Understanding Jaw Pain: Is It TMJ Disorder or Trigeminal Neuralgia?
Temporomandibular joint disorder (TMJ disorder)? Trigeminal neuralgia? Hello Doctor, recently I have been experiencing pain when biting down on the right side of my teeth, with a sensation of soreness and weakness. When the pain and tingling become severe, it radiates to the area...
Dr. Cai Zongzhang Reply:
Hello: Trigeminal neuralgia can vary in severity. The symptoms mentioned may still indicate trigeminal neuralgia. It is recommended to visit a neurology clinic for examination and treatment.[Read More] Understanding Jaw Pain: Is It TMJ Disorder or Trigeminal Neuralgia?
Neck Pain, Numbness, and Facial Twitching: When to Seek Advanced Care
Neck issues, numbness in the limbs, facial nerve twitching? Initially, I experienced tightness in my shoulders and neck along with numbness in my hands (more severe in the right hand). Subsequently, I began to feel numbness in my left foot, and the muscles on both sides of my nec...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned experiencing "tingling in the left foot" and "intermittent electric shock-like sensations and pain in the muscles on both sides of the neck (right side)." Based on your description, it may be necessary to consider cervical spine disor...[Read More] Neck Pain, Numbness, and Facial Twitching: When to Seek Advanced Care
Understanding Skin Pain and Spasms: A Neurological Perspective
Skin prickling sensation? Hello Doctor: Last week, Mr. Zhang suddenly experienced spasms, occurring several times within a minute, with episodes recurring every few minutes. He reported sensitivity on the right side of his skin, accompanied by a burning and stabbing pain, as well...
Dr. Jiang Junyi Reply:
Dear Mr. Chang, You mentioned that "the frequency of spasms has gradually decreased, but they have shifted to the right leg, and there are times when I experience sudden weakness; difficulty urinating; and sharp pain upon touching the right calf, right thigh, right abdomen,...[Read More] Understanding Skin Pain and Spasms: A Neurological Perspective
Persistent Dizziness: When to Seek Neurology Consultation?
Dizziness persisting for a period of time? Hello, Dr. Jiang. I have been experiencing dizziness for about a month now. The dizziness is quite mild, but I feel it for most of the day. Recently, it has improved a bit compared to before; I don't feel dizzy all day, but I still ...
Dr. Jiang Junyi Reply:
Hello Mr. H: You mentioned, "My father previously had a brain tumor; is there a genetic link to brain tumors?" I would like to know what type of brain tumor your father was diagnosed with. Currently, only a small percentage, about 5%, of brain tumors are associated with...[Read More] Persistent Dizziness: When to Seek Neurology Consultation?
Understanding Muscle Spasms and Chest Pain: When to Seek Help
Experiencing a seizure to the point of nearly fainting? It felt like a cramp, but I wasn't sure if it was actually a cramp. One moment I was in a good mood playing, and then I got on a motorcycle. Within a minute, I started feeling pain in the left pectoral muscle near the a...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may be caused by a neurological disorder, and it is recommended to visit a neurology clinic for further evaluation.[Read More] Understanding Muscle Spasms and Chest Pain: When to Seek Help
Understanding Stroke: Exploring Links Between Car Accidents and Brain Infarction
Cerebral infarction (stroke) Hello, I had a car accident on December 9, 2022, and initially only sustained some external injuries. However, on January 12, 2023, I suddenly experienced a loss of vision and went to Tzu Chi Hospital to see a neurologist. An MRI revealed that I had a...
Dr. Cai Zongzhang Reply:
Hello, A-You: The causes of cerebral infarction are not directly related to trauma; it may be necessary to investigate other rare causes of cerebral infarction. The recovery period for neurological damage is lengthy, and complete recovery is often difficult, with most patients ex...[Read More] Understanding Stroke: Exploring Links Between Car Accidents and Brain Infarction
Understanding Nerve Pain: Causes and Solutions for Ear Discomfort
Is there a problem with neuropathic pain? Hello, doctor: I accidentally rubbed my left ear and now it hurts, which feels like nerve pain. The entire left side has a tingling and numb sensation. What should I do? What could be the cause, doctor?
Dr. Wu Mukhan Reply:
Hello, sensations such as tingling and numbness may be caused by nerve injury. In some cases, these symptoms may resolve on their own, but they can also persist. If there is no improvement, it is advisable to visit a hospital for an examination to determine whether the issue is r...[Read More] Understanding Nerve Pain: Causes and Solutions for Ear Discomfort
Can Flunarizine Interact with Common Supplements and Recent Vaccination?
Questions about the use of Naoqing (a traditional Chinese medicine)? Hello, doctor. Recently, I visited the hospital due to dizziness, and the doctor prescribed Flunarizine (Fluzine tab) to be taken at bedtime, one tablet for two weeks. I have a habit of taking dietary supplement...
Dr. Peng Shiwei Reply:
Hello, flunarizine generally does not conflict with other dietary supplements and can be taken normally. Thank you for your inquiry.[Read More] Can Flunarizine Interact with Common Supplements and Recent Vaccination?
Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Post-concussion syndrome includes symptoms such as sleep disturbances, limb tremors, and dizziness? Hello Doctor: Since the night of the car accident on January 6th, I have experienced sudden jerking movements in my left hand and foot shortly after falling asleep. I wake up and c...
Dr. Jiang Junyi Reply:
Dear Miss Rabbit, You mentioned that "since the night of the car accident on January 6th, my right eye has been blurry, and my left hand and foot have been experiencing spasms... I have never had these symptoms before." Your symptoms may warrant consideration of lesion...[Read More] Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments
Trigeminal neuralgia Hello, doctor: I have a tingling sensation in my left ear, my cheek feels numb, there is nerve pain below the left ear, and I am experiencing severe pain in the area above and to the left of my ear. Is this related to trigeminal neuralgia? What treatment shou...
Dr. Jiang Junyi Reply:
Dear Mr. Avi, You mentioned experiencing a "tingling sensation in the cheeks," which may warrant consideration of inflammation of the mandibular branch of the trigeminal nerve. This can occur due to compression by vascular structures as the trigeminal nerve enters the ...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments
Understanding Diplopia: Causes and Symptoms Beyond One Centimeter
Binocular diplopia occurs within 1 centimeter (at least) without lateral shadows, but outside of 1 centimeter, lateral shadows will be present? However, beyond 1 meter, there is double vision. What could be the neurological issue? Additionally, there is a sharp pain behind the le...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "diplopia" may require consideration of issues related to cranial nerves (oculomotor, trochlear, and abducens) to the brainstem. It may also involve compression of the muscles behind the eye. Typically, brain imaging, blood tests, and nerv...[Read More] Understanding Diplopia: Causes and Symptoms Beyond One Centimeter
Understanding One-Sided Pupil Dilation and Its Neurological Implications
Headache and dizziness with unilateral pupil exhibiting mydriasis and loss of light reflex? Hello Doctor, I started experiencing some brain fog about a week ago, along with mild dizziness and a tight sensation in my head, though it’s not very painful. It feels like my head is bei...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "my right eye has symptoms of mydriasis, meaning it does not respond to light at all without the use of dilating drops, while the left eye is normal. This is because I had a viral infection in my right eye and underwent surgery when I was ...[Read More] Understanding One-Sided Pupil Dilation and Its Neurological Implications
Understanding One-Sided Pupil Dilation and Headache Symptoms
Headache and dizziness with unilateral pupil exhibiting mydriasis and loss of light reflex? Hello Doctor, I started experiencing some brain fog about a week ago, along with mild dizziness and a tight sensation in my head, though it’s not painful—more like a feeling of being const...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "my right eye has symptoms of mydriasis, meaning it does not respond to light at all without the use of dilating drops, while the left eye is normal. This is because I had a viral infection in my right eye and underwent surgery when I was ...[Read More] Understanding One-Sided Pupil Dilation and Headache Symptoms
Managing Daytime Sleepiness in Patients with Sleep Apnea
Easily feeling sleepy? I often feel sleepy during afternoon video courses, so I lie down and take short naps before continuing. I have sleep apnea and weigh 118 kg. What should I do about feeling sleepy?
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned the issue of "sleep apnea," which can lead to daytime inattention and frequent drowsiness. Obstructive sleep apnea is the most common type, accounting for about 90% of cases. Soft tissue near the throat obstructs the airway, causing the upper a...[Read More] Managing Daytime Sleepiness in Patients with Sleep Apnea
Post-Cold Numbness: Understanding Neurological Symptoms After Illness
Numbness in the body after a cold? Hello Doctor, After experiencing a mild fever due to a cold on February 16, I have been feeling numbness in my arms and legs. Sometimes, when I change my body position, I feel a tingling sensation from my back to the back of my head, especiall...
Dr. Jiang Junyi Reply:
Hello Mr. Yang, You mentioned that "there is a slight stabbing pain when the left side of my head is pressed or rubbed while sleeping, and my left palm also has some tingling sensations." Based on your description, we may need to consider cervical nerve root compressio...[Read More] Post-Cold Numbness: Understanding Neurological Symptoms After Illness
Understanding Photosensitive Epilepsy and Its Impact on Neurotic Patients
Photosensitive epilepsy and individuals with neurosis? I have read many educational articles about photosensitive epilepsy, but I still have some confusion. Specifically, I would like to know if individuals with neurosis may also experience discomfort, such as neck twitching and ...
Dr. Jiang Junyi Reply:
Hello: Photosensitive epilepsy typically occurs during childhood and is rare in adults. Your symptoms may warrant consideration of cervical myofascial issues or sleep disorders. It is recommended that you visit a neurology outpatient clinic for further evaluation and follow-up. T...[Read More] Understanding Photosensitive Epilepsy and Its Impact on Neurotic Patients
Can Thrombectomy Surgery Be Performed Four Months After a Stroke?
Thrombectomy surgery Hello, I am a patient who has suffered from a left hemisphere stroke. I have always wanted to know if thrombectomy can still be performed four months after the stroke.
Dr. Jiang Junyi Reply:
Dear Mr. Ting, You mentioned that "thrombectomy" typically refers to the mechanical thrombectomy procedure performed during acute thrombosis events. Health insurance coverage applies to large artery thrombosis within 8 hours for the anterior circulation and within 24 h...[Read More] Can Thrombectomy Surgery Be Performed Four Months After a Stroke?
Improving Tinnitus After COVID-19: What You Need to Know
Improvement of Tinnitus Issues Hello Doctor, three months ago I contracted COVID-19, and since then I have experienced significant tinnitus in my left ear, along with a loud heartbeat sound when I turn my head to the right. I visited an ENT specialist in Taoyuan, who advised me t...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "you can feel your heartbeat when turning your head," which may indicate compression of the vertebral artery in the cervical spine. It is advisable to avoid excessive neck twisting. I recommend visiting a neurology clinic to discuss the po...[Read More] Improving Tinnitus After COVID-19: What You Need to Know
Concerns After Head Injury: Understanding Mild Brain Lesions
A year and a half ago, I hit my head on the top? Hello Doctor: I had a head injury a year and a half ago and went to the hospital for a consultation and an EEG. The doctor scheduled a follow-up appointment for a week later, but I was unable to attend due to sudden commitments. To...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned "mild focal brain lesions," and I suggest you could share the original report. This is because we need to examine the descriptions within it; EEG reports typically cannot accurately indicate intracranial structural issues. Poor sleep for s...[Read More] Concerns After Head Injury: Understanding Mild Brain Lesions
Can Muscle Twitching and Weakness Rule Out ALS? Insights from Neurology
Fasciculation with partial weakness? Hello Doctor, since March of last year, I have been experiencing muscle twitching all over my body. Sometimes the twitching is localized to my left upper arm, which feels slightly weak and the muscle has noticeably softened. My left arm is sli...
Dr. Peng Shiwei Reply:
Hello, if the electromyography (EMG) is normal, it cannot be diagnosed as ALS. However, based on your description, I would still prioritize considering neurological issues (such as brachial plexus or cervical spine problems). I'm not sure if the physician you consulted menti...[Read More] Can Muscle Twitching and Weakness Rule Out ALS? Insights from Neurology