Understanding Temporal Fossa Depression and Its Neurological Implications
The indentation at the temples extends to the forehead, causing a depression in the veins? Hello Doctor, I would like to inquire about a condition I am experiencing. There is a noticeable indentation when I press on my left temple, which extends up to the area above my ear. This ...
Dr. Cai Zongzhang Reply:
Hello GIGI! It is recommended to visit the neurology outpatient clinic![Read More] Understanding Temporal Fossa Depression and Its Neurological Implications
Understanding the Link Between Sleep Disorders and Dementia Risks
I would like to ask about the relationship between sleep disorders and dementia? Hello Doctor, I have read on Google that dementia is often accompanied by sleep disorders. Could you please clarify which is the cause and which is the effect? I have been suffering from insomnia for...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to visit the neurology outpatient clinic.[Read More] Understanding the Link Between Sleep Disorders and Dementia Risks
Persistent Throat Discomfort and Vision Issues: A Neurological Perspective
Feeling of a lump in the throat, sensation of foreign body, difficulty breathing, blurred vision, eyelids often feel sticky as if sweating, fatigue, hair loss, and poor skin condition? Hello, doctor. My family member is experiencing significant discomfort, so I would like to inqu...
Dr. Jiang Junyi Reply:
Hello: I see that your family has undergone numerous examinations. I would like to suggest a principle to follow, which is the concept of "local healthcare." As we age and experience various symptoms, the recommended approach is to find a nearby hospital with an emergen...[Read More] Persistent Throat Discomfort and Vision Issues: A Neurological Perspective
Head Injury and Thrombocytopenia: When to Seek Medical Attention?
Head trauma with purpura (thrombocytopenia) I have thrombocytopenia (usually below 10,000 platelets) and accidentally bumped my head against the corner of a table while standing up (it hurt quite a bit at the moment), specifically on the left side towards the middle of my scalp. ...
Dr. Jiang Junyi Reply:
Dear Ms. Hsien, Generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious localized hematoma, head trauma is mostly mild. However, due to your condition of thrombocytopenia, it is important to pay special attention to clinical symptoms. If you ex...[Read More] Head Injury and Thrombocytopenia: When to Seek Medical Attention?
Understanding Sudden Weakness in the Right Arm: Causes and Solutions
Weakness in the hands? Waking up in the morning with sudden body aches and dizziness, which later progressed to weakness in the right arm.
Dr. Jiang Junyi Reply:
Dear Miss Yu-Fang, I would like to know if you have any other neurological deficits besides the weakness in your right hand. If you are experiencing sudden weakness in your right side, it is advisable to first rule out cerebrovascular diseases. I am also curious if you have meta...[Read More] Understanding Sudden Weakness in the Right Arm: Causes and Solutions
Understanding Your Concerns: Neurology Insights on Muscle Symptoms
Regarding the previous question? Hello, Doctor. After reading your response, I've been thinking about this matter all day at work and paying special attention to it. After testing, I feel it's about the same (sometimes I even climb the stairs to my fifth floor). I don&#...
Dr. Jiang Junyi Reply:
Hello: The results you mentioned do not indicate any significant weakness in the limbs. Many disease diagnoses require a period of observation and follow-up. Developing good lifestyle habits is the best way to prevent diseases. Please practice self-protection, maintain cleanlines...[Read More] Understanding Your Concerns: Neurology Insights on Muscle Symptoms
Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
I would like to inquire about the diagnosis and medication for epilepsy in infants and young children? Hello Doctor: My daughter was born in mid-June this year, with good development in utero, weighing nearly 3800 grams, head circumference at 40 weeks, and delivered via cesarean ...
Dr. Jiang Junyi Reply:
Dear Ms. Sherry, First of all, I want to acknowledge that the process of providing support is truly not easy. Regarding pediatric epilepsy, I recommend consulting a pediatric neurologist, as they have more extensive experience in this area. Generally, the common treatment princi...[Read More] Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
Understanding Neurological Symptoms: Left Head Pain and Hand Numbness
Mild pain in the left occipital region and slight numbness in the left hand? Hello Doctor: My irregular sleep schedule has been ongoing for about six years, compounded by significant stress from university exams. In mid-May of this year, I suddenly experienced a ringing in my lef...
Dr. Jiang Junyi Reply:
Dear Ms. Irene, The description you provided, "lying on your side using your left hand to use your phone, and then experiencing numbness in your entire left arm the following morning that has not improved," may suggest symptoms related to cervical spine issues. Additio...[Read More] Understanding Neurological Symptoms: Left Head Pain and Hand Numbness
Unraveling Mysterious Tongue Pain: A Neurological Perspective
Strange and puzzling medical conditions? Three years ago, after drinking a bottle of Pom juice one night, I started experiencing pain in my tongue. At that time, several areas were red but without any sores, and the pain persisted. I went to a teaching hospital for an examination...
Dr. Jiang Junyi Reply:
Hello, Sir: The issues you mentioned may be related to rheumatologic and immunologic disorders. It might be worth considering Behçet's Disease, which has the following major diagnostic criteria: recurrent oral ulcers, skin lesions such as erythema nodosum, subcutaneous venou...[Read More] Unraveling Mysterious Tongue Pain: A Neurological Perspective
Understanding Limb Numbness and Pain: Vaccine Concerns and Treatment Options
Numbness, tingling, and weakness in the limbs? Hello Dr. Jiang, this is Ms. Li. On September 17, I inquired about symptoms of transient and recurrent cramping, numbness, tingling, and weakness in my limbs, as well as occasional burning sensations in the soles of my feet. I apprec...
Dr. Jiang Junyi Reply:
Dear Ms. Li, I apologize for the delay in my response. You mentioned that you received the first dose of the AZ vaccine on September 22, and today, September 23, is likely when you are feeling the most uncomfortable. I recommend that you drink plenty of water and get ample rest....[Read More] Understanding Limb Numbness and Pain: Vaccine Concerns and Treatment Options
Understanding Brief Occipital Pain: When to Seek Neurological Care
Transient headache? Whenever I lie down, even if I haven't fallen asleep, I experience a brief dull pain at the back of my head that lasts for about 5 seconds. This has been occurring for over a week without improvement. What could this be related to, and should I seek medic...
Dr. Jiang Junyi Reply:
Dear Ms. Li, You mentioned experiencing a symptom of "brief dull pain in the back of the head lasting less than 5 seconds," which may indicate cervicogenic headache. This is primarily due to instability in the fascia surrounding the cervical spine, as some small muscle...[Read More] Understanding Brief Occipital Pain: When to Seek Neurological Care
Understanding Limb Nerve Pain: Causes, Symptoms, and Treatment Options
Intermittent neuropathic pain in the limbs? Hello Dr. Jiang: Since early September this year, one night I suddenly experienced sharp pain in my thigh nerves while sleeping. A few days later, the frequency of these sharp pains increased, but they only last for a few seconds. The...
Dr. Jiang Junyi Reply:
Hello Ms. Li, You mentioned symptoms such as "a sensation of heat, pain in the limbs, numbness, tingling, and weakness," which are less characteristic of myofascial inflammation. It may be more appropriate to consider symptoms related to nerve inflammation. I recommend...[Read More] Understanding Limb Nerve Pain: Causes, Symptoms, and Treatment Options
Understanding Dizziness, Blurred Vision, and Nausea: When to Seek Help
Dizziness, blurred vision, and vomiting? Hello Doctor, I need your help! Last month, while waiting for my meal, my vision started to blur and darken, and I began to feel dizzy. After about five minutes, I started to vomit! I experienced weakness in my limbs, and the right side of...
Dr. Jiang Junyi Reply:
Hello, Miss Ke: The symptoms you mentioned may initially suggest syncope. The most common causes to consider are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include transitio...[Read More] Understanding Dizziness, Blurred Vision, and Nausea: When to Seek Help
Is It Autonomic Nervous System Disorder or Something Else?
Is it autonomic nervous system dysfunction or another condition? Hello doctor, I started experiencing symptoms suggestive of autonomic nervous system dysfunction last year. During episodes, I experience palpitations, chest tightness, shortness of breath, dizziness, and abdominal ...
Dr. Jiang Junyi Reply:
Dear Ms. Wang, You mentioned that you have been frequently waking up due to hand numbness and purple nails (even without any pressure), which may indicate carpal tunnel syndrome. Carpal tunnel syndrome typically occurs in individuals who perform repetitive wrist movements, such ...[Read More] Is It Autonomic Nervous System Disorder or Something Else?
Understanding Eyelid Twitching: Causes, Treatments, and Concerns
Right eyelid twitching? Doctor, my right upper or lower eyelid has been twitching for about three weeks (the upper eyelid twitches several times a day, while the lower eyelid twitches continuously for a few hours and then stops). 1. The twitching is only in my right eyelid; there...
Dr. Jiang Junyi Reply:
Dear Miss Xiao Fen, You mentioned eyelid twitching, which is typically related to peripheral nerve issues. If it were a brain tumor, there would generally be additional symptoms related to dysfunction in nearby brain tissue. Eyelid movement is controlled by the facial nerve; if ...[Read More] Understanding Eyelid Twitching: Causes, Treatments, and Concerns
Understanding Pulsating Sensations Between the Left Temple and Ear
I feel a nerve twitching between my left temple and left ear? Hello Doctor, I have recently been experiencing a sensation of nerve pulsation between my left temple and the area above my left ear (it is not painful, occurs in intermittent bursts, and each episode does not last lon...
Dr. Jiang Junyi Reply:
Dear Ms. Min, You mentioned feeling a pulsing sensation between your left temple and left ear, which is not painful and occurs intermittently, with each episode not lasting too long. This may suggest localized muscle spasms. Nerve compression typically presents with symptoms suc...[Read More] Understanding Pulsating Sensations Between the Left Temple and Ear
Should You Worry About Your Leg Shaking? Insights from Neurology
About leg shaking? Hello, doctor. I am the person who has been asking about ALS-related concerns for the past six months. I’m not sure if I’m just being overly anxious about my health again. I often shake my left leg as a long-term habit (when I sit at my computer desk, I tend to...
Dr. Jiang Junyi Reply:
Hello, sir: You can compare the strength of your left and right legs by using more strenuous activities such as climbing stairs. Typically, in the clinic, we ask patients to sit down and stand up from a chair without armrests to assess their strength. Thank you for your question,...[Read More] Should You Worry About Your Leg Shaking? Insights from Neurology
Is Stress Causing My Blurry Vision and Confusion?
Is it too much stress? Hello, doctor. I would like to ask about experiencing flashing lights in my eyes over the past week or two. I have seen an ophthalmologist, and the tests showed no abnormalities. However, in the last couple of days, I have been feeling very confused and una...
Dr. Jiang Junyi Reply:
Dear Ms. Xiao Wu, You mentioned that your eyes are "twinkling." I wonder if you are also experiencing headaches? Symptoms of migraine with aura can include visual disturbances. These may manifest as bright lights resembling stars or lightning, as well as blurred or dis...[Read More] Is Stress Causing My Blurry Vision and Confusion?
Understanding Numbness and Neck Pain in Seniors: A Guide
Numbness in the mouth and pain in the shoulders and neck? Hello Doctor: My grandmother is 66 years old and recently she has been experiencing some numbness in her mouth, along with shoulder and neck pain. She suddenly feels very uncomfortable for a period of time. I would like to...
Dr. Jiang Junyi Reply:
Dear Ms. Wen, Your grandmother is experiencing a sensation of "tingling in her mouth." I would like to know if there are similar symptoms in other parts of her body. If she is experiencing a bitter taste in her mouth, it may be worth considering that medication could b...[Read More] Understanding Numbness and Neck Pain in Seniors: A Guide
Understanding Numbness and Dizziness: Causes and Solutions
Various sensations of numbness and lightheadedness? Hello Doctor, recently I have been experiencing various sensations of numbness and slight dizziness after feeling a bit anxious, which can last up to half an hour before subsiding. Initially, I feel mentally alert but slightly d...
Dr. Cai Zongzhang Reply:
Hello, Chang-Feng! Most of these symptoms are caused by emotional stress, but it is essential to rule out neurological disorders. I recommend visiting a neurology clinic for an examination![Read More] Understanding Numbness and Dizziness: Causes and Solutions