Nutritional Support and Medication Management for Epilepsy in Children
Nutrition and Medication in Epilepsy Hello, my son suffered from hypoxic-ischemic encephalopathy due to oxygen deprivation at birth, accompanied by seizures, and underwent hypothermia treatment. Initially, he only experienced minor seizures just before falling asleep, which occur...
Dr. Cai Zongzhang Reply:
Hello! Exaggerated startle reflex is a common sequela of hypoxic brain injury, which can be triggered by any stimuli (e.g., sound, touch). If the symptoms are mild, medication may not be necessary; if medication is required, low doses can be used to alleviate symptoms. For genera...[Read More] Nutritional Support and Medication Management for Epilepsy in Children
Understanding Facial Discomfort: Causes and When to Seek Help
My cheeks feel strange? Hello Doctor: Since yesterday, I've suddenly felt something unusual in both of my cheeks. It's a bit hard to describe, but it feels somewhat stiff when I move my cheeks, and there's no pain—just a slight soreness when my cheeks are at rest. ...
Dr. Jiang Junyi Reply:
Dear Ms. Li, Your symptoms may suggest lactic acid accumulation in the facial muscles. I wonder if you have been using your masticatory muscles frequently? Additionally, if your symptoms progress, it may be necessary to consider some autoimmune issues. It is recommended to impro...[Read More] Understanding Facial Discomfort: Causes and When to Seek Help
Understanding Rare Neurological Disorders: Sudden Muscle Weakness Explained
Inquiry about rare neurological diseases? The condition you are describing sounds like it could be related to a rare neurological disorder known as "hemiplegic migraine" or possibly "hemiplegia," which involves sudden weakness or paralysis on one side of the b...
Dr. Jiang Junyi Reply:
Hello, sir: I wonder if you are referring to Hemiconvulsion-hemiplegia-epilepsy syndrome? This is a relatively rare form of childhood epilepsy associated with genetic factors. This condition may need to consider abnormalities in the CACNA1A gene, as well as issues related to the ...[Read More] Understanding Rare Neurological Disorders: Sudden Muscle Weakness Explained
Understanding Burning Sensation in the Spine: Causes and Treatments
Burning sensation in the spine Hello doctor, I haven't been feeling well for the past few days. Last night, I felt a burning sensation in my left leg, starting from my hip down to my thigh and calf (mainly concentrated in the hip and thigh). This morning, I no longer felt th...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, The symptoms you mentioned may indicate the possibility of nerve root compression. If your symptoms persist and progress, it may be necessary to consider some autoimmune diseases. Pain caused by a herniated disc can have several sources, one of which is mechanical...[Read More] Understanding Burning Sensation in the Spine: Causes and Treatments
Understanding Groin Tightness: Causes and Solutions for Chronic Discomfort
Inguinal tightness and related issues? I am a 41-year-old female, married with two children. Since March 2020, I have gradually felt tightness in my groin area (from the pubic bone to the buttocks), especially when sitting or lying down. When standing, I occasionally feel a forei...
Dr. Jiang Junyi Reply:
Dear Ms. Kelly, Your issues may be exacerbated by prolonged poor posture, so I recommend making adjustments in your daily life. Have you undergone a "dynamic weight-bearing MRI" examination? It might be worth considering: https://www.chinatimes.com/realtimenews/2019091...[Read More] Understanding Groin Tightness: Causes and Solutions for Chronic Discomfort
Can You Get the COVID Vaccine with Frequent Headaches and Heart Issues?
If you frequently experience headaches, dizziness, numbness in your hands and feet, and a rapid heartbeat, it is important to consult with a healthcare professional before receiving the COVID-19 vaccine. They can evaluate your symptoms and medical history to determine if vaccinat...
Dr. Jiang Junyi Reply:
Hello, Miss: Propranolol works by reducing sympathetic nervous system activity and is commonly used clinically as a preventive medication for migraines. Your symptoms may need to be considered in the context of migraine attacks that can cause visual disturbances. Our autonomic ne...[Read More] Can You Get the COVID Vaccine with Frequent Headaches and Heart Issues?
Understanding Sleep Paralysis: Causes, Symptoms, and Solutions
Sleep paralysis in the morning? Hello, doctor. First, I want to thank you for taking the time to answer my questions despite your busy schedule! As mentioned, I usually go to bed between 11:30 PM and 12:30 AM, but it takes me until almost 1 or 2 AM to fall asleep. Occasionally, I...
Dr. Jiang Junyi Reply:
Dear Ms. Jennifer, Your symptoms may suggest sleep paralysis, as they occur during awakenings in the rapid eye movement (REM) stage of sleep. Sleep paralysis is more common among adolescents and young adults. Individuals in this demographic often experience high levels of stress...[Read More] Understanding Sleep Paralysis: Causes, Symptoms, and Solutions
Understanding Neck Artery Issues: Risks, Symptoms, and Management
Neck issues Hello Doctor, I experienced sudden unilateral tinnitus in April, which led me to consult an otolaryngologist. My hearing test results were normal. Then one day, I suddenly experienced vertigo and sought medical attention again from the otolaryngologist. The doctor exa...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, If you are concerned about vascular aging, it is advisable to have a clear understanding of your condition regarding the three highs (hypertension, hyperglycemia, and hyperlipidemia). For blood pressure measurement: In the population around 50 years old, systoli...[Read More] Understanding Neck Artery Issues: Risks, Symptoms, and Management
Understanding Hand Numbness: Causes and Concerns for Your Health
Numbness in the hands? I apologize for bothering you, doctor. Some time ago, I spent a long time in bed using my phone and computer, and I have been experiencing pain in my left shoulder and neck that radiates down to my ring and little fingers, which sometimes feel numb. Occasio...
Dr. Cai Zongzhang Reply:
Hello! Based on the above, these symptoms do not match the clinical characteristics of amyotrophic lateral sclerosis (ALS). It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Hand Numbness: Causes and Concerns for Your Health
Understanding Persistent One-Sided Head and Neck Pain: A Neurology Perspective
Unilateral persistent pain in the head, temples, jaw, and shoulder-neck area? Dear Dr. Jiang, Thank you very much for your response. I will promptly visit the rehabilitation department for further examination, but I still have some questions I would like to ask. If we rule out t...
Dr. Jiang Junyi Reply:
Hello Mr. Xiao Lan, Regarding the out-of-pocket expenses, you might consider an "MRI of the brain." For fasciitis, will the inflammatory markers show up in blood tests? Typically, they are normal, but an ESR test can be conducted. If there are concerns about thrombosis...[Read More] Understanding Persistent One-Sided Head and Neck Pain: A Neurology Perspective
Understanding Spinal Burning Sensation: Causes and Treatment Options
Burning sensation in the spine? Hello doctor, I have been feeling unwell for the past few days. Last night, I experienced a burning sensation in my left leg, starting from my hip and extending down to my thigh and calf (mainly concentrated in the hip and thigh). When I woke up th...
Dr. Jiang Junyi Reply:
Hello, Miss: The symptoms you mentioned may suggest the possibility of nerve root compression. Pain caused by a herniated disc can have several sources. One of them is mechanical pain, which can occur during daily activities. The theory is that when the annulus fibrosus is damag...[Read More] Understanding Spinal Burning Sensation: Causes and Treatment Options
Understanding Burning Sensation in the Spine: Causes and Solutions
Burning sensation in the spine? Hello Doctor, I haven't been feeling well for the past few days. Last night, I experienced a burning sensation in my left leg, starting from my hip down to my thigh and calf (mainly concentrated in the hip and thigh). This morning, the burning...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: The symptoms you mentioned may suggest the possibility of nerve root compression. If your symptoms persist and progress, it may be necessary to consider some autoimmune diseases. Pain caused by a herniated disc can have several sources, one of which is mechanical ...[Read More] Understanding Burning Sensation in the Spine: Causes and Solutions
Persistent One-Sided Head and Neck Pain After COVID-19 Vaccination
Unilateral persistent pain in the head, temples, jaw, and shoulder-neck region? Hello, Doctor. I received my first dose of the AstraZeneca vaccine in early May. At that time, the side effects included severe pain in my head and neck, as well as a low-grade fever. I rarely experie...
Dr. Jiang Junyi Reply:
Hello, Sir: Your symptoms seem to indicate cervical myofascial inflammation, and cervicogenic headache is a common cause. You mentioned, "I consulted two neurologists along the way; one believed it might be related to autonomic nervous system dysfunction, but I did not exper...[Read More] Persistent One-Sided Head and Neck Pain After COVID-19 Vaccination
Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Dizziness, headache, and tightness and pain in the shoulder and cervical spine? Hello, doctor. I started experiencing severe headaches, dizziness, neck tightness and pain, and numbness in my hands and feet around July of last year. I initially thought it was due to fatigue or hea...
Dr. Jiang Junyi Reply:
Hello, Miss: In addition to your original issues, we may need to consider vascular headaches, which could be related to your menstrual cycle. Furthermore, since you mentioned a connection to posture, we should consider "intracranial hypotension headache." The primary sy...[Read More] Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Do I Need Imaging Tests for My Persistent Migraines?
Do I need to undergo an examination? Hello, Dr. Tsai. Last week, I suddenly experienced a migraine that caused dizziness and vomiting three times, and my eyes also felt uncomfortable. I called an ambulance and went to the emergency room. After assessing my condition, the doctor a...
Dr. Cai Zongzhang Reply:
Hello Mr. Lin! It is recommended that you first consult a neurologist, who will then determine whether an MRI scan is necessary.[Read More] Do I Need Imaging Tests for My Persistent Migraines?
Understanding Pain Near the Ear: Possible Neurological Causes
Pain near the ear? Recently, I have been experiencing pain near my ear, including sharp and stabbing sensations. There is also pain when pressure is applied near the occipital nerve at the back of my head. Additionally, I feel a cool, burning, and tingling sensation in and around...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may suggest a peripheral nerve issue, as you are experiencing tingling sensations. The common cause of neck pain behind the ear is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the ...[Read More] Understanding Pain Near the Ear: Possible Neurological Causes
Understanding Neck Pain and Nerve Twitches: When to Seek Help
Sensation of nerve twitching in the posterior neck? Hello doctor, due to long hours of sitting in the office using a computer, I have been experiencing significant pain in my shoulders and neck. I later went for traditional Chinese massage, but the improvement was only temporary....
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao, The most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but over t...[Read More] Understanding Neck Pain and Nerve Twitches: When to Seek Help
Coping with Anxiety Over Muscle Twitches: A Neurology Perspective
Regarding the previous question? Hello doctor, I have read your response. What kind of attitude/thoughts/actions should I adopt regarding my hand and the twitching muscles? I am very worried that the issues with my hand might indicate a condition like amyotrophic lateral sclerosi...
Dr. Jiang Junyi Reply:
Hello Sir: Immersing oneself in imagination can actually be quite uncomfortable. If emotions persist for more than two weeks, it may be worth considering the possibility of depression. I recommend increasing physical activity and sun exposure. In addition to B vitamins, supplemen...[Read More] Coping with Anxiety Over Muscle Twitches: A Neurology Perspective
Understanding Thumb Numbness After a Minor Injury: What to Do?
Numbness in the hand after hitting the outer side of the thumb? Hello Doctor, yesterday afternoon while I was swatting a bug, I accidentally hit the outer side of my right thumb, which may include the joint and the area connected to the palm. At first, I didn't feel anything...
Dr. Jiang Junyi Reply:
Dear Ms. Mo, Based on your description, it seems there are two issues: one is acute nerve compression of the right radial nerve in the thumb, and the other is chronic cervical nerve compression. I recommend that you increase your intake of B vitamins and remind yourself to get u...[Read More] Understanding Thumb Numbness After a Minor Injury: What to Do?
Understanding Hand Tremors: Causes, Symptoms, and Management Tips
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. Although my sleep duration hasn't significantly increased, the quality of my sleep has improved. I've observed a reduction in the amplitude and duration of muscle contractions below my r...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be worth considering that some smaller muscles are less frequently used, leading to tremors during muscle coordination. Generally, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, esse...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Tips