Is This the First Case of Isolated Brainstem Nerve Involvement?
Suspected rare case? Is there a case worldwide, including Taiwan, where the pathological tissue solely invades the abducens nerve nucleus and the trigeminal nerve nucleus in the pons? I suspect this might be the first case in the world. Thank you for your response!
Dr. Liu Zhiyang reply Neurology
Hello, your question is too simplistic; it is difficult to provide an answer without detailed medical history. Conditions that specifically affect the nuclei of cranial nerves V and VI are rare, but not nonexistent. They are mostly caused by cerebrovascular diseases or demyelinat...[Read More] Is This the First Case of Isolated Brainstem Nerve Involvement?
Why Do My Thighs and Calves Itch and Numb During Exercise?
Tingling and itching in the thighs and calves during exercise? I'm sorry! I'm 26 years old. I would like to ask about the issue of "tingling and itching in the thighs and calves during exercise." At the end of last month, I went cycling on the Houfeng Bike Pat...
Dr. Liu Zhiyang reply Neurology
Due to your young age, you may not be considering issues related to neurodegeneration or bone spurs. Your problem could be related to poor blood circulation, but it would be best to visit the outpatient clinic for a more detailed examination. Sincerely, Dr. Cheng Chih-Wen, Attend...[Read More] Why Do My Thighs and Calves Itch and Numb During Exercise?
Understanding Facial Nerve Disorders and Their Connection to Tinnitus
Facial nerve dysfunction I was referred to a neurosurgeon by my family medicine doctor two weeks ago due to dizziness and vomiting. The neurologist diagnosed me with facial nerve dysfunction, as I am unable to fully close my eye and have difficulty controlling one side of my face...
Dr. Liu Zhiyang reply Neurology
Dear JOY: Hello, based on the symptoms described, it appears to be an infection by a cold virus affecting the same side ear nerve and facial nerve (which are in close proximity). These are different symptoms but caused by the same underlying issue, and there are no effective trea...[Read More] Understanding Facial Nerve Disorders and Their Connection to Tinnitus
Understanding Hand Tremors: Causes and Treatment Options
The hand cannot hold a pen to write? My sister has been experiencing hand tremors in her right hand while writing with a pen for several years, making it nearly impossible for her to write. However, she has no issues with other tasks. What could be the cause of this? How can it b...
Dr. Liu Zhiyang reply Neurology
It may be dystonia; you can visit the neurology department for examination and treatment. Sincerely, Dr. Cheng Chih-Wen, Attending Physician, Taoyuan Hospital, Department of Health, Executive Yuan.[Read More] Understanding Hand Tremors: Causes and Treatment Options
Understanding Eye Movement Disorders in Children: Causes and Concerns
Oculomotor dysfunction Dear Doctor, I have a friend whose young daughter is in first grade. She has had a habit of blinking since she was little, but in the past month or two, we have noticed that her eyes frequently move in circles (constantly rotating around the outer part of h...
Dr. Liu Zhiyang reply Neurology
Dear Qingqing: Due to the limited description of symptoms, it is difficult to determine whether this is a neurological issue. However, considering your daughter's age, it is more likely to be a pediatric neurology problem. Wishing you peace and health. Sincerely, Dr. Cheng Z...[Read More] Understanding Eye Movement Disorders in Children: Causes and Concerns
Is Your Elderly Parent Showing Early Signs of Atypical Parkinsonism?
Atypical Parkinsonism My father is 80 years old and has experienced two episodes of cerebral hemorrhage. He had a stroke that left three fingers on his left hand immobile. When eating, he often freezes and takes about 30 seconds to start chewing. His legs also tend to freeze, and...
Dr. Liu Zhiyang reply Neurology
According to Mr. Chou's description, your father's neurological symptoms seem to be progressing, particularly in the right side of his body. It is recommended that he visit a neurology outpatient clinic for further evaluation and treatment to determine if there are symp...[Read More] Is Your Elderly Parent Showing Early Signs of Atypical Parkinsonism?
Acupuncture Consultation for Stroke Patients: Is It Available?
excuse me? Does your hospital provide Traditional Chinese Medicine acupuncture consultation services for patients who have suffered a stroke and are transferred to a general ward (but have not yet regained consciousness)? I have checked the information, and starting this year, he...
Dr. Liu Zhiyang reply Neurology
Our hospital offers acupuncture and traditional Chinese medicine outpatient services, and there are consultation services available for inpatients as well. However, for stroke patients, there is no specific "golden period" for acupuncture. It is recommended to wait unti...[Read More] Acupuncture Consultation for Stroke Patients: Is It Available?
Understanding Frequent Foot Cramps: Causes and Specialist Guidance
Leg cramps are common? Hello Dr. Liu, I have been struggling with frequent cramps in the front half of my feet for many years, and the frequency has been increasing, especially after standing for long periods at work. My feet feel heavier, and even slight movements can trigger c...
Dr. Liu Zhiyang reply Neurology
Foot cramps are associated with various factors such as poor blood circulation, calcium deficiency, endocrine issues, and electrolyte imbalances. It is recommended to visit a neurology or internal medicine outpatient clinic for an evaluation of the underlying causes. Sincerely, D...[Read More] Understanding Frequent Foot Cramps: Causes and Specialist Guidance
Understanding Neurological Pain and Cognitive Impairment: A Patient's Guide
Neuropathic pain, paralysis, and cognitive sluggishness? Hello Dr. Liu: In the past few months, I have been experiencing nerve pain and numbness in the front part of my left brain. When I think for too long, these symptoms appear, leading to cognitive difficulties (dementia, memo...
Dr. Liu Zhiyang reply Neurology
Headaches and facial nerve paralysis may be unrelated symptoms. It is recommended to visit a neurology clinic for examination and treatment. Sincerely, Dr. Liu Chih-Yang, Attending Physician, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Neurological Pain and Cognitive Impairment: A Patient's Guide
Understanding Electromyography in Trigeminal and Facial Nerve Disorders
Electromyography (EMG) examination Hello, I have issues with the trigeminal nerve and facial nerve on the left side of my face. The doctor performed a corneal reflex electromyography (EMG) test, and the results were normal. I would like to ask: 1. Is the abnormality rate for corn...
Dr. Liu Zhiyang reply Neurology
In general, if the blink reflex and facial nerve examination are abnormal, further investigation into the underlying cause is necessary. However, normal examination results do not necessarily indicate that the neurological status is normal; follow-up examinations and treatment ar...[Read More] Understanding Electromyography in Trigeminal and Facial Nerve Disorders
Lower Limb Muscle Strength Testing: Where to Get Evaluated?
Muscle strength assessment Dear Dr. Liu, I would like to undergo lower limb strength testing. Could you please let me know if your hospital has the necessary testing equipment, or which department I should visit for this consultation? Thank you.
Dr. Liu Zhiyang reply Neurology
Muscle strength testing and muscle tone assessment can be determined by a qualified occupational therapist. You can schedule an examination at the rehabilitation department outpatient clinic. Sincerely, Dr. Liu Chih-Yang, attending physician at Taoyuan Hospital, Department of Hea...[Read More] Lower Limb Muscle Strength Testing: Where to Get Evaluated?
Understanding Facial Twitching: Causes and When to Seek Help
Facial twitching? Doctor, my facial skin has been twitching for the past two to three days. Is this related to any issues with my facial nerves?
Dr. Liu Zhiyang reply Neurology
Hello, eyelid muscle twitching is usually benign. However, if the twitching persists, it is advisable to follow up with a neurologist for further evaluation and treatment. Wishing you peace and health. Sincerely, Dr. Liu Chih-Yang, Director of Neurology, Taoyuan Hospital, Ministr...[Read More] Understanding Facial Twitching: Causes and When to Seek Help
Understanding Left Facial Numbness: Causes and Concerns
Left facial numbness? Hello Doctor, I would like to ask you about my left facial numbness that has lasted for over two months. I have read several Q&A articles regarding facial nerve paralysis and have tried some facial exercises, which seem to appear normal. However, when I ...
Dr. Liu Zhiyang reply Neurology
Dear Nick: The numbness on the left side of your face may be a sensation of "numbness" or "paralysis." Both the trigeminal nerve and the facial nerve could potentially be affected. It is advisable to follow up with a neurology clinic for further evaluation. Wi...[Read More] Understanding Left Facial Numbness: Causes and Concerns
Understanding Facial Nerve Palsy: Symptoms and Treatment Options
Facial nerve paralysis The mouth is slightly crooked, the ears feel somewhat blocked, there is occasional sharp pain in the ears, and sometimes there is also a headache.
Dr. Liu Zhiyang reply Neurology
Please cherish our online medical resources. When asking the same question, please specify only one physician or dietitian.[Read More] Understanding Facial Nerve Palsy: Symptoms and Treatment Options