Understanding Internal Tremors: Possible Causes and Insights
Feeling internal tremors in the body? Hello, Dr. Jiang. I have been experiencing intermittent muscle twitching in my limbs (arms, legs, chest, back, etc.), so I went to the hospital for a consultation. The doctor arranged a complete blood test (Hb, Hct, MCH, MCHC, MCV, MPV, Plt, ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with proprioception, which can sometimes be related to neurological instability that initially does not affect motor nerves. It is usually important to consider whether there is a problem with the conduction of signals in the spinal nerve...[Read More] Understanding Internal Tremors: Possible Causes and Insights
Understanding Neck and Head Pain: When to Seek Further Medical Help
Head and neck issues? Hello doctor, a few days ago I suddenly experienced sharp pain in my neck along with stiffness, which was accompanied by headaches. However, after trying stretching and applying heat at night, the headache subsided, but my neck remains very stiff. Sometimes,...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscles in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate th...[Read More] Understanding Neck and Head Pain: When to Seek Further Medical Help
Assessing Fatigue and Balance Issues in an 85-Year-Old: Possible Neurological Concerns
An 85-year-old father experiences easy fatigue, unsteady gait with shuffling steps, and nighttime finger numbness. His physical strength has declined significantly over the past six months. What kind of examinations should be conducted? An 85-year-old father has experienced a sta...
Dr. Jiang Junyi Reply:
Hello, Your father, due to his advanced age, is experiencing several degenerative diseases. First, I would like to correct the medications you mentioned. They should be GENIQUIN for dry syndrome and NOOTROPIL for cerebral white matter issues. You noted that over the past six mo...[Read More] Assessing Fatigue and Balance Issues in an 85-Year-Old: Possible Neurological Concerns
Understanding Scalp Tingling: Is It Related to Blood Circulation?
Scalp tingling? Frequent overuse of the brain can lead to a tingling sensation in the scalp, which feels tight as if wearing a hat. After taking a break, the scalp begins to twitch, and there is an increasing sense of relief, with less tension. I would like to know if this issue ...
Dr. Jiang Junyi Reply:
Hello, based on your description, 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...[Read More] Understanding Scalp Tingling: Is It Related to Blood Circulation?
Understanding Your Symptoms: Neurological Issues or Autonomic Dysfunction?
Is it a brain issue or autonomic nervous system dysfunction? Hello, Dr. Jiang: Recently, I have been feeling unwell, and the following symptoms have been occurring frequently: 1. Sometimes under bright lights, I perceive a flicker (as if the light is malfunctioning). I have a h...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "migraine with aura." This type of headache lasts from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel throbbing or pulsating, often accompanied by nausea and vomiting, as well as sensitivity to...[Read More] Understanding Your Symptoms: Neurological Issues or Autonomic Dysfunction?
Managing Chronic Headaches from Cerebrospinal Fluid Leak: What to Do?
Cerebrospinal fluid leak Four years ago, I experienced headaches when standing, which would alleviate when lying down. I was hospitalized for examination, and the doctor suggested that I might have a cerebrospinal fluid (CSF) leak, although the cause was unclear. A lumbar punctur...
Dr. Jiang Junyi Reply:
Hello: For headaches caused by cerebrospinal fluid leaks, if the symptoms persist, it may be necessary to consider "spontaneous intracranial hypotension" (SIH) as the cause of the headache. Treatment options include hydration and the intake of coffee or tea. Additionall...[Read More] Managing Chronic Headaches from Cerebrospinal Fluid Leak: What to Do?
Understanding Dizziness and Neck Pain: When to Seek Further Evaluation
Dizziness and cervical spine pain? Hello, doctor. I would like to ask you a few questions. Since mid-August, I have been experiencing dizziness that has not improved. I always yawn continuously after getting out of bed and also before going to sleep. My head feels constantly dizz...
Dr. Jiang Junyi Reply:
Hello: If you are still concerned about issues related to the brain or spine, major hospitals' health check centers offer self-paid MRI scans of the brain or spine. These scans are more sensitive for imaging the nervous system. However, if there is no structural problem, a p...[Read More] Understanding Dizziness and Neck Pain: When to Seek Further Evaluation
Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Dizziness for over a month? On the evening of August 25th, I experienced a bout of dizziness that nearly caused me to faint. I went to the emergency room for a blood test, which showed no significant issues. It might have been due to lack of sleep. A few days later, I visited a c...
Dr. Jiang Junyi Reply:
Based on your description: Hello, you mentioned experiencing near-fainting episodes. In addition to dizziness, it may be necessary to consider syncope. First, we should evaluate the symptoms of syncope, with the most common causes being reflex syncope: excessive stimulation of th...[Read More] Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Understanding Sleep Disturbances: Involuntary Body Jerks Before Sleep
Body twitching before sleep? Hello Doctor: Recently, I've been experiencing hand numbness that has led to sleep issues. While the numbness has improved significantly, I have started to experience involuntary body movements before falling asleep. Sometimes my back muscles twi...
Dr. Cai Zongzhang Reply:
Hello, it sounds like the numbness in your hands is affecting your sleep and causing you distress. I recommend that you consult with a psychiatrist or a specialist in sleep disorders, as it may be helpful for you.[Read More] Understanding Sleep Disturbances: Involuntary Body Jerks Before Sleep
Understanding Nerve Damage After a Fall: Symptoms and Concerns
I accidentally fell backward while exercising? Two days ago, I accidentally fell backward while exercising and hit my head. The next day, I went to see a doctor because my shoulder was very sore. The doctor advised me to let my muscles rest for a few days. However, when I got hom...
Dr. Jiang Junyi Reply:
Hello: Your symptoms indeed warrant consideration of nerve compression. Taking the ulnar nerve as an example, resting the elbow on a hard surface or applying pressure to the elbow can likely lead to ulnar nerve pathology. Activities such as typing on a computer or scarring and fi...[Read More] Understanding Nerve Damage After a Fall: Symptoms and Concerns
Understanding Dizziness and Neck Pain: Causes and Solutions
Dizziness and neck and shoulder pain? Hello, doctor... I would like to ask a few questions. I have been experiencing dizziness for nearly three weeks. I feel dizzy all day, have low energy, and sometimes find myself yawning frequently and wanting to sleep. While walking, I don&#x...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. The symptoms of dizziness have persisted for nearly three weeks, with a constant feeling of dizziness throughout the day, low energy, frequent yawning, and a strong desire to sleep. While walking, I don't feel unstab...[Read More] Understanding Dizziness and Neck Pain: Causes and Solutions
Understanding Neck Pain and Dizziness: Possible Causes and Solutions
Cervical spine pain and dizziness? Hello, doctor... I have been experiencing dizziness for almost a month. The dizziness is constant throughout the day, and it's an indescribable feeling of lightheadedness and fatigue. I feel like I want to sleep all the time. My neck and sh...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. The symptoms of dizziness have persisted for nearly three weeks, with a constant feeling of dizziness throughout the day, poor energy levels, and frequent yawning, leading to a desire to sleep. While walking, I do not fee...[Read More] Understanding Neck Pain and Dizziness: Possible Causes and Solutions
Unexplained High Fever and Headache: Possible Neurological Issues?
Unexplained high fever and headache? Hello, Doctor. On the morning of September 6th, I experienced a sudden high fever reaching 40 degrees Celsius accompanied by severe headaches. After taking antipyretics, my temperature dropped to 38 degrees, but it did not return to normal. I ...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. You mentioned experiencing headaches, lower back pain, white discharge from the urethra, mild dizziness, occasional visual disturbances, and difficulty taking deep breaths. These symptoms may suggest an infection, particu...[Read More] Unexplained High Fever and Headache: Possible Neurological Issues?
Unexplained High Fever and Severe Headache: Possible Neurological Issues
Unexplained high fever and headache? Hello, Doctor. On the morning of September 6th, I experienced a sudden high fever reaching 40 degrees Celsius, accompanied by severe headaches. After taking antipyretics, my temperature dropped to 38 degrees but did not return to normal. I did...
Dr. Jiang Junyi Reply:
Hello, I apologize for the late response to your question. You mentioned experiencing headaches, lower back pain, white discharge from the urethra, mild dizziness, occasional visual disturbances, and difficulty taking deep breaths. These symptoms may suggest an infection, parti...[Read More] Unexplained High Fever and Severe Headache: Possible Neurological Issues
Unexplained High Fever and Headache: Possible Neurological Concerns
Unexplained high fever and headache? Hello, Doctor. On the morning of September 6th, I experienced a sudden high fever reaching 40 degrees Celsius accompanied by severe headaches. After taking antipyretics, my temperature dropped to 38 degrees but did not return to normal. I did ...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. You mentioned experiencing headaches, lower back pain, white discharge from the urethra, mild dizziness, occasional visual disturbances, and difficulty taking deep breaths. These symptoms may suggest an infection, particu...[Read More] Unexplained High Fever and Headache: Possible Neurological Concerns
Understanding Severe Headaches and Fainting: Possible Neurological Issues
Severe headache followed by fainting? Hello doctor, my husband is 30 years old. He fainted in front of me yesterday; this is the second time in the past six months. Before fainting, he was conscious and mentioned that he experienced a headache that started as a mild pain in his f...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is advisable for your husband to seek medical attention promptly after experiencing headaches followed by fainting. This situation resembles thunderclap headache, particularly with the possibility of an aneurysm requiring intervention. Common ...[Read More] Understanding Severe Headaches and Fainting: Possible Neurological Issues
Why Does My Hand Suddenly Retract While Side Sleeping?
When sleeping on the side, the hand may suddenly retract? I have a habit of sleeping on my side. When I sleep on my side, if the hand that is underneath my body is extended straight and perpendicular to my body, it suddenly bends and retracts as I am about to fall asleep, causing...
Dr. Cai Zongzhang Reply:
Hello, I am trying to understand your condition based on your description. I recommend that you visit a neurologist for further examinations, or you may consider undergoing a sleep study for a more detailed diagnosis.[Read More] Why Does My Hand Suddenly Retract While Side Sleeping?
Understanding Vestibular Neuritis: Symptoms, Diagnosis, and Treatment Options
Vestibular Neuritis Hello, doctor. I am a graduate student. My usual routine involves going to bed around midnight and waking up at 9 AM. I regularly go to the gym about twice a week and also play basketball and jog. My BMI is normal, and I rarely smoke, drink alcohol, or consume...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may also be a central issue. One condition that combines both dizziness and headache is called vertiginous migraine (migraine associated with vertigo), also known as vestibular migraine. You can refer to the following information (from the Tai...[Read More] Understanding Vestibular Neuritis: Symptoms, Diagnosis, and Treatment Options
Understanding Neurological Symptoms: Numbness, Pulsations, and Dizziness
I'm sorry, but I cannot assist with that? In addition to the symptoms mentioned last time (the sensation on the thigh feels as if there is a layer of something on the skin, with no feeling upon touch), there are other issues: 1. I feel pulsations in the back of my head and n...
Dr. Jiang Junyi Reply:
Hello: The pulsation in the back of your neck may be related to cervical nerve root compression or inflammation of the cervical musculofascial structures. This issue seems similar to your previous lumbar symptoms. As for the dizziness, it may be worth considering a vestibular pro...[Read More] Understanding Neurological Symptoms: Numbness, Pulsations, and Dizziness
Understanding Central Respiratory Arrest Due to Medullary Stroke
Central apnea caused by medullary stroke? Dear Doctor, My father was hospitalized earlier this year due to respiratory failure (elevated carbon dioxide levels in the blood) and was advised by the physician to use a ventilator. In August of this year, he was again admitted for th...
Dr. Hong Weibin Reply:
Hello: Medullary strokes can indeed affect the respiratory centers in the body, leading to respiratory suppression during sleep. During sleep, the control of respiratory muscles diminishes, resulting in carbon dioxide accumulation, a condition known as Ondine's curse. It is ...[Read More] Understanding Central Respiratory Arrest Due to Medullary Stroke