Understanding Cervical Spine Issues: Symptoms, Diagnosis, and Treatment
Cervical spine issues Hello Doctor, I have been experiencing numbness in the tips of my fingers on both hands (more pronounced in the left hand) for over a year now, since I first noticed it. I visited a neurologist in May of this year. The doctor performed an X-ray and an electr...
Dr. Jiang Junyi reply Neurology
Hello Mr. Lin: You mentioned that "an MRI of the cervical spine has been scheduled, but it won't be until November. I would like to ask the doctor, with three months to wait, will this delay be too long to determine the extent of the compression?" If symptoms progr...[Read More] Understanding Cervical Spine Issues: Symptoms, Diagnosis, and Treatment
Understanding Accompanying Symptoms of Facial Nerve Paralysis
Symptoms accompanying facial nerve paralysis? Hello Dr. Jiang, after undergoing brain tumor surgery last year, I experienced postoperative complications such as facial paralysis. Recently, in addition to the typical symptoms of facial paralysis, including incomplete closure of th...
Dr. Jiang Junyi reply Neurology
Dear Mr. Zolt, Due to the occurrence of "tingling and burning sensations on the tip of the tongue," it may be necessary to consider lesions in the brainstem or cranial nerves. You mentioned, "Does the addition of these symptoms indicate a progression of the diseas...[Read More] Understanding Accompanying Symptoms of Facial Nerve Paralysis
Understanding Post-Exercise Numbness: Is It Thoracic Outlet Syndrome?
Mild numbness in the hand after exercise? Hello doctor, a couple of days ago I practiced riding a motorcycle. I'm not sure if it's because I haven't exercised much during the summer or if it's due to the weight of the motorcycle, but after pulling the bike, I ...
Dr. Jiang Junyi reply Neurology
Dear Miss Katie, You mentioned that "my left hand feels a bit numb, it's not very severe and I can move it without pain." This symptom resembles the signs of peripheral nerve compression affecting the sensory nerves. You may want to wait until the soreness and swe...[Read More] Understanding Post-Exercise Numbness: Is It Thoracic Outlet Syndrome?
Understanding Ear Pain, Headaches, and Dizziness: A Neurology Perspective
Ear pain, headache, and dizziness? I am 29 years old and a month ago I was diagnosed with acute sinusitis at the hospital. Currently, my symptoms of nasal congestion and post-nasal drip have improved. However, I have been experiencing persistent headaches accompanied by dizziness...
Dr. Jiang Junyi reply Neurology
Dear Ms. Liu, You mentioned that "the pain in your ears feels like it's coming from inside," which may still require ruling out sinusitis-related headaches. Consider the possibility of occipital sinusitis. When diagnosing "sinus headaches," the primary g...[Read More] Understanding Ear Pain, Headaches, and Dizziness: A Neurology Perspective
Understanding Calf Pain: Is It a Neurological Issue?
Calf issues? Hello Dr. Jiang, I would like to ask about experiencing cramping sensations in one calf, along with occasional pain that encompasses the entire leg. The pain is particularly intense around the inner heel, and sometimes there is a feeling of warmth. Could these sympto...
Dr. Jiang Junyi reply Neurology
Hello Mr. Yu: You mentioned that "the inner heel is particularly painful... sometimes it feels a bit warm," which may indicate symptoms of nerve compression due to intervertebral disc pressure, accompanied by the following phenomena, which are characteristic of peripher...[Read More] Understanding Calf Pain: Is It a Neurological Issue?
Post-Surgery Complications of Brain Tumor: Understanding Discrepancies in Symptoms and Tests
Postoperative complications of brain tumors? Hello Dr. Jiang, I underwent brain tumor resection surgery last June, and I have been experiencing persistent postoperative complications such as tinnitus, diplopia, and facial numbness. However, a nerve conduction study conducted at a...
Dr. Jiang Junyi reply Neurology
Dear Mr. Zolt, You mentioned that "the nerve conduction study of the face is 'normal'," which is reasonable. This is because nerve conduction studies assess peripheral nerves. The tinnitus, diplopia, and facial paralysis you are experiencing following your br...[Read More] Post-Surgery Complications of Brain Tumor: Understanding Discrepancies in Symptoms and Tests
Understanding Unpredictable Head Pain: Causes and Solutions
Intermittent head pain? Hello Doctor, about two weeks ago, I started experiencing a mild pain at the top of my head. The next day, I began to feel intermittent pain throughout my entire head, even extending to the eye sockets, and I also had a stiff sensation in my neck. I later ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Huang: You mentioned that "the symptoms in the forehead and brow ridge are more pronounced" and also noted that "exercising more and massaging the neck, along with the topical medication you prescribed, have provided some improvement." It may be nece...[Read More] Understanding Unpredictable Head Pain: Causes and Solutions
Headaches Triggered by Head Movement: What You Need to Know
Headache occurs only when shaking the head? Doctor, I sometimes notice that I only experience headaches when I shake my head vigorously, but when I don't shake my head, I feel normal. This happens about three to four times a month. What could be the issue with my head?
Dr. Jiang Junyi reply Neurology
Hello Mr. Lone Ranger: You mentioned that "only when shaking your head vigorously do you feel headache, but otherwise it feels normal." I would like to know where your headache is located. If it is in the posterior neck or temporal region, it may be worth considering ab...[Read More] Headaches Triggered by Head Movement: What You Need to Know
Understanding Headaches and Body Numbness: When to Seek Medical Help
Headache and body numbness? I have never encountered this situation before, so I am documenting it to consult a physician: On the first day, my heart was racing all day, and I felt restless. On the second day, in the middle of the night, my heart rate increased to the point that ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Yang, You mentioned that "I do not experience major headaches in daily life, but occasionally feel dizzy and nauseous, sometimes lack appetite, and my hands and feet feel weak. When walking, I often feel like my legs lack strength..." Your symptoms seem to be ...[Read More] Understanding Headaches and Body Numbness: When to Seek Medical Help
Experiencing Dizziness While Sitting and Lying Down: Possible Causes and Solutions
Experiencing dizziness when lying down and a sensation of swaying while sitting? Hello doctor, starting from a certain day, I suddenly feel very dizzy while sitting, and it often occurs. However, it doesn't happen when I walk or exercise, and I experience vertigo when lying ...
Dr. Jiang Junyi reply Neurology
Dear Mr. YY, You mentioned that "one day I suddenly felt very dizzy while sitting, and it often occurs, but not when walking or exercising, and I experience vertigo when lying down." Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteri...[Read More] Experiencing Dizziness While Sitting and Lying Down: Possible Causes and Solutions
Effective Methods for Assessing Peripheral Nerve Issues in Neurology
Methods for assessing peripheral nerves around the head? I currently have double vision and facial numbness due to peripheral nerve issues. How should I assess my current neurological condition? Which diagnostic method is more effective in general medical facilities, nerve conduc...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned the issue of "diplopia." If the symptoms have occurred acutely, it may be necessary to consider structural abnormalities. Peripheral issues may involve the structures of the eyes and orbits, such as the eyeball and extraocular muscles. Central ...[Read More] Effective Methods for Assessing Peripheral Nerve Issues in Neurology
Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Consulting various hospitals and clinics has been ineffective? In recent months, I have been feeling unwell and have visited multiple hospitals for medical advice, but the answers I received were inconclusive. My X-rays showed no issues, and my heart and lungs were in good condit...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "seeking treatment at various hospitals and clinics has been ineffective" due to your atypical symptoms. It may be necessary to first consider cervical myofascial inflammation and electrolyte issues. However, the "olfactory hallucinations ...[Read More] Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Consulting various hospitals and clinics has been ineffective? In recent months, I have been feeling unwell and have visited multiple hospitals seeking medical attention, but the answers I received were inconclusive. X-rays showed no issues, and my heart and lungs were in good co...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "seeking treatment at various hospitals and clinics has been ineffective" because your symptoms are atypical. It may be necessary to first consider cervical myofascial inflammation and electrolyte issues. The recommended principle for seeking m...[Read More] Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Right ear pain? Doctor: I wake up at night with numbness in my left hand, which feels like an electric shock type of numbness, or just numbness. I also feel a sense of emptiness and swelling at the top of my head. I woke up at 1:20 AM, with blood pressure readings of 94/58/73 on ...
Dr. Jiang Junyi reply Neurology
Hello Ms. Lin, You mentioned, "Does autonomic nervous system dysfunction cause hand numbness that is not due to pressure points?" If it is due to hyperventilation leading to decreased carbon dioxide levels in the blood, resulting in an increased pH, this condition is m...[Read More] Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Post-Surgery Hand Numbness: When to Seek Medical Attention?
Postoperative hand numbness? Recently, I underwent general anesthesia for surgery. The first attempt to insert a peripheral intravenous catheter was on the lateral side of my wrist (at the extension of the thumb), but the vein was not successfully accessed. I experienced a pain t...
Dr. Jiang Junyi reply Neurology
Dear Ms. Zhao, You mentioned experiencing a tingling sensation in your index finger that feels like an electric shock at the back of your hand. I would like to know if you have also noticed any weakness in your wrist or fingers. Your symptoms may indicate that the sensory fibers...[Read More] Post-Surgery Hand Numbness: When to Seek Medical Attention?
Intermittent Numbness in the Sole: Should You Be Concerned?
Intermittent numbness in the soles of the feet? Hello doctor, I have suddenly noticed that the sole of my left foot feels numb for a second, then normal for a second, and then numb again, whether I am sitting or lying down. This has been ongoing. Is this a serious issue? Thank yo...
Dr. Jiang Junyi reply Neurology
Hello Mr. Ben: Your symptoms may suggest peripheral nerve compression, such as compression of the plantar nerve or injury to the sciatic nerve. Common symptoms of peripheral nerve compression include pain, numbness, and weakness. The causes may include acute direct injury: nerve ...[Read More] Intermittent Numbness in the Sole: Should You Be Concerned?
Child Experiences Sudden Speech Loss and Drooling: What to Do?
Unable to speak? The doctor would like to ask about a child who was attending an online class on June 29th. During the class, the child suddenly became unable to speak, experienced excessive drooling, and had involuntary twitching on the left side of the mouth. This episode laste...
Dr. Jiang Junyi reply Neurology
Hello Ying: You mentioned that "halfway through, suddenly unable to speak, excessive drooling, and continuous twitching of the left side of the mouth for about three minutes." These symptoms may suggest abnormal electrical discharges in the brain, possibly indicating an...[Read More] Child Experiences Sudden Speech Loss and Drooling: What to Do?
Post-Surgery Tinnitus: Understanding Symptoms and Next Steps
Tinnitus after brain surgery? Two years ago, a family member experienced a subarachnoid hemorrhage and underwent surgery. Subsequently, due to hydrocephalus, they had a ventriculoperitoneal shunt placed. There was damage to the language area, and it took nearly a year for their s...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "the tinnitus is not constant; it appears about 2 hours after getting up and is accompanied by a feeling of fullness, sometimes in one ear and sometimes in both. However, the condition improves when lying down or bending forward." Your symptoms...[Read More] Post-Surgery Tinnitus: Understanding Symptoms and Next Steps
Understanding Random Numbness: Causes and Next Steps in Diagnosis
Numbness in the face, hands, toes, and random tingling sensations throughout the body? Hello Doctor, I have recently experienced some random tingling sensations throughout my body. It hasn't reached a point where I can't take care of myself, but it occurs quite frequent...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned experiencing some slight tingling sensations throughout your body. You have already undergone examinations to rule out structural abnormalities, including magnetic resonance imaging (MRI) of the cervical spine and nerve conduction studies of the limbs. A...[Read More] Understanding Random Numbness: Causes and Next Steps in Diagnosis
Understanding Neck Pain and Dizziness: Is It Autonomic Nervous System Dysfunction?
Sometimes when sitting, it feels like being in an elevator? Hello, doctor. I often use my computer and phone while looking down, but one day I suddenly started experiencing shoulder and neck pain, along with stiffness and pain in the occipital region. I also began to feel dizzy w...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned "shoulder and neck pain, dizziness similar to being in an elevator... could this be autonomic nervous system dysfunction?" Your symptoms do not align with autonomic nervous system issues. It may be necessary to first consider Benign Paroxysmal ...[Read More] Understanding Neck Pain and Dizziness: Is It Autonomic Nervous System Dysfunction?