Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
I would like to inquire about the diagnosis and medication for epilepsy in infants and young children? Hello Doctor: My daughter was born in mid-June this year, with good development in utero, weighing nearly 3800 grams, head circumference at 40 weeks, and delivered via cesarean ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Sherry, First of all, I want to acknowledge that the process of providing support is truly not easy. Regarding pediatric epilepsy, I recommend consulting a pediatric neurologist, as they have more extensive experience in this area. Generally, the common treatment princi...[Read More] Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
Understanding Neurological Symptoms: Left Head Pain and Hand Numbness
Mild pain in the left occipital region and slight numbness in the left hand? Hello Doctor: My irregular sleep schedule has been ongoing for about six years, compounded by significant stress from university exams. In mid-May of this year, I suddenly experienced a ringing in my lef...
Dr. Jiang Junyi reply Neurology
Dear Ms. Irene, The description you provided, "lying on your side using your left hand to use your phone, and then experiencing numbness in your entire left arm the following morning that has not improved," may suggest symptoms related to cervical spine issues. Additio...[Read More] Understanding Neurological Symptoms: Left Head Pain and Hand Numbness
Unraveling Mysterious Tongue Pain: A Neurological Perspective
Strange and puzzling medical conditions? Three years ago, after drinking a bottle of Pom juice one night, I started experiencing pain in my tongue. At that time, several areas were red but without any sores, and the pain persisted. I went to a teaching hospital for an examination...
Dr. Jiang Junyi reply Neurology
Hello, Sir: The issues you mentioned may be related to rheumatologic and immunologic disorders. It might be worth considering Behçet's Disease, which has the following major diagnostic criteria: recurrent oral ulcers, skin lesions such as erythema nodosum, subcutaneous venou...[Read More] Unraveling Mysterious Tongue Pain: A Neurological Perspective
Understanding Limb Numbness and Pain: Vaccine Concerns and Treatment Options
Numbness, tingling, and weakness in the limbs? Hello Dr. Jiang, this is Ms. Li. On September 17, I inquired about symptoms of transient and recurrent cramping, numbness, tingling, and weakness in my limbs, as well as occasional burning sensations in the soles of my feet. I apprec...
Dr. Jiang Junyi reply Neurology
Dear Ms. Li, I apologize for the delay in my response. You mentioned that you received the first dose of the AZ vaccine on September 22, and today, September 23, is likely when you are feeling the most uncomfortable. I recommend that you drink plenty of water and get ample rest....[Read More] Understanding Limb Numbness and Pain: Vaccine Concerns and Treatment Options
Understanding Brief Occipital Pain: When to Seek Neurological Care
Transient headache? Whenever I lie down, even if I haven't fallen asleep, I experience a brief dull pain at the back of my head that lasts for about 5 seconds. This has been occurring for over a week without improvement. What could this be related to, and should I seek medic...
Dr. Jiang Junyi reply Neurology
Dear Ms. Li, You mentioned experiencing a symptom of "brief dull pain in the back of the head lasting less than 5 seconds," which may indicate cervicogenic headache. This is primarily due to instability in the fascia surrounding the cervical spine, as some small muscle...[Read More] Understanding Brief Occipital Pain: When to Seek Neurological Care
Understanding Limb Nerve Pain: Causes, Symptoms, and Treatment Options
Intermittent neuropathic pain in the limbs? Hello Dr. Jiang: Since early September this year, one night I suddenly experienced sharp pain in my thigh nerves while sleeping. A few days later, the frequency of these sharp pains increased, but they only last for a few seconds. The...
Dr. Jiang Junyi reply Neurology
Hello Ms. Li, You mentioned symptoms such as "a sensation of heat, pain in the limbs, numbness, tingling, and weakness," which are less characteristic of myofascial inflammation. It may be more appropriate to consider symptoms related to nerve inflammation. I recommend...[Read More] Understanding Limb Nerve Pain: Causes, Symptoms, and Treatment Options
Understanding Dizziness, Blurred Vision, and Nausea: When to Seek Help
Dizziness, blurred vision, and vomiting? Hello Doctor, I need your help! Last month, while waiting for my meal, my vision started to blur and darken, and I began to feel dizzy. After about five minutes, I started to vomit! I experienced weakness in my limbs, and the right side of...
Dr. Jiang Junyi reply Neurology
Hello, Miss Ke: The symptoms you mentioned may initially suggest syncope. The most common causes to consider are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include transitio...[Read More] Understanding Dizziness, Blurred Vision, and Nausea: When to Seek Help
Understanding Right-Sided Pain and Discomfort: A Guide for Caregivers
Pain in the right limbs, sharp pain in the chest, and a feeling of fullness in the lower back without pain? Hello doctor, my mother (58 years old) is experiencing pain in her right limbs when the muscles relax, which may be related to her occupation as a cleaner or long-term fati...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hsieh, You mentioned that your mother experiences symptoms of pain that persists even after a long period of rest, which may suggest degenerative spinal myofascial inflammation. Regarding the sudden, persistent stabbing pain in the chest around the xiphoid process that ...[Read More] Understanding Right-Sided Pain and Discomfort: A Guide for Caregivers
Is It Autonomic Nervous System Disorder or Something Else?
Is it autonomic nervous system dysfunction or another condition? Hello doctor, I started experiencing symptoms suggestive of autonomic nervous system dysfunction last year. During episodes, I experience palpitations, chest tightness, shortness of breath, dizziness, and abdominal ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Wang, You mentioned that you have been frequently waking up due to hand numbness and purple nails (even without any pressure), which may indicate carpal tunnel syndrome. Carpal tunnel syndrome typically occurs in individuals who perform repetitive wrist movements, such ...[Read More] Is It Autonomic Nervous System Disorder or Something Else?
Understanding Eyelid Twitching: Causes, Treatments, and Concerns
Right eyelid twitching? Doctor, my right upper or lower eyelid has been twitching for about three weeks (the upper eyelid twitches several times a day, while the lower eyelid twitches continuously for a few hours and then stops). 1. The twitching is only in my right eyelid; there...
Dr. Jiang Junyi reply Neurology
Dear Miss Xiao Fen, You mentioned eyelid twitching, which is typically related to peripheral nerve issues. If it were a brain tumor, there would generally be additional symptoms related to dysfunction in nearby brain tissue. Eyelid movement is controlled by the facial nerve; if ...[Read More] Understanding Eyelid Twitching: Causes, Treatments, and Concerns
Understanding Nighttime Headaches: Causes and Solutions
Waking up with a headache in the middle of the night versus waking up with a headache in the morning? Hello, Dr. Jiang! Regarding my headache issue, I have undergone an MRI, and the neurologist said there were no abnormalities. However, I still wake up in pain during the night. T...
Dr. Jiang Junyi reply Neurology
Hello: The headache you mentioned may be related to issues with the cervical myofascia. Many primary headaches do not show abnormalities on MRI, primarily caused by abnormal activation of the trigeminal nerve. Brain imaging is performed to rule out structural problems such as tum...[Read More] Understanding Nighttime Headaches: Causes and Solutions
Understanding Pulsating Sensations Between the Left Temple and Ear
I feel a nerve twitching between my left temple and left ear? Hello Doctor, I have recently been experiencing a sensation of nerve pulsation between my left temple and the area above my left ear (it is not painful, occurs in intermittent bursts, and each episode does not last lon...
Dr. Jiang Junyi reply Neurology
Dear Ms. Min, You mentioned feeling a pulsing sensation between your left temple and left ear, which is not painful and occurs intermittently, with each episode not lasting too long. This may suggest localized muscle spasms. Nerve compression typically presents with symptoms suc...[Read More] Understanding Pulsating Sensations Between the Left Temple and Ear
Should You Worry About Your Leg Shaking? Insights from Neurology
About leg shaking? Hello, doctor. I am the person who has been asking about ALS-related concerns for the past six months. I’m not sure if I’m just being overly anxious about my health again. I often shake my left leg as a long-term habit (when I sit at my computer desk, I tend to...
Dr. Jiang Junyi reply Neurology
Hello, sir: You can compare the strength of your left and right legs by using more strenuous activities such as climbing stairs. Typically, in the clinic, we ask patients to sit down and stand up from a chair without armrests to assess their strength. Thank you for your question,...[Read More] Should You Worry About Your Leg Shaking? Insights from Neurology
Is Stress Causing My Blurry Vision and Confusion?
Is it too much stress? Hello, doctor. I would like to ask about experiencing flashing lights in my eyes over the past week or two. I have seen an ophthalmologist, and the tests showed no abnormalities. However, in the last couple of days, I have been feeling very confused and una...
Dr. Jiang Junyi reply Neurology
Dear Ms. Xiao Wu, You mentioned that your eyes are "twinkling." I wonder if you are also experiencing headaches? Symptoms of migraine with aura can include visual disturbances. These may manifest as bright lights resembling stars or lightning, as well as blurred or dis...[Read More] Is Stress Causing My Blurry Vision and Confusion?
Understanding Numbness and Neck Pain in Seniors: A Guide
Numbness in the mouth and pain in the shoulders and neck? Hello Doctor: My grandmother is 66 years old and recently she has been experiencing some numbness in her mouth, along with shoulder and neck pain. She suddenly feels very uncomfortable for a period of time. I would like to...
Dr. Jiang Junyi reply Neurology
Dear Ms. Wen, Your grandmother is experiencing a sensation of "tingling in her mouth." I would like to know if there are similar symptoms in other parts of her body. If she is experiencing a bitter taste in her mouth, it may be worth considering that medication could b...[Read More] Understanding Numbness and Neck Pain in Seniors: A Guide
Understanding Electric Shock Sensations in the Back of the Head
Head electrocuted? In the past two months, I have occasionally experienced a sensation in the back of my head that feels like an electric shock, which startles me, but it is not painful. I only feel a bit dizzy afterward, and when I wake up the next day, it feels better. I have s...
Dr. Jiang Junyi reply Neurology
Dear Ms. Liu, The primary causes of vertigo are issues within the balance sensory system, such as otoliths in the inner ear or vestibular neuritis. The sensation you mentioned of feeling like an electric shock in the head is not closely related. This symptom may be due to periph...[Read More] Understanding Electric Shock Sensations in the Back of the Head
Understanding Recent Headaches and Dizziness: Possible Causes and Concerns
Recently, I've been experiencing sudden dizziness, and I woke up this morning with a headache and a fever? Recently, I have been experiencing sudden dizziness. This morning, I woke up with a headache and a fever. I have a history of headaches since childhood, which are a pec...
Dr. Jiang Junyi reply Neurology
Hello, Miss: In addition to considering common migraines, your symptoms may also suggest tension-type headaches. The characteristics of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The natu...[Read More] Understanding Recent Headaches and Dizziness: Possible Causes and Concerns
Should You See a Doctor for Persistent Injection Pain?
The injection site may be painful? Hello doctor, two weeks ago I received an endoscopy and was given medication to prevent gastric spasms in my left arm. However, I still experience some pain occasionally. Should I see a doctor? If so, which specialist would be best to consult? T...
Dr. Jiang Junyi reply Neurology
Hello, Miss: If your pain is at the injection site, it may be necessary to consider the possibility of local inflammation. If it has been more than a week, you can apply local heat to increase tissue circulation. If you are concerned about a potential local infection, you may wan...[Read More] Should You See a Doctor for Persistent Injection Pain?
Understanding Stroke Symptoms: Facial Twitching and Other Concerns
Stroke, facial twitching? Hello Doctor, on September 5th while cleaning the floor during my shower, I experienced a noticeable feeling of cerebral congestion, but it subsided after a while, occurring two or three times. Since I was cleaning a new house, the air quality was poor, ...
Dr. Jiang Junyi reply Neurology
Hello, Sir: (1) Doctor, could my symptoms be a precursor to a stroke or caused by autonomic nervous system dysfunction? Your symptoms seem more indicative of cervical spine issues. (2) I have intermittent strabismus with a significant angle, which makes it tiring to see thing...[Read More] Understanding Stroke Symptoms: Facial Twitching and Other Concerns
Understanding Nerve Sensations: Tingling in the Outer Thigh from Knee Pressure
Pressing on the outer side of the right knee causes a slight tingling sensation (similar to the feeling of ants crawling) on the outer side of the right thigh? When pressing on the outer side of the right knee, there is a slight tingling sensation (similar to ants crawling) on th...
Dr. Jiang Junyi reply Neurology
Dear Ms. Cc, Your symptoms, which include numbness, may indicate compression of the fifth lumbar nerve root. Typical discomfort associated with lumbar radiculopathy includes pain radiating from the buttocks down to the legs, as well as numbness, tingling, and weakness in the toe...[Read More] Understanding Nerve Sensations: Tingling in the Outer Thigh from Knee Pressure