Numbness on Half of the Back of My Hand: When to See a Neurologist?
Numbness in half of the back of the hand? I have numbness on the left half of the back of my left hand and half of my little finger, but the palm is not numb, and I do not feel weakness or pain. It has been like this for about a week. Should I see a neurologist for this?
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of ulnar nerve entrapment, particularly affecting the branches on the back of the hand. When the elbow rests on a hard surface, such as a table, or when pressure is applied to the elbow, it can likely lead to ulnar nerve entrapment, especi...[Read More] Numbness on Half of the Back of My Hand: When to See a Neurologist?
Can Loud Headphone Sounds Cause Permanent Brain Damage?
Headache Head-related issues Hello, Doctor Jiang. I would like to ask a question. Yesterday, when I plugged my full-cover headphones into the computer, there was a sudden loud noise in the headphones. This has happened before, but this time it was particularly loud and caused sig...
Dr. Jiang Junyi Reply:
Hello, based on your description, if there is a sudden exposure to loud sounds, the eardrum has a protective mechanism. The muscles connecting the ossicles and the middle ear will reflexively reduce the transmission of sound to protect the inner ear. However, prolonged exposure t...[Read More] Can Loud Headphone Sounds Cause Permanent Brain Damage?
Understanding Dizziness and Fainting: When to See a Neurologist
Cold sweats and fainting? Hello Dr. Jiang, I would like to inquire about the following: Recently, I fainted while on the subway. I had already eaten breakfast before taking the subway, and I was standing at the time. The symptoms I experienced before fainting included dizziness, ...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms you mentioned are more likely caused by syncope. Loss of consciousness can occur when cerebral blood flow drops below 30 mL per minute, typically due to autonomic dysfunction leading to rapid drops in blood pressure or vasoconstriction, res...[Read More] Understanding Dizziness and Fainting: When to See a Neurologist
Understanding Recent Headaches and Dizziness: Neurological Insights
Recently, I have been experiencing dizziness, headaches, and a feeling of heaviness? Hello doctor, about two weeks ago I started experiencing sudden, unexplained sharp pains in my head. Sometimes it’s in the left occipital area, sometimes in the right parietal region, and other t...
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 Recent Headaches and Dizziness: Neurological Insights
Understanding Facial Nerve Dysfunction After Cosmetic Procedures
Facial nerve Hello, doctor. Two years ago, I had a cosmetic mole removal procedure done near the inner corner of my eyebrow. About a month later, I noticed a slight drooping of my eyelid, but since it was not very noticeable, I thought I was overreacting and did not see a doctor....
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Typically, the imp...[Read More] Understanding Facial Nerve Dysfunction After Cosmetic Procedures
Severe Headaches Triggered by Breath-Holding and Straining: What to Know
Severe headaches occur when holding breath or straining? Yesterday, while practicing the jellyfish float and breathing techniques during swimming, I experienced severe pain at the back of my head after completing five breathing cycles, accompanied by mild neck soreness. However, ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of a variant of migraine or myofascial pain syndrome. However, if the headache persists for more than three days, it may be necessary to consider the rare possibility of cerebral venous thrombosis, which differs from typical cerebral arter...[Read More] Severe Headaches Triggered by Breath-Holding and Straining: What to Know
Understanding Right Leg Weakness: Possible Causes and When to See a Neurologist
Unilateral weakness? Hello Doctor: My mother has been experiencing weakness in her right leg for about three days. Aside from this, she has not felt any pain or numbness, and there are no issues with her right hand. My mother works in the sewing machine industry, similar to alter...
Dr. Jiang Junyi Reply:
Hello: Based on your description, your mother has a history of hypertension and other cardiovascular diseases, which places her in a high-risk group for stroke. If she experiences sudden neurological deficits such as weakness in limbs or slurred speech, the first consideration sh...[Read More] Understanding Right Leg Weakness: Possible Causes and When to See a Neurologist
Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Unknown dizziness Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests, including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, exercise ECG, ech...
Dr. Jiang Junyi Reply:
Hello: It seems that you have undergone many examinations, yet you still experience poor sleep. I wonder if you have had a sleep study done? Many symptoms such as dizziness, elevated blood pressure, and difficulty concentrating could potentially be explained by obstructive sleep ...[Read More] Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Understanding Persistent Right Leg Numbness: Causes and Next Steps
I often experience tingling on the right side of my body, but I have already been examined by a neurosurgeon? I have been examined by a neurosurgeon, and both my cervical and lumbar spine show bone spurs, but the doctor said they are very small and do not require rehabilitation. ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "piriformis syndrome." The piriformis muscle is located deep in the buttocks and spans between the spine and the hip joint. When the piriformis muscle becomes inflamed, it can compress the sciatic nerve, leading to symptoms of numbness a...[Read More] Understanding Persistent Right Leg Numbness: Causes and Next Steps
Understanding Muscle Twitches and Weakness: A Neurological Perspective
Muscle twitching and weakness? Hello, doctor. Last Tuesday, I visited the neurology department with complaints of facial nerve dysfunction and decreased dexterity in my right hand. During my follow-up appointment this Tuesday, my right hand is still not functioning well. I am ver...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned, combined with sensory abnormalities, may suggest peripheral nerve inflammation. Amyotrophic lateral sclerosis (ALS) primarily affects motor neurons and typically does not present with sensory abnormalities. Regarding fasciculations, they are ass...[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective
Understanding Muscle Twitches: Neurological Symptoms Explained
Muscle twitching Initially, there was just a feeling of soreness in the muscles of the arms and legs, and standing for a longer period causes pain. The right hand experiences pain in the little finger, there is persistent noise and echo in the ears, and the left side of the face ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are quite atypical and involve multiple different neurological areas that need to be analyzed individually: 1. Pain in the little finger of the right hand: This may indicate a joint issue, but if there are symptoms of numbness or tingling, ulnar nerve patholo...[Read More] Understanding Muscle Twitches: Neurological Symptoms Explained
Understanding Intermittent Dizziness: Causes and Concerns
Intermittent dizziness? Hello, I have been experiencing intermittent dizziness recently. Two days ago, I felt dizzy when I turned my head, and the dizziness intensified (with a slight feeling of instability). I thought it might be due to a lack of exercise since starting college,...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief episodes of dizziness related to changes in head position. Actions such as tilting your head back, lying down, getting up, turning over, or suddenly turning your head can trigger ...[Read More] Understanding Intermittent Dizziness: Causes and Concerns
Should You See a Doctor After a Head Injury from a Fall?
Head struck the ground? Today at 2 PM, while playing with my child at home, I was sliding around in a wheeled chair. I hit a threshold in the kitchen because I couldn't stabilize my speed, and I fell backward, hitting the ground. At that moment, I experienced dizziness and d...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, and no use of anticoagulants or obvious local hematomas, head trauma is mostly mild. However, it is important to monitor for neurological symptoms within a week. If any of the following co...[Read More] Should You See a Doctor After a Head Injury from a Fall?
Discomfort from Wearing a Hat Too Long: Neurological Insights
Wearing a hat for too long can cause discomfort in the head? Hello doctor, I have been wearing a hat for the past couple of days, and now I have a persistent sensation of wearing a hat on my head. Since last night, I have been feeling discomfort and numbness in the area between m...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is dull, aching, ...[Read More] Discomfort from Wearing a Hat Too Long: Neurological Insights
Understanding Dizziness and Excessive Sleepiness: A Neurological Perspective
During episodes of dizziness, there may be persistent drowsiness? My daughter was recently diagnosed with vertigo, and the doctor advised her to avoid certain foods, such as chocolate, citrus fruits, tomatoes, dairy products, and pizza. She takes medication to manage her vertigo ...
Dr. Hong Weibin Reply:
Hello: Dizziness can be classified based on the lesion as peripheral or central. If the dizziness is more indicative of a central type during episodes, it may affect the brainstem's ability to maintain wakefulness (reticular activating system), causing the patient to feel mo...[Read More] Understanding Dizziness and Excessive Sleepiness: A Neurological Perspective
Can Frequent Hits to the Back of the Head Affect My Brain Function?
Frequently hit on the back of the head? Hello, doctor: I am currently in high school, but my classmates often make fun of me and frequently hit the back of my head (quite hard, and it makes me feel dizzy). This has been happening for almost a year... I would like to know if this ...
Dr. Hong Weibin Reply:
Hello: Chronic head trauma can indeed lead to brain damage and even pose a risk of intracranial hemorrhage, which over time may result in cognitive decline. Foreign studies have found that individuals who experience head injuries at a young age, such as boxers or football players...[Read More] Can Frequent Hits to the Back of the Head Affect My Brain Function?
Managing Post-Stroke Recovery: Dietary Changes and Work Readiness
Inquiry about Transient Ischemic Attack (TIA) Hello, my family member is 52 years old and recently experienced numbness on the right side of the body, leading to a diagnosis of a minor stroke. They previously had a history of smoking and drinking but have since quit. A magnetic r...
Dr. Jiang Junyi Reply:
Hello: 1. Recently, I experienced numbness on the right side of my body and was diagnosed with a minor stroke. I had a history of smoking and drinking but have quit. I have also scheduled an MRI. After the MRI, it was confirmed that there are no blockages in the brain vessels. ...[Read More] Managing Post-Stroke Recovery: Dietary Changes and Work Readiness
Understanding Prolonged Headaches: Could It Be a Tumor or Tension?
May I ask the doctor? I have been experiencing migraines recently that have lasted for three weeks. I feel a pressure in the back of my head on one side, and sometimes I have sudden sharp pains in the temples, back of the head, or the top of my head. I do not feel nauseous, and I...
Dr. Jiang Junyi Reply:
Hello: The migraine you mentioned may differ from the medical definition of migraine. Migraine is a type of vascular headache characterized by symptoms such as nausea, vomiting, photophobia, and phonophobia during an attack. It is often accompanied by severe unilateral throbbing ...[Read More] Understanding Prolonged Headaches: Could It Be a Tumor or Tension?
Understanding Persistent Headaches: Causes and Concerns
Headache for more than two weeks? Hello doctor, I have been experiencing migraines for several years. Previously, the pain was on the left side, occurring before my menstrual period or during times of stress. The pain felt like a throbbing sensation in the back of my head and tem...
Dr. Jiang Junyi Reply:
Hello, I am not sure if you are experiencing any cold symptoms, which could potentially lead to tension-type headaches. Common prodromal symptoms of migraines include visual disturbances, such as seeing stars or flashes of light, as well as blurred or distorted vision. These ar...[Read More] Understanding Persistent Headaches: Causes and Concerns
Understanding Numbness in the Right Face, Arm, and Neck: Causes and Concerns
Numbness in the right side of the face, right arm, and back of the neck? Hello Doctor, yesterday while I was sleeping, I suddenly felt a tingling sensation in my right arm. After sitting up, I experienced a warm, swollen feeling in my neck along with tingling. When I lay back dow...
Dr. Jiang Junyi Reply:
Hello: The numbness you are experiencing may be caused by compression of the cervical spinal nerves. Additionally, you mentioned that the symptoms become more pronounced when you bend your neck, which could also be due to inflammation and swelling of the cervical spinal cord. It ...[Read More] Understanding Numbness in the Right Face, Arm, and Neck: Causes and Concerns