Dr. Jiang Junyi reply Neurology Question - Page 36

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Understanding Leg Numbness: Causes and Treatment Options for Your Family

I would like to inquire for a family member who is experiencing numbness in the calves and thighs? My father is unable to walk far; after just a block, his legs become very numb, and he needs to sit down to rest before he can walk a short distance again. However, the numbness ret...


Dr. Jiang Junyi reply Neurology
Hello Mr. Liang, You mentioned that "walking too far, perhaps just a block, can cause my legs to feel very numb, making it difficult to move, and I need to sit down to rest before I can walk a little further." Clinically, this is referred to as "intermittent claud...

[Read More] Understanding Leg Numbness: Causes and Treatment Options for Your Family


Understanding Visual Disturbances Before Fainting: A Neurological Perspective

Visuals and sensations experienced before fainting? Before going to school, I felt completely normal, but suddenly at school, I started to feel unwell during the flag-raising ceremony. I initially thought it was just a mild stomachache and tried to endure it. However, after about...


Dr. Jiang Junyi reply Neurology
Dear Mr. Mo Wei, You mentioned, "But they said it shouldn't be completely black, right? I said no, so I'm confused. Was the scene I saw before fainting really completely black? How is it different from what I saw? Additionally, I really feel that a person is just ...

[Read More] Understanding Visual Disturbances Before Fainting: A Neurological Perspective


Understanding Post-Hyperventilation Symptoms: Headaches and Dizziness

After excessive hyperventilation, my wife has been experiencing headaches, dizziness, and a feeling of tightness in her head for several days, and lying down makes her feel even worse? Hello Dr. Jiang: As mentioned, my wife has been experiencing these symptoms for a week after th...


Dr. Jiang Junyi reply Neurology
Hello Mr. Huang: You mentioned that your wife experiences "headaches and dizziness for several days after hyperventilation, along with a tight feeling in her head, which worsens when lying down." In addition to cervical spine issues, it may be necessary to consider prim...

[Read More] Understanding Post-Hyperventilation Symptoms: Headaches and Dizziness


Understanding Head Trauma: Recovery Time and Memory Issues in Seniors

Head trauma An elderly family member (approximately 71 years old) was struck by a motorcycle while walking, resulting in an external injury above the right ear, with some minor internal bleeding and air present. After being hospitalized for two weeks, he has been discharged home,...


Dr. Jiang Junyi reply Neurology
Dear Mr. Huang, You mentioned that there is trauma in the upper right area behind your ear, with some minor internal bleeding and air present. After being hospitalized for two weeks, you have been discharged home, but your memory remains confused. You are wondering if this is re...

[Read More] Understanding Head Trauma: Recovery Time and Memory Issues in Seniors


Understanding Persistent Numbness in the Left Back: Causes and Solutions

Numbness in the left side of the back when squatting or sitting? Hello, doctor. At the end of last year, after carrying a heavy bag of books with one hand, I started experiencing numbness on the left side of my back the next day. This condition has persisted until now without imp...


Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that "the left side of my back started to feel numb the next day, and this condition has persisted without improvement... there is a numb sensation extending from the inner side of my left scapula to my arm... sitting up straight helps alleviate the...

[Read More] Understanding Persistent Numbness in the Left Back: Causes and Solutions


Understanding Cervical X-rays: Accuracy and Anomalies Explained

Cervical spine X-ray Hello, I had a cervical spine X-ray taken in 2019, and the neurologist at that time did not mention anything specific. Now, in 2022, another neurologist has told me that I have nerve compression issues in both my cervical and lumbar spine. Is it accurate to r...


Dr. Jiang Junyi reply Neurology
Hello Ms. Chen, You mentioned, "Is this accurate? Shouldn't I have another cervical spine X-ray? Also, it seems that most people have 6 cervical vertebrae, but I have 8; is that normal?" Humans typically have 7 cervical vertebrae. The important aspect regarding ...

[Read More] Understanding Cervical X-rays: Accuracy and Anomalies Explained


Understanding Involuntary Muscle Twitches: Causes and Concerns

Intermittent involuntary movements Hello doctor, I sometimes feel twitching in the left front area between my neck and shoulders, and I can feel it moving when I touch it. At times, I also feel twitching in the inner side of my left thigh. What could be the issue? Thank you.


Dr. Jiang Junyi reply Neurology
Hello Mr. Ben: You mentioned that you sometimes feel twitching in the left front area between your neck and shoulders, as well as twitching in the inner thigh of your left leg. I wonder if you are also experiencing any sensory abnormalities along with these symptoms? If it is onl...

[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns


Understanding Visual Flickering: Is It a Sign of Migraine or Neurological Issue?

Visual flicker? There were two instances in the early morning, right after waking up, when I experienced flickering in my vision under dim lighting, resembling the flickering of a failing light bulb or an old television screen malfunction (the flickering was in shades of black an...


Dr. Jiang Junyi reply Neurology
Hello, Miss Hsiao-Wen: You mentioned that you experienced a migraine on the night of your first visual aura, but not during the second occurrence. I would like to ask if you have a history of migraines? If this is a new symptom, it may be advisable to seek medical evaluation. Gen...

[Read More] Understanding Visual Flickering: Is It a Sign of Migraine or Neurological Issue?


Why Do Bloody Images Cause Narrow Vision and Dizziness?

Why does seeing bloody scenes cause a narrowing of vision and dizziness? Hello Doctor, my son is 19 years old. Since he was around 11, he has experienced episodes where, after seeing graphic images, his vision narrows (he can only see clearly in the center while the periphery bec...


Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned that your son is experiencing intermittent neurological deficits. If the brain injury is caused by a hemorrhage, the symptoms are usually persistent. It may be necessary to first consider the symptoms of vascular headaches (migraines) or abnormal electri...

[Read More] Why Do Bloody Images Cause Narrow Vision and Dizziness?


Which Specialist to See for Migraine with Nausea and Vomiting?

If you are experiencing migraines accompanied by nausea and vomiting, you should consult a neurologist? Hello Dr. Jiang, I used to experience migraines frequently, but they would usually improve after a day or two of rest. However, two weeks ago, I started having migraines again,...


Dr. Jiang Junyi reply Neurology
Dear Ms. Ru, You mentioned that you started experiencing migraines two weeks ago, accompanied by some swelling and mild dizziness, and you have vomited twice since then. I would like to know if you have a history of migraines. If this is a new onset of symptoms, it may be advisa...

[Read More] Which Specialist to See for Migraine with Nausea and Vomiting?


Understanding Unilateral Tinnitus: Is It Related to Autonomic Nervous System Disorders?

Unilateral tinnitus and pulsatile tinnitus? Hello, doctor. Two years ago, I experienced dizziness and a heavy head, which led me to consult a neurologist. At that time, I was prescribed nerve repair agents and B vitamins, and after a while, I felt better. I attributed my symptoms...


Dr. Jiang Junyi reply Neurology
Mr. Pei, you mentioned: "However, the tinnitus in my left ear has worsened significantly, accompanied by mild headaches, and my left ear also feels uncomfortable when exposed to loud sounds." Unilateral tinnitus symptoms do not typically resemble those of autonomic nerv...

[Read More] Understanding Unilateral Tinnitus: Is It Related to Autonomic Nervous System Disorders?


Understanding Hand Numbness: Sympathetic vs. Nerve Compression Issues

Numbness in the hands? Hello Doctor, I have visited you before and was diagnosed with abnormalities in the parasympathetic nervous system. Currently, I am taking Fluxel and related vitamins. I went back to the rehabilitation department where I was previously diagnosed with cervic...


Dr. Jiang Junyi reply Neurology
Dear Mr. Sheng, You mentioned that "the numbness in your right thumb and index finger has not improved," which may indicate the need to consider compression of the median nerve rather than an issue with the autonomic nervous system. The median nerve is responsible for ...

[Read More] Understanding Hand Numbness: Sympathetic vs. Nerve Compression Issues


Understanding the Causes of Occasional Pain in the Back of the Head

Occipital headache Hello Doctor: Recently, I have been experiencing frequent pain in the back of my head. Initially, I thought it was related to shoulder and neck pain, but these past few days while walking on the treadmill, I felt no pain in my head at first, but then the pain i...


Dr. Jiang Junyi reply Neurology
Dear Mr. Weng, You mentioned that "if I slightly pull my arm down, I feel pain at the back of my head, and the more I pull, the more it hurts." This may indicate cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle at ...

[Read More] Understanding the Causes of Occasional Pain in the Back of the Head


Understanding Neck Discomfort: Causes and Solutions for Nerve Pain

Discomfort in the posterior neck? Hello Doctor, recently I've been feeling very uncomfortable in the right posterior area of my head where it connects to my neck. Occasionally, I experience sharp, brief pain along a specific nerve that lasts only a few seconds. Over time, th...


Dr. Jiang Junyi reply Neurology
Dear Miss MIN, You mentioned that you feel very uncomfortable at the right posterior side of your head connecting to your neck, and occasionally experience sharp, uncomfortable sensations in a certain nerve (which do not last long, about a few seconds). The common cause of the n...

[Read More] Understanding Neck Discomfort: Causes and Solutions for Nerve Pain


Understanding Involuntary Muscle Twitches: Causes and Treatment Options

Involuntary muscle twitching? My muscles randomly twitch, including my eyelids, abdomen, arms, and legs. Sometimes the twitching frequency is very high and can last for more than a day. This started in March 2021, and since then, I have undergone numerous tests at various medical...


Dr. Jiang Junyi reply Neurology
Hello Mr. Chris: You mentioned that you have a regular routine, do not smoke or drink alcohol, exercise regularly each week, take vitamin B complex and fish oil supplements, control your diet, and mostly drink plain water without coffee or tea. If your muscle twitching persists, ...

[Read More] Understanding Involuntary Muscle Twitches: Causes and Treatment Options


Understanding Trigeminal Neuralgia: Symptoms, Treatments, and Relief Strategies

Trigeminal neuralgia Hello doctor, two nights ago I experienced severe pain in the area behind my right ear, but it subsided quickly. However, yesterday the pain suddenly intensified, accompanied by severe pain in my upper right teeth and cheek. Between midnight and 9 AM, I took ...


Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "the doctor said the pain in my cheek is trigeminal neuralgia, and one of the medications prescribed to me is 'Shunao.' After taking it, I still experienced pain about half an hour later. Is Shunao effective for trigeminal neuralgia?...

[Read More] Understanding Trigeminal Neuralgia: Symptoms, Treatments, and Relief Strategies


Severe Neck Pain: When to Seek Emergency Care?

If you are experiencing sudden, severe pain that prevents you from moving, you should go to the emergency room? Sudden neck pain that makes it difficult to breathe, with pain persisting even at rest, inability to move the head, weakness in the neck, and a sensation of breathlessn...


Dr. Jiang Junyi reply Neurology
Hello, You mentioned cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but over time, it can worsen and affect da...

[Read More] Severe Neck Pain: When to Seek Emergency Care?


Understanding Arm Numbness: Neurological Insights and Recovery Time

Numbness in the arm? Hello Doctor, I am the person who inquired about the numbness in my upper arm a few days ago (#179797). I greatly appreciate your prompt and helpful response! If possible, I would like to ask a few more questions: 1) You mentioned that the issue might be re...


Dr. Jiang Junyi reply Neurology
Dear Mr. JAM, You mentioned that "certain specific movements cause numbness extending to the little finger." It may be necessary to consider cubital tunnel syndrome, which can lead to compression of the ulnar nerve. Nerve repair requires supplementation of B vitamins, ...

[Read More] Understanding Arm Numbness: Neurological Insights and Recovery Time


Understanding Left-Hand Tremors: Causes, Symptoms, and Diagnosis

Tremors, atrophy, and involuntary movements in the left hand? Hello Doctor, I am currently 21 years old and noticed a hand tremor issue around the age of 12. The tremor occurs only in my left hand; it does not shake when at rest, but all five fingers tremble when I exert force. S...


Dr. Jiang Junyi reply Neurology
Hello Mr. Wang: You mentioned that "there is muscle atrophy in the left palm, blood tests for thyroid hormones are normal, and a nerve conduction study has been arranged... is it possible that brain or cerebellar lesions are the cause?" Typically, peripheral nerve lesio...

[Read More] Understanding Left-Hand Tremors: Causes, Symptoms, and Diagnosis


Understanding Nerve Issues: Numbness and Urinary Problems After Vaccination

Numbness in the feet and urinary issues? Hello Dr. Jiang, Recently, I have been experiencing numbness in my left foot and difficulty urinating. After undergoing several tests at the hospital, I was informed that my health is generally good. An MRI revealed inflammation near the ...


Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "MRI showed inflammation near the 11th and 12th vertebrae, and tests indicated low levels of B12 and folate. You informed your physician that you received the third dose of the Moderna vaccine on February 18, and the hospital indicated that vaccine ...

[Read More] Understanding Nerve Issues: Numbness and Urinary Problems After Vaccination


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