severe sore throat due to a bacterial infection, and you were prescribed antibiotics along with some other medications. You also mentioned experiencing generalized itching, difficulty finding a comfortable sleeping position, and sensations of ...[Read More] Understanding Restless Legs Syndrome: Symptoms and Causes Explained
Understanding Sleep Disturbances: Nightmares and Electric Shock Sensations
Suddenly having a nightmare while falling asleep and feeling as if being electrocuted? I often feel a sensation like an electric current passing through my body just as I'm about to fall asleep, and at the same time, I hear a loud buzzing sound that gets increasingly louder,...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "often when I'm about to fall asleep, I feel like there's an electric current passing through my body, and at the same time, I hear a buzzing sound that gets louder and then I wake up in a sweat." Your symptoms may suggest "sleep...[Read More] Understanding Sleep Disturbances: Nightmares and Electric Shock Sensations
Understanding Eye Bleeding: Neurological Causes and Recommended Tests
Eye problems and medical information? Doctor, my father has experienced bleeding in his eyes and has seen a doctor who advised him to take medication first, and if that doesn't work, surgery may be necessary. He has diabetes and has previously undergone laser treatment for c...
Dr. Jiang Junyi reply Neurology
Hello, Clock Miss: You mentioned, "In addition to eye diseases, could it also be caused by cerebrovascular issues? Are there any recommended tests? Can both the brain and eyes be evaluated?" Regarding the eye bleeding you mentioned, are you referring to subconjunctival ...[Read More] Understanding Eye Bleeding: Neurological Causes and Recommended Tests
Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Tingling sensations in the scalp and face? Hello, doctor. This year I have experienced tingling in my scalp and face, mostly in the upper right side of my scalp and right cheek, with occasional sensations on the left side. I also have experienced tingling and pain in my chest, wh...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned whether there is a greater possibility of stroke or brain tumor issues. I wonder if you have any problems related to hypertension, diabetes, or hyperlipidemia? Generally, the risk factors for cerebral artery embolism include older age, diabetes, hyperte...[Read More] Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Understanding Dizziness: Common Causes and When to Seek Help
Dizziness in the head Hello, doctor. I recently moved to the northern part of the country for university, but I've been experiencing some uncomfortable symptoms in the past few days. Initially, I felt a slight sensation of my head drooping while sitting, but later it also oc...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "when sitting, there is a slight feeling of the head dropping, and later when standing or walking, it occasionally occurs as well..." It may be necessary to first consider Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief epis...[Read More] Understanding Dizziness: Common Causes and When to Seek Help
Understanding and Managing Occipital and Temporal Headaches: Tips for Relief
Occipital and temporal headache? Hello Doctor, I have been experiencing chronic and intermittent migraines, mostly occurring around 4 PM. Usually, taking Panadol or other pain relievers provides relief. However, the day before yesterday, upon waking, I felt a throbbing pain regar...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "the pain usually occurs around 4 PM, but it typically alleviates after taking Panadol or other pain relievers... The pain is located around the back of the head and the temples, and I would like to know how to relieve it." Your symptoms ...[Read More] Understanding and Managing Occipital and Temporal Headaches: Tips for Relief
Understanding Sleep Jerks: Causes of Involuntary Body Movements
Involuntary muscle contractions? Experiencing twitching or jerking movements just before falling asleep, accompanied by nasal sounds similar to sneezing, may be indicative of a phenomenon known as hypnic jerks or sleep starts. These involuntary muscle contractions can occur as on...
Dr. Jiang Junyi reply Neurology
Hello Mr. Shui Wun Ping, You mentioned that "every time you are about to fall asleep, you start to make nasal sounds and have twitching." Your symptoms may suggest the possibility of obstructive sleep apnea (OSA). OSA is the most common type, accounting for about 90% o...[Read More] Understanding Sleep Jerks: Causes of Involuntary Body Movements
Understanding Dizziness: Causes and Concerns in Neurology
Dizziness and lightheadedness, feeling like being on a boat? Hello Dr. Jiang, thank you for clarifying things for the public; you are a great doctor, and I appreciate your hard work! Dr. Jiang, for the past week, I have been experiencing sudden dizziness while standing, similar t...
Dr. Jiang Junyi reply Neurology
Hello Nick, You mentioned experiencing a sudden dizziness lasting 2-10 seconds after bending down, sometimes feeling a swaying motion. Your symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief episodes of dizziness related to changes in head p...[Read More] Understanding Dizziness: Causes and Concerns in Neurology
Post-Root Canal Pain: Understanding Possible Nerve Issues
New deep pain begins after root canal treatment? Hello Doctor, I just completed a microscopic root canal treatment on my lower left second molar last week. During the procedure, I felt a spot (under the root) that repeatedly became inflamed and painful, but it would alleviate whe...
Dr. Jiang Junyi reply Neurology
Hello Mr. Zhang, From an epidemiological perspective, the annual incidence of trigeminal neuralgia is approximately 4 to 13 per 100,000 people. It is more common in females than in males and occurs more frequently in adults than in children. The incidence increases with age, com...[Read More] Post-Root Canal Pain: Understanding Possible Nerve Issues
Understanding Dizziness and Numbness: When to Seek Medical Help
Dizziness with occasional numbness? I have been experiencing occasional dizziness since July 28. Previously, I felt tightness in my head or around my temples, and I have had a few instances of facial numbness. Recently, aside from the tightness, I feel like I'm swaying while...
Dr. Jiang Junyi reply Neurology
Hello Mr. Li: You mentioned that "it feels like the whole body is swaying side to side, but when standing, it doesn't sway much. I feel sleepy, and my neck and shoulders are stiff. When I slightly twist, there's a loud cracking sound, and when lying down to sleep...[Read More] Understanding Dizziness and Numbness: When to Seek Medical Help
Understanding Left Lower Back and Hip Pain: Causes and Solutions
Left lumbar and hip pain? Hello doctor, I have been experiencing lower back pain for the past ten years due to sitting for long periods during exams and suddenly lifting heavy objects. Since then, my back occasionally hurts, and I need to stretch it. Typically, it takes about a m...
Dr. Jiang Junyi reply Neurology
Hello Ms. KOKO: You mentioned that after doing squats with an empty barbell, you felt some discomfort in your lower back. Upon returning home and resting, you found that even walking caused pain. After a night of rest, you felt slightly better, but the next day, even sneezing cau...[Read More] Understanding Left Lower Back and Hip Pain: Causes and Solutions
Understanding Unilateral Tinnitus, Dizziness, and Head Numbness Symptoms
Unilateral tinnitus + dizziness + paresthesia of the head? Hello Doctor, 1. On the evening of August 22, 2022, I began to feel a slight pressure in my left ear, followed by the onset of tinnitus. While walking, I occasionally experienced brief episodes of dizziness (similar to ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Hsu: You mentioned that "your left ear started to feel a bit stuffy, followed by the onset of tinnitus, and occasionally experiencing brief episodes of dizziness while walking." May I ask what your blood pressure is? Do you have any issues with hypertension, h...[Read More] Understanding Unilateral Tinnitus, Dizziness, and Head Numbness Symptoms
Understanding Headaches: Pain from Temples to Neck in Older Adults
Dull pain in the temples radiating to both sides of the neck? Hello Doctor: My mother is 59 years old and has recently been experiencing headaches in the afternoon to evening. The pain is felt from the temples to both sides of the neck, occasionally with a throbbing sensation. Th...
Dr. Jiang Junyi reply Neurology
Dear Ms. Yu, You mentioned your mother's symptoms of "experiencing a dull headache from the afternoon to evening, with pain extending from the temples to both sides of the neck, occasionally accompanied by throbbing pain, and the headache sometimes being unilateral and...[Read More] Understanding Headaches: Pain from Temples to Neck in Older Adults
Understanding Cubital Tunnel Syndrome: Diagnosis and Treatment Options
#185782 Follow-up Questions Hello, Doctor. After reviewing your suggestions, I researched cubital tunnel syndrome, and my symptoms are almost identical. Currently, I do not experience numbness in my arm or in my ring and little fingers, but I still feel some pain on the inner sid...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that "ultrasound-guided injection therapy" is typically employed when non-invasive treatments are ineffective. It is recommended to use ergonomic products to reduce nerve compression at the elbow, such as changing your grip technique, among oth...[Read More] Understanding Cubital Tunnel Syndrome: Diagnosis and Treatment Options
Understanding Medication Side Effects: When to Consult Your Doctor
Drug side effects Hello Doctor: I have migraines and have seen a doctor who prescribed me an anticonvulsant medication (Topiramate). The doctor informed me that it might cause hand numbness. I have been taking it for about a week and only experienced hand numbness, but today I su...
Dr. Jiang Junyi reply Neurology
Dear Ms. Liu, You mentioned, "Is this a normal side effect of the medication, or should I inform my doctor immediately or stop taking it? Am I at risk of having a stroke?" If you do not smoke, use birth control pills, or have a history of hypertension, diabetes, or oth...[Read More] Understanding Medication Side Effects: When to Consult Your Doctor