Understanding Right Arm Pain and Numbness: Is It a Stroke Warning?
Pain and numbness in the right arm? Hello Doctor, my father is 56 years old, 172 cm tall, and weighs 68 kg. He smokes and is taking medication to lower his blood pressure. A few days ago, he experienced pain in his right arm, which was severe enough to cause numbness throughout t...
Dr. Lan Shengxing Reply:
Dear Ms. Huang, urgent issues like this may not be suitable for finding answers here. The symptoms you described could have several possibilities, ranging from serious conditions such as a stroke caused by arterial dissection to less severe issues like cervical nerve root compres...[Read More] Understanding Right Arm Pain and Numbness: Is It a Stroke Warning?
Understanding Dizziness and Nausea: Possible Causes and Solutions
Dizziness, vision becoming dark, and cold sweats..? Hello doctor, about a month ago on the first day of my menstrual period, I experienced sudden dizziness, blurred vision, and nausea. I initially thought it was related to my period, but this morning at work, I had the same sympt...
Dr. Gao Chunde Reply:
It is important to check if blood pressure is too low or if there are signs of anemia. Based on these issues, we can investigate the causes of low blood pressure or low hemoglobin levels. Of course, fluctuations can occur around the menstrual cycle, and if the bleeding is excessi...[Read More] Understanding Dizziness and Nausea: Possible Causes and Solutions
Understanding Dizziness and Fainting: Possible Neurological Causes
Sudden vision loss, cold sweat, and dizziness? Hello, sometimes when I stand for a while, I start to see black in front of my eyes, the surrounding sounds become muffled, and I experience dizziness and cold sweats. Sometimes I also feel bloated and nauseous. Bending down with my ...
Dr. Gao Chunde Reply:
Possible causes of low blood pressure include hypotension, physical weakness, anemia, fatigue, insufficient sleep, colds, and gastroenteritis. These conditions can lead to inadequate cerebral perfusion when standing, resulting in symptoms similar to pre-shock. However, it may als...[Read More] Understanding Dizziness and Fainting: Possible Neurological Causes
Understanding Post-Workout Headaches: Causes and Solutions
Post-exercise headache? Hello, Dr. Gao. Ten days ago, I was doing squats at the gym (with a barbell on my shoulders, performing deep squats) and gradually increased the weight to a total of 30 kg. During the last two sets, I experienced severe pain in the back of my head. Since t...
Dr. Gao Chunde Reply:
This is a type of headache known as exertional headache. It typically occurs during intense physical exertion or activities that increase intrathoracic pressure. The exact physiological mechanism is unclear, but it may be related to impaired autoregulation of intracranial blood v...[Read More] Understanding Post-Workout Headaches: Causes and Solutions
Understanding Post-Concussion Symptoms After a Car Accident
Regarding mild concussions after a car accident? I'm sorry to hear about your friend's mother. She was involved in a car accident a month ago and suffered a mild concussion. After being hospitalized, she underwent brain examinations, which showed no issues. However, rec...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, the symptoms of head trauma are mostly mild. As for the frequent episodes of fainting, continuous observation and follow-up are neces...[Read More] Understanding Post-Concussion Symptoms After a Car Accident
Understanding Headaches and Vision Issues: When to Seek Neurology Care
Please provide the content you would like to have translated into English? Hello, Doctor: I would like to ask you a question. If a vision test shows 1.2, indicating normal vision, but I occasionally experience stiffness in my shoulders and neck, along with headaches (possibly aro...
Dr. Gao Chunde Reply:
Vision is normal, but sometimes it becomes blurry or unfocused when looking at the computer, which may be caused by eye fatigue leading to weakened accommodation of the ciliary muscle. To alleviate this, it is recommended to take a break after using the eyes for thirty minutes, m...[Read More] Understanding Headaches and Vision Issues: When to Seek Neurology Care
Understanding Asymmetrical Limb Atrophy: Causes and Next Steps
Gradual atrophy of one side of the limbs? The left side of my limbs has become noticeably thinner compared to the right side, which was normal and equal a month ago. However, the left side has lost a lot of mass during this month. My blood pressure is also elevated (130-150), and...
Dr. Gao Chunde Reply:
If there is unilateral limb atrophy accompanied by weakness, differing sensations on both sides, and it has only been present for a month, it is important to pay attention to any lesions in the contralateral central nervous system. Therefore, it is recommended to promptly visit a...[Read More] Understanding Asymmetrical Limb Atrophy: Causes and Next Steps
Understanding Chronic Fatigue and Allergies: A Neurological Perspective
There is a tendency towards anxiety? I have been experiencing long-term issues since high school, which are now significantly affecting my work. 1. I have allergic rhinitis, but I exercise regularly (walking and light jogging, not too intense, as I feel too tired after work). I...
Dr. Lan Shengxing Reply:
Dear Mr. S, From the perspective of sleep medicine, the most likely condition you should address is obstructive sleep apnea (OSA) caused by nasal airway narrowing. This condition often leads to daytime concentration difficulties, which can contribute to feelings of depression. G...[Read More] Understanding Chronic Fatigue and Allergies: A Neurological Perspective
Understanding Memory Loss in Elderly: When to See a Neurologist
If a mother is experiencing episodes of depression, she should consult a psychiatrist or a psychologist for evaluation and treatment? Hello Doctor, My mother is currently 82 years old. She is generally healthy but has high blood pressure that is controlled with medication. Last ...
Dr. Gao Chunde Reply:
Transient global amnesia (TGA) currently lacks a well-understood etiology. Potential causes include transient discharges similar to those seen in epilepsy, migraine-related brain storms, transient cerebral ischemia, jugular venous reflux, or other factors. It is essential to cons...[Read More] Understanding Memory Loss in Elderly: When to See a Neurologist
Understanding Scalp Twitching: Causes and When to See a Neurologist
Scalp twitching issue? Hello: Recently, I have been experiencing a sensation in my scalp that feels like a muscle twitch while walking. It is not painful, and my blood pressure is normal. I would like to ask two questions: 1. What could be the possible causes of the symptoms desc...
Dr. Gao Chunde Reply:
There is a rich network of muscles beneath the scalp, and sometimes their contraction can lead to a feeling of tightness in the head, accompanied by brief neuromuscular contractions that may feel like twitching. If the twitching is localized to a specific area, it could indicate ...[Read More] Understanding Scalp Twitching: Causes and When to See a Neurologist
Is Aspirin Safe for Women After a Stroke? Expert Insights on Medication Use
Medication consultation Hello Dr. Huang, my mother is 64 years old. She was hospitalized for acute ischemic stroke (suspected in the midbrain region) one and a half months ago and has been receiving treatment. Her recovery is going well, and she has returned home to rest and acti...
Dr. Huang Yingzhe Reply:
Bokey has a preventive effect on heart and cerebrovascular blockages (though not 100%) and is applicable to both men and women (except in certain situations where other medications may be used instead).[Read More] Is Aspirin Safe for Women After a Stroke? Expert Insights on Medication Use
Understanding Pontine Infarction: Symptoms, Risks, and Management Tips
Health Check Report Hello, Doctor! I recently underwent a health check-up at the Shou-Li Double Harmony Hospital, which included a 64-slice CT scan of the brain. The report indicated a possible infarction or artifact in the left pons and recommended follow-up examinations. Could ...
Dr. Huang Yongquan Reply:
Hello: In response to your question, I cannot provide a further explanation of the test results without seeing your complete report. The aspirin you are taking is indeed the first-line medication for stroke prevention. Your blood pressure is also well controlled. Unless there are...[Read More] Understanding Pontine Infarction: Symptoms, Risks, and Management Tips
Understanding Brainstem Infarction: Symptoms, Risks, and Follow-Up Care
Health Check Report Hello, Doctor! I recently underwent a health check-up at the Shou-Li Double Happiness Hospital, which included a 64-slice CT scan of the brain. The report indicated a possible infarction or artifact in the left pons and recommended follow-up examinations. Coul...
Dr. Huang Yongquan Reply:
A pontine infarction is an ischemic stroke that occurs in the brainstem at the "pons" location. It is essential to implement stroke prevention measures, such as controlling blood pressure, taking antiplatelet medications like aspirin, and managing weight. If you have an...[Read More] Understanding Brainstem Infarction: Symptoms, Risks, and Follow-Up Care
How Breath Control Affects Autonomic Nervous System Health
Breathing affects the autonomic nervous system? Hello Doctor, I have a habit that started in middle school where I like to control my own breathing. Generally, breathing is regulated by the brainstem without conscious effort, but I later realized that by not allowing my body to b...
Dr. Huang Yongquan Reply:
It is recommended to consult a psychiatrist, practice relaxation techniques, and engage in deep breathing exercises to improve symptoms.[Read More] How Breath Control Affects Autonomic Nervous System Health
Understanding Persistent Arm Tightness and Numbness: A Neurological Perspective
Numbness and tightness in the arm? Hello, doctor. I would like to ask you a question. My father has been suffering for seven years, and despite seeing many doctors, he hasn't found a solution. The entire right side of his body, from his back to above his waist, feels extreme...
Dr. Huang Yongquan Reply:
Hello: In response to your question, based on the symptoms you described, there is a higher likelihood of issues related to cerebrovascular problems or cervical spine nerve compression. Sometimes, after nerve injury, treatment may not lead to complete recovery, and there could be...[Read More] Understanding Persistent Arm Tightness and Numbness: A Neurological Perspective
Understanding Dizziness: Insights from Traditional and Modern Medicine
Question: Is there really dizziness? (After examinations by Traditional Chinese Medicine, Neurology, and Otolaryngology) After consultations with Traditional Chinese Medicine, Neurology, and Otolaryngology, the findings are as follows: 1. Traditional Chinese Medicine: (1) Exc...
Dr. Gao Chunde Reply:
Dizziness is a subjective sensation, and physicians can determine if there is a vertiginous component by observing eye movements. Other clinical findings, such as blood pressure, hemoglobin levels, electrolytes, and additional tests, can help identify potential causes. After hear...[Read More] Understanding Dizziness: Insights from Traditional and Modern Medicine
Understanding Eye Twitching, Dizziness, and Treatment Options
Eyelid twitching accompanied by slight dizziness, a feeling of pressure in the back of the head, and a perception that things appear brighter than usual? I have been experiencing eyelid twitching for a week, accompanied by slight dizziness. There is a feeling of pressure in the b...
Dr. Gao Chunde Reply:
Eyelid twitching, a heavy sensation in the back of the head, and seeing bright lights are common symptoms associated with fatigue from work or excessive eye strain. Typically, resting and taking a walk outdoors can lead to improvement within one to two weeks. The first two medica...[Read More] Understanding Eye Twitching, Dizziness, and Treatment Options
Understanding Dizziness and Tremors: Possible Causes and Next Steps
Shaking like an earthquake? Hello, last month I experienced dizziness (feeling like the ground was shaking, and I was unsteady while walking). During this time, my right little finger felt a bit numb. I went to National Taiwan University Hospital for a consultation. The doctor sa...
Dr. Gao Chunde Reply:
Your symptoms do not resemble those of cerebellar atrophy or Parkinson's disease, and since the MRI did not show any abnormalities, you can be temporarily reassured. The overall course of your condition is more consistent with what is referred to as inner ear imbalance, whic...[Read More] Understanding Dizziness and Tremors: Possible Causes and Next Steps
Persistent Dizziness: Navigating Neurological Symptoms and Specialist Care
Dizzy and lightheaded? Hello, Doctor (I apologize for the lengthy message). I experienced stomach discomfort on New Year's Eve. After two days, I drank some enzymes and felt better. During a family gathering on the sixth day of the new year, I consumed two bottles of red win...
Dr. Gao Chunde Reply:
After experiencing dizziness for such a long time without improvement, and following a CT scan, as well as trying various medications related to dizziness without effect, it is challenging to find a reasonable explanation, especially if blood pressure is normal and brainstem nerv...[Read More] Persistent Dizziness: Navigating Neurological Symptoms and Specialist Care
Uncontrollable Hand Contraction: When to Seek Neurological Help?
Involuntary hand flexion? Hello! I have recently experienced involuntary contractions in my right hand, resembling cramps, making it difficult to control my right palm. I can alleviate this by pulling my right hand with my left hand. This has occurred twice recently after taking ...
Dr. Lin Rongzhou Reply:
Hello, based on your description: In recent months, your right hand has been involuntarily curling inward, resembling a cramp, and you have difficulty controlling your right palm. You can alleviate this by pulling your right hand with your left hand. This has occurred twice recen...[Read More] Uncontrollable Hand Contraction: When to Seek Neurological Help?