Unexplained Weakness and Tremors in Children: A Neurological Concern
Unable to walk, feeling weak? Your question: A child was hospitalized due to severe abdominal pain and a Mycoplasma pneumoniae infection. The next day, they began experiencing continuous tremors in their hands and feet, generalized weakness, and shortness of breath. They have bee...
Dr. Jiang Junyi Reply:
Hello: You mentioned, "It has been 14 days, the cerebrospinal fluid has been tested and there are no issues, all necessary examinations have been conducted, and the symptoms remain the same. What other tests should be done?" In this case, it may be advisable to consult ...[Read More] Unexplained Weakness and Tremors in Children: A Neurological Concern
Understanding Arm Numbness: Possible Causes and Treatment Options
Questions about arm numbness? Hello Doctor, for the past month or so, I have been experiencing a sensation in my upper arm, specifically in the deltoid area, that feels similar to the numbness one gets after sleeping on their arm. Sometimes there is also a soreness, while other t...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned, "Are there other issues such as cubital tunnel syndrome or other neurological disorders that could produce similar symptoms? Or can we almost definitively conclude that it is a cervical spine issue?" Typically, symptoms resulting from nerve...[Read More] Understanding Arm Numbness: Possible Causes and Treatment Options
Understanding Hand Numbness and Arm Pain: When to See a Neurologist
Numbness in the hands and arm pain? I'm not sure if it's due to nerve compression in the wrist from exercising or prolonged computer use, but my fingers are numb, and my wrist cannot extend back to 90 degrees like it used to. I visited a clinic where I was prescribed an...
Dr. Jiang Junyi Reply:
Dear Mr. August, You mentioned that "after prolonged computer use, my fingers feel numb," which may indicate common median nerve injury or ulnar nerve injury. Median nerve injury, also known as carpal tunnel syndrome, typically occurs in individuals who perform repetit...[Read More] Understanding Hand Numbness and Arm Pain: When to See a Neurologist
Managing Muscle Tremors in ALS: Effective Treatments and Solutions
Muscle twitching Someone around me has been diagnosed with amyotrophic lateral sclerosis (ALS) and is currently experiencing tremors in both lower limbs that affect sleep. Although the doctor has prescribed muscle relaxants, they have not been effective. I would like to ask the d...
Dr. Jiang Junyi Reply:
Hello, Ms. Shu: You mentioned that "your lower limbs tremble/shake to the extent that it affects your sleep, and although the doctor has prescribed muscle relaxants." In addition to medication, sometimes stretching exercises are necessary to alleviate muscle tightness....[Read More] Managing Muscle Tremors in ALS: Effective Treatments and Solutions
Understanding Muscle Twitches and Weakness: Is It a Sign of Atrophy?
Involuntary muscle twitching and weakness in the hands? Doctor, I apologize for bothering you. I have experienced involuntary twitching in various parts of my body, such as my calves, thighs, buttocks, arms, and soles of my feet, since I was young. I didn't pay much attentio...
Dr. Jiang Junyi Reply:
Hello Mr. Zhou: You mentioned that "after waking up, my hands feel weak and powerless, but my legs are normal, and it's difficult to hold a pen; this weakness lasts for about ten minutes." Such symptoms may suggest a possible issue with cervical nerve root compress...[Read More] Understanding Muscle Twitches and Weakness: Is It a Sign of Atrophy?
Understanding Tongue Pain: Neurological Insights and Causes
Tongue issues? Three years ago, I started experiencing pain in my tongue and mouth, usually on the right side near the base of the tongue and the foliate papillae. I have visited a teaching hospital for an examination, where both the attending physician and the chief physician ev...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the symptoms usually occur after taking a shower in the evening (with the neck bent while washing hair)," which may suggest that cervical instability is causing compression of the vagus nerve and hypoglossal nerve, leading to oral burning...[Read More] Understanding Tongue Pain: Neurological Insights and Causes
Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? I have recently noticed a numbness in my fingers and the soles of my feet, similar to having a layer of skin over them. A few days ago, I experienced numbness in my right fingers while sleeping, which made me uncomfortable and unable to sleep. The ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned experiencing a "numbness in your fingers and the soles of your feet." If this occurs bilaterally, it may be worth considering hyperventilation. This can lead to systemic reactions and symptoms, with common manifestations including vasoconstrict...[Read More] Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Understanding Post-Anesthesia Dizziness: Causes and Concerns
Questions about dizziness for my mother? Mother underwent general anesthesia for a bladder endoscopy and resection surgery from February 23 to February 25. After the anesthesia, she experienced mild headache for one night, which resolved the next morning upon discharge. However, ...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "lacunar infarct at the left lentiform nucleus," which refers to a small infarct in the left lentiform nucleus. This may be related to motor function. However, it is still necessary to assess the relevant neurological functions. Regarding...[Read More] Understanding Post-Anesthesia Dizziness: Causes and Concerns
Understanding Persistent Tinnitus: Insights from a Neurology Perspective
Tinnitus Hello Dr. Jiang: I have been experiencing high-frequency tinnitus for 11 years, which started suddenly a few weeks after my military discharge. I served as a private in the artillery (not sure if it's related to stress or the sound of artillery?). The tinnitus is on...
Dr. Jiang Junyi Reply:
Hello Allen: You mentioned "right ear tinnitus at 3000-8000 Hz, high at 52 dB and low at 12 dB, left ear at 250-8000 Hz, high at 17 dB and low at 13 dB," which may indicate a loss of auditory nerve cells in the right ear due to the high decibel levels. The "closed ...[Read More] Understanding Persistent Tinnitus: Insights from a Neurology Perspective
Understanding Sleep-Related Breathing Difficulties: A Neurology Perspective
Respiratory sleep disorders Hello Doctor: Sometimes when I wake up and want to continue sleeping (lingering in bed), I suddenly feel short of breath, as if my whole body is frozen and I can't move, with a vague consciousness and the sensation of holding my breath. I need to ...
Dr. Hong Weibin Reply:
Hello, it is recommended to consult a sleep specialist to check for the possibility of sleep paralysis.[Read More] Understanding Sleep-Related Breathing Difficulties: A Neurology Perspective
Head Injury from Bathroom Fall: When to See a Neurologist?
I fell in the bathroom around noon and hit the back of my right head? Hello Doctor: I slipped and hit my head in the bathroom around noon. Since the bathroom is small, I didn't fall flat on my back; instead, my head struck the wall behind me at a nearly vertical angle. I ins...
Dr. Jiang Junyi Reply:
Dear Miss Emma, You mentioned experiencing "chest tightness that feels better with deep breaths, and mild swelling in your right hand. I would like to ask if you need to visit the neurology or surgery outpatient clinic tomorrow?" Generally speaking, if there is no loss...[Read More] Head Injury from Bathroom Fall: When to See a Neurologist?
Understanding Dizziness and Pressure: Neurological Insights and Solutions
Dizziness and a feeling of heaviness in the head? Hello Doctor: I have been experiencing dizziness, a feeling of pressure in my head, and nausea for almost three weeks. After visiting an ENT specialist and taking medication, I haven't vomited in the past few days, but I stil...
Dr. Jiang Junyi Reply:
Dear Miss Ling, You mentioned that "my head still feels a bit dizzy and swollen, with pain on both sides, and my ears also hurt a little. I feel heavy-headed and light-bodied, and looking at my phone causes some dizziness... After visiting the ENT and taking medication, I h...[Read More] Understanding Dizziness and Pressure: Neurological Insights and Solutions
Understanding Post-Impact Head Discomfort: Causes and Concerns
Head trauma Hello, doctor. In the first half of 2020, I had two upper molars extracted, and since then, I have experienced discomfort in my head. I started seeing doctors, but they all said it was unrelated to the tooth extraction, attributing it to anxiety and sleep issues. I ha...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Has the impact to the head caused internal bleeding or delayed bleeding? It has been a year and a half; could it last this long? Additionally, could the earlier tooth extraction have affected the brain? After all, I have been experiencing discomfo...[Read More] Understanding Post-Impact Head Discomfort: Causes and Concerns
Understanding Eyelid Twitching: Causes and Remedies Explained
Eyelid muscle twitching Hello Doctor: My eyelid has been twitching for nearly a month, specifically in the upper left eyelid. It twitches intermittently several times a day, although it is not very noticeable externally, I can clearly feel it. The twitching seems to occur more fr...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that your eyelid twitches "when you hit your head and when you are more tired; what could be the problem?" Eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe th...[Read More] Understanding Eyelid Twitching: Causes and Remedies Explained
Misdiagnosed: When Neurological Issues Mimic Mental Health Disorders
Could it be a misdiagnosis by a psychiatrist? I have been suffering from severe insomnia since I was around 16 years old, accompanied by cognitive dysfunction. At that time, I suddenly found it difficult to understand what I was reading in vocational school and could not comprehe...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "I would like to ask if the lack of effectiveness of medication for seemingly psychiatric symptoms could be a neurological issue, and whether I need to undergo a CT scan or MRI..." When diagnosing neuropsychiatric disorders, it is common to ar...[Read More] Misdiagnosed: When Neurological Issues Mimic Mental Health Disorders
Understanding Body Tingling: Causes and When to Seek Help
Tingling sensation in the body? Hello, doctor. I have been experiencing tinnitus, general weakness, and tightness along my neck, shoulders, and legs, along with numbness and pain. I consulted a neurosurgeon and had a cervical MRI, which showed degeneration and bone spurs, but the...
Dr. Jiang Junyi Reply:
Dear Mr. Ahao, You mentioned symptoms such as "tinnitus, generalized weakness, tightness and numbness in the neck, shoulders, and legs... pain in one elbow, swelling and tingling after prolonged bending." Your symptoms are more indicative of peripheral nerve injury. Th...[Read More] Understanding Body Tingling: Causes and When to Seek Help
Numbness in the Outer Side of Both Pinky Toes: Causes and Solutions
Numbness on the outer side of the little toe on both feet? Hello doctor, for the past few weeks, I have been experiencing numbness on the outer side of both little toes simultaneously. The numbness doesn't seem to be related to any specific position; sometimes it occurs whil...
Dr. Jiang Junyi Reply:
Dear Miss Joan, You mentioned that "the outer side of both little toes feels numb... and the numbness becomes more pronounced after walking for a long time." It is important to first consider abnormalities in the first sacral nerve root, which may be caused by a hernia...[Read More] Numbness in the Outer Side of Both Pinky Toes: Causes and Solutions
Is Your Nerve Healing Properly After Surgery? Understanding Recovery Challenges
The nerves did not grow in the correct position? Hello Doctor, I underwent ulnar nerve decompression injection on my right arm in mid-August last year. The next day, I noticed pain in the skin on the ulnar side of my forearm near the elbow when performing movements such as raisin...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the discovery of diminished touch sensation in the surrounding skin seems to induce a feeling of recovery, as if the nerves are not growing in the correct position. Currently, that area of skin still has abnormal sensations and numbness... but...[Read More] Is Your Nerve Healing Properly After Surgery? Understanding Recovery Challenges
Understanding the Link Between Sexual Dysfunction and Multiple Sclerosis
Multiple Sclerosis Hello, doctor. I previously experienced sexual dysfunction due to an incident of masturbation. I have difficulties with erection, sensation, and ejaculation, and my penis feels numb with little sensation. This has caused me a lot of stress. Later, I came across...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned whether "sexual dysfunction could indirectly lead to central nervous system diseases such as multiple sclerosis." The answer is "no," as multiple sclerosis is considered a rare disease in Taiwan. Erectile dysfunction can be classified...[Read More] Understanding the Link Between Sexual Dysfunction and Multiple Sclerosis
Understanding Dizziness and Balance Issues: When to Seek Medical Help
Sudden dizziness with a sensation of losing balance? Hello Doctor: About a month ago, I felt dizzy just before my menstrual period, but it went away afterward. This month, the day before my period, I suddenly felt dizzy again! It also passed after a while, but I have been feeling...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned, "The day before my menstrual period, I suddenly felt dizzy! It got better after a while, but I still felt lightheaded and unsteady. Later, when I lay down to rest, I gradually improved! On the fourth day of my period, when I looked down at my p...[Read More] Understanding Dizziness and Balance Issues: When to Seek Medical Help