Understanding Congenital Mirror Movement Disorder: Symptoms and Consultation
Bimanual coordinated mirror movements? Hello, doctor. I have experienced mirror movement phenomenon in my fingers since childhood, particularly with the mirror-like movement of the flexor digiti minimi in both hands. When I exert force with one hand, the other hand tends to move ...
Dr. Wu Mukhan reply Neurology
Hello, this is a type of movement disorder that may have a genetic component. It is recommended to consult the movement disorders clinic in the neurology department at a medical center for further evaluation.[Read More] Understanding Congenital Mirror Movement Disorder: Symptoms and Consultation
Understanding Rapid Dementia After Head Injury: Pain's Role Explained
Dementia issues Hello Dr. Wu, At the beginning of this year, my father was involved in a motorcycle accident where he sustained a head injury and was unconscious. A CT scan of the brain was performed in the emergency department, which showed no abnormalities. However, one month...
Dr. Wu Mukhan reply Neurology
Hello, according to current research, chronic pain or head trauma can indeed lead to long-term cognitive decline (dementia) as a consequence. However, it is challenging to establish a direct causal relationship between dementia and these factors in medical terms, especially since...[Read More] Understanding Rapid Dementia After Head Injury: Pain's Role Explained
Can Facial Nerve Paralysis Symptoms Improve After Years?
Facial nerve paralysis Doctor, I had facial nerve paralysis in elementary school, and now at 22 years old, I've noticed that when I blink, it affects the corner of my mouth, which seems like a residual effect. Is there still a chance for improvement?
Dr. Wu Mukhan reply Neurology
The symptoms you mentioned are sequelae of facial nerve paralysis. Currently, there is no treatment that can completely cure it. Rehabilitation, botulinum toxin injections, or surgical treatment can be considered. It is recommended to visit a hospital's neurology outpatient ...[Read More] Can Facial Nerve Paralysis Symptoms Improve After Years?
Understanding Nerve Conduction Studies: What Your Results Mean
Nerve conduction study Hello doctor, recently I've been experiencing occasional pain in my right hand, so I went for an examination. The doctor arranged for nerve conduction studies of the limbs and cervical spine. The results showed a slight slowing of the right ulnar nerve...
Dr. Wu Mukhan reply Neurology
Hello, abnormal nerve conduction velocity is most commonly caused by nerve compression or injury, and it usually improves with rest. The symptoms you mentioned do not resemble those of amyotrophic lateral sclerosis (ALS), so there is no need to worry excessively. If the symptoms ...[Read More] Understanding Nerve Conduction Studies: What Your Results Mean
Understanding Facial Pain: When to See a Neurologist
My cheeks feel a bit strange? Hello, doctor: I am experiencing intermittent pain in the muscles of both my upper and lower cheeks, along with pain in my cheekbones. There is also a tingling, prickling sensation, and itching. The pain persists even with pressure, and my cheeks fee...
Dr. Wu Mukhan reply Neurology
Hello! Based on your description, your symptoms, including facial numbness, tingling, and abnormal sensations, may be related to a trigeminal nerve issue. It is recommended that you visit a hospital's neurology department for evaluation and to determine if further testing is...[Read More] Understanding Facial Pain: When to See a Neurologist
Understanding Pain in the Tips of Your Big Toes: Causes and Solutions
Painful sensation at the tip of the big toe? I have been experiencing a sharp pain at the tips of both my big toes recently. However, I couldn't find any similar symptoms online. The pain is located just below the front of the toenail and is in an area that does not touch th...
Dr. Wu Mukhan reply Neurology
Hello, it seems that your symptoms may be related to peripheral nerve issues. If there is no improvement, it is recommended to visit a neurology outpatient clinic for evaluation to determine if further testing is necessary.[Read More] Understanding Pain in the Tips of Your Big Toes: Causes and Solutions
Morning Headaches: Causes, Concerns, and When to Seek MRI
Waking up with a headache every morning? I have been experiencing headaches for about two years, and in recent months, I have been waking up almost every morning with a throbbing pain in my head. After getting up and moving around, the pain tends to ease, but I continue to feel d...
Dr. Wu Mukhan reply Neurology
Hello, the most common causes of chronic headaches are migraines and tension-type headaches, which are functional issues of the nervous system. Generally, they can be diagnosed without imaging studies, and most cases can improve with outpatient treatment. If the headache is cause...[Read More] Morning Headaches: Causes, Concerns, and When to Seek MRI
Understanding Pain Around the Big Toe: Possible Causes and Solutions
Pain in the front side and underneath of the big toe? Doctor, my big toe is experiencing pain around the nail and underneath the toe. It feels sore and has a tingling sensation. There is slight redness on the surface, and taking medication for gout has not been effective. I would...
Dr. Wu Mukhan reply Neurology
Hello, gout typically occurs at the metatarsophalangeal joint of the big toe, which is different from the location you described and is less likely to be gout. If there is redness, swelling, and pain, there may be inflammation or infection. It is recommended to visit a dermatolog...[Read More] Understanding Pain Around the Big Toe: Possible Causes and Solutions
Postpartum Hand Tremors: Understanding Causes and Treatment Options
Postpartum tremors Hello Doctor: In mid-February of this year, I had a natural delivery without epidural anesthesia. About ten days after being discharged, I occasionally experienced tremors in my right thumb, which later progressed to my entire arm shaking. Before the tremors st...
Dr. Wu Mukhan reply Neurology
Your symptoms may indicate a movement disorder, and a personal evaluation by a physician is necessary for further assessment. It is recommended to visit a medical center where a neurologist with expertise in movement disorders can arrange for subsequent examinations and treatment...[Read More] Postpartum Hand Tremors: Understanding Causes and Treatment Options
Understanding Thumb Tremors: Causes and Concerns After Napping
The right thumb is bent and trembling? This afternoon, I slept on my desk for about 40 minutes, and later in the evening, my right thumb started to tremble when I bent it (but I don't feel weak, and I can use it normally). The trembling is quite noticeable. Additionally, whe...
Dr. Wu Mukhan reply Neurology
Your symptoms may be due to compression of the peripheral motor nerves while sleeping on your stomach, leading to weakness and abnormal movements. It is advisable to avoid this sleeping position. Typically, rest, heat therapy, and massage can help alleviate the symptoms. If there...[Read More] Understanding Thumb Tremors: Causes and Concerns After Napping
Uncontrollable Neck and Facial Twitches After Roller Skating: Causes and Solutions
Involuntary twitching of the neck and face after exercise? Hello, doctor. My child is in sixth grade and has been practicing artistic roller skating for two and a half years. Recently, the difficulty level has increased, and they have been falling frequently and sweating profusel...
Dr. Wu Mukhan reply Neurology
Excessive exercise and prolonged training can lead to fatigue and muscle soreness, especially when there is insufficient rest and recovery time, which may result in more pronounced discomfort. Over-sweating can cause dehydration and electrolyte imbalances, potentially leading to ...[Read More] Uncontrollable Neck and Facial Twitches After Roller Skating: Causes and Solutions
Understanding Thenar Hypoplasia: Causes and Treatment Options
Thenar eminence depression There is a noticeable horizontal indentation in the thenar eminence of the dominant hand, accompanied by wrist pain and finger numbness.
Dr. Wu Mukhan reply Neurology
Hello, it is recommended to visit a neurology outpatient clinic to evaluate whether the finger numbness is related to the issues you described.[Read More] Understanding Thenar Hypoplasia: Causes and Treatment Options
Uncontrollable Hand Movements While Reading: Possible Neurological Causes
During reading, there is an involuntary urge to grasp or hold objects with the hands? Hello, doctor. Recently, I have noticed that when I read, I involuntarily feel the urge to use my left hand to search for and grasp objects, such as flipping the edge of the pages on the left si...
Dr. Wu Mukhan reply Neurology
Hello, your symptoms may be indicative of a movement disorder, such as chorea, bradykinesia, or dystonia. To determine the underlying cause, it is advisable to visit a neurology clinic for further evaluation.[Read More] Uncontrollable Hand Movements While Reading: Possible Neurological Causes
Understanding Syncope: Causes and Concerns in Elderly Patients
Conscious syncope Hello doctor, my mother is 65 years old and has a history of low blood pressure, chronic moderate insomnia, autonomic nervous system dysfunction, and headaches. She often relies on sleeping pills to fall asleep and takes acetaminophen to alleviate her headaches....
Dr. Wu Mukhan reply Neurology
Hello, your mother's symptoms may possibly be caused by seizures or syncope related to cardiac issues. It is advisable to arrange for further examinations at a hospital's neurology department.[Read More] Understanding Syncope: Causes and Concerns in Elderly Patients
Managing Low Blood Pressure Issues from Heart Health Medication
The issue of hypotension caused by heart health supplements? I have a history of low blood pressure, but it is not low enough to be classified as hypotension. However, I was prescribed "Heart Care Tablets" for migraine treatment, taking half a tablet in the morning and ...
Dr. Wu Mukhan reply Neurology
Hello, it appears that your blood pressure is indeed too low. It is recommended to discontinue the use of XinKangLe and to return to the outpatient clinic as soon as possible to discuss medication options with your physician. There are various other medications available for the ...[Read More] Managing Low Blood Pressure Issues from Heart Health Medication
Understanding Sleep Kicking: Is It a Sleep Disorder?
Kicking during sleep? Hello doctor, I am currently in the second year of high school. Since elementary school, I have been kicking my legs randomly whenever I fall asleep. My family and friends who have slept over have mentioned that I kick them awake. I read online that this mig...
Dr. Wu Mukhan reply Neurology
Hello, your symptoms may indicate Periodic Limb Movement Disorder (PLMD), which is a sleep disorder characterized by involuntary, repetitive movements of the limbs during sleep. This condition can affect the quality of sleep for both you and those around you. If you find that it ...[Read More] Understanding Sleep Kicking: Is It a Sleep Disorder?
Understanding Calf Muscle Development Issues in Teen Athletes
Calf muscle development issues? For your 16-year-old son who is 185 cm tall but has thinner calves than average and lacks muscle despite being active, it would be advisable to consult an orthopedic specialist or a sports medicine physician. They can assess his muscle development ...
Dr. Wu Mukhan reply Neurology
Hello, your son may need to undergo some basic examinations, such as measuring body fat and muscle ratio, as well as assessments of skeletal and muscular structures. It is recommended to consult with a pediatrician, sports medicine specialist, or orthopedic doctor for further eva...[Read More] Understanding Calf Muscle Development Issues in Teen Athletes
Understanding Neck Tightness: Causes and Relief Strategies
Tightness in the back of the neck? Hello, doctor. Due to my work, I often sit in front of a computer desk or use my phone. Three days ago, after dinner, I suddenly felt tightness in the back of my neck, accompanied by mild headaches, dizziness, and nausea (I tend to be easily ner...
Dr. Wu Mukhan reply Neurology
Hello, your symptoms may be caused by neck muscle tension resulting from prolonged posture, poor sitting habits, or computer use. Anxiety and stress can also lead to physical tension, which may trigger headaches and neck discomfort. It is recommended to avoid maintaining the same...[Read More] Understanding Neck Tightness: Causes and Relief Strategies
Understanding Left-Sided Numbness: Possible Neurological Causes
Left-sided partial numbness? Hello, I have a situation that may seem strange, but I couldn't find similar reasons no matter how much I searched, so I'm reaching out to you. It started with an itch in a single tooth, and I initially thought it was a gum issue. However, t...
Dr. Wu Mukhan reply Neurology
Hello, it seems that you are experiencing sensory abnormalities on the left side of your face as well as on the left side of your body. This situation requires ruling out any issues related to the brain, as stroke or central nervous system lesions cannot be completely excluded. I...[Read More] Understanding Left-Sided Numbness: Possible Neurological Causes
Understanding Nerve Sensations: Insights on Hand Discomfort and Treatment
There is a tingling sensation near the webbing of my left hand, as if I have been electrocuted? Hello, Doctor: A few days ago, I inquired about some related issues and would like to ask a few more questions! (The symptoms are still ongoing, my dominant hand is not the left hand, ...
Dr. Wu Mukhan reply Neurology
Hello, at this stage, it is advisable not to intentionally apply pressure to the areas that are numb or have a tingling sensation, as this may worsen your symptoms. You can still move your fingers in your usual manner. Contact with water will not prevent the nerves from resting, ...[Read More] Understanding Nerve Sensations: Insights on Hand Discomfort and Treatment