Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Four limbs numbness, neck pain, headache, various minor ailments? Hello Dr. Jiang, this is Ms. Li who inquired about some issues at the beginning of September. Since early September, I have been experiencing tingling and numbness in my entire arms and legs, along with occasional ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Li, I am not sure if there is a medical center near your residence. The examination of neurological diseases requires a period of follow-up for comparison. For instance, if a score drops from 80 to 70, it may still be considered passing from a 60-point perspective. The ...[Read More] Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Understanding Neuromuscular Disease Testing: Insights and Next Steps
"Neuromuscular Disease Examination" Hello Dr. Jiang, thank you for your response. I am currently in Kaohsiung. I first visited Kaohsiung Medical University for an emergency consultation around March of last year due to unexplained dizziness. At that time, the resident p...
Dr. Jiang Junyi reply Neurology
Hello, sir: Generally, when abnormalities are observed in electromyography (EMG), an MRI is performed to locate the tissue for a planned biopsy of the muscle. This is because it is not easy to locate the tissue once the surgery begins. It is recommended to follow up with Dr. Chen...[Read More] Understanding Neuromuscular Disease Testing: Insights and Next Steps
Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care
Persistent symptoms one month after receiving the AZ vaccine? Hello, Dr. Jiang: I received the AZ vaccine on September 10, and that night I had a fever of 41.4 degrees Celsius. However, the fever subsided by the morning of the following day. Two weeks later, on September 13, I no...
Dr. Jiang Junyi reply Neurology
Dear Ms. Chuang, You mentioned that "two weeks after September 13, I found that I seemed unable to express a complete sentence and could only say simple words." It may be necessary to consider the adverse reaction of thrombosis associated with the AZ vaccine, currently...[Read More] Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care
Can Patients with Facial Nerve Paralysis Receive the BNT Vaccine?
Facial nerve paralysis Hello Dr. Jiang, I would like to ask if a patient with facial nerve paralysis can receive the first dose of the BNT vaccine at this time. The BNT vaccine has a rare side effect of facial nerve paralysis, which may make it difficult to distinguish between th...
Dr. Jiang Junyi reply Neurology
Dear Mr. Hsiao-Lin, Facial nerve paralysis is not a contraindication for receiving the BNT vaccine. It is not recommended to administer the vaccine within two weeks of an acute infection. Based on the current domestic epidemic situation, vaccination can be considered one month a...[Read More] Can Patients with Facial Nerve Paralysis Receive the BNT Vaccine?
Can Patients with Facial Nerve Paralysis Receive the BNT Vaccine?
Facial nerve paralysis Hello Dr. Jiang, I would like to ask if a patient with facial nerve paralysis can receive the first dose of the BNT vaccine at this time. The BNT vaccine has a rare side effect of facial nerve paralysis, which may make it difficult to differentiate. It has ...
Dr. Jiang Junyi reply Neurology
Dear Mr. Hsiao-Lin, Facial nerve paralysis is not a contraindication for receiving the BNT vaccine. It is advised not to administer the vaccine within two weeks of an acute infection. Based on the current domestic epidemic situation, vaccination can be considered one month after...[Read More] Can Patients with Facial Nerve Paralysis Receive the BNT Vaccine?
Understanding Severe Muscle Inflammation and Nerve Compression Effects
Facial issues Hello Dr. Jiang, what is meant by severe muscle inflammation or nerve compression? If there is such nerve inflammation causing pulsation, will it affect appearance?
Dr. Jiang Junyi reply Neurology
Dear Mr. Lin, Due to the need for follow-up comparisons in the examination of neurological diseases, it is recommended to have a follow-up in three months to assess any changes. If there are no changes, there is no need to worry too much. During this time, please avoid secondha...[Read More] Understanding Severe Muscle Inflammation and Nerve Compression Effects
Exploring Neuromuscular Disorders: What to Do When Tests Come Back Normal
Neuromuscular Disease Examination Hello doctor, I have been experiencing weakness in my limbs for over a year, and I am very concerned that it might be a rare neuromuscular disease. I have visited many major hospitals and undergone neurological examinations each time I saw a diff...
Dr. Jiang Junyi reply Neurology
Hello, sir: I am not sure if there is a medical center near your residence. Due to the nature of neurological disease examinations, they require a period of follow-up for comparison. For instance, if a score drops from 80 to 70, it may still be considered passing from a 60-point ...[Read More] Exploring Neuromuscular Disorders: What to Do When Tests Come Back Normal
Understanding Fainting: Causes and Concerns in Neurology
Fainting issues Hello Doctor: In late August 2019, at the age of 29, I experienced diarrhea for an hour accompanied by severe abdominal cramping. After walking to the living room, I felt faint and informed my family, after which I fainted for about 30 seconds. According to my fam...
Dr. Jiang Junyi reply Neurology
Hello, Miss: Based on your description, it may be necessary to consider vasovagal syncope. First, we should consider the symptoms of syncope, which are commonly associated with reflex syncope: excessive stimulation of the vagus nerve can lead to bradycardia and decreased cardiac ...[Read More] Understanding Fainting: Causes and Concerns in Neurology
Can Inflammation Lead to Facial Nerve Paralysis? Prevention Tips
Inflammatory issues? Hello Dr. Jiang, thank you for patiently answering my questions. I would like to ask if this kind of inflammatory pulsation can worsen and lead to facial nerve paralysis? How can it be prevented? Thank you, doctor.
Dr. Jiang Junyi reply Neurology
Hello Mr. Lin: The main cause of facial nerve paralysis is viral infection. Please do not worry too much; it is localized nerve inflammation. If you are concerned, you can consult a neurologist for an examination. You may refer to the interview on facial nerve paralysis by Zhongg...[Read More] Can Inflammation Lead to Facial Nerve Paralysis? Prevention Tips
Understanding Pain Above the Temples: Causes and Solutions
Pain above the temple? Hello Dr. Jiang, I have been experiencing pain above my temples for the past two weeks. It hurts when I press on that area, and when the pain intensifies, my eyebrows also start to hurt, but pressing on the temples alleviates the eyebrow pain. I previously ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Lin: Your symptoms may suggest tension-type headache, which is caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the forehead and temples, similar to wearing a tight headband. Since this is caused by muscle fatigue, it typ...[Read More] Understanding Pain Above the Temples: Causes and Solutions
Understanding Occipital Headaches: Causes, Symptoms, and Next Steps
Occipital headache and dizziness? A week ago, I experienced some strain while doing deadlifts during weight training. It felt better after a minute, and I was able to continue training my back and chest a few days later. I tried smoking water pipe for the first time, and the next...
Dr. Jiang Junyi reply Neurology
Hello Mr. YI, Regarding the "Valsalva maneuver" you mentioned, it typically resolves after a few minutes. However, you noted experiencing "occipital headache, dizziness, a feeling of slight confusion, and elevated blood pressure at 130/75" lasting for about a...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and Next Steps
Understanding Hand Tremors: Causes and Concerns for Your Left Hand
The left hand trembles when trying to touch objects? Hello doctor, I recently noticed that my left hand sometimes shakes when I try to touch something, especially when I want to point at an object. What could be the possible issues? Could stress or autonomic nervous system dysfun...
Dr. Jiang Junyi reply Neurology
Hello Mr. Huang: You mentioned "high stress or autonomic nervous system dysfunction." The tremors caused by these factors usually occur bilaterally. However, your symptoms are only present in your left hand. It may be necessary to consider abnormalities in the local ner...[Read More] Understanding Hand Tremors: Causes and Concerns for Your Left Hand
Understanding Stroke Treatment: Medications and Recovery Strategies
Treatment and Medication Issues for Cerebral Infarction Hello, doctor. Recently, I experienced a stroke and had weakness in my right hand. The condition improved after about a week. I underwent a carotid ultrasound and found that several blood vessels are 40% blocked. What can we...
Dr. Jiang Junyi reply Neurology
Dear Ms. Huang, The primary medication for the prevention of cerebral infarction is aspirin. You mentioned "Xinhangjian tablets," which are mainly used as an adjunct to antiplatelet therapy. Possible side effects include abdominal pain, diarrhea, indigestion, bloating,...[Read More] Understanding Stroke Treatment: Medications and Recovery Strategies
Can Inflammation Lead to Facial Nerve Paralysis? Prevention Tips
Inflammatory issues Hello Dr. Jiang, thank you for patiently answering my questions. I would like to ask if this type of inflammation and pulsation can worsen and lead to facial nerve paralysis? How can it be prevented? Thank you, doctor.
Dr. Jiang Junyi reply Neurology
Hello Mr. Lin: The primary cause of facial nerve paralysis is viral infection. Please do not worry too much. You can refer to the interview by Zhongguang regarding facial nerve paralysis at https://www.youtube.com/watch?v=eyeMD2jNwI8. Thank you for your question, and feel free to...[Read More] Can Inflammation Lead to Facial Nerve Paralysis? Prevention Tips
Concerns About Eye Rubbing and Nosebleeds After Child's Head Injury
After my son sustained a head injury, he had a nosebleed the following day, and recently I have noticed him rubbing his eyes? Hello, my son is currently two years and seven months old. Over two months ago, he slipped on water on the floor and hit his head. Since I was not present...
Dr. Jiang Junyi reply Neurology
Hello Claire, You mentioned that "a little over two months ago, I slipped on water on the floor and hit my head... I wonder if this is a consequence of visual impairment due to the brain impact?" Unless there is a severe head injury resulting in loss of consciousness, ...[Read More] Concerns About Eye Rubbing and Nosebleeds After Child's Head Injury
Understanding Post-Exercise Headaches: Causes and Remedies
Post-exercise headache Hello, doctor. Last Wednesday, after a four-month break, I played basketball for almost four hours. Afterward, I went home, had hot pot, and drank some beverages. The next day, I woke up with a headache that lasted all day (I took Tylenol). It's been f...
Dr. Jiang Junyi reply Neurology
Hello Mr. Kai, You mentioned, "It's been five days, and although my head doesn't hurt as much, I still feel a throbbing pain at the top of my head." Your symptoms may suggest tension-type headache, which is caused by muscle tightness in the head. Common manif...[Read More] Understanding Post-Exercise Headaches: Causes and Remedies
Understanding Facial Nerve Paralysis: Symptoms, Recovery, and When to Seek Help
Facial nerve paralysis Hello Doctor, I was diagnosed with facial nerve paralysis by a neurologist a week ago. The symptoms include almost complete immobility on the left side of my face, inability to raise my eyebrows, close my eyes, flare my nostrils, open my mouth, smile, and w...
Dr. Jiang Junyi reply Neurology
Hello Mr. Kobayashi: You mentioned that a few days ago you felt pain at the junction of the bone behind your ear and your ear, along with a slight warmth. I would like to ask if this is a symptom of recovery, a sign of worsening, or an unrelated symptom? If an examination is need...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Recovery, and When to Seek Help
Understanding Neck Stiffness and Hand Numbness: When to Seek Help
Numbness in the hands and stiffness in the neck and shoulders? Hello, about two months ago, I started experiencing significant stiffness in my shoulders and neck, particularly when tilting my head forward to the right, which stretches the muscles on the left side. Initially, I th...
Dr. Jiang Junyi reply Neurology
Dear Ms. Ling, You mentioned experiencing slight numbness in your left hand, specifically in the shoulder, outer arm, and the back of the hand (most notably in the middle finger, ring finger, and little finger). This may indicate potential compression of the nerve root at the se...[Read More] Understanding Neck Stiffness and Hand Numbness: When to Seek Help
Understanding Facial Twitching: Concerns and Neurological Insights
Facial spasms Hello Doctor, on October 7th, I experienced a twitch near my nose, and the next day, I started to notice slight twitching in some areas of my face, both sides. By October 13th, it had improved significantly, but in the afternoon, my mouth corner twitched again. Howe...
Dr. Jiang Junyi reply Neurology
Dear Mr. Lin, You mentioned, "Could it evolve into facial nerve dysfunction, causing my mouth to droop?" What you are concerned about likely refers to facial nerve paralysis. The clinical symptoms can include a tingling or stiff sensation in the face. Due to the inabil...[Read More] Understanding Facial Twitching: Concerns and Neurological Insights
Understanding Balance Issues: Possible Causes and Concerns
Imbalance while walking? Hello Doctor, about a month ago, I started experiencing symptoms of unsteadiness while walking, and sometimes I felt a sensation similar to being on a boat. Occasionally, I also felt dizzy. This lasted for about a week, and then I returned to normal. Howe...
Dr. Jiang Junyi reply Neurology
Hello Mr. Winnie: You mentioned that "there is a sensation similar to being on a boat, sometimes accompanied by dizziness, which lasted for about a week, and then returned to normal." This may warrant consideration of vestibular neuritis or symptoms related to eustachia...[Read More] Understanding Balance Issues: Possible Causes and Concerns