Understanding Childhood Neurological Concerns: A Personal Experience
Childhood concerns In my childhood, there would occasionally (but not often) be a situation where, for a brief moment, I would experience a sensation of my entire head feeling tangled, similar to the feeling of gripping a vibrating phone tightly. Afterwards, I would feel discomfo...
Dr. Lin Zijing reply Neurology
This sensation may be caused by muscle tension in the head. If it is accompanied by transient confusion or memory loss, further examination is necessary to rule out intracranial pathology.[Read More] Understanding Childhood Neurological Concerns: A Personal Experience
Understanding Dizziness After Brainstem Stroke: Causes and Solutions
Brainstem stroke Hello Doctor: My father had a brainstem stroke last year, and his recovery has been very good. However, since he regained consciousness until now, it will soon be a year, he has been complaining of dizziness. It’s manageable when he is sitting, but he feels dizzy...
Dr. Lin Zijing reply Neurology
After a stroke in the brainstem or cerebellum, dizziness is often a lingering symptom. However, if walking is not an issue, there is generally less cause for concern. The frequency and duration of dizziness should gradually decrease as time passes after the stroke. It is importan...[Read More] Understanding Dizziness After Brainstem Stroke: Causes and Solutions
Toothache or Trigeminal Neuralgia? Understanding Your Symptoms
Toothache? Trigeminal neuralgia? Hello Doctor: A few days ago, I asked a question here, and thank you for your response. This week, I visited a neurologist, who prescribed me Trileptal for a week (0.5 tablets after each meal). I have been taking the medication for three days, but...
Dr. Lin Zijing reply Neurology
If the medication provides only short-term relief or only partially alleviates the pain, it still indicates that the medication is effective; adjustments in dosage or the addition of other medications may be necessary. However, if there is no effect at all, it may suggest that it...[Read More] Toothache or Trigeminal Neuralgia? Understanding Your Symptoms
Unexplained Tooth Pain: Could It Be Trigeminal Neuralgia?
Toothache with no identifiable cause? Hello Doctor: About one or two months ago, I started experiencing unexplained sharp pain in my teeth (specifically in the lower right back teeth), and sometimes I even wake up in the middle of the night due to the pain. I went to see a dentis...
Dr. Lin Zijing reply Neurology
The pain sensation in the teeth is a branch of the trigeminal nerve. Typical trigeminal neuralgia is characterized by sudden, severe unilateral facial pain that feels like a knife or electric shock, which then abruptly disappears, only to recur shortly thereafter. Most individual...[Read More] Unexplained Tooth Pain: Could It Be Trigeminal Neuralgia?
Muscle Twitches and Right Foot Tingling: Possible Neurological Causes
Muscle twitching accompanied by a tingling sensation in the right foot? Hello Doctor: For the past month or so, I have started experiencing muscle twitching. Initially, it only occurred in my legs, about every 2 to 3 days. However, recently it has also appeared in my upper limbs ...
Dr. Lin Zijing reply Neurology
This situation is somewhat similar to muscle fasciculations, which are involuntary twitches of the skeletal muscles. If this symptom occurs alongside decreased tendon reflexes, muscle atrophy, or muscle weakness, it typically indicates a lower motor neuron disease. This can invol...[Read More] Muscle Twitches and Right Foot Tingling: Possible Neurological Causes
Effective Strategies for Preventing and Managing Dementia
How to prevent and treat dementia? Hello, my mother is 46 years old and often forgets things, with the situation becoming increasingly severe. I would like to know what methods can be used in daily life to prevent dementia, and if there are any suspicions, how should we proceed w...
Dr. Lin Zijing reply Neurology
Regular exercise, a balanced diet, maintaining a normal daily routine, keeping a positive and optimistic mindset, avoiding smoking and excessive alcohol consumption, and engaging in mental activities such as reading, doing math, playing chess, card games, and chatting with friend...[Read More] Effective Strategies for Preventing and Managing Dementia
Severe Thigh Pain and Urinary Issues: Seeking Solutions for Disc Problems
Severe thigh cramps with difficulty urinating and defecating? My father, two years ago, accidentally injured his left foot while moving heavy objects, resulting in severe bruising on his toes and the dorsum of his foot. However, due to home renovations at the time, he did not res...
Dr. Lin Zijing reply Neurology
Lifting heavy objects and accidentally crushing the foot can lead to bruising of the toes and dorsum of the left foot. Typically, this does not result in progressive walking difficulties or issues with urination and defecation. The control of walking is initiated by signals from ...[Read More] Severe Thigh Pain and Urinary Issues: Seeking Solutions for Disc Problems
Understanding Left Occipital Neuralgia: When to Seek Medical Attention
Painful spasms in the left occipital region? I have recently experienced nerve pain in the left posterior part of my head, which I have never had before. The pain lasts about three to four seconds each time, with variable intervals between episodes. It also hurts when I apply pre...
Dr. Lin Zijing reply Neurology
Pain that occurs from the back of the neck to the occipital region can feel like a tight band constricting the head, with dull pain radiating from the back of the neck to the back of the head, pulsating or throbbing pain, or a sensation of pressure as if the head is covered by a ...[Read More] Understanding Left Occipital Neuralgia: When to Seek Medical Attention
Understanding Early Symptoms of Parkinson's Disease: A Guide for Families
Early-stage Parkinson's disease Hello Doctor, my father is 68 years old and started experiencing involuntary tremors in his hands and chin about a year ago. The tremors in his hands vary in intensity; sometimes they stop when he picks something up. Could this be a symptom of...
Dr. Lin Zijing reply Neurology
Parkinson's disease has three main symptoms: 1. resting tremor (tremor disappears during movement), 2. bradykinesia (slowness of movement), and 3. rigidity. In the early stages of Parkinson's disease (primary), symptoms often begin with unilateral resting tremor, usuall...[Read More] Understanding Early Symptoms of Parkinson's Disease: A Guide for Families
Understanding Sudden Leg Weakness and Falls Upon Waking
Weakness in the legs leading to falls? I don't know what the reason is, but about five years ago, I started experiencing sudden falls when getting out of bed in the morning. I haven't taken any sleeping pills, sedatives, or any medications before sleeping, and I haven&#...
Dr. Lin Zijing reply Neurology
This situation may be caused by your brain's neurons not being fully awake or not having regained full control of your limbs when you wake up from sleep. Additionally, it is important to differentiate this from sleep paralysis, where a person wakes up and finds their body un...[Read More] Understanding Sudden Leg Weakness and Falls Upon Waking
Understanding Sudden Fainting in Seniors: Stroke Risks and Precautions
An elderly person suddenly fainted? Dear Dr. Lin, Recently, my father suddenly fainted at home and hit his head on the floor, resulting in a large laceration. He received emergency suturing, and it has been confirmed that there is no intracranial hemorrhage. My father is a farme...
Dr. Lin Zijing reply Neurology
There are several reasons why elderly individuals may suddenly faint: 1. Neurogenic reflex: commonly occurs during urination, defecation, or severe coughing. 2. Cardiac issues: arrhythmias, valvular stenosis, hypertrophic cardiomyopathy, aortic dissection, pulmonary embolism. 3. ...[Read More] Understanding Sudden Fainting in Seniors: Stroke Risks and Precautions
Is There a Link Between Surgery and Stroke After Colon Cancer?
I'm sorry, but I need specific content to translate. Please provide the text you would My father underwent two surgeries for colon cancer and subsequently suffered a thrombotic stroke, which affected a large area of the left hemisphere. I would like to ask the doctor if this...
Dr. Lin Zijing reply Neurology
Risk factors for stroke: 1. Elderly individuals 2. Hypertension 3. Heart disease 4. Diabetes mellitus 5. Transient ischemic attack or previous stroke 6. Hyperlipidemia 7. Polycythemia vera 8. Smoking 9. Oral contraceptives 10. Carotid artery stenosis. Surgical procedures do not i...[Read More] Is There a Link Between Surgery and Stroke After Colon Cancer?
Can Botox Injections Alleviate Diabetic Peripheral Neuropathy Pain?
Diabetic peripheral neuropathy causing neuropathic pain? Hello Doctor: I previously learned from reports that Botox injections can alleviate neuropathic pain. Is this treatment suitable for diabetic peripheral neuropathy? I understand it may involve motor neurons and might not be...
Dr. Lin Zijing reply Neurology
Botulinum toxin is primarily used to treat pain, particularly migraines, and there have been no attempts to use it for treating diabetic peripheral neuropathy. This is because botulinum toxin must be injected into the muscle, which can lead to muscle weakness and atrophy. The mec...[Read More] Can Botox Injections Alleviate Diabetic Peripheral Neuropathy Pain?
Understanding Buttock Dents: Nerve Issues or Muscle Deficiencies?
Depressed buttocks Hello, doctor: I noticed a depression on the left side of my buttocks at the beginning of May. Recently, the depression has started to hurt, and when I sit and work, the left side of my buttocks feels numb. I would like to know if this issue is related to a fat...
Dr. Lin Zijing reply Neurology
The indentation may be due to localized muscle atrophy, thinning of fat, or connective tissue. Prolonged sitting can lead to compression of the sciatic nerve located in the buttocks, resulting in numbness that extends from the buttocks down to the soles of the feet. If the numbne...[Read More] Understanding Buttock Dents: Nerve Issues or Muscle Deficiencies?
Preventing Stroke: Key Strategies for High Blood Pressure Patients
Can stroke be prevented? Hello Doctor: For a patient with hypertension undergoing any surgery (such as colorectal surgery), what is the likelihood of experiencing a stroke? Are there methods to prevent a stroke? What preventive measures can be taken before, during, and after the ...
Dr. Lin Zijing reply Neurology
Stroke prevention involves identifying and managing controllable risk factors such as hypertension, high cholesterol, obesity, smoking, carotid artery stenosis, and lack of physical activity. Uncontrollable risk factors include age, gender, race, and personal or family history of...[Read More] Preventing Stroke: Key Strategies for High Blood Pressure Patients
Understanding Scalp Tingling: A Neurological Perspective on Focus and Memory
Scalp tingling? Experiencing a tingling sensation on the scalp, particularly on the right posterior side of the head, while reading or when trying to concentrate or memorize information, can be indicative of several underlying issues. This phenomenon, known as paresthesia, may be...
Dr. Lin Zijing reply Neurology
The following conditions can lead to scalp tingling: 1. Insufficient blood supply to the scalp: Constriction of blood vessels in the scalp can cause tingling. 2. Individuals who are prone to anxiety or perfectionism may experience scalp tingling due to stress. 3. Consumption of s...[Read More] Understanding Scalp Tingling: A Neurological Perspective on Focus and Memory
Understanding Right Posterior Head Pain: Causes and Concerns
Right posterior headache? Hello, doctor: Last night, I accidentally pressed on the back of my head and experienced pain. The location is approximately 3 centimeters to the left of the right earlobe, at the back of my head. When I lightly press on that area, it feels sharp, but th...
Dr. Lin Zijing reply Neurology
There are several conditions that may lead to tenderness in this area: 1. Cervical muscle strain: caused by poor posture. 2. Mastoiditis: acute or chronic otitis media that has not been properly treated, allowing bacteria to invade the mastoid bone. 3. Cervical spine disorders: p...[Read More] Understanding Right Posterior Head Pain: Causes and Concerns
Understanding Nighttime Headaches and Sleep Disturbances: A Neurology Perspective
Waking up with a headache? Hello Dr. Lin, I have a few symptoms I would like to consult with you, listed as follows: 1. Insomnia: For a long time, I have had trouble sleeping, often experiencing insomnia, and I tend to wake up easily during the night, feeling in a state of ha...
Dr. Lin Zijing reply Neurology
Dangerous headaches have the following symptoms: 1. Headaches that worsen over time, accompanied by nausea, blurred vision, focal neurological deficits, seizures, or headaches that occur with coughing or straining: this may indicate a brain tumor. 2. A splitting, explosive headac...[Read More] Understanding Nighttime Headaches and Sleep Disturbances: A Neurology Perspective
Understanding Chronic Migraines and Facial Spasms: A Patient's Journey
Headache and facial twitching? I kindly ask the doctor to take a moment to look at my concerns so that I can reference them during my medical visits. Thank you. About four to five years ago, I was diagnosed with migraine status. My headaches have never improved over the years; th...
Dr. Lin Zijing reply Neurology
Your headaches are so frequent and severe that you should consult a physician for evaluation or consider preventive medication treatment. Recent medical studies indicate that multiple episodes of migraines can indeed increase the risk of ischemic stroke, as migraines are associat...[Read More] Understanding Chronic Migraines and Facial Spasms: A Patient's Journey
Understanding Diabetic Peripheral Neuropathy and Cancer Risks
Diabetic peripheral neuropathy Hello Doctor: Does diabetic peripheral neuropathy eventually lead to nerve-related cancers? If there is such a concern, which specialty should I consult? What kind of examinations should be done? Thank you for your response.
Dr. Lin Zijing reply Neurology
Diabetic peripheral neuropathy is a process in which nerves gradually become damaged and degenerate, and it does not lead to cancer of the nervous system. Cancers of the nervous system primarily occur in the brain or spinal cord and may be primary tumors or metastases from other ...[Read More] Understanding Diabetic Peripheral Neuropathy and Cancer Risks