Persistent Dizziness After Head Injury: Seeking Solutions and Hope
Persistent dizziness Hello Doctor: In mid-May, I hit my head against a hard object. I did not lose consciousness, but I felt faint for a moment. Two days later, I started experiencing dizziness, and when I look at things, they seem to sway. I underwent a CT scan and an EEG, and t...
Dr. Lan Shengxing reply Neurology
Dear William, dizziness is just a symptom, not a disease. It is important to identify the underlying condition in order to treat it, such as issues with the inner ear or brainstem-evoked potentials. Most types of difficult-to-treat dizziness should be evaluated not only by a neur...[Read More] Persistent Dizziness After Head Injury: Seeking Solutions and Hope
Electric Shock Sensation in the Back of the Head When Moving Eyes
When moving the eyes, there is a sensation of electric shock in the back of the head? Hello doctor, I started experiencing this issue about ten days ago. When I move my eyes (up, down, left, or right), I feel a brief electric shock sensation in the back of my head. Later, I also ...
Dr. Lan Shengxing reply Neurology
Dear Van, the symptoms you described are quite difficult to consolidate into a single diagnosis. However, these symptoms are not common and may not fall within the scope of ophthalmology, especially if the fundus examination is normal. There are other conditions that need to be r...[Read More] Electric Shock Sensation in the Back of the Head When Moving Eyes
Understanding Pulsating Blood Vessels in the Nose and Headaches
Pulsating blood vessels in the nasal bridge and headache? Hello! About three years ago, I started to notice a pronounced pulsation of the blood vessels on the left side of my nasal bridge. Initially, this was accompanied by a feeling of pressure in the facial area near the nasal ...
Dr. Lan Shengxing reply Neurology
Hello, anonymous patient. The pulsation of the blood vessels can indeed be a bothersome issue. It may be necessary to have a blood test to determine if it is vasculitis. Additionally, you might consider consulting an otolaryngologist for further advice.[Read More] Understanding Pulsating Blood Vessels in the Nose and Headaches
Understanding Involuntary Muscle Twitches After Breast Surgery: Causes and Solutions
Involuntary twitching My mother experiences involuntary twitching in her right armpit and upper back after undergoing a mastectomy on her right breast. During severe episodes, she also experiences pain. Pain relief injections and anti-inflammatory medications have not been effect...
Dr. Lan Shengxing reply Neurology
Dear Nina, there are many causes of involuntary movements, and unfortunately, not all of them can be fully diagnosed. Sometimes, it requires a trial-and-error approach with medication. I recommend that you first consult a neurologist. Possible directions to explore include brain ...[Read More] Understanding Involuntary Muscle Twitches After Breast Surgery: Causes and Solutions
Chronic Headaches: Understanding Symptoms and Seeking Effective Treatment
The headache just won't go away? Hello Doctor: I have been experiencing headaches since early May, and now it's June 29. At first, I felt a bit tired after work and wanted to take a nap, but when I woke up, I had a severe headache that lasted for about two hours. Later,...
Dr. Lan Shengxing reply Neurology
Dear KIKI, I am truly sorry to hear about your detailed symptom description. New and progressively worsening headaches can sometimes be a warning sign that indicates the need for a thorough examination. Your headache description is difficult to categorize under a single conditi...[Read More] Chronic Headaches: Understanding Symptoms and Seeking Effective Treatment
Persistent Dizziness: When to Seek Neurological Evaluation
Persistent dizziness Eight years ago, I was hit on the head by a chair that was placed at a high position at my workplace. At that time, I only experienced pain, and there were no symptoms of dizziness or vomiting afterward. Over the following years, I only experienced dizziness ...
Dr. Lan Shengxing reply Neurology
Dear Miss Yang, the symptoms you described are similar to vestibular neuritis or Meniere's disease. You should seek ongoing treatment from an otolaryngologist or a neurologist.[Read More] Persistent Dizziness: When to Seek Neurological Evaluation
Understanding Occipital Pain: Causes and Diagnostic Approaches
Occipital headache Hello, Dr. Lan. I have a situation where if I lower my head and then lift it up, I experience pain in the right posterior part of my head, accompanied by dizziness. Shortly after, my vision in the right eye becomes blurry. Additionally, pressing on the right po...
Dr. Lan Shengxing reply Neurology
Dear Ami, the symptoms you described may indicate involvement of the cervical nerve roots. However, due to the presence of blurred vision, it is difficult to clearly understand and consolidate a single cause based on the information provided. I recommend that you consult a neurol...[Read More] Understanding Occipital Pain: Causes and Diagnostic Approaches
Understanding Persistent Discomfort in the Back of the Head: Possible Causes and Next Steps
Discomfort in the back of the head? Doctor, have you heard of this condition? I often feel discomfort in the back of my head, which I can't quite describe. One sensation is that it feels like there is air accumulating in the back of my head, and it becomes hard. I also exper...
Dr. Lan Shengxing reply Neurology
Dear Xiao Ming, have you considered going to a psychosomatic clinic for testing of autonomic nervous system disorders? Many psychosomatic clinics have such equipment available. Best regards, Lan Shengxing.[Read More] Understanding Persistent Discomfort in the Back of the Head: Possible Causes and Next Steps
Understanding Persistent Head Pain: Causes and Solutions
Persistent headache? I have been experiencing persistent shooting pain extending from behind my left ear to my temple, and it also hurts when I lightly press behind my ear. Could this be related to a stiff neck? Taking painkillers only provides temporary relief. I would like to k...
Dr. Lan Shengxing reply Neurology
Dear Mr. Way, the symptoms you described may indeed be related to a missed diagnosis. If the symptoms persist, it may be necessary to consult a neurologist or a neurosurgeon for an examination of the cervical nerves. Best regards, Lan Shengxing.[Read More] Understanding Persistent Head Pain: Causes and Solutions
Managing Nerve Issues: Numbness in Right Hand and Toes Explained
Numbness on one side of the right palm and numbness in both big toes? Hello, Dr. Lan! I previously had a herniated disc in my lumbar and cervical spine, and I have been undergoing traction therapy for my neck and back rehabilitation. However, recently I have been experiencing num...
Dr. Lan Shengxing reply Neurology
Dear Blue Sam: If the symptoms are new and persistent, it may indicate a worsening of the original condition. A re-evaluation and comparison with previous assessments are necessary for proper diagnosis. Blue Saint Star[Read More] Managing Nerve Issues: Numbness in Right Hand and Toes Explained
Understanding Pins and Needles: Could It Be Multiple Sclerosis?
Needle prick and electric sensation in the feet? Hello Doctor, I would like to ask about occasional mild pinprick and electric shock sensations in my right foot (which do not persist throughout the day). Previously, I also experienced mild prickling sensations in my hand. Could t...
Dr. Lan Shengxing reply Neurology
Dear Xiao Ting, Although multiple sclerosis is a differential diagnosis, its prevalence in Taiwan is not as high as in higher latitude countries. Other conditions, such as symptoms caused by compression of the spinal cord or spinal nerves, should be considered first. This condit...[Read More] Understanding Pins and Needles: Could It Be Multiple Sclerosis?
Understanding Left Buttock Pain: Causes, Home Remedies, and When to See a Doctor
Left gluteal muscle pain? Hello, doctor. A couple of days ago, I experienced mild pain in my left hip when getting up from my office chair and walking. Today, the pain in my left hip has increased when sitting down or getting up. I also feel significant pain when going up the sta...
Dr. Lan Shengxing reply Neurology
Dear Zhang, the issues you described may be related to muscle or optic nerve problems, particularly the symptom of pain when climbing stairs. I recommend that you consult a neurologist or an orthopedic specialist for an examination. Thank you, Lan Shengxing.[Read More] Understanding Left Buttock Pain: Causes, Home Remedies, and When to See a Doctor
Understanding Long-Term Effects of Arm Trauma After a Truck Accident
The left hand was once run over by a truck? Hello, Dr. Lan. Four years ago, I was involved in a car accident where a truck, which was going to repair the road, ran over my left hand. Although it wasn't broken, my arm swelled up to the size of my thigh, and I was discharged f...
Dr. Lan Shengxing reply Neurology
Dear Jiung, the sensation of abnormality is indeed a symptom that is more difficult to diagnose, and there are no specific criteria that fit. No wonder you feel perplexed. Currently, your issue may require an evaluation by an orthopedic physician to assess the function of your jo...[Read More] Understanding Long-Term Effects of Arm Trauma After a Truck Accident
Numbness in Big Toe: Understanding Symptoms and When to Seek Help
Numbness in the big toe? Hello, Doctor. Since the end of November last year, I have been experiencing numbness on the outer side of my right big toe. I didn't think much of it at first, but by the end of December and into January, as my workload increased to over twelve hour...
Dr. Lan Shengxing reply Neurology
Dear RED, the symptoms you described may indicate an issue with the lumbosacral nerves. It is advisable to seek an early examination to confirm the cause. Please visit a neurology or neurosurgery clinic for evaluation and treatment.[Read More] Numbness in Big Toe: Understanding Symptoms and When to Seek Help
Numbness and Swelling Near Right Foot's Little Toe: Causes and Concerns
Numbness and swelling near the right little toe and the right foot arch? I previously experienced plantar fasciitis and soaked my feet in hot water for a while. Recently, I've noticed that my right little toe feels slightly swollen and numb, particularly around the area near...
Dr. Lan Shengxing reply Neurology
Dear Mr. Lu, it is difficult to provide a diagnosis based on the symptoms described without direct observation. I kindly suggest that you visit a neurology or orthopedic clinic to determine if there are any issues related to the nerves or muscles. Thank you, Lan Shengxing.[Read More] Numbness and Swelling Near Right Foot's Little Toe: Causes and Concerns
Understanding Unexplained Hand Tremors: Causes and Treatment Options
Unexplained tremors in the right hand? Hello, doctor. My husband is currently 31 years old and is generally healthy. However, he experiences shaking in his right hand when exerting force (such as when eating or pouring water), while his left hand is normal. What areas should we e...
Dr. Lan Shengxing reply Neurology
Dear Mi Fei, the symptoms of right-hand tremors can have many possible causes, especially when they occur during exertion. There are several conditions that should be considered, and more information is needed for a proper diagnosis. I recommend visiting a neurology clinic for an...[Read More] Understanding Unexplained Hand Tremors: Causes and Treatment Options
Understanding Head Pain After a Car Accident: When to Seek Help
Headache issues? I was in a car accident about two years ago and hit my head. Sometimes I experience sharp pain in the same area (the right back of my head). When the pain occurs, making sudden movements can be very painful. Should I seek medical attention? Additionally, I someti...
Dr. Lan Shengxing reply Neurology
Regarding the issue of headaches, a complete neurological examination is necessary to determine whether there is a connection to past injuries. Therefore, please visit the neurology outpatient clinic for further evaluation.[Read More] Understanding Head Pain After a Car Accident: When to Seek Help
Understanding Hyperventilation: Symptoms, Treatment, and Management
Hyperventilation Hello Doctor, I have been experiencing symptoms of hyperventilation for the past three weeks. When it occurs, I feel like I can't get enough oxygen, I hyperventilate and can't breathe properly, my hands and feet become cold, and then I start to feel num...
Dr. Lan Shengxing reply Neurology
Dear A-Jie, 1. Symptoms may persist until the recent stress is alleviated. 2. These medications can reduce anxiety, and short-term use should not pose these issues. 3. You may consider undergoing an autonomic nervous system evaluation. Additionally, you can consult with a p...[Read More] Understanding Hyperventilation: Symptoms, Treatment, and Management
Facial Movements Causing Ear Sounds: A Post-Facial Nerve Paralysis Concern
Facial movements cause a humming sound in the left ear? I experienced facial nerve paralysis over a month ago (on the left side of my face and I am currently in the recovery phase). I am almost fully recovered, but whenever I perform facial movements that require effort, I hear a...
Dr. Lan Shengxing reply Neurology
Dear Ken, the symptoms you described may be a result of the nerve recovery process. However, it is still advisable for you to visit an otolaryngologist to ensure that this is not related to an ear condition, for your peace of mind.[Read More] Facial Movements Causing Ear Sounds: A Post-Facial Nerve Paralysis Concern
Understanding Transient Amnesia: Causes and Concerns for Seniors
Transient global amnesia Hello Doctor, my father is 60 years old. The day before yesterday, he woke up and forgot the date, repeatedly asking what day it was. He couldn't remember events from yesterday or the past, but he was clear about people and places. He went to the hos...
Dr. Lan Shengxing reply Neurology
Dear Ms. Chen, the symptoms you described are generally referred to as Transient Global Amnesia (TGA). The exact etiology is not completely understood, but it is often associated with temporary vascular obstruction or focal seizures. This condition is quite different from Dementi...[Read More] Understanding Transient Amnesia: Causes and Concerns for Seniors