Dr. Jiang Junyi reply Neurology Question - Page 8

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Recurring Headaches, Chills, and Vomiting: Possible Neurological Issues?

Recurring headaches, chills, and vomiting over the course of a month? Hello Dr. Jiang, My mother began experiencing chills and forehead pain at the beginning of January this year, with her temperature rising from 36.5°C to around 37.1°C. This was followed by vomiting within 1 t...


Dr. Jiang Junyi reply Neurology
Hello Mr. Huang, You mentioned that your mother experienced chills and forehead pain at the beginning of January this year (her temperature rose from 36.5°C to around 37.1°C), followed by vomiting that began within 1 to 2 days, and that her condition improved after fasting for 2...

[Read More] Recurring Headaches, Chills, and Vomiting: Possible Neurological Issues?


Managing Hypoglycemia: Recovery Tips for Diabetic Patients

Hypoglycemia Hello, Dr. Jiang. As a diabetes patient, I am using insulin to control my blood sugar levels. Recently, I experienced a hypoglycemic episode that caused me to lose consciousness. My family found me and took me to the hospital, where my blood sugar was measured at 40 ...


Dr. Jiang Junyi reply Neurology
Dear Mr. Jian, You mentioned that "hypoglycemic encephalopathy causes deterioration in memory and reaction." Aside from the initial acute management, there currently seems to be no directly effective medication for the encephalopathy. For neural repair, it is recommend...

[Read More] Managing Hypoglycemia: Recovery Tips for Diabetic Patients


Persistent Dizziness and Body Shaking: Seeking Answers for Neurological Symptoms

The sensation of body swaying and dizziness has persisted for six months? Hello, Doctor. Since being diagnosed at the end of May last year, I have been experiencing symptoms of hypoxia, such as blackouts and dizziness. By October, my hypoxia symptoms had improved, but recently I ...


Dr. Jiang Junyi reply Neurology
Dear Ms. P: You mentioned experiencing "sudden lapses of memory for 1 to 2 seconds while walking, without any symptoms of numbness in the limbs or face." Your symptoms may suggest postural hypotension. Additionally, conditions such as anemia, autonomic dysfunction, and...

[Read More] Persistent Dizziness and Body Shaking: Seeking Answers for Neurological Symptoms


Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey

Intraocular pressure, intracranial pressure, and visual field loss? Hello, doctor. Since 2021, I have been regularly monitored at a hospital in central Taiwan due to elevated intraocular pressure. During this period, my eye pressure was normal for a while. After returning to Taip...


Dr. Jiang Junyi reply Neurology
Dear Mr. Huang, You mentioned that "high intracranial pressure" is often associated with significant and dangerous conditions. It is important to distinguish between acute and chronic increases in intracranial pressure. In cases of acute intracranial hypertension, pati...

[Read More] Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey


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 back of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom...


Dr. Jiang Junyi reply Neurology
Hello Mr. Tsai: "Regarding your question about headaches, which specialty should I consult to find out the cause... I have pulsating pain in the left posterior part of my head for a few seconds." Pulsatile headaches may initially suggest a vascular headache, particularl...

[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits


Is It Carpal Tunnel Syndrome? Understanding Symptoms and Diagnosis

Is this carpal tunnel syndrome? 1. I experience a tingling sensation in the interphalangeal joints, sometimes accompanied by a tearing pain that radiates downward. Additionally, when using a mouse or smartphone, I feel soreness in my wrist (the dorsal side), and my fingers are sw...


Dr. Jiang Junyi reply Neurology
Dear Mr. Wei, You mentioned the "tingling sensation in the metacarpophalangeal joint area... carpal tunnel syndrome will definitely cause numbness." This is because sensory nerves are usually affected first, so most patients present with a tingling sensation initially....

[Read More] Is It Carpal Tunnel Syndrome? Understanding Symptoms and Diagnosis


Understanding Numbness and Swelling in the Left Foot and Leg

There is swelling and numbness from the left big toe to the left leg? There is a slight numbness and swelling sensation in the left big toe, but it is not completely devoid of feeling. The nerve sensation extends all the way to the left groin. Although it is uncertain if there is...


Dr. Jiang Junyi reply Neurology
Dear Ms. Chiu, You mentioned that "there is some numbness and swelling in the left big toe... the sensation of nerve twitching extends all the way to the left leg." This may indicate the possibility of lumbar nerve root compression. Typical discomfort symptoms associat...

[Read More] Understanding Numbness and Swelling in the Left Foot and Leg


Sudden Sharp Pain in the Back of the Head When Turning: Causes Explained

Occasional sudden severe pain in the back of the head when turning the head? Hello, doctor. I have been experiencing this condition for about three to four years, but it occurs only occasionally, roughly every few months. When I turn my head, I feel a sharp, concentrated pain in ...


Dr. Jiang Junyi reply Neurology
Dear Mr. Chen Li, You mentioned that "occasionally turning my head causes intense pain concentrated at a specific point in the left back of my head," which may suggest cervicogenic headache. Symptoms of cervicogenic headache include unilateral severe headache, stiffnes...

[Read More] Sudden Sharp Pain in the Back of the Head When Turning: Causes Explained


Understanding Dizziness: Causes and Solutions for Neurological Issues

Recently, I have been frequently experiencing dizziness and lightheadedness? Hello Doctor, I have been experiencing frequent dizziness during the day, usually lasting one to two seconds. The situation worsens at night, where I feel increasingly dizzy, culminating in a sensation o...


Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that you often feel dizzy during the day, usually lasting one to two seconds. Your irregular lifestyle, with reversed day and night cycles, along with significant tobacco and alcohol use, is concerning. If the symptoms continue to progress, you may need ...

[Read More] Understanding Dizziness: Causes and Solutions for Neurological Issues


Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help

I would like to inquire about what condition these symptoms may indicate? Sitting for 1-2 hours (such as in a car or at a desk) causes intense stabbing pain throughout the neck, shoulders, and upper back, along with a feeling of tightness and swelling around the neck and shoulder...


Dr. Jiang Junyi reply Neurology
Hello Ms. QZ: You mentioned experiencing a strong stabbing pain from your neck to your shoulders and upper back. I wonder if you also have any tingling sensations? We should first consider cervical nerve root compression, which is often related to tightness in the cervical muscle...

[Read More] Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help


Understanding Dizziness and Dry Mouth: When to Seek Neurological Care

Dizziness and dry mouth? Recently, I have been experiencing dizziness, a feeling of pressure in the back of my head, dry mouth, tinnitus, and occasional numbness in my hands. My walking is normal. I visited a family medicine clinic where I was prescribed medication for the dizzin...


Dr. Jiang Junyi reply Neurology
Hello Mr. Ming: You mentioned feeling "pressure in the back of your head, dry mouth, tinnitus, and occasional hand numbness." Could you clarify the numbness in your hands? Is it bilateral or unilateral? If it is unilateral, we may need to consider cervical spine issues....

[Read More] Understanding Dizziness and Dry Mouth: When to Seek Neurological Care


Managing Headaches: Medication Adjustments and Patient Concerns

Headache medication Hello Dr. Jiang, I have recently been experiencing headaches and dizziness, and I have consulted with you twice. During the first visit, you prescribed medication for my heart rhythm and Cerebrolysin, to be taken once in the morning and once in the evening. My...


Dr. Jiang Junyi reply Neurology
Dear Miss Chien, If you have experienced improvement while taking medications for heart rhythm and brain clarity, it may be worth considering migraine-associated dizziness. There are primarily two types of medications for treating migraines: preventive and acute treatment. Oral ...

[Read More] Managing Headaches: Medication Adjustments and Patient Concerns


Sudden Weakness and Unconsciousness in Elderly: Causes and Risks

Sudden paralysis and coma? The patient is 87 years old and has moderate Alzheimer's disease. At the end of 2022, he was diagnosed with aortic regurgitation, with no follow-up appointments. He has experienced two episodes (one year apart) of sudden loss of consciousness and w...


Dr. Jiang Junyi reply Neurology
Hello Ms. Huang, You mentioned experiencing "sudden loss of consciousness and weakness for about 5-10 minutes." I'm wondering if blood pressure and heart rate monitoring were conducted at that time? This symptom should be considered as a sign of syncope, with the ...

[Read More] Sudden Weakness and Unconsciousness in Elderly: Causes and Risks


Head Injury Concerns: When to Seek Medical Attention After Trauma

Head issues Hello, doctor. My mother is 50 years old and was hit on the back of her head by a car door this morning. She is currently on anticoagulants due to vasculitis, and I am very concerned about the possibility of microvascular rupture and other issues. Which specialty shou...


Dr. Jiang Junyi reply Neurology
Hello Hue: It has been over 10 days now; how is your mother doing? If she is in her 50s and has not experienced loss of consciousness or significant localized hematoma, there may not be too much to worry about. Delayed intracranial hemorrhage typically occurs within 48 hours, wit...

[Read More] Head Injury Concerns: When to Seek Medical Attention After Trauma


Understanding Persistent Head Pain: Causes and Treatment Options

I've been experiencing a persistent feeling of pressure and dull pain in my head lately? Hello Doctor, my situation is as follows: Recently, I have been experiencing pain on the left side of my head, specifically the top and the back left side, which started in early Decembe...


Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned "gastroesophageal reflux... I almost always sleep with my head elevated on my side (using a pillow and a body pillow to alleviate discomfort), and I wonder if my sleeping position is causing headaches." Elevating the head can indeed lead to ov...

[Read More] Understanding Persistent Head Pain: Causes and Treatment Options


Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options

Cerebrospinal fluid leak Hello, doctor: I received epidural analgesia during my natural childbirth, and since then, I have been experiencing unexplained headaches that do not improve with pain medication and can only be alleviated by lying down. I came across similar symptoms in ...


Dr. Jiang Junyi reply Neurology
Dear Ms. Fran, You mentioned that "taking painkillers does not improve the condition, and lying down is the only way to relieve it." We should consider headaches due to decreased intracranial pressure. Currently, you can take caffeine and low-dose corticosteroids to al...

[Read More] Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options


Understanding Finger Weakness: Causes and Solutions for Right Index Finger

Unable to lift fingers? I am unable to fully extend my right index finger to form the number "1." The finger often can only be raised halfway before I feel weakness and cannot straighten it further, although sometimes I can lift it a little higher. It varies throughout ...


Dr. Jiang Junyi reply Neurology
Dear Mr. Ren, You mentioned that your fingers often can only be raised halfway before becoming weak and unable to straighten. This may indicate an abnormality in the extensor indicis muscle, which is primarily innervated by the median nerve extending from the cervical spine. How...

[Read More] Understanding Finger Weakness: Causes and Solutions for Right Index Finger


Leg Numbness and Weakness After Walking: Diabetes Concerns

On Saturday, after walking a longer distance, I experienced numbness and weakness in my calves and thighs? Hello Doctor, my mother has a nearly 30-year history of diabetes. Recently, her hemoglobin A1c was 7.8. After visiting the clinic on Saturday, she walked about 800 meters to...


Dr. Jiang Junyi reply Neurology
Dear Ms. Xiao Wei, You mentioned that your mother experienced symptoms of numbness and weakness in her thighs after walking approximately 800 meters on Sunday. If the numbness is in the thighs, we may need to consider lumbar nerve root compression. Symptoms of peripheral nerve c...

[Read More] Leg Numbness and Weakness After Walking: Diabetes Concerns


Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery

Tightness in the thigh muscles, numbness, and mild edema in the legs? My mother, who is 88 years old, participated in a volunteer trip on November 14, where she walked too much, resulting in foot pain and nerve compression that prevented her from sleeping and standing. During thi...


Dr. Jiang Junyi reply Neurology
Dear Ms. Amy, You mentioned that your mother is experiencing numbness in her feet, along with a sensation that the tendons in her right foot seem to be pulling up towards her buttocks. This may indicate compression of the lumbar nerve roots. Post-surgery, it is common to encount...

[Read More] Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery


Two Years of Dizziness: Unraveling the Mystery Behind Neurological Symptoms

Dizziness for two years with no identifiable cause? About three years ago, I had to take a break from school due to panic attacks caused by dizziness. During this time, I frequently visited the emergency room. After being diagnosed two years ago, I suddenly experienced severe diz...


Dr. Jiang Junyi reply Neurology
Dear Mr. Chen, You mentioned, "Could my dizziness be related to my long-standing high cholesterol?" Indeed, elevated cholesterol levels, particularly high LDL (low-density lipoprotein), can accelerate atherosclerosis. High concentrations of LDL in the bloodstream can a...

[Read More] Two Years of Dizziness: Unraveling the Mystery Behind Neurological Symptoms


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