Should I See a Neurologist for My Blurry Vision Issues?
The doctor gave me advice, thank you? I experience shaking when looking at things, and the text appears more pronounced. When I read a line of text, it doesn't seem flat. I visited an ophthalmologist who said there is no strabismus and didn't provide any specific inform...
Dr. Jiang Junyi reply Neurology
Dear Mr. Amin, You mentioned that "when looking at things, they appear to shake, and the text is more pronounced; even when reading a line of text, it doesn't seem flat." If this cannot be controlled, it may be necessary to consider abnormalities in the brainstem ...[Read More] Should I See a Neurologist for My Blurry Vision Issues?
Muscle Twitches and Weakness: Understanding Neurological Symptoms
Muscle twitching Hello, doctor. I am the patient who consulted you last time after hitting my head. I have been really busy at work and unable to visit the hospital for a check-up, so I have been observing my condition. I have noticed that from February 28 to now, March 14, I hav...
Dr. Jiang Junyi reply Neurology
Hello Mr. Pan: You mentioned "weakness in the limbs accompanied by muscle twitching and spasms." Generally speaking, the causes of limb weakness and muscle twitching can involve not only the muscles and nerves but also some metabolic disorders such as thyroid dysfunctio...[Read More] Muscle Twitches and Weakness: Understanding Neurological Symptoms
Fainting and Head Injury: Understanding Risks and Recovery Steps
Fainting and hitting the head? Hello, Doctor Jiang. My girlfriend fainted on March 4th while going to the bathroom due to stomach pain and hit her head. She was unconscious for a while (not sure how long, as there was no one around) and then woke up on her own. There were no exte...
Dr. Jiang Junyi reply Neurology
Hello Mr. Ksyii, You mentioned, "I fainted on my way to the bathroom due to stomach pain and hit my head, and was unconscious for a while... 1. I would like to ask the doctor if there is a possibility of intracranial bleeding? What should I pay attention to? 2. Should I con...[Read More] Fainting and Head Injury: Understanding Risks and Recovery Steps
Understanding Persistent Dizziness in Older Adults: A Neurological Perspective
Mom is experiencing dizziness, but the cause cannot be identified? Hello, doctor. My mother's symptoms include dizziness, where her vision sways side to side as if experiencing an earthquake. She feels unsteady whether standing or sitting, but the symptoms improve or disappe...
Dr. Jiang Junyi reply Neurology
Dear Mr. Afu, You mentioned that your mother experiences dizziness that feels like the ground is shaking, making it difficult for her to stand, and that she can only lie in bed all day, with occasional relief allowing her to walk. The improvement when lying down suggests that we...[Read More] Understanding Persistent Dizziness in Older Adults: A Neurological Perspective
Understanding Balance Issues: When to Consult a Neurologist
Please ask your question? Hello doctor, I would like to ask two questions. Occasionally, I feel a slight swaying sensation (usually after using my phone), but it goes away after a while, and I do not experience dizziness or nausea. What could be the possible causes of this? Addit...
Dr. Jiang Junyi reply Neurology
Hello Mr. Mo: You mentioned, "Are we testing for cerebellar issues? Is it related to my staying up late?" Staying up late can lead to neuroinflammation, which may result in various symptoms. The symptoms resemble proprioceptive dysfunction, which refers to the sensory i...[Read More] Understanding Balance Issues: When to Consult a Neurologist
Understanding Mild Brain Atrophy: Should You Be Concerned?
Mild cerebral atrophy Hello, doctor. I have anxiety disorder and experience significant stress every day, which affects my sleep. Recently, I underwent a CT scan of my brain, and the doctor mentioned there is mild atrophy in the parietal lobe. Do I need treatment? I am very anxio...
Dr. Jiang Junyi reply Neurology
Dear Mr. Hsuan, You mentioned that "there is mild atrophy in the parietal lobe. Do I need treatment? I am very anxious." If you are not experiencing any difficulties in daily functioning, it is advisable to monitor the situation. Generally, after six months, it is reco...[Read More] Understanding Mild Brain Atrophy: Should You Be Concerned?
Frequent Limb Jerks in 5-Year-Old Before Sleep: When to Seek Help?
A 5-year-old boy experiences twitching of the hands and feet before falling asleep? Doctor, my 5-year-old son often experiences twitching of his limbs before falling asleep, but recently the frequency has increased and the intensity of the twitching has also grown. Previously, he...
Dr. Jiang Junyi reply Neurology
Dear Ms. Yuhan, You mentioned that "the 5-year-old boy often experiences twitching of the limbs before falling asleep." If this does not affect his cognitive function, such twitching is usually a benign response. It may occur due to excessive tension, where the body is...[Read More] Frequent Limb Jerks in 5-Year-Old Before Sleep: When to Seek Help?
Post-Injection Neck and Shoulder Pain: Causes and Recovery Time
Pain upon touch in the shoulder and neck after an intramuscular injection? Hello Doctor: I received injections in both my right and left arms about two days ago for allergies (steroids and antihistamines). At the time of the injection, I felt a sudden soreness in my neck, which I...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "after receiving an injection (steroid, antihistamine), I felt a sudden soreness in my neck... and I experience pain in my back, shoulders, neck, and the back of my head." The injection may have affected the neuromuscular system: typicall...[Read More] Post-Injection Neck and Shoulder Pain: Causes and Recovery Time
Understanding Sudden Calf Nerve Pain: Causes and Relief Strategies
The calf may suddenly experience a sensation resembling nerve pain (the episode can be uncomfortable for at least an entire day)? Hello, Dr. Jiang. I have had a condition since childhood where my calves suddenly experience nerve pain and a bit of weakness. The location of the pai...
Dr. Jiang Junyi reply Neurology
Dear Miss Hsiao-Hsing, You mentioned that "most occurrences happen during seasonal transitions (when temperature changes are significant) and in winter (when it is too cold), and applying heat can slightly alleviate the pain at that moment." The symptoms you described ...[Read More] Understanding Sudden Calf Nerve Pain: Causes and Relief Strategies
Understanding MRI Findings: Exploring Causes of Dizziness and Tinnitus
Magnetic Resonance Imaging Report Recently, I have been experiencing frequent dizziness and tinnitus. I underwent a head MRI, and the report indicated the following findings: (The completion time of the examination is displayed on the images) MRI - HEAD & NECK: Routine Brain:...
Dr. Jiang Junyi reply Neurology
Hello Mr. Ming: You mentioned, "Can a head MRI detect carotid artery stenosis? Could dizziness and tinnitus be caused by this?" It is recommended to also perform a carotid ultrasound, which can provide a clearer view of whether there is an increase in the intima-media t...[Read More] Understanding MRI Findings: Exploring Causes of Dizziness and Tinnitus
Understanding Multiple Body Issues: Neck Pain, Fatigue, and Neurological Concerns
Multifaceted health conditions? Dear Doctor: I have some health concerns that I would like to ask you about. I previously had dry eye syndrome, and now I have noticed multiple issues with my body. Firstly, I often wake up feeling tired despite getting enough sleep. I experience s...
Dr. Jiang Junyi reply Neurology
Hello Mr. Andy, You mentioned: 1. If the neck makes a cracking sound during movement, could it harm the skull or cranial nerves? Is there a possibility of a stroke as a result? This sound is likely produced by the pulling of the intervertebral disc cartilage in the cervical spin...[Read More] Understanding Multiple Body Issues: Neck Pain, Fatigue, and Neurological Concerns
Understanding Neck Pain and Discomfort: Causes and Concerns
Head and neck issues? Hello, doctor. I am the patient who had neck traction recently. Today, I felt some tightness in my neck due to nervousness for a few seconds. Later, the area that was already painful (below the occipital region) continued to feel uncomfortable, and now the i...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned "cervical traction... the upper concave area of the neck has started to feel sharp pain... there is a prickling sensation in the neck." These symptoms may indicate muscle fiber damage. If there is nerve compression, you might experience tingli...[Read More] Understanding Neck Pain and Discomfort: Causes and Concerns
Understanding Possible Multiple Sclerosis Symptoms and Next Steps
Suspected multiple sclerosis? Hello Doctor, I have previously asked a question here, numbered <a href="https://adoctor.tw/article/206161">#206161</a>. To briefly summarize my condition: since mid-February, I have experienced numbness in the right side of my ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Lily, You mentioned that "even going to the emergency room cannot expedite an MRI" due to the different scheduling between outpatient and emergency services. However, if your symptoms are progressing and worsening, you can return to the neurology outpatient cl...[Read More] Understanding Possible Multiple Sclerosis Symptoms and Next Steps
Why Lying Down Can Trigger Nausea and Dizziness: When to Seek Help
Sleeping while lying down can cause nausea? Hello doctor, recently when I lie flat to sleep, I feel a sensation similar to motion sickness, experiencing dizziness and nausea, which is very uncomfortable. At the same time, I also feel a tightness in my neck, as if it is being pres...
Dr. Jiang Junyi reply Neurology
Dear Miss Hsiao-Ya, You mentioned that "when lying flat, I feel a sensation similar to motion sickness." It is important to consider benign paroxysmal positional vertigo (BPPV) as a potential cause. The characteristic symptoms include brief episodes of dizziness relate...[Read More] Why Lying Down Can Trigger Nausea and Dizziness: When to Seek Help
Why Lying Down Can Trigger Nausea and Dizziness: When to See a Doctor
Sleeping while lying down can cause nausea? Hello, doctor. Recently, when I lie flat to sleep, I experience a sensation similar to motion sickness, feeling dizzy and nauseous, which is quite uncomfortable. At the same time, I also feel a tightness in my neck, as if it is being co...
Dr. Jiang Junyi reply Neurology
Dear Miss Hsiao-Ya, You mentioned that "when lying flat, I feel a sensation similar to motion sickness." It is important to consider Benign Paroxysmal Positional Vertigo (BPPV) as a potential cause. The characteristic symptoms include brief episodes of dizziness relate...[Read More] Why Lying Down Can Trigger Nausea and Dizziness: When to See a Doctor
Understanding Neck and Jaw Pain: Causes and When to Seek Help
Head and neck issues? Hello Doctor, I am the one who recently strained my neck and temporomandibular joint. I would like to ask what could be the cause of the tingling sensation after the neck strain. Recently, when I move my mouth (talking) or eat, I feel a tingling sensation in...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that there is a tingling sensation in the area just below the back of your head and above your throat... and that you also feel something in the lower back of your head. This may indicate that the nerves in the upper cervical spine are being compressed....[Read More] Understanding Neck and Jaw Pain: Causes and When to Seek Help
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left posterior part of my head for a few seconds? Hello Doctor, I have been experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom or after ...
Dr. Jiang Junyi reply Neurology
Dear Mr. Tsai, You mentioned "fourth cranial nerve palsy." Generally speaking, strabismus is caused by abnormal function of the six extraocular muscles. In the case of nerve palsy, it may be necessary to identify the underlying cause of nerve inflammation. If symptoms ...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Understanding SPECT Cerebral Perfusion Scan Results for Dementia Diagnosis
CEREBRAL PERFUSION SCAN WITH SPECT Report Consultation Dear Doctor, Thank you for taking the time to answer my questions. Below are the results of my father's (78 years old) Cerebral Perfusion Scan with SPECT conducted on February 21, 2024. I would like to inquire about the...
Dr. Jiang Junyi reply Neurology
Dear Ms. Lin, Has your father’s condition progressed to Alzheimer's disease and Parkinson's disease due to his illness? The report you provided indicates that there seems to be a diagnosis of Alzheimer's based on imaging. There is a noted decrease in cerebral bloo...[Read More] Understanding SPECT Cerebral Perfusion Scan Results for Dementia Diagnosis
Understanding Progressive Sensory Abnormalities: A Neurological Concern
Abnormal sensations on the right side are gradually spreading? Hello Doctor, last Saturday, February 24th, I experienced mild numbness in my right lip, right finger, and half of my palm. By Monday, the numbness worsened, so I visited a family medicine doctor who prescribed medica...
Dr. Jiang Junyi reply Neurology
Dear Miss Lily, You mentioned that on March 2nd, you woke up and noticed abnormal sensations in your scalp, the back of your head, and your eyelids. Additionally, the numbness in your hands has spread to your entire palm, and you can no longer distinguish objects by touch. You a...[Read More] Understanding Progressive Sensory Abnormalities: A Neurological Concern
Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Head and neck pain Recently, I bumped into a rolling iron door and went to the hospital for an examination, which revealed a mild compression of the cervical intervertebral discs at C3, C4, and C5. I underwent cervical traction, and although it relaxed the muscles, I noticed a sl...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "the pain is worst when lying down, and after two weeks, the pain extends to the back of the head." This may indicate compression of the cervical nerves and the occipital nerve. High cervical nerve root compression occurs at the first to ...[Read More] Understanding Neck Pain: Causes, Symptoms, and Treatment Options