Understanding Autonomic Nervous System Disorders and Muscle Tremors
Autonomic nervous system dysfunction and muscle (exercise) tremors? Hello, Doctor: I would like to inquire about two aspects related to abnormal neurological and muscular movements: A. When I hold a pen with my right hand to write, I experience involuntary tremors that lead to ...
Dr. Peng Shiwei Reply:
Hello, it is recommended that you visit a neurology or pain management clinic for evaluation. Thank you.[Read More] Understanding Autonomic Nervous System Disorders and Muscle Tremors
Understanding EPS Symptoms After Gastroenteritis Treatment: A Neurology Perspective
Symptom Analysis Last week, after taking antiemetics for gastroenteritis, I experienced extrapyramidal symptoms (EPS). It started with my teeth chattering, followed by sudden jaw deviation. I immediately went to the emergency room for an injection, which corrected the jaw misalig...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned, "Last night before bed, I took a muscle relaxant and my muscles started twitching involuntarily." Generally speaking, symptoms of extrapyramidal syndrome (EPS) caused by medication typically improve within three days after discontinuation....[Read More] Understanding EPS Symptoms After Gastroenteritis Treatment: A Neurology Perspective
Understanding Intracerebral Hemorrhage and Venous Infarction After Surgery
Regarding cerebral hemorrhage and cerebral infarction? Hello, a family member recently underwent tumor resection surgery, during which there was intracranial bleeding. The CT scans on the day of and the day after the surgery indicated intracerebral hemorrhage (ICH). This informat...
Dr. Wu Mukhan Reply:
Hello, strokes can generally be classified into ischemic strokes and hemorrhagic strokes; however, ischemic strokes can also be complicated by bleeding. Ischemia in brain tissue can lead to damage to the blood-brain barrier, and if there is unstable blood pressure, the use of ant...[Read More] Understanding Intracerebral Hemorrhage and Venous Infarction After Surgery
Understanding Headaches and Vascular Issues: A Neurological Perspective
Headaches and vascular-related issues? Hello, doctor. I have been experiencing frequent headaches and fatigue. Here are my detailed symptoms: I have two types of headaches; one is unilateral (more often on the left side, but sometimes on the right) accompanied by a feeling of pre...
Dr. Jiang Junyi Reply:
Hello Mr. H: You mentioned, "If I need to see a specific specialist, which one would you recommend (due to heart and head, neurological issues)?" I'm not sure which issue is most concerning for you. I suggest starting with a neurologist, focusing on cervical spine ...[Read More] Understanding Headaches and Vascular Issues: A Neurological Perspective
Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey
Intraocular pressure, intracranial pressure, and visual field loss? Hello, doctor. Since 2021, I have been regularly monitored at a hospital in central Taiwan due to elevated intraocular pressure. During this period, my eye pressure was normal for a while. After returning to Taip...
Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that "high intracranial pressure" is often associated with significant and dangerous conditions. It is important to distinguish between acute and chronic increases in intracranial pressure. In cases of acute intracranial hypertension, pati...[Read More] Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey
Understanding Jaw Numbness: Causes and Concerns in Neurology
Jaw issues? Hello, doctor. My chin suddenly feels a bit numb, but I haven't had orthognathic surgery, tooth extraction, or dental implants. I just suddenly feel some numbness in my chin, and recently I've also been experiencing issues with Eustachian tube dysfunction an...
Dr. Peng Shiwei Reply:
It is recommended that you seek medical treatment in the appropriate specialty department based on your discomfort. Thank you.[Read More] Understanding Jaw Numbness: Causes and Concerns in Neurology
Understanding Tinnitus and Chronic Fatigue: Insights from Neurology
Tinnitus and fatigue issues? Hello Dr. Tsai, I am not only troubled by tinnitus, but I also experience fatigue and overall exhaustion. No matter what I do, I just can't seem to muster any energy; I feel very tired. I am not working and have no stress. My tinnitus was checked...
Dr. Cai Zongzhang Reply:
Hello Ms. Chen: There are many causes of tinnitus. If there are no abnormalities found during the examination by an otolaryngologist, you may consider seeing a neurologist for further evaluation.[Read More] Understanding Tinnitus and Chronic Fatigue: Insights from Neurology
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left back of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai: "Regarding your question about headaches, which specialty should I consult to find out the cause... I have pulsating pain in the left posterior part of my head for a few seconds." Pulsatile headaches may initially suggest a vascular headache, particularl...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Is It Carpal Tunnel Syndrome? Understanding Symptoms and Diagnosis
Is this carpal tunnel syndrome? 1. I experience a tingling sensation in the interphalangeal joints, sometimes accompanied by a tearing pain that radiates downward. Additionally, when using a mouse or smartphone, I feel soreness in my wrist (the dorsal side), and my fingers are sw...
Dr. Jiang Junyi Reply:
Dear Mr. Wei, You mentioned the "tingling sensation in the metacarpophalangeal joint area... carpal tunnel syndrome will definitely cause numbness." This is because sensory nerves are usually affected first, so most patients present with a tingling sensation initially....[Read More] Is It Carpal Tunnel Syndrome? Understanding Symptoms and Diagnosis
Understanding Numbness and Swelling in the Left Foot and Leg
There is swelling and numbness from the left big toe to the left leg? There is a slight numbness and swelling sensation in the left big toe, but it is not completely devoid of feeling. The nerve sensation extends all the way to the left groin. Although it is uncertain if there is...
Dr. Jiang Junyi Reply:
Dear Ms. Chiu, You mentioned that "there is some numbness and swelling in the left big toe... the sensation of nerve twitching extends all the way to the left leg." This may indicate the possibility of lumbar nerve root compression. Typical discomfort symptoms associat...[Read More] Understanding Numbness and Swelling in the Left Foot and Leg
Exploring the Link Between Mitochondrial Diseases and Myasthenia Gravis
The relationship between mitochondrial diseases and myasthenia gravis? In April 2021, I noticed that my right eye had unilateral esotropia. After an ophthalmological examination, the doctor referred me to the neurology department for further evaluation. Since then, I have been re...
Dr. Peng Shiwei Reply:
You should discuss your concerns directly with your attending physician. If necessary, you can also bring a family member along for the medical evaluation. Thank you.[Read More] Exploring the Link Between Mitochondrial Diseases and Myasthenia Gravis
Understanding Recovery in CIDP: Symptoms, Treatments, and Prognosis
The recovery status of CIDP (Chronic Inflammatory Demyelinating Polyneuropathy)? My father was diagnosed with CIDP last year, and his condition has progressed to the point where he has difficulty walking and cannot use chopsticks with both hands. He has already received the first...
Dr. Peng Shiwei Reply:
Each person's condition is different, so it is advisable to discuss this with your father's attending physician. Thank you.[Read More] Understanding Recovery in CIDP: Symptoms, Treatments, and Prognosis
Recovery Insights After 60cc Brain Hemorrhage: A Patient's Journey
Recovery status after a 60cc intracerebral hemorrhage? Hello Doctor, my mother experienced a hemorrhagic stroke in mid-December with a volume of 60cc (right hemisphere). At that time, the doctor assessed that my mother, being 72 years old, might not have a good postoperative cond...
Dr. Wu Mukhan Reply:
Hello, the blood clot from a cerebral hemorrhage can generally be completely absorbed, usually taking from one month to several months. If the cerebral hemorrhage has caused brain damage, it typically results in residual symptoms. Different locations of damage will lead to differ...[Read More] Recovery Insights After 60cc Brain Hemorrhage: A Patient's Journey
Understanding Eyebrow Bone Pain: Causes and When to Seek Help
Frontal bone pain In the past year or two, I have started experiencing pain in my brow bone, which I initially thought might be due to the use of electronic devices. As a result, I significantly reduced my usage of these devices for a while. I also visited the ophthalmology depar...
Dr. Cai Zongzhang Reply:
Hello, Ms. Chang: The pain occurring in the brow area may have other potential causes, including sinusitis or trigeminal neuralgia. If the ophthalmic examination shows no abnormalities, it is recommended to consult an otolaryngologist and a neurologist for further evaluation.[Read More] Understanding Eyebrow Bone Pain: Causes and When to Seek Help
Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help
I would like to inquire about what condition these symptoms may indicate? Sitting for 1-2 hours (such as in a car or at a desk) causes intense stabbing pain throughout the neck, shoulders, and upper back, along with a feeling of tightness and swelling around the neck and shoulder...
Dr. Jiang Junyi Reply:
Hello Ms. QZ: You mentioned experiencing a strong stabbing pain from your neck to your shoulders and upper back. I wonder if you also have any tingling sensations? We should first consider cervical nerve root compression, which is often related to tightness in the cervical muscle...[Read More] Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help
Managing Headaches: Medication Adjustments and Patient Concerns
Headache medication Hello Dr. Jiang, I have recently been experiencing headaches and dizziness, and I have consulted with you twice. During the first visit, you prescribed medication for my heart rhythm and Cerebrolysin, to be taken once in the morning and once in the evening. My...
Dr. Jiang Junyi Reply:
Dear Miss Chien, If you have experienced improvement while taking medications for heart rhythm and brain clarity, it may be worth considering migraine-associated dizziness. There are primarily two types of medications for treating migraines: preventive and acute treatment. Oral ...[Read More] Managing Headaches: Medication Adjustments and Patient Concerns
Sudden Weakness and Unconsciousness in Elderly: Causes and Risks
Sudden paralysis and coma? The patient is 87 years old and has moderate Alzheimer's disease. At the end of 2022, he was diagnosed with aortic regurgitation, with no follow-up appointments. He has experienced two episodes (one year apart) of sudden loss of consciousness and w...
Dr. Jiang Junyi Reply:
Hello Ms. Huang, You mentioned experiencing "sudden loss of consciousness and weakness for about 5-10 minutes." I'm wondering if blood pressure and heart rate monitoring were conducted at that time? This symptom should be considered as a sign of syncope, with the ...[Read More] Sudden Weakness and Unconsciousness in Elderly: Causes and Risks
Understanding Neck and Shoulder Inflammation: Is It Affecting Your Ears and Eyes?
Shoulder and neck inflammation? Recently, I visited an orthopedic doctor due to pain in my left shoulder and neck, and I was diagnosed with muscle inflammation in that area. I took medication, but I still experience sudden pain or a tight sensation in my neck. Occasionally, I als...
Dr. Wu Mukhan Reply:
Hello, neck tightness may be related to inflammation of the shoulder and neck muscles. Symptoms related to the eyes and ears are usually not significantly affected by the shoulder and neck. It is recommended to consult a rehabilitation specialist to address the muscle inflammatio...[Read More] Understanding Neck and Shoulder Inflammation: Is It Affecting Your Ears and Eyes?
Unexplained Dizziness: Seeking Answers After Multiple Doctor Visits
After multiple consultations, the cause of the head dizziness has not yet been identified? Hello Doctor: Last month (December 21, 2023) in the evening, due to the cold weather and wearing lighter clothing, I seemed to have caught a chill. However, I did not exhibit any obvious co...
Dr. Cai Zongzhang Reply:
Hello Mr. Li: There are various causes of dizziness. It is recommended to first visit a neurologist to arrange for a vascular ultrasound examination. Identifying the cause is essential for determining the correct treatment direction.[Read More] Unexplained Dizziness: Seeking Answers After Multiple Doctor Visits
Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Feeling of body swaying? Hello, doctor. Recently, I spent too much time at the computer maintaining a posture, and after getting up, I noticed stiffness in my neck muscles along with dizziness. I visited a traditional Chinese medicine practitioner who said my muscles were inflame...
Dr. Peng Shiwei Reply:
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.[Read More] Understanding Dizziness and Body Shaking: When to Seek Neurological Help