Understanding Parkinson's Disease: Chip Implantation for Treatment and Costs
Parkinson's disease The implantation of a chip for the treatment of Parkinson's disease is typically done through a surgical procedure known as deep brain stimulation (DBS). During this procedure, electrodes are implanted in specific areas of the brain that control move...
Dr. Lin Zijing reply Neurology
Parkinson's disease chip implantation surgery is a type of minimally invasive stereotactic neurosurgery. The procedure involves a small incision with minimal bleeding, and it can be performed under local anesthesia, making it particularly suitable for elderly patients with f...[Read More] Understanding Parkinson's Disease: Chip Implantation for Treatment and Costs
Understanding Eye Muscle Tension and Sleep Issues: A Neurology Perspective
The muscles feel tight and unable to fully open (the eyes)? Hello, Dr. Lin. I have been experiencing tightness in the muscles near the lower part of my left eye, and it feels like I can't fully open my eye. I thought it would improve after sleeping, but it's been a week...
Dr. Lin Zijing reply Neurology
There is a thin muscle in the eyelid called the orbicularis oculi. If a portion of the fibers of the orbicularis oculi suddenly contracts continuously, it can lead to eyelid twitching or a sensation of tightness in the eyes. Sudden contractions of the orbicularis oculi fibers are...[Read More] Understanding Eye Muscle Tension and Sleep Issues: A Neurology Perspective
Understanding Epilepsy Treatment: Insights and Future Options
Epilepsy treatment My description may be somewhat complex, but I sincerely ask all physicians to provide me with detailed answers and suggestions. My birthday is October 11, 1970. During the summer vacation of my second grade in elementary school (around 1978), I experienced a fa...
Dr. Lin Zijing reply Neurology
Currently, there is no particularly effective method for treating epilepsy; the goal is to control seizures and minimize their occurrence. Good seizure control requires the following conditions: 1. Regular outpatient visits and adherence to the physician's instructions regar...[Read More] Understanding Epilepsy Treatment: Insights and Future Options
Understanding Memory Loss: Insights and Solutions for Students
Poor memory? Hello Doctor, I am currently attending university, and I have noticed a significant decline in my memory over the past two to three years. A few years ago, I was reckless and experimented with drugs, specifically the Class II drugs MDMA and ketamine, among others. Du...
Dr. Lin Zijing reply Neurology
After briefly forgetting something, one can remember it again after a reminder; this situation is more akin to issues with attention. To prevent memory decline, here are several methods: 1. **Concentration**: When memorizing, focusing intently and eliminating distractions will ...[Read More] Understanding Memory Loss: Insights and Solutions for Students
Managing Ulnar Nerve Compression: Treatment Options and Recovery Tips
Symptoms of ulnar nerve compression? I was diagnosed with left ulnar nerve neuropathy at National Taiwan University Hospital, and the onset has been about 4 months. I have undergone Western medicine treatment for 3 months and Traditional Chinese Medicine treatment for 2 months. T...
Dr. Lin Zijing reply Neurology
Ulnar nerve compression is most commonly caused by improper posture, such as resting the chin on the hands with the elbows supported on a table or chair armrest. Leaning on the table while playing mahjong, using the elbow as a pillow during naps, or keeping the elbows tightly aga...[Read More] Managing Ulnar Nerve Compression: Treatment Options and Recovery Tips
What to Do If You Accidentally Drink Alcohol After a Concussion
If someone accidentally consumes alcohol after a concussion, it may exacerbate symptoms such as dizziness, confusion, and impaired cognitive function. Alcohol can interfere with the brain's healing process and may increase the risk of complications. It is advisable to avoid ...
Dr. Lin Zijing reply Neurology
A concussion refers to a temporary and immediate disruption of brain function due to external force impacting the head. Symptoms may include confusion or loss of consciousness, visual disturbances, or balance issues. There may also be persistent headaches, dizziness, and memory i...[Read More] What to Do If You Accidentally Drink Alcohol After a Concussion
Eligibility for Major Illness Card with Vascular Malformation: What You Need to Know
Application for Critical Illness Card I currently have a cerebrovascular malformation, suspected to be a capillary malformation, and I am using medication for management. Am I eligible to apply for a critical illness card, and will I still be required to serve in the military?
Dr. Lin Zijing reply Neurology
According to the classification standards based on body position: central nervous system tumors and vascular lesions, intracranial or intradural tumors or vascular lesions that have been confirmed or surgically treated can be classified as exempt from military service. Therefore,...[Read More] Eligibility for Major Illness Card with Vascular Malformation: What You Need to Know
Understanding High Prolactin Levels and Headaches: What You Need to Know
excuse me? Hello, Doctor. A month ago, I noticed that I could express breast milk just by applying pressure to my chest. I visited an obstetrician who tested my prolactin levels and said they were too high, but did not specify the exact values. He mentioned that I would need to t...
Dr. Lin Zijing reply Neurology
Prolactin is secreted by the pituitary gland. Normally, during pregnancy and the postpartum breastfeeding period, prolactin levels rise. However, if prolactin levels are abnormally elevated during non-pregnant and non-breastfeeding periods, it can lead to anovulation and result i...[Read More] Understanding High Prolactin Levels and Headaches: What You Need to Know
Understanding 'Shunao': Relief for Neurological Symptoms and Safety Concerns
Shu Nao Hello doctor, I have some symptoms including headaches, dizziness, a feeling of pressure in my head, dry mouth, stiff neck and shoulders, sudden increases in blood pressure for no apparent reason, occasional blurred vision, and numbness or weakness in my limbs. I have see...
Dr. Lin Zijing reply Neurology
Shunao is a selective calcium channel blocker that is effective in preventing migraines and can also be used to treat peripheral vascular diseases, particularly obstructive peripheral vascular disease. Additionally, it may provide partial improvement for symptoms caused by Menier...[Read More] Understanding 'Shunao': Relief for Neurological Symptoms and Safety Concerns
Persistent Right Arm Pain: Causes and Solutions Explained
Persistent soreness in the right arm? Recently, I have been experiencing soreness in my right arm (including both the forearm and upper arm). It becomes particularly painful when I rest my elbow on the table. Additionally, I have a slight tingling sensation in all five fingers of...
Dr. Lin Zijing reply Neurology
The most likely scenario is that long-term incorrect posture has caused an imbalance in muscle strength, leading to cervical spine strain, misalignment, or deformation. This can result in narrowed intervertebral spaces and cervical spondylosis. Additionally, cervical nerve root c...[Read More] Persistent Right Arm Pain: Causes and Solutions Explained
Recognizing Warning Signs of a Mini-Stroke: What You Need to Know
I have symptoms of a transient ischemic attack (TIA)? Recently, I have not been feeling well. I noticed that you mentioned the symptoms of a transient ischemic attack (TIA): sudden speech difficulties, blurred vision, transient localized numbness or weakness in limbs, dizziness, ...
Dr. Lin Zijing reply Neurology
A transient ischemic attack (TIA) is caused by a sudden blockage or rupture of small blood vessels, resulting in the following symptoms that occur abruptly (one moment the individual is fine, and the next moment symptoms are evident): 1. Numbness or weakness in the face, arm, or ...[Read More] Recognizing Warning Signs of a Mini-Stroke: What You Need to Know
Managing Migraines: Tips for Better Care and Sleep Balance
Migraine Hello Dr. Lin: A family member of mine frequently suffers from migraines, and I haven't found a better way to care for her. I can only tell her to rest more, but I'm also concerned that too much sleep might affect her health. Recently, she mentioned that she ha...
Dr. Lin Zijing reply Neurology
Migraine is the most common type of headache disorder, with the highest prevalence occurring in individuals aged 35 to 45 years. Women are three times more likely to suffer from migraines than men. The characteristic feature of a migraine is severe, pulsating pain localized to on...[Read More] Managing Migraines: Tips for Better Care and Sleep Balance
Understanding Dizziness: Diabetes Symptoms and Stroke Risks
Dizziness What are the symptoms of diabetes, doctor? Can it lead to slightly elevated blood pressure? I previously had a health check and did not find any signs of diabetes. Could it be that not eating fruit for a long time is causing my dizziness? Or is it possible that it could...
Dr. Lin Zijing reply Neurology
The early stages of diabetes are asymptomatic, and by the time symptoms such as increased thirst, excessive urination, and increased appetite appear, the condition is already at a moderate to advanced stage. Diabetes does not have a direct relationship with hypertension; however,...[Read More] Understanding Dizziness: Diabetes Symptoms and Stroke Risks
Why Eating Fruit Makes Me Dizzy: Understanding Neurological Responses
Dizziness Doctor, I rarely eat fruit, but in the past few months, whenever I do eat fruit, I feel extremely dizzy, as if the world is spinning. A few days ago, I ate half a guava, and I still felt dizzy. I only felt a bit better after vomiting the fruit. What could be the reason ...
Dr. Lin Zijing reply Neurology
From the perspective of Western medicine, consuming fruits increases the intake of sugars, fiber, and vitamins, and should not have a direct relationship with dizziness. Unless you have undiagnosed diabetes, which could cause a rapid increase in blood sugar levels leading to disc...[Read More] Why Eating Fruit Makes Me Dizzy: Understanding Neurological Responses
Persistent Dizziness and Blurred Vision: Possible Causes and Solutions
Dizziness, lightheadedness, and blurred vision? Doctor, I have been experiencing dizziness for over a year since I first felt faint. I have undergone various tests at different hospitals, including an MRI, all of which came back normal. My dizziness fluctuates, and I often experi...
Dr. Lin Zijing reply Neurology
There are many causes of dizziness, but it is usually necessary to rule out structural issues in the brain, functional disorders, and other problems outside the brain, such as anemia, infections, electrolyte imbalances, medications, lack of sleep, and various forms of stress. Aft...[Read More] Persistent Dizziness and Blurred Vision: Possible Causes and Solutions
Rehabilitation for CIDP: Do Patients Really Need It?
Rehabilitation for CIDP (Chronic Inflammatory Demyelinating Polyneuropathy Hello Dr. Lin, I have previously asked you several questions about CIDP, and I appreciate your detailed responses. I have another question to ask you: Do patients with CIDP usually need rehabilitation? My ...
Dr. Lin Zijing reply Neurology
Rehabilitation is typically designed to address movements necessary for daily activities or work-related tasks, so the extent of muscle weakness caused by CIDP (Chronic Inflammatory Demyelinating Polyneuropathy) should be assessed to tailor the rehabilitation exercises. If there ...[Read More] Rehabilitation for CIDP: Do Patients Really Need It?
Managing Persistent Tension: Insights on Neurological and Psychiatric Treatments
Uncontrollable tension in the mind - continue? Thank you, Dr. Lin, for your response. However, the medications I am currently taking are quite similar to what you mentioned. The medications are as follows: Rivotril 0.5mg, one tablet three times a day; Lorazepam 1mg, two tablets a...
Dr. Lin Zijing reply Neurology
I wonder if you have ever used Selective Serotonin Reuptake Inhibitors (SSRIs). These medications are the first-line treatment for anxiety disorders, obsessive-compulsive disorder, and panic disorder, and they can also enhance the effects of sleep aids. Personally, I believe that...[Read More] Managing Persistent Tension: Insights on Neurological and Psychiatric Treatments
Understanding Involuntary Muscle Tension and Tremors in the Head
Involuntary tension in the mind? I often experience involuntary muscle tension, pulling, and twitching in my head and neck, which persists throughout the day and includes involuntary twitching of my ears. As a result, I am unable to sleep without relying on sleeping pills. This p...
Dr. Lin Zijing reply Neurology
Involuntary twitching may originate from the nerves themselves or the muscles. Pathologies of peripheral nerves or increased nerve sensitivity can lead to spontaneous discharges, resulting in muscle contractions. Additionally, inadequate blood circulation or calcium deficiency in...[Read More] Understanding Involuntary Muscle Tension and Tremors in the Head
Understanding CIDP: Recovery Rates, Relapse Risks, and Treatment Insights
Issues related to CIDP (Chronic Inflammatory Demyelinating Polyneu Dr. Lin, thank you for your response. I would like to ask about the general prognosis for patients with Chronic Inflammatory Demyelinating Polyneuropathy (CIDP). What is the likelihood of recovery? Is it possible ...
Dr. Lin Zijing reply Neurology
There are some case reports of complete recovery, but no statistical data. The treatment options are as follows: 1. If muscle strength is only mildly affected and does not impact daily life, observation is sufficient. 2. If muscle strength rapidly deteriorates to the point of dif...[Read More] Understanding CIDP: Recovery Rates, Relapse Risks, and Treatment Insights
Understanding CIDP: Treatment Options and Recovery Expectations
Chronic Inflammatory Dem Hello Dr. Lin, my friend (27 years old) sought medical attention a year ago due to muscle paralysis and weakness, and was diagnosed with Guillain-Barré Syndrome (GBS). He received one infusion of IVIg, which provided slight improvement, but after half a m...
Dr. Lin Zijing reply Neurology
Hello: The course of Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is slower and more prone to relapse compared to Acute Inflammatory Demyelinating Polyneuropathy (AIDP, also known as Guillain-Barré Syndrome). Some patients experience intermittent episodes, while other...[Read More] Understanding CIDP: Treatment Options and Recovery Expectations