Understanding Eyelid Twitching: Causes and When to See a Neurologist
Eyelid twitching Hello, Doctor! I would like to inquire about a condition I experience. Whenever I close my eyes to rest, I can feel my eyelids rapidly twitching (similar to rapid blinking, but my eyes are still closed). This twitching does not stop even if I keep my eyes closed ...
Dr. Jiang Junyi reply Neurology
Hello Miss Tong, You mentioned, "After opening my eyes, my eyelids don't blink uncontrollably anymore, and this has been going on for a while. I wonder what could be causing this issue?" Most eyelid twitching is physiological and not caused by any disease. The eye...[Read More] Understanding Eyelid Twitching: Causes and When to See a Neurologist
Can Vaccines Cause Neurological Issues? Understanding Eye and Muscle Twitches
Can vaccination cause neurological issues? Hello doctor, I had no issues after receiving the first two doses of the AstraZeneca vaccine. However, after my third dose of Moderna, I started experiencing frequent twitching in my left lower eyelid about a week later, occurring 2-5 ti...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that "after receiving the third dose of Moderna, my left lower eyelid started twitching frequently, 2-5 times an hour, and it has been nearly three weeks." Your symptoms do not seem to indicate a serious adverse reaction. There have been many r...[Read More] Can Vaccines Cause Neurological Issues? Understanding Eye and Muscle Twitches
Unexplained Weakness and Tremors in Children: A Neurological Concern
Unable to walk, feeling weak? Your question: A child was hospitalized due to severe abdominal pain and a Mycoplasma pneumoniae infection. The next day, they began experiencing continuous tremors in their hands and feet, generalized weakness, and shortness of breath. They have bee...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned, "It has been 14 days, the cerebrospinal fluid has been tested and there are no issues, all necessary examinations have been conducted, and the symptoms remain the same. What other tests should be done?" In this case, it may be advisable to consult ...[Read More] Unexplained Weakness and Tremors in Children: A Neurological Concern
Understanding Arm Numbness: Possible Causes and Treatment Options
Questions about arm numbness? Hello Doctor, for the past month or so, I have been experiencing a sensation in my upper arm, specifically in the deltoid area, that feels similar to the numbness one gets after sleeping on their arm. Sometimes there is also a soreness, while other t...
Dr. Jiang Junyi reply Neurology
Dear Mr. JAM, You mentioned, "Are there other issues such as cubital tunnel syndrome or other neurological disorders that could produce similar symptoms? Or can we almost definitively conclude that it is a cervical spine issue?" Typically, symptoms resulting from nerve...[Read More] Understanding Arm Numbness: Possible Causes and Treatment Options
Understanding Hand Numbness and Arm Pain: When to See a Neurologist
Numbness in the hands and arm pain? I'm not sure if it's due to nerve compression in the wrist from exercising or prolonged computer use, but my fingers are numb, and my wrist cannot extend back to 90 degrees like it used to. I visited a clinic where I was prescribed an...
Dr. Jiang Junyi reply Neurology
Dear Mr. August, You mentioned that "after prolonged computer use, my fingers feel numb," which may indicate common median nerve injury or ulnar nerve injury. Median nerve injury, also known as carpal tunnel syndrome, typically occurs in individuals who perform repetit...[Read More] Understanding Hand Numbness and Arm Pain: When to See a Neurologist
Managing Muscle Tremors in ALS: Effective Treatments and Solutions
Muscle twitching Someone around me has been diagnosed with amyotrophic lateral sclerosis (ALS) and is currently experiencing tremors in both lower limbs that affect sleep. Although the doctor has prescribed muscle relaxants, they have not been effective. I would like to ask the d...
Dr. Jiang Junyi reply Neurology
Hello, Ms. Shu: You mentioned that "your lower limbs tremble/shake to the extent that it affects your sleep, and although the doctor has prescribed muscle relaxants." In addition to medication, sometimes stretching exercises are necessary to alleviate muscle tightness....[Read More] Managing Muscle Tremors in ALS: Effective Treatments and Solutions
Neck Compression and Sleep Issues: Choosing the Right Pillow
Cervical spine compression and sleep issues? Hello, doctor. I have compressed nerves in my cervical spine. After rehabilitation, the pain has subsided, but I still experience occasional hand numbness and intermittent neck pain while sleeping. In this condition, are there any spec...
Dr. Jiang Junyi reply Neurology
Hello Mr. Ben, You mentioned that you still experience intermittent hand numbness and neck pain while sleeping. I would like to know which cervical vertebrae you have issues with. I recommend using a supportive neck pillow, as cervical spine disorders are closely related to the ...[Read More] Neck Compression and Sleep Issues: Choosing the Right Pillow
Understanding Muscle Twitches and Weakness: Is It a Sign of Atrophy?
Involuntary muscle twitching and weakness in the hands? Doctor, I apologize for bothering you. I have experienced involuntary twitching in various parts of my body, such as my calves, thighs, buttocks, arms, and soles of my feet, since I was young. I didn't pay much attentio...
Dr. Jiang Junyi reply Neurology
Hello Mr. Zhou: You mentioned that "after waking up, my hands feel weak and powerless, but my legs are normal, and it's difficult to hold a pen; this weakness lasts for about ten minutes." Such symptoms may suggest a possible issue with cervical nerve root compress...[Read More] Understanding Muscle Twitches and Weakness: Is It a Sign of Atrophy?
Understanding Tongue Pain: Neurological Insights and Causes
Tongue issues? Three years ago, I started experiencing pain in my tongue and mouth, usually on the right side near the base of the tongue and the foliate papillae. I have visited a teaching hospital for an examination, where both the attending physician and the chief physician ev...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that "the symptoms usually occur after taking a shower in the evening (with the neck bent while washing hair)," which may suggest that cervical instability is causing compression of the vagus nerve and hypoglossal nerve, leading to oral burning...[Read More] Understanding Tongue Pain: Neurological Insights and Causes
Understanding Unilateral Pupil Dilation and Its Possible Connections
Unilateral pupil dilation? Hello, doctor. Two years ago, while I was abroad, I suspect that I sustained a blunt force injury to the back of my head. At that time, my right pupil did not respond to light and remained dilated. Since I was unaware of the cause, I did not seek medica...
Dr. Jiang Junyi reply Neurology
Hello Ms. Chen: You mentioned that "the right pupil had no light reflex and remained dilated. At that time, I didn't know the cause and didn't see a doctor. After about a month, the right pupil returned to normal, but afterwards, there was occasionally a small amou...[Read More] Understanding Unilateral Pupil Dilation and Its Possible Connections
Uncontrollable Hand and Foot Tremors After Chemotherapy: Causes and Solutions
After chemotherapy, the hands and feet may experience involuntary shaking? My mother-in-law is 76 years old and has been undergoing immunotherapy and chemotherapy for bile duct cancer for the past three months. After these treatments, her hands have started to shake involuntarily...
Dr. Jiang Junyi reply Neurology
Hello Ms. Hsiao-Jie: You mentioned that your mother-in-law has experienced "involuntary shaking of her hands, and even after stopping treatment for a month, her hands and feet still shake involuntarily. Could this be caused by low potassium levels?" Symptoms of hypokale...[Read More] Uncontrollable Hand and Foot Tremors After Chemotherapy: Causes and Solutions
Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? I have recently noticed a numbness in my fingers and the soles of my feet, similar to having a layer of skin over them. A few days ago, I experienced numbness in my right fingers while sleeping, which made me uncomfortable and unable to sleep. The ...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned experiencing a "numbness in your fingers and the soles of your feet." If this occurs bilaterally, it may be worth considering hyperventilation. This can lead to systemic reactions and symptoms, with common manifestations including vasoconstrict...[Read More] Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Understanding Weakness and Tremors in Hand Grip: A Neurology Perspective
Weakness and numbness in the hands? Hello doctor, recently I have been experiencing difficulty in gently making a fist with both hands. When I try to make a light fist, my hands feel very weak and slightly tremble, similar to the weakness I feel in the morning upon waking up (fee...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "when not using your arms, there may be a slight feeling of soreness or weakness in the arm muscles (especially when lying down or sitting)." It is important to consider cervical nerve root compression. The fascia around the cervical spine has ...[Read More] Understanding Weakness and Tremors in Hand Grip: A Neurology Perspective
Understanding Brain Abscess: Symptoms, Causes, and Diagnosis
Brain abscess? Hello, doctor. Since I had two upper right molars extracted last year, I've been experiencing persistent discomfort in my head. I've seen doctors and had a CT scan done, and they all said my brain is fine, attributing my symptoms to anxiety and poor sleep...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned, "Last year I had two upper right molars extracted... the extraction healed quite well in about three days..." Brain abscesses typically present with fever as a symptom, and the symptoms can be quite urgent, especially in cases of bacterial brain in...[Read More] Understanding Brain Abscess: Symptoms, Causes, and Diagnosis
Understanding Post-Anesthesia Dizziness: Causes and Concerns
Questions about dizziness for my mother? Mother underwent general anesthesia for a bladder endoscopy and resection surgery from February 23 to February 25. After the anesthesia, she experienced mild headache for one night, which resolved the next morning upon discharge. However, ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen: You mentioned "lacunar infarct at the left lentiform nucleus," which refers to a small infarct in the left lentiform nucleus. This may be related to motor function. However, it is still necessary to assess the relevant neurological functions. Regarding...[Read More] Understanding Post-Anesthesia Dizziness: Causes and Concerns
Understanding Neck Discomfort: Causes and Solutions for Relief
Neck discomfort? About one to two weeks ago, I started feeling a strange sensation in the front of my neck, but it wasn't painful, so I didn't pay much attention to it. However, in the last two to three days, I've noticed a tight feeling in my neck, with slight num...
Dr. Jiang Junyi reply Neurology
Dear Ms. A-Zhu, You mentioned feeling a slight tightness and mild numbness in your neck, which may indicate a cervical spine issue. I recommend the following: 1. **Change Positions**: Change your posture every 15 minutes to allow the neck tissues to rest. Maintaining any positi...[Read More] Understanding Neck Discomfort: Causes and Solutions for Relief
Understanding Persistent Tinnitus: Insights from a Neurology Perspective
Tinnitus Hello Dr. Jiang: I have been experiencing high-frequency tinnitus for 11 years, which started suddenly a few weeks after my military discharge. I served as a private in the artillery (not sure if it's related to stress or the sound of artillery?). The tinnitus is on...
Dr. Jiang Junyi reply Neurology
Hello Allen: You mentioned "right ear tinnitus at 3000-8000 Hz, high at 52 dB and low at 12 dB, left ear at 250-8000 Hz, high at 17 dB and low at 13 dB," which may indicate a loss of auditory nerve cells in the right ear due to the high decibel levels. The "closed ...[Read More] Understanding Persistent Tinnitus: Insights from a Neurology Perspective
Head Injury from Bathroom Fall: When to See a Neurologist?
I fell in the bathroom around noon and hit the back of my right head? Hello Doctor: I slipped and hit my head in the bathroom around noon. Since the bathroom is small, I didn't fall flat on my back; instead, my head struck the wall behind me at a nearly vertical angle. I ins...
Dr. Jiang Junyi reply Neurology
Dear Miss Emma, You mentioned experiencing "chest tightness that feels better with deep breaths, and mild swelling in your right hand. I would like to ask if you need to visit the neurology or surgery outpatient clinic tomorrow?" Generally speaking, if there is no loss...[Read More] Head Injury from Bathroom Fall: When to See a Neurologist?
Understanding Dizziness and Pressure: Neurological Insights and Solutions
Dizziness and a feeling of heaviness in the head? Hello Doctor: I have been experiencing dizziness, a feeling of pressure in my head, and nausea for almost three weeks. After visiting an ENT specialist and taking medication, I haven't vomited in the past few days, but I stil...
Dr. Jiang Junyi reply Neurology
Dear Miss Ling, You mentioned that "my head still feels a bit dizzy and swollen, with pain on both sides, and my ears also hurt a little. I feel heavy-headed and light-bodied, and looking at my phone causes some dizziness... After visiting the ENT and taking medication, I h...[Read More] Understanding Dizziness and Pressure: Neurological Insights and Solutions
Understanding Post-Impact Head Discomfort: Causes and Concerns
Head trauma Hello, doctor. In the first half of 2020, I had two upper molars extracted, and since then, I have experienced discomfort in my head. I started seeing doctors, but they all said it was unrelated to the tooth extraction, attributing it to anxiety and sleep issues. I ha...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned, "Has the impact to the head caused internal bleeding or delayed bleeding? It has been a year and a half; could it last this long? Additionally, could the earlier tooth extraction have affected the brain? After all, I have been experiencing discomfo...[Read More] Understanding Post-Impact Head Discomfort: Causes and Concerns