Can MRI Detect Cerebellar Atrophy in Hereditary Cases?
Cerebellar atrophy Can cerebellar atrophy be detected through MRI? It is known that several family members have cerebellar atrophy, and the father has shown some symptoms in recent years. However, after undergoing an MRI at the hospital, the doctor did not indicate any cerebellar...
Dr. Peng Shiwei reply Neurology
Hello, I'm sorry but your question cannot be answered through online consultation. I recommend visiting a hospital for genetic counseling to confirm. Thank you.[Read More] Can MRI Detect Cerebellar Atrophy in Hereditary Cases?
Exploring Causes of Leg Weakness: Beyond MRI and Dopamine Imaging
The left foot feels weak when starting to walk, and MRI, electromyography, and dopamine imaging have all shown no abnormalities? Hello Doctor, my family member has experienced foot drop for the past five years. When changing positions (from sitting to standing, starting to walk, ...
Dr. Peng Shiwei reply Neurology
It is recommended to take your family member to a neurosurgery department for evaluation. Thank you.[Read More] Exploring Causes of Leg Weakness: Beyond MRI and Dopamine Imaging
Understanding Taste Changes: Neurological Insights for Seniors
Oral issues Hello Doctor, I would like to ask about my father who has recently experienced a lack of taste for the first bite of food, but the second bite tastes normal. He is 55 years old and has a history of hypertension and myocardial infarction. He also has cold symptoms with...
Dr. Peng Shiwei reply Neurology
If you experience changes in taste, it is recommended to seek evaluation from a neurologist, a gastroenterologist specializing in liver and biliary disorders, or an otolaryngologist (ENT). Thank you.[Read More] Understanding Taste Changes: Neurological Insights for Seniors
Why Wearing Headphones While Moving Can Cause Dizziness
I feel dizzy when I move while listening to a story? Wearing headphones for a long time can cause dizziness, especially when driving, where the sensation of weightlessness is most pronounced. Listening to stories while baking with the sound on can also lead to dizziness. I have t...
Dr. Peng Shiwei reply Neurology
It is recommended to visit an otolaryngology or neurology outpatient clinic for evaluation and early treatment to improve your quality of life. Thank you.[Read More] Why Wearing Headphones While Moving Can Cause Dizziness
Understanding Vibratory Sensations and Balance Issues: A Neurology Perspective
Head movement with a sensation of tremors in the legs? Hello doctor, my symptoms are as follows: Since November of last year, I have felt tremors while sitting. When I brush my teeth or wash my hair (sitting on a small stool facing down) or while doing dishes, I feel my calves vi...
Dr. Peng Shiwei reply Neurology
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.[Read More] Understanding Vibratory Sensations and Balance Issues: A Neurology Perspective
Managing Parkinsonism and Orofacial Dyskinesia in Elderly Stroke Patients
Parkinson's disease, oromandibular dystonia? Dear Doctor, My father has been living with the effects of a stroke for 12 years now. Approximately 9 years ago, he became reliant on others for care. Initially, he was able to communicate and eat without issues, but as he aged ...
Dr. Peng Shiwei reply Neurology
Parkinson's disease is a degenerative disorder that can be managed with medication to slow the progression, but it cannot be cured. The cause of oromandibular dystonia also requires evaluation by a neurologist. Due to the inconvenience of going out for medical care, it is re...[Read More] Managing Parkinsonism and Orofacial Dyskinesia in Elderly Stroke Patients
Should You See a Neurologist After a Fall and Head Impact?
Did you fall backward and hit the back of your head? On my way to work in the morning, I accidentally slipped on a slippery road and fell backward, hitting the back of my head. At the moment, I didn't feel any discomfort, so I continued to work as usual. However, by the afte...
Dr. Peng Shiwei reply Neurology
You can self-monitor for three days; if you experience symptoms such as altered consciousness, shortness of breath, persistent vomiting, or severe headache, it is recommended to seek medical attention from a neurosurgeon as soon as possible. Thank you.[Read More] Should You See a Neurologist After a Fall and Head Impact?
Understanding Nerve Damage: Recovery and Treatment After a Dog Bite
Abnormal sensation Last month, I was bitten by a dog on the second phalanx of my index finger. The wound is somewhat deep, and my current symptoms include an abnormal sensation on the back of my finger from the second phalanx to the base of the nail (it feels like I'm touchi...
Dr. Peng Shiwei reply Neurology
After being scratched or bitten by an animal, in addition to cleaning the wound, it is important to have a physician assess the risk of rabies virus infection and receive appropriate medical recommendations. It is advised that you seek medical attention at a family medicine or su...[Read More] Understanding Nerve Damage: Recovery and Treatment After a Dog Bite
Understanding Tourettes: Managing Bone Itching and Discomfort
Tourette syndrome and bone itching? Hello Doctor, I have visited the hospital several times regarding my bone itching issue. I have undergone neurological examinations, EEG, ultrasound, and dopamine tests, and every doctor has said there is no problem. However, my bones are very ...
Dr. Peng Shiwei reply Neurology
You should consult your attending physician regarding your concerns. If Tourette syndrome is confirmed, maintaining a regular daily routine, a balanced diet, and engaging in appropriate exercise can be beneficial. For dietary advice, you may consider consulting a nutritionist. Th...[Read More] Understanding Tourettes: Managing Bone Itching and Discomfort
Understanding Head and Neck Discomfort: Possible Neurological Issues
Head issues Hello doctor, I am 26 years old. Recently, for the past 5-6 days, I have been feeling a heaviness in my head and neck, and occasionally I feel a bit lightheaded (not severe dizziness). I also feel easily fatigued and tired, and there is occasionally a slight tightness...
Dr. Peng Shiwei reply Neurology
If there is no improvement after rest, please seek evaluation from a neurologist. Thank you.[Read More] Understanding Head and Neck Discomfort: Possible Neurological Issues
Why Hitting the Back of Your Head Can Cause Dizziness Without Pain
A bump on the back of the head may not be painful but can cause dizziness? On the evening of November 1st, I accidentally hit the back of my head against the wooden board of the bunk bed while getting up. For the first three days, there was no pain, and even when I touched or pre...
Dr. Peng Shiwei reply Neurology
Hello, if your symptoms persist, it is recommended to visit a hospital for an examination. Thank you for your inquiry.[Read More] Why Hitting the Back of Your Head Can Cause Dizziness Without Pain
Sudden Dizziness and Flushed Face: Understanding Neurological Symptoms
Suddenly feeling faint after dispersing, with a flushed face? Hello, doctor. Today, while I was walking home with my father (60 years old), he suddenly leaned on my shoulder in the elevator, saying he felt faint. I noticed that his ears and face turned red, but after a moment, he...
Dr. Peng Shiwei reply Neurology
Hello, if your father experienced chest discomfort before nearly fainting, it is advisable to see a cardiologist for an evaluation, especially considering his history of diabetes. This could potentially be related to cardiovascular issues. Thank you for your inquiry.[Read More] Sudden Dizziness and Flushed Face: Understanding Neurological Symptoms
Understanding Involuntary Muscle Twitches: Causes and Solutions
Hello doctor, I would like to inquire about the issue of involuntary muscle twitching? Hello Doctor: About two years ago, I started experiencing involuntary leg jerks before going to bed and upon waking up. Sometimes it's severe, and other times it's mild. I also notice...
Dr. Peng Shiwei reply Neurology
It is recommended to schedule a follow-up appointment and discuss with your attending physician whether any additional tests are necessary. Thank you.[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Headaches: Forehead Pressure and Sinus Concerns
Headache with a sensation of pressure in the forehead and nose? Hello, doctor. I started experiencing headaches last week. Initially, it was due to staying up late, and I had a severe headache. After taking Tylenol, it got a little better, but I've still been having headache...
Dr. Peng Shiwei reply Neurology
Hello, due to current regulations, I cannot provide treatment to patients without an in-person consultation. If you have concerns regarding your brain injury, I recommend scheduling an appointment for a physician to evaluate you in person. If any tests or further treatment are ne...[Read More] Understanding Headaches: Forehead Pressure and Sinus Concerns
Does Piracetam Release Dopamine? Insights on Nootropics and Neurology
Drug Consultation: Piracetam This medication can release dopamine? Is this article correct?
Dr. Peng Shiwei reply Neurology
According to the literature, in experiments with mice, piracetam can increase the metabolites of dopamine but does not increase the concentration of dopamine in the striatum. Additionally, the neurotransmitters affected by piracetam are primarily related to the cholinergic, serot...[Read More] Does Piracetam Release Dopamine? Insights on Nootropics and Neurology
Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
Injured due to assault? Hello, doctor. Around the years 2003-2004, during my school years, I had a conflict with some classmates, which led to one of them hitting me on the back right side of my head with a metal chair. At that time, I lost consciousness, and I am unsure if there...
Dr. Peng Shiwei reply Neurology
Hello, due to current regulations, I am unable to provide treatment to patients without an in-person consultation. If you have concerns regarding your brain injury, I recommend scheduling an appointment for a physician to evaluate and treat you personally. If any tests or further...[Read More] Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
How to Determine Disability Status for Parkinson's Disease in Taiwan
How is the determination of disability for Parkinson's disease made? Recently, my dad was diagnosed with severe obstructive sleep apnea and needs to purchase a CPAP machine. I came across information stating that if one has a disability certificate, they can receive governme...
Dr. Peng Shiwei reply Neurology
Hello, if you wish to apply for disability benefits, please directly consult your attending physician to assess whether you meet the eligibility criteria. Generally, you need to take the initiative to apply. Thank you for your inquiry.[Read More] How to Determine Disability Status for Parkinson's Disease in Taiwan
Post-Exercise Head Pressure: Understanding Symptoms and When to Seek Help
Head pressure after exercise? Hello Doctor, I had a minor head impact during a martial arts class the day before yesterday, but I felt completely fine that day. However, yesterday I woke up with an extremely mild pressure sensation in my head (almost unnoticeable) and an overall ...
Dr. Peng Shiwei reply Neurology
Hello, I believe your symptoms can be monitored. However, if you experience new symptoms such as headaches, dizziness, vomiting, or changes in consciousness, you should seek medical attention immediately. Thank you for your inquiry.[Read More] Post-Exercise Head Pressure: Understanding Symptoms and When to Seek Help
Understanding Muscle Twitches: Causes and Connections to Nerve Issues
Muscle twitching I am a 43-year-old male. Last week, for a few days, I experienced occasional twitching in the muscles of my right calf while sitting, which then disappeared. This week, it resolved. However, on Sunday, while kneading dough with my right hand (which I don't u...
Dr. Peng Shiwei reply Neurology
Hello, your symptoms are usually caused by muscle fatigue, but if they persist for a longer duration, you should consider visiting a neurology clinic for evaluation.[Read More] Understanding Muscle Twitches: Causes and Connections to Nerve Issues
Understanding the Dietary Effects of Medication for Dizziness Management
The effects of drug consumption? Hello: I have been experiencing dizziness, and my doctor recently prescribed a medication called "Shunao" for me. However, I have many questions regarding the dietary implications of this medication. Please clarify the following: 1. Thi...
Dr. Peng Shiwei reply Neurology
Hello, the medication Shunao is a selective calcium channel blocker, meaning it does not lower the concentration of calcium ions in the blood but rather affects the efficiency with which certain cells utilize calcium ions to achieve its therapeutic effects. The physician advised ...[Read More] Understanding the Dietary Effects of Medication for Dizziness Management