Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions
I have been prescribed Lexotan for gastrointestinal pain caused by autonomic nervous system dysfunction. However, after stopping the medication, I still have insomnia and haven't improved. What should I do? I previously took Lorazepam for over three months, and stopping the ...
Dr. Jiang Junyi reply Neurology
Dear Mr. Hao, You mentioned the issue of dependence after taking "Lorazepam." Generally, Lorazepam is easily absorbed when taken orally, reaching peak plasma concentration approximately 2 hours after administration. The half-life in human plasma is about 12 to 18 hours...[Read More] Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions
Understanding Nerve Sensations After Injections: Causes and Concerns
Numbness in the leg after an injection? Hello, doctor. A neurosurgeon administered glucose prolotherapy to me, injecting it into the back of my knee. During the injection, it stimulated a nerve, causing my calf to go numb all the way to the sole of my foot. I reported this to the...
Dr. Jiang Junyi reply Neurology
Hello Ms. Mi: You mentioned that "it only takes about 30 seconds to trim my toenails while bending my knees, and when I stretch my legs, I feel a tingling sensation in the soles of my feet." Your symptoms seem to be posture-related, and it may be worth considering perip...[Read More] Understanding Nerve Sensations After Injections: Causes and Concerns
Understanding Head Tremors: Causes and Treatment Options for Women in Menopause
Head tremors My mother is 49 years old and started experiencing head tremors accompanied by emotional agitation and shortness of breath three months ago. She has been receiving treatment from both a neurologist and a psychiatrist for two months. During this time, she also visited...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "the position of the chin resembles the location of the hyoid muscle, with a shaking frequency and head tremors." There are many reasons that can cause such symptoms, which are referred to as tremors. 1. Physiological tremors: These do not oc...[Read More] Understanding Head Tremors: Causes and Treatment Options for Women in Menopause
Persistent Headaches After Vaccination: When to Seek Medical Attention?
I have been experiencing a persistent headache for four days after receiving the vaccine? Hello doctor, after receiving the second dose of the AZ vaccine on November 18, I experienced no symptoms and felt fine. However, four days later, I started having headaches, chest tightness...
Dr. Jiang Junyi reply Neurology
Dear Ms. Selene, You mentioned experiencing intermittent sharp and dull pain in the right occipital region, along with working over 8 hours a day on the computer. This may indicate cervical myofascial pain syndrome. Prolonged periods of looking down can lead to overuse of the tr...[Read More] Persistent Headaches After Vaccination: When to Seek Medical Attention?
Can Sleep Issues Be Treated? Understanding Neurological Sleep Disorders
Sleep issues I usually go to bed around eleven or twelve o'clock, but no matter how loud the alarm is or if someone calls me, I can't hear it. I need to take public transportation to school and have to wake up around six o'clock. This issue has been bothering me fo...
Dr. Jiang Junyi reply Neurology
Hello, Huang: You mentioned that "no matter how loud the alarm clock is or if someone calls, I can't hear it." I suggest you consider wearing a smart wristband to monitor the depth and variations of your sleep. During light sleep stages, it is easier to wake up. If...[Read More] Can Sleep Issues Be Treated? Understanding Neurological Sleep Disorders
Understanding ALS Symptoms: Fatigue and One-Sided Weakness Explained
Symptoms of Amyotrophic Lateral Sclerosis (ALS) Hello, doctor. Recently, I've been experiencing some symptoms that are concerning me. I've been feeling frequently fatigued, just wanting to sleep, and having difficulty concentrating. Additionally, I have less control ove...
Dr. Jiang Junyi reply Neurology
Hello Mr. Ju: You mentioned that you have been feeling fatigued lately, often wanting to sleep, unable to concentrate, and having difficulty controlling your left little finger. These symptoms do not resemble those of motor neuron disease. The term "amyotrophic lateral scler...[Read More] Understanding ALS Symptoms: Fatigue and One-Sided Weakness Explained
Understanding Eyelid Twitching: Causes, Remedies, and When to Worry
Eyelid twitching issue? Hello Doctor, my left upper eyelid has been twitching intermittently for over a month. Sometimes it stops when I get enough sleep, but it twitches when I am sleep-deprived. Recently, I have been under significant stress due to a bereavement in the family, ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Ayou, You mentioned that "the upper left eyelid has been twitching intermittently for over a month; sometimes it doesn't twitch when I have enough sleep, but it does when I'm sleep-deprived." Your symptoms are more indicative of benign eyelid twitchi...[Read More] Understanding Eyelid Twitching: Causes, Remedies, and When to Worry
Understanding Pain Above the Eyebrows: Possible Causes and Solutions
Pain in the area above both eyebrows? Hello Dr. Jiang: I have been experiencing pain in the area of my eyebrows for the past 2-3 days. It hurts when I press on it. Do you have any solutions, Dr. Jiang?
Dr. Jiang Junyi reply Neurology
Hello Mr. Lin: You mentioned that "the area above both eyebrows hurts, and it is painful when pressed." If tapping causes a dull pain, it may be worth considering inflammation of the frontal sinuses due to sinusitis. In daily life, it is advisable to avoid dry and cold ...[Read More] Understanding Pain Above the Eyebrows: Possible Causes and Solutions
Is Pituitary Tumor Considered a Cerebrovascular Disease?
Pituitary adenomas are not classified as cerebrovascular diseases? Is a pituitary adenoma considered a type of cerebrovascular disease? For individuals who have had this condition and are required to take central nervous system medications, will there be any effects? Thank you!
Dr. Jiang Junyi reply Neurology
Dear Ms. Tsai, You mentioned whether "pituitary tumors fall under cerebrovascular diseases..." Pituitary tumors are most commonly benign adenomas and are not classified as vascular diseases. They account for approximately 5-10% of all symptomatic intracranial tumors. L...[Read More] Is Pituitary Tumor Considered a Cerebrovascular Disease?
Understanding Exploding Head Syndrome: Symptoms and When to Seek Help
Sleep issues In the past week, when lying down to sleep, I have experienced a sensation in my brain that feels like a mild electric shock. After this sensation, I can change positions or fall asleep normally. However, this has occurred about 2-3 times over the week. Yesterday, I ...
Dr. Jiang Junyi reply Neurology
Dear Mr. Shen, You mentioned that "when lying down to sleep, it feels like my brain has been lightly shocked by an electric current..." This may indicate a sleep disorder. Exploding Head Syndrome has two main causes: one is unstable brain waves or transitions in brain ...[Read More] Understanding Exploding Head Syndrome: Symptoms and When to Seek Help
Understanding Scalp Lumps: When to See a Neurologist
A growth on the scalp? Hello, Doctor: About a month ago, I developed a lump inside my scalp (not on the surface). It used to be painful when pressed, but now it isn't. When I touch it, the lump can move side to side, but it eventually returns to its original position. I woul...
Dr. Jiang Junyi reply Neurology
Dear Mr. Louis, You mentioned that there is a growth beneath the scalp (not on the surface), which was painful when pressed previously but is no longer painful and seems to return to its original position. This may warrant consideration of a subcutaneous cyst or a lipoma. Genera...[Read More] Understanding Scalp Lumps: When to See a Neurologist
Understanding Head and Neck Discomfort: Possible Neurological Causes
Feeling unwell? Hello, doctor. For the past couple of days, I've been feeling tightness and heaviness on both sides of my head (near the temples), and sometimes it even hurts. I also feel this sensation above my neck, including when I'm sleeping or walking, and I occasi...
Dr. Jiang Junyi reply Neurology
Dear Ms. Chiu, You mentioned that the "tightness and heaviness on both sides of your head (near the temples)" may suggest tension-type headache, which is caused by muscle tightness in the head. Common symptoms include a squeezing pain in the forehead and temples, resem...[Read More] Understanding Head and Neck Discomfort: Possible Neurological Causes
Understanding Hand Tremors: Could It Be Cerebellar Atrophy?
Tremors in the hands can be treated with muscle relaxants? Hello doctor, I recently noticed that my fingers seem to tremble when I try to touch things, and the shaking appears to worsen the farther I extend my hand. I visited a hospital a while ago, and the doctor prescribed Chlo...
Dr. Jiang Junyi reply Neurology
Hello Mr. Huang: You mentioned that "my fingers seem to tremble when touching things... usually the further I stretch my hand, the more it shakes." This symptom resembles physiological tremors, which typically do not occur under normal circumstances but may arise in spe...[Read More] Understanding Hand Tremors: Could It Be Cerebellar Atrophy?
Exploring Treatment Options for Infection-Induced Dystonia
Involuntary muscle tone abnormalities caused by infection? Hello, I would like to ask the doctor. I have dystonia and suspect that it may have been triggered by an infection a month ago. Are there any treatment options specifically targeting the infection as a cause? (Referring t...
Dr. Jiang Junyi reply Neurology
Dear Ms. Tsai, You mentioned "hypotonia, suspected to be related to an infection one month prior." This is typically due to post-infectious dysfunction of the basal ganglia. Generally, your physician should have already conducted tests for common infectious agents such...[Read More] Exploring Treatment Options for Infection-Induced Dystonia
Essential Tests and Specialist Consultations for Epilepsy Management
In addition to your current evaluation for epilepsy, what other tests or specialist consultations would be beneficial for me? Frequent occurrences of symptoms: dizziness, headaches, chest tightness, unsteady gait, headaches, muscle cramps, fainting, hand tremors, cold extremities...
Dr. Jiang Junyi reply Neurology
Dear Mr. Q, You mentioned that you are taking a variety of medications: Diphenhydramine, Amantadine, Clonazepam, Fentanyl, H2 antagonists, Colchicine, Depakote, Topiramate, Venlafaxine, Aripiprazole, thyroid preparations, Aniracetam, and Ritalin. You also reported experiencing s...[Read More] Essential Tests and Specialist Consultations for Epilepsy Management
Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Autonomic Nervous System Dysfunction or Multiple Sclerosis? Hello Dr. Jiang, In early September, I experienced brief episodes of numbness and tingling in my limbs, lasting only a few seconds but occurring quite frequently. I consulted a clinic, and they suggested it might be a c...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned experiencing "temporary numbness and tingling in your limbs, which lasts for a few seconds but occurs quite frequently." These symptoms are more indicative of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels ...[Read More] Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Understanding Facial Twitching: Is It Facial Muscle Spasm?
Palpitations Hello Dr. Jiang, a few weeks ago I experienced some facial twitching, and after seeing a doctor, I was told it was inflammation. The twitching has mostly stopped now, but today my lip twitched suddenly. I would like to ask if occasional twitching could be facial musc...
Dr. Jiang Junyi reply Neurology
Dear Mr. Lin, You mentioned that "occasional twitching could be facial muscle spasms," but it is also important to consider localized nerve inflammation as a cause of muscle twitching. An increase in muscle twitching may warrant consideration of certain metabolic disor...[Read More] Understanding Facial Twitching: Is It Facial Muscle Spasm?
Deviated Uvula and Uneven Pupil Size: When to Seek Medical Advice?
Deviated uvula with unequal pupil size? Although this question may seem a bit strange, I recently noticed that my uvula is leaning to one side. Additionally, under certain lighting conditions, my pupils appear to be of unequal size. After consulting with family members, they also...
Dr. Jiang Junyi reply Neurology
Hello, You mentioned that "the uvula is deviating to one side," which is primarily controlled by the vagus nerve. You also noted that "under moderate lighting conditions, it is easier to perceive a discrepancy in the size of the pupils, with the right eye respond...[Read More] Deviated Uvula and Uneven Pupil Size: When to Seek Medical Advice?
Understanding Numbness in the Thumb and Back: Causes and Concerns
Mild numbness in the right thumb and slight numbness in the back? Doctor, I started experiencing a slight tingling sensation around my right thumb yesterday (similar to the feeling of a foot falling asleep but not going away, though it's mild and only noticeable when touched...
Dr. Jiang Junyi reply Neurology
Dear Mr. Fook Chi, You mentioned that "there is a slight tingling sensation around the right thumb... and that you have seen a doctor for shoulder and neck pain, which was diagnosed as a herniated disc at the C6 level." It is important to consider that the C6 nerve roo...[Read More] Understanding Numbness in the Thumb and Back: Causes and Concerns
Understanding Facial Nerve Palsy: Diagnosis and Further Testing Options
Facial nerve paralysis examination Hello Dr. Jiang, about a month ago, I woke up one day to find that I couldn't move the left side of my face. During my consultation, the neurologist suspected that it might be a viral cause of facial nerve paralysis. I have been taking ster...
Dr. Jiang Junyi reply Neurology
Hello Mr. Kobayashi: You mentioned "facial nerve paralysis," which is a condition affecting the peripheral cranial nerves and usually resolves on its own. 1. If you would like to pursue further brain examinations, what options are available? Are they covered by health i...[Read More] Understanding Facial Nerve Palsy: Diagnosis and Further Testing Options