Understanding Neck Pain and Dizziness: Is It Migraines or Something Else?
Shoulder and neck pain causing dizziness? Hello, doctor. I often experience shoulder and neck pain, which causes dizziness and headaches. Is this a type of migraine? Taking Tylenol hasn't been effective, and I'm unsure of the underlying cause. Additionally, my uric acid...
Dr. Zhuang Yumin reply Neurology
Shoulder and neck pain often occur together with dizziness. Migraines are indeed a possible cause. Patients with cardiovascular diseases should be particularly cautious of stenosis in the carotid and vertebral arteries. Certain cervical spine disorders can also compress the verte...[Read More] Understanding Neck Pain and Dizziness: Is It Migraines or Something Else?
Understanding Arachnoid Cysts in the Left Frontal Lobe: Symptoms and Treatment
Arachnoid cyst in the left frontal lobe? I recently underwent a CT scan of the brain after suddenly fainting. Prior to fainting, I had no discomfort symptoms at all. About a month before the fainting episode, I often felt dizzy, as if I hadn't slept enough. After the CT scan...
Dr. Zhuang Yumin reply Neurology
Most cysts in the brain are benign arachnoid cysts. Surgery is only necessary if they become too large and compress other brain tissues or cause symptoms such as seizures; otherwise, they can be monitored.[Read More] Understanding Arachnoid Cysts in the Left Frontal Lobe: Symptoms and Treatment
Struggling with Uncontrollable Sleepiness: Which Specialist to Consult?
If you have been struggling with sudden drowsiness for a long time, which medical specialty should you consult? Since childhood, I have experienced episodes of dozing off for a few minutes while studying, working, waiting for transportation, or even during leisure activities like...
Dr. Zhuang Yumin reply Neurology
Your symptoms can be evaluated by either a neurologist or a psychiatrist, especially since narcolepsy can be diagnosed and confirmed through polysomnography, which is covered by health insurance. If diagnosed, appropriate pharmacological treatment is available, and your symptoms ...[Read More] Struggling with Uncontrollable Sleepiness: Which Specialist to Consult?
Understanding EEG Tests for Children After Febrile Seizures
Electroencephalogram (EEG) Hello Dr. Chuang, My 4-year-old son experienced a febrile seizure in early December this year. Pediatrician Dr. Chang suggested that we could schedule an EEG two weeks later. Should we make an appointment to see you for this? Thank you for your respon...
Dr. Zhuang Yumin reply Neurology
Dear Ms. Huang, Recommendation: You may schedule an appointment with Dr. Tsai Hung-Ying, a pediatric neurologist at our hospital (Pediatrics Department, Second Clinic on Tuesday afternoons). Wishing you peace and good health. Sincerely, Dr. Liu Chih-Yang Attending Physicia...[Read More] Understanding EEG Tests for Children After Febrile Seizures
Understanding Carotid Artery Blockage: Treatment, Risks, and Prevention
Carotid artery occlusion Hello Dr. Chuang: 1. Is there medication that can cure carotid artery blockage? 2. Does carotid artery blockage always lead to a stroke? 3. What should be noted to prevent a stroke? 4. Does drinking a small glass of red wine before bed benefit arterial he...
Dr. Zhuang Yumin reply Neurology
Dear Xiao Ru, 1. To address carotid artery obstruction, it is essential to first identify the risk factors for atherosclerosis, and then manage these risk factors based on the examination results, such as hypertension and hyperlipidemia. 2. However, if carotid artery stenosis ex...[Read More] Understanding Carotid Artery Blockage: Treatment, Risks, and Prevention
Chronic Constipation and Its Neurological Impacts: Seeking Solutions
Consultation I have been suffering from chronic constipation for about 26 years. When I was younger, I didn't know how to manage it and was very good at enduring it, having bowel movements only once every seven days, which made it easy to forget the pain. However, the long-t...
Dr. Zhuang Yumin reply Neurology
Dear Yu: Your symptoms, such as weakness in your hands and feet, to the point where you cannot even open a bottle cap, may indicate issues with your cervical spine or peripheral nerves. However, a proper diagnosis can only be made through an in-person examination by a neurologist...[Read More] Chronic Constipation and Its Neurological Impacts: Seeking Solutions
Understanding Meningitis: The Role of Trigeminal Nerve Reflex and Neck Stiffness
Meningitis: Meningeal signs Hello: I have consulted with doctors regarding my questions, but none could provide a definitive answer. I hope to resolve this issue through this platform! # Question: There is a medical term called the trigeminal-cervical reflex. Does this mean tha...
Dr. Zhuang Yumin reply Neurology
Dear Xiao Wang, In addition to providing sensory innervation to the facial region, the trigeminal nerve also contributes to the sensation of the meninges and the regulation of the elasticity of the meningeal blood vessels. The trigeminal nerve also communicates with the cervical...[Read More] Understanding Meningitis: The Role of Trigeminal Nerve Reflex and Neck Stiffness
Head Injury and Nosebleeds: When to Seek Medical Attention
After hitting the head, suddenly experiencing a nosebleed? Hello Dr. Chuang: A couple of days ago, I accidentally hit my head. At the time, I didn't feel any particular pain, but a few minutes later, I noticed blood in my nasal mucus. Recently, I've also been waking up ...
Dr. Zhuang Yumin reply Neurology
Nasal discharge with blood, along with dizziness and headaches, may be symptoms of a nasopharyngeal lesion. You should first visit an otolaryngologist for an examination to determine the cause of the bloody nasal discharge. If there are any specific findings, you may need to see ...[Read More] Head Injury and Nosebleeds: When to Seek Medical Attention
Understanding Headaches: When to See a Neurologist and How to Describe Symptoms
Headache issues? If you frequently experience headaches that are sharp and located at the temples, occurring about twice a week while maintaining a normal lifestyle, you should consider seeing a neurologist. When you visit the doctor, you can explain that you experience these h...
Dr. Zhuang Yumin reply Neurology
Your symptoms are most likely indicative of "tension-type headache." However, a proper diagnosis can be made by visiting a neurology outpatient clinic for a detailed examination. During the visit, it is important to describe the location of the headache, the nature of t...[Read More] Understanding Headaches: When to See a Neurologist and How to Describe Symptoms
Understanding Unexplained Palpitations and Persistent Headaches
Unexplained palpitations? 1. I frequently experience sudden headaches, and recently I've had headaches that last for more than two days. I have undergone X-rays and paid for a CT scan, both of which returned normal results. 2. I often have episodes of palpitations (occurri...
Dr. Zhuang Yumin reply Neurology
If sympathetic nervous system hyperactivity is present and thyroid hyperactivity or concurrent arrhythmias are ruled out, it is likely a benign condition. You may consider consulting a trusted psychosomatic medicine physician for follow-up and treatment.[Read More] Understanding Unexplained Palpitations and Persistent Headaches
Can Stroke Patients Achieve Full Recovery? Understanding Rehabilitation Outcomes
Can a stroke fully recover? Hello, doctor: My grandfather has had a stroke for many years and has been undergoing rehabilitation for a long time, but it seems that he still has no sensation in his limbs... Can stroke patients fully recover? If that's the case, rehabilitation...
Dr. Zhuang Yumin reply Neurology
Patients who have suffered a stroke can expect to recover about 60% of their original condition with proper rehabilitation; however, the actual outcome varies from person to person. If rehabilitation efforts are not made, there will be a decline in condition. Therefore, in additi...[Read More] Can Stroke Patients Achieve Full Recovery? Understanding Rehabilitation Outcomes
Do Brain Function Distributions Vary Among Individuals?
There are individual differences in the distribution of functional areas in each person? It refers to the distribution of functional areas in the left and right hemispheres of the brain, which varies from person to person. Is my interpretation correct? If there are any mistakes, ...
Dr. Zhuang Yumin reply Neurology
Hello: Please read the book "The Secret Files of the Brain," which has been translated by Professor Hong Lan, a cognitive psychologist from Taiwan. The articles included in this book are sure to satisfy your thirst for knowledge. Wishing you peace and health. Sincerely,...[Read More] Do Brain Function Distributions Vary Among Individuals?
How to Determine if You're Left-Handed or Right-Handed: A Guide
How can you determine if someone is left-handed or right-handed? What is the correct method for assessment? I know that when I cross my arms, my left hand is on top and my right hand is underneath. It's natural for me, but it's more common for others to have their right...
Dr. Zhuang Yumin reply Neurology
Hello: Please read the book "The Secret Files of the Brain," which has been translated by Professor Hong Lan, a cognitive psychologist from Taiwan. The articles included in this book are sure to satisfy your thirst for knowledge. Wishing you peace and health. Sincerely,...[Read More] How to Determine if You're Left-Handed or Right-Handed: A Guide
Is IQ Linked to Left or Right Brain Functionality? Exploring Neurological Insights
Is IQ more associated with the left brain or the right brain? Migraines almost always cause pain in the left hemisphere of the brain. Additionally, my intuition tells me that my left brain only has the functions of imagination and recording. There are rumors that the left hemisph...
Dr. Zhuang Yumin reply Neurology
The functions of the left and right hemispheres of the brain are different; the left hemisphere controls the right hand and language abilities, while the right hemisphere governs the left hand and spatial reasoning skills. However, there are individual variations in the distribut...[Read More] Is IQ Linked to Left or Right Brain Functionality? Exploring Neurological Insights
How to Identify a Stroke: Simple Steps Everyone Should Know
How to recognize a stroke? Hello Doctor: Recently, I came across an article online about stroke recognition, and since it's being widely circulated, I wanted to confirm its accuracy with you to avoid misinformation that could lead to daily calls to emergency services. Thank ...
Dr. Zhuang Yumin reply Neurology
Dear Jerry, The three actions you proposed are indeed commonly performed by clinicians for patients. I believe that certain types of strokes can be detected through these three actions; however, many cases may present with other symptoms. For instance, some strokes may manifest ...[Read More] How to Identify a Stroke: Simple Steps Everyone Should Know
Understanding Eye Pain in Children: Is It Migraines or Something Else?
Eye pain My son is 8 years old. A few months ago, he started experiencing eye pain, specifically in his right eye, which eventually led to vomiting. He has undergone a CT scan, and everything appears normal. We consulted a neurologist, who indicated that it is a type of migraine....
Dr. Zhuang Yumin reply Neurology
Dear Mich: Childhood migraines are becoming increasingly common, and vomiting is indeed a significant characteristic. A normal CT scan can almost rule out tumors, except for very small lesions such as arteriovenous malformations, which may require an MRI for exclusion. I suggest ...[Read More] Understanding Eye Pain in Children: Is It Migraines or Something Else?
Understanding Neurological Issues: Seeking Help for Unexplained Symptoms
Consultation I have a seemingly absurd but actually serious question, and I hope to get an answer here. (I once asked a doctor, but was treated like I was crazy.) In high school, I had pseudo-myopia but did not want to become myopic. My mother happened to have bought traditional ...
Dr. Zhuang Yumin reply Neurology
Dear Yu: Your question is indeed difficult to answer. Whether the issue with traditional Chinese medicine is related to your symptoms cannot be determined without immediate testing. If you are simply troubled by chronic headaches, objective examinations such as an electroencephal...[Read More] Understanding Neurological Issues: Seeking Help for Unexplained Symptoms
Understanding Migraines and Hand Numbness: When to Seek Help
Migraine and hand numbness? Dear Dr. Chuang, Hello! I am a 25-year-old female, 174 cm tall and weighing 70 kg. I have a history of migraines (on the left side of my head) since middle school, and recently they have become more severe (over the past two months). Additionally, I w...
Dr. Zhuang Yumin reply Neurology
Dear Xiaomei, Most migraines are benign, with only a small number associated with vascular malformations in the brain. If the headache is accompanied by limb weakness or seizures, further examination is necessary; otherwise, medication treatment can be prioritized. In fact, the ...[Read More] Understanding Migraines and Hand Numbness: When to Seek Help
Understanding Hair Loss and Headaches: When to Seek Medical Advice
Headache and hair loss? Hello, Doctor. My mother has been experiencing hair loss for the past five years, and her hair has become very sparse. She also suffers from frequent migraines. My mother is using a hair growth solution, and when I help her with her scalp, she says it hurt...
Dr. Zhuang Yumin reply Neurology
Dear Yaping: Hair loss is more closely related to hormonal disorders. If scalp issues occur after applying hair growth lotion, they may not necessarily be related to migraines. I believe it would be best to first consult with a specialist in metabolism and a dermatologist for eva...[Read More] Understanding Hair Loss and Headaches: When to Seek Medical Advice