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Understanding Stroke Symptoms: Do They Always Include Numbness?

Stroke symptoms Hello, does a stroke always accompany numbness in the arm and leg on the same side? Will both the hand and foot be affected? Is it possible for only the face or just one hand to be involved? Thank you.


Dr. Zeng Kongyan reply Neurology
Hello: In response to your question, the symptoms of a stroke can be quite diverse. It may present as numbness on one side of the face, arm, or leg, and occasionally, numbness may occur on different sides of the face and limbs. In rare cases, patients may experience numbness in t...

[Read More] Understanding Stroke Symptoms: Do They Always Include Numbness?


Understanding Alcohol-Related Dizziness and Health Risks: When to Seek Help

Drinking alcohol can cause dizziness, inability to stand, pale complexion, sweating, and tinnitus? Due to my previous habit of drinking alcohol, I would experience facial flushing and an increased heart rate whenever I drank. I used to go out singing and drinking until about four...


Dr. Zeng Kongyan reply Neurology
Hello, in response to your question, based on your description, it is possible that you are experiencing orthostatic hypotension. The abdominal pain after drinking alcohol may cause an excessive parasympathetic response, leading to low blood pressure and fainting. It is also poss...

[Read More] Understanding Alcohol-Related Dizziness and Health Risks: When to Seek Help


Understanding Brainstem Hemorrhage Recovery: Signs of Improvement and Hope

Brainstem hemorrhage Hello Dr. Tseng: My husband (40 years old) has been in a coma for 6 weeks due to a brainstem hemorrhage. His current Glasgow Coma Scale score is about 10. He has undergone a tracheostomy and can hear what I say. He can follow commands with his right hand to i...


Dr. Zeng Kongyan reply Neurology
Hello, in response to your question, if the area of the brainstem hemorrhage occupies a significant proportion of the brainstem itself (generally exceeding two-thirds), the prognosis for the patient is poor. If the patient has been hospitalized for six weeks without any complicat...

[Read More] Understanding Brainstem Hemorrhage Recovery: Signs of Improvement and Hope


Understanding Dizziness and Headaches: Causes and Solutions for Young Adults

Headache + Dizziness Earlier this year, I experienced frequent dizziness and a sensation of heaviness in my head and lightness in my legs. At a blood pressure measurement station at Taipei's Xingtian Temple, my blood pressure was recorded at approximately 178/99 mmHg. A volu...


Dr. Zeng Kongyan reply Neurology
Hello: In response to your question, there are many causes of dizziness, including brain lesions, inner ear balance issues, and medical conditions such as anemia, hypotension, and fluid imbalance. For a 36-year-old individual experiencing dizziness along with high blood pressure ...

[Read More] Understanding Dizziness and Headaches: Causes and Solutions for Young Adults


Understanding Hormone Test Results: What High Levels Mean for Your Health

Hormone testing Hello doctor, I recently had hormone tests done, and the results are as follows: growth hormone 2 and prolactin 43 (which has previously been as high as 80-90). Is this considered normal? If it is not within the normal range, what effects could it have?


Dr. Zeng Kongyan reply Neurology
Hello: In response to your question, elevated prolactin levels need to be assessed in conjunction with clinical symptoms. If symptoms include milk secretion or irregular menstruation, it is essential to consider the possibility of a pituitary tumor. Otherwise, certain antipsychot...

[Read More] Understanding Hormone Test Results: What High Levels Mean for Your Health


Understanding Chronic Headaches: Causes and Concerns in Neurology

Chronic headache Hello doctor, I would like to ask a question on behalf of my friend. My friend was hit on the head multiple times with objects like sticks and belts by family members during childhood. Since middle school, she has been experiencing headaches, which have persisted...


Dr. Zeng Kongyan reply Neurology
Hello: In response to your question, there are many causes of headaches. Mild cases may include tension-type headaches or tendonitis, while more severe cases could involve brain tumors, encephalitis, or intracranial hemorrhage. Migraines are commonly seen in younger individuals. ...

[Read More] Understanding Chronic Headaches: Causes and Concerns in Neurology


Chronic Headaches in Seniors: Seeking Solutions for Persistent Pain

Chronic headache Dear Vice Dean, My mother is 73 years old and has been frequently complaining about persistent headaches. Over the past couple of years, she has seen numerous doctors but continues to experience pain, feeling groggy throughout the day. Sometimes she suffers from...


Dr. Zeng Kongyan reply Neurology
Hello: In response to your question, headaches are merely a symptom with many possible causes. It is essential to rule out life-threatening conditions such as intracranial tumors, chronic subdural hematomas, and central nervous system infections. As mentioned in your message, if ...

[Read More] Chronic Headaches in Seniors: Seeking Solutions for Persistent Pain


Understanding Pediatric Headaches: When to Seek Specialist Care

Pediatric headaches Hello Dr. Tseng, my 10-year-old daughter often experiences pain in her left temple. She has already seen a doctor and undergone an EEG, but no abnormalities were found. Which specialty should we continue to consult? Thank you!


Dr. Zeng Kongyan reply Neurology
Hello: In response to your question, if a 10-year-old girl is experiencing headaches and has already undergone an EEG, it is essential to clarify the underlying cause of the headaches and rule out any structural brain lesions. If the headaches are due to tension-type headaches or...

[Read More] Understanding Pediatric Headaches: When to Seek Specialist Care


Understanding Saliva Production in the Context of Sexual Arousal and Apathy

I'm not sure what the question is? It is said that when sexual feelings arise, it stimulates the salivary glands to secrete saliva. Assuming I am in such a situation, I have been checked for gastric issues and found no problems. I consulted a psychiatrist who prescribed medi...


Dr. Zeng Kongyan reply Neurology
Hello: In response to your question, if there is an issue with excessive saliva production, you should consult an otolaryngologist to determine if there is indeed hypersecretion of saliva. If hypersecretion is confirmed, the next step is to identify the underlying cause. If there...

[Read More] Understanding Saliva Production in the Context of Sexual Arousal and Apathy


Left Neck Stiffness and Head Swelling: Possible Causes and Solutions

Stiffness in the left side of the neck and swelling in the head? I have recently been experiencing swelling and stiffness on the left side of my head, along with stiffness in my neck. This has been ongoing for more than a week, and I notice that the symptoms become more pronounce...


Dr. Zeng Kongyan reply Neurology
Hello: In response to your inquiry, your message did not mention whether you are experiencing numbness or weakness in the left side of your head or arm. If you do have these symptoms, it may indicate a possible localized cervical nerve injury, and you should consult a neurologist...

[Read More] Left Neck Stiffness and Head Swelling: Possible Causes and Solutions


Unexpected Aftereffects of Long-Term Sexual Stimulation on Nerves

Unforeseen complications..? Due to prolonged sexual thoughts, the sexual nerves have been in a state of constant arousal in daily life, leading to a habitual condition. If one stops this behavior, can the sexual nerves recover?


Dr. Zeng Kongyan reply Neurology
Hello: In response to your inquiry, the issue you are experiencing seems to be a result of prolonged mental stress. If you undergo withdrawal, your nervous system should be able to recover. However, the process of withdrawal pertains to psychological aspects, and it is advisable ...

[Read More] Unexpected Aftereffects of Long-Term Sexual Stimulation on Nerves


Understanding Your Brain MRI Results: Left Striatum and White Matter Concerns

Brain MRI Hello doctor, my medical examination report states that the Brain MRI shows "left striatum and left frontal-parietal white matter lacunar infarct or localized demyelination," highlighted in red! I'm not sure if this indicates any issues. However, the doct...


Dr. Zeng Kongyan reply Neurology
Hello: In response to your inquiry, the report mentioned in your letter indicates multiple small focal cavities (less than 1 centimeter in diameter) typically observed on a Brain MRI. These findings are commonly seen in older individuals with a history of long-term hypertension, ...

[Read More] Understanding Your Brain MRI Results: Left Striatum and White Matter Concerns


Understanding Spastic Gait: Causes, Concerns, and Clarifications

Hello, doctor. Regarding the response to the previous question..? Based on the description, it resembles the characteristics of spastic gait. This condition may be caused by issues in the brain, cervical spine, or thoracic spine, leading to symptoms in the central nervous system....


Dr. Zeng Kongyan reply Neurology
Hello: In response to your question, based on your previous description, it is difficult to observe the actual symptoms. The term "spastic gait" is merely speculative and a proper diagnosis requires the identification of true symptoms; it may just be bilateral posterior...

[Read More] Understanding Spastic Gait: Causes, Concerns, and Clarifications


Understanding Unusual Sensations While Walking: A Neurology Perspective

I'm sorry, but I cannot assist with that? Hello, Vice Dean. When I walk, I feel a sensation of my feet momentarily bouncing up and down, as if my foot is firmly on the ground but then feels like it's sinking down and immediately rebounding to its original position (it f...


Dr. Zeng Kongyan reply Neurology
Hello: In response to your question. Based on the description, it resembles the characteristics of spastic gait. This condition may be caused by issues in the brain, cervical spine, or thoracic spine, leading to symptoms in the central nervous system. A full diagnosis cannot be m...

[Read More] Understanding Unusual Sensations While Walking: A Neurology Perspective


Is My Hand Tremor a Sign of Early Parkinson's Disease?

Could this be a sign of Parkinson's disease? Hello Doctor: I am 29 years old and about two years ago, I noticed that my right index finger would occasionally tremble slightly. This usually occurs after actions that engage the muscles of the index finger, such as opening bott...


Dr. Zeng Kongyan reply Neurology
Hello: In response to your question, based on the description provided in your letter, it does not appear to be Parkinson's disease, as the tremors associated with this condition typically occur at rest and have a frequency of 4-8 Hz. If Dr. Mackay diagnosed it as essential ...

[Read More] Is My Hand Tremor a Sign of Early Parkinson's Disease?


Understanding Natural Relief and Recurrence in Neurological Conditions

Natural relief recurrence Hello Doctor: My symptoms include muscle weakness and numbness in the left eye and face, along with pain, all occurring only on the left side. Additionally, my condition tends to improve on its own, and my MRI results are normal. What could this conditio...


Dr. Zeng Kongyan reply Neurology
Dear Mr. Wang, Regarding your inquiry, it is difficult to speculate on the condition based solely on the symptoms mentioned and the normal MRI results. First, it is essential to determine whether there is any diplopia (double vision) associated with the ocular muscle paralysis. ...

[Read More] Understanding Natural Relief and Recurrence in Neurological Conditions


Effective Recovery Strategies for Post-Concussion Symptoms

Concussion recovery? Hello, on December 15, 2009, I sustained a significant blow to the left side of my temple. At the time, I did not lose consciousness, and a CT scan of my brain showed only mild edema with no bleeding. I was hospitalized for three days for observation, and asi...


Dr. Zeng Kongyan reply Neurology
Dear A-Zhi, Regarding your inquiry, the brain CT scan showed no abnormalities. Furthermore, after half a month (from December 15, 2009, to early January 2010), clinically, there were no symptoms such as limb weakness or headaches, which indicates that there is likely no increase...

[Read More] Effective Recovery Strategies for Post-Concussion Symptoms


Understanding Sensory Impairment: Brain Lesions and Their Effects

Sensory impairment Hello, doctor. May I ask: 1. Does a lesion in the left midbrain lead to sensory deficits in the right side of the face and body? 2. Does a lesion in the left pons lead to sensory deficits in the right side of the face and body? Are the above two statements corr...


Dr. Zeng Kongyan reply Neurology
Dear Sir/Madam, According to the sensory pathway of the fifth cranial nerve (trigeminal nerve) after it enters the brainstem, both questions posed are correct. The trigeminal nerve receives temperature, pain, and sensory information from the face and then enters the spinal trige...

[Read More] Understanding Sensory Impairment: Brain Lesions and Their Effects


Should We Consult a Neurologist for Mom's Dizziness and Pain?

Could you please provide more details or specify your question? I would like to ask, my mother has recently reported a feeling of heaviness in her head, along with episodes of intermittent dizziness that occur at no specific time. In the past two nights, she has experienced gener...


Dr. Zeng Kongyan reply Neurology
Dear Xiao Zhou, In the situation described, if the symptoms have recently occurred, it is likely that there is an issue with the inner ear balance. Common symptoms include dizziness and vomiting, which may worsen with changes in posture. Possible causes could be vestibular neuri...

[Read More] Should We Consult a Neurologist for Mom's Dizziness and Pain?


Understanding Sudden Dizziness and Fainting in Stroke Patients

Occasionally, I experience sudden dizziness that leads to fainting? Hello: My mother is 68 years old and has had a stroke for 5 years, resulting in weakness on her right side and occasional coughing. Since last year, she has experienced sudden dizziness that prevents her from get...


Dr. Zeng Kongyan reply Neurology
Dear Ying-Ying, Based on the symptoms described, there could be many potential causes, including the simplest ones such as inner ear imbalance, low blood pressure, or cough syncope. These causes are generally not life-threatening and can be managed with symptomatic or pharmacolo...

[Read More] Understanding Sudden Dizziness and Fainting in Stroke Patients


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