Understanding Myoclonic Jerks in Children with EMAS Epilepsy
Involuntary muscle spasms? Hello Doctor: My child is currently 3 years old and was diagnosed with EMAS epilepsy at the age of 2. However, physical examinations (EEG, MRI) and genetic blood tests have not revealed any underlying cause. He is currently taking Depakine and Keppra fo...
Dr. Jiang Junyi reply Neurology
Dear Ms. Yang, You mentioned that "the attending physician discussed that the muscle twitching while awake is not considered an epileptic seizure... Does muscle twitching while awake count as a focal seizure in epilepsy?" Caring for a child can be very stressful and ch...[Read More] Understanding Myoclonic Jerks in Children with EMAS Epilepsy
Understanding One-Sided Headaches: Causes and Solutions for Neurological Symptoms
Unilateral ear fullness, unilateral eye pressure and swelling, unilateral neck tightness, and headache? Hello, I have been experiencing headaches for a long time, which are usually relieved by painkillers. Two years ago, I started having episodes of persistent headaches that are ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Y: You mentioned experiencing "unilateral tightness and discomfort, always on the same side... with a sensation of 'unilateral ear fullness and unilateral eye pressure' (notably tightness when moving the eyeball)." This may warrant consideration of c...[Read More] Understanding One-Sided Headaches: Causes and Solutions for Neurological Symptoms
Understanding Lingual Numbness and Jaw Pain: A Neurological Perspective
Numbness at the base of the tongue and pain in the lower jaw? Hello Doctor, about three days ago I woke up with pain in the right lower jaw (around the area of the second/first molar). When I press on my cheek, it hurts slightly. I have also been experiencing persistent numbness ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Si, You mentioned that "the right side of my tongue root has been numb continuously, and sometimes the right corner of my mouth also feels numb." Your symptoms may suggest the possibility of trigeminal neuralgia affecting the mandibular branch of the trigemina...[Read More] Understanding Lingual Numbness and Jaw Pain: A Neurological Perspective
Understanding Post-Rest Symptoms: Causes and Solutions for Neurological Issues
Neurological issues related to the head? I’m not sure when it started, but sometimes when I feel more tired, I lie down on the table or bed to rest for about 15 to 30 minutes. After waking up, I experience a slight tremor at the back of my head, my heartbeat feels stronger, and s...
Dr. Jiang Junyi reply Neurology
Hello, sir: Your symptoms may indicate peripheral nerve compression. 1. The nature of the pain is characterized by burning and tingling sensations. 2. The symptoms have a specific dermatomal distribution, and can be triggered by touch or pressure. 3. There is also accompanying mu...[Read More] Understanding Post-Rest Symptoms: Causes and Solutions for Neurological Issues
Understanding Throat Foreign Body Sensation: Causes and Solutions
Foreign body sensation in the throat? Since starting fitness training in September of last year, I have begun experiencing difficulty swallowing. I have visited an otolaryngologist, neurologist, and endocrinologist, and all tests returned normal results. Eventually, a gastroenter...
Dr. Jiang Junyi reply Neurology
Dear Mr. Tso, You mentioned that "difficulty swallowing and a sensation of a foreign body in the throat have persisted," which could be due to cervical nerve compression, brainstem dysfunction, or sympathetic nervous system abnormalities, among other reasons. It is mor...[Read More] Understanding Throat Foreign Body Sensation: Causes and Solutions
Understanding Left Hand Finger Pain: Possible Neurological Issues
Pain in the fingers of the left hand? Hello Doctor, I can make a fist and extend my left hand, but I always experience pain in my middle finger when I try to grip tightly or hold something. Additionally, when I gently tap the junction of my left palm and middle finger with my rig...
Dr. Jiang Junyi reply Neurology
Hello Mr. Lee: You mentioned that "tapping the junction of your left palm and left middle finger is painful." Is this at the joint? Are there any symptoms of redness or heat? Your description seems to indicate inflammation of a single joint. Common causes of pain in the...[Read More] Understanding Left Hand Finger Pain: Possible Neurological Issues
Sneezing and Numbness: Understanding Neurological Symptoms
Experiencing a tingling sensation on the scalp when sneezing? Recently, whenever I sneeze, I experience a tingling sensation in the back of my head that extends down to my neck and upper back. What could be causing this?
Dr. Jiang Junyi reply Neurology
Dear Ms. Ling, You mentioned that "after sneezing, I start to feel numbness in the back of my head extending to my neck and upper back." This temporary numbness may be caused by compression of the cervical nerves at the C4-C5 levels due to abnormal cervical posture. I ...[Read More] Sneezing and Numbness: Understanding Neurological Symptoms
Feeling Dizzy and Heart Palpitations: Understanding Neurological Symptoms
Lying down, I feel my body swaying, and my heartbeat is noticeably strong? When sitting in a chair, I feel a noticeable swaying sensation, even though there is no earthquake, and both the chair and the floor are stable. When lying down to rest, I distinctly feel as if I am spinni...
Dr. Jiang Junyi reply Neurology
Dear Mr. Jiang, You mentioned that "when lying down to rest, I have a distinct sensation of my entire body spinning, almost like going in circles. I can also feel my heartbeat very clearly, thumping strongly." Your symptoms may suggest benign paroxysmal positional vert...[Read More] Feeling Dizzy and Heart Palpitations: Understanding Neurological Symptoms
Uncontrollable Tongue Movement While Speaking: Possible Causes Explained
The tongue may uncontrollably protrude while speaking? A few days ago, I suddenly experienced an inability to control my tongue while speaking, resulting in a lisping effect. I have undergone a CT scan, and there are no issues with my brain. The oral and maxillofacial surgeon als...
Dr. Jiang Junyi reply Neurology
Hello Mr. Xiao Hei, You mentioned that "your tongue tends to uncontrollably stick out while speaking, leading to a lisping phenomenon." Your symptoms may indicate an abnormality in tongue muscle tone, resulting in a specific posture. This is primarily due to the impact...[Read More] Uncontrollable Tongue Movement While Speaking: Possible Causes Explained
Understanding Tinnitus: When to Consult a Neurologist?
Tinnitus for three weeks? Hello Doctor: Three weeks ago, I experienced tinnitus without any apparent reason, which is bilateral. I have undergone tympanometry and hearing tests, both of which were normal. The tinnitus sounds more like a non-directional high-pitched ringing, but i...
Dr. Jiang Junyi reply Neurology
Hello Mr. QQQ: You mentioned "bilateral tinnitus, with normal tympanometry and hearing tests, and the tinnitus sounds more like a non-directional high-pitched ringing." This is more indicative of common causes of tinnitus such as viral infections, trauma, or injury, whi...[Read More] Understanding Tinnitus: When to Consult a Neurologist?
Managing Baby's Head Hematoma After a Fall: What Parents Should Know
Baby fell off the bed? The baby is seven months old and fell from the bed onto a tiled floor, with the bed height being approximately 70 cm. The baby was taken to the hospital within 20 minutes and underwent an X-ray, which initially indicated that there were no bone issues. The ...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned, "I would like to ask the doctor how long it takes for a hematoma to resolve and if there are any quick methods to reduce swelling? If it doesn't go away, do I need to return for a follow-up, and could there be any more serious conditions?&quo...[Read More] Managing Baby's Head Hematoma After a Fall: What Parents Should Know
Knee Pain When Touched: Causes, Recovery, and Treatment Options
Knee pain occurs upon impact? Hello, Doctor. I started experiencing mild pain in my knee about a week ago. I've noticed that it doesn't affect my daily activities, but it hurts when I lightly touch the outer side of my kneecap, while pressing firmly doesn't cause a...
Dr. Jiang Junyi reply Neurology
Hello Miss Hsiao-Hsiang, You mentioned that "light touch causes pain (on the outer side of the kneecap)," which may indicate "patellofemoral pain syndrome." The role of the patella is to increase the mechanical angle of the tendons and enhance muscle contract...[Read More] Knee Pain When Touched: Causes, Recovery, and Treatment Options
Understanding Carpal Tunnel Syndrome: Symptoms and Causes Explained
Inquiry for clarification? Hello Dr. Jiang, I would like to ask you about a situation. Today, my mother, while sleeping, wanted to get up to use the restroom but had difficulty doing so. When I went to help her get up, she was gripping my right wrist (the area where the bones pr...
Dr. Jiang Junyi reply Neurology
Dear Mr. Kris, You mentioned "Carpal Tunnel Syndrome." Carpal Tunnel Syndrome refers to the clinical symptoms caused by the compression of the median nerve as it passes through the wrist, which is surrounded by the carpal bones and ligaments forming the "carpal tu...[Read More] Understanding Carpal Tunnel Syndrome: Symptoms and Causes Explained
Understanding Involuntary Muscle Jerks During Sleep: Causes and Concerns
Involuntary twitching Hello doctor, recently I have been experiencing sudden body jerks while sleeping at night, especially when I am about to enter deep sleep. The jerks happen multiple times and in different areas, sometimes in my fingers, sometimes in my toes, and sometimes in...
Dr. Jiang Junyi reply Neurology
Dear Ms. Elsa, You mentioned that "when entering deep sleep, I experience multiple jerks in different areas, sometimes in my fingers, sometimes in my toes, and sometimes in my hands, accompanied by a sensation of rapid heartbeat and palpitations, which causes me to wake up....[Read More] Understanding Involuntary Muscle Jerks During Sleep: Causes and Concerns
Can Hand Pressure Cause Carpal Tunnel Syndrome? Expert Insights
Please provide the content you would like to have translated into English? Hello Dr. Jiang: Thank you very much for your response to the inquiry in “#208083” and for your detailed explanation regarding "Carpal Tunnel Syndrome." I have greatly benefited from it! I would ...
Dr. Jiang Junyi reply Neurology
Hello Kris, You mentioned a protrusion of bone on the back of your right wrist. I'm wondering if you are experiencing any tingling or numbness? The carpal tunnel is located on the inner side of the wrist and is not typically related to pressure on the back of the hand. Carp...[Read More] Can Hand Pressure Cause Carpal Tunnel Syndrome? Expert Insights
Understanding Sudden Limb Weakness: Possible Causes and Concerns
Sudden weakness in the limbs for a period of time? Hello Doctor: About a month ago, I suddenly lost my appetite, which has continued to the present, accompanied by diarrhea for about 1 to 2 weeks. I visited a gastroenterologist and underwent a gastroscopy, which showed normal res...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned "ANA: 1:160." Diseases associated with a positive ANA include systemic autoimmune diseases as well as specific organ autoimmune diseases and non-autoimmune conditions, such as pregnancy, infections, and cancer. However, a titer of 1:160 may sti...[Read More] Understanding Sudden Limb Weakness: Possible Causes and Concerns
Can Strong Grip Cause Carpal Tunnel Syndrome? Expert Insights
Please provide the content you would like me to translate? Hello Dr. Jiang, Thank you very much for your response and your willingness to discuss with the patient; I truly appreciate it. In your reply, you inquired about the condition of my right wrist. Currently, I do not feel ...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned whether it could lead to "carpal tunnel syndrome." Carpal tunnel syndrome refers to the injury of the median nerve. There are many factors that could potentially damage the median nerve. If external forces impact the soft tissues near the median ner...[Read More] Can Strong Grip Cause Carpal Tunnel Syndrome? Expert Insights
Understanding the Differences Between Basilar Migraine and Vestibular Neuritis
Dizziness, occasional migraines, and mild diplopia? I would like to ask the doctor about persistent dizziness and double vision for two weeks, along with occasional migraines. After consulting different hospitals, I received various opinions. What is the difference between "...
Dr. Jiang Junyi reply Neurology
Dear Mr. Fan, You mentioned experiencing "two weeks of dizziness and double vision." Vestibular neuritis can cause dizziness, but it typically does not present with double vision. Basilar-type migraine can cause headaches that mimic stroke symptoms due to vascular cons...[Read More] Understanding the Differences Between Basilar Migraine and Vestibular Neuritis
Understanding Headaches, Dizziness, and Ear Congestion: Causes and Solutions
Headache, dizziness, ear congestion? Hello, doctor. Six days ago, after taking a shower, I suddenly felt dizzy. Since then, I've had persistent pain in the back of my head, a feeling of dizziness, and my ears feel clogged, making it hard to hear. I have a constant sense of i...
Dr. Jiang Junyi reply Neurology
Dear Ms. Jia, You mentioned experiencing "sudden dizziness, followed by persistent pain in the back of the head... sudden dizziness, difficulty hearing, and an overall feeling of imbalance." Your symptoms may suggest sudden sensorineural hearing loss, which is an otola...[Read More] Understanding Headaches, Dizziness, and Ear Congestion: Causes and Solutions
Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options
Dizziness and tinnitus with no identifiable cause? Hello Doctor: I started experiencing dizziness about a month ago. It's not a spinning sensation but rather a feeling of heaviness in my head and lightness in my legs. Occasionally, I feel a tingling sensation on my scalp, an...
Dr. Jiang Junyi reply Neurology
Hello Mr. Zhang, You mentioned: "1. Is the dizziness symptom caused by autonomic nervous system dysfunction the same as the continuous dizziness I am currently experiencing? 2. Could dizziness caused by cervical nerve compression present as my current persistent dizziness? ...[Read More] Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options