Cervical ultrasound, Neurology FAQ

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Understanding Dizziness and Concentration Issues: Possible Causes and Treatments

Dizziness / tightness in the back of the head / difficulty concentrating? Hello Doctor, since mid-2021, I have been experiencing intermittent tightness and numbness in the back of my head, along with dizziness (similar to motion sickness), accompanied by difficulty concentrating ...


Dr. Cai Zongzhang Reply:
Hello Ms. Chen: Based on the above, after a thorough examination, including an MRI, it has been confirmed that there are no organ abnormalities. It is recommended to improve sleep quality and engage in moderate exercise, in conjunction with medication treatment.

[Read More] Understanding Dizziness and Concentration Issues: Possible Causes and Treatments


Understanding Temporary Vision Loss: Causes and Next Steps

The eyes can go blind? Hello Doctor: I first experienced symptoms around the second year of junior high school, and it has been nearly ten years now. The frequency of episodes is not high; over the past ten years, I have had about seven episodes. Initially, I noticed black spots ...


Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the black spots... will completely disappear in a few seconds, and after about thirty minutes, your vision will return to normal." If you experience symptoms such as dizziness and low blood pressure, it may be necessary to consider the is...

[Read More] Understanding Temporary Vision Loss: Causes and Next Steps


Understanding Temporary Vision Loss: Causes and Next Steps

The eyes can go blind? Hello Doctor: I first experienced symptoms around the second year of junior high school, and it has been nearly ten years now. The frequency of episodes is not high, approximately seven times over the past decade. Initially, I noticed black spots in my visi...


Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "the black spots... will completely disappear after a few seconds, and your vision will return to normal after about thirty minutes." If you are experiencing symptoms such as dizziness and low blood pressure, it may be necessary to conside...

[Read More] Understanding Temporary Vision Loss: Causes and Next Steps


Improving Tinnitus After COVID-19: What You Need to Know

Improvement of Tinnitus Issues Hello Doctor, three months ago I contracted COVID-19, and since then I have experienced significant tinnitus in my left ear, along with a loud heartbeat sound when I turn my head to the right. I visited an ENT specialist in Taoyuan, who advised me t...


Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "you can feel your heartbeat when turning your head," which may indicate compression of the vertebral artery in the cervical spine. It is advisable to avoid excessive neck twisting. I recommend visiting a neurology clinic to discuss the po...

[Read More] Improving Tinnitus After COVID-19: What You Need to Know


Understanding Neck Ultrasound Follow-Up for Dizziness and Heart Issues

Regarding cervical ultrasound follow-up examination? Dr. Peng, previously, due to dizziness, I underwent three cervical ultrasounds: in 1993 (at Shou-Ji Family Medicine), in 2014 (at Chang Gung Neurology), and in 20XX (at Shou-Ji Neurology). From 2003 to 2013, my dizziness was al...


Dr. Peng Shiwei Reply:
Hello Mr. Chang, no problem! You can register first, and then I will help you with the assessment. Thank you for your inquiry.

[Read More] Understanding Neck Ultrasound Follow-Up for Dizziness and Heart Issues


Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia?

Can a congenital hypoplasia of the vertebral artery be improved by taking Xunli Ning to enhance cerebral blood circulation? I currently have symptoms due to cervical spondylosis affecting the C3, C4, and C5 vertebrae, which has led to related symptoms, one of which is dizziness. ...


Dr. Cai Zongzhang Reply:
Hello: There are many factors that can affect cerebral circulation. It is recommended to visit a neurology clinic for relevant examinations and to discuss treatment options with a physician. Please do not self-medicate.

[Read More] Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia?


Persistent Dizziness: When to Seek Further Medical Evaluation

Persistent dizziness Hello Doctor: One night while I was using the computer, I suddenly experienced a bout of dizziness. I had similar episodes before, but they usually lasted only a few seconds and then went away. This time, however, the dizziness persisted for a long time, so I...


Dr. Jiang Junyi Reply:
Hello, Miss: Based on your description of experiencing dizziness, it may be necessary to first consider symptoms caused by inner ear imbalance. However, conditions such as anemia and autonomic nervous system dysfunction could also contribute to your symptoms. It is essential to r...

[Read More] Persistent Dizziness: When to Seek Further Medical Evaluation


Understanding Neck Discomfort: Symptoms and Treatment Options

Discomfort in the head and neck? I would like to ask the doctor, two months ago I underwent chiropractic treatment for my neck, but it seems it wasn't done properly. A few days later, I started experiencing mild dizziness when turning my head, and a tingling sensation on the...


Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders. The causes could include external factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rotation, which may lead to cervical insta...

[Read More] Understanding Neck Discomfort: Symptoms and Treatment Options


Understanding Dizziness: Insights from Neck Ultrasound Findings

Unexplained dizziness and neck ultrasound examination? Two months ago, I experienced two episodes of directional dizziness that occurred only when lying on my left side (without double vision, speech difficulties, or nausea). I was diagnosed with benign paroxysmal positional vert...


Dr. Jiang Junyi Reply:
Hello: 1. If dizziness improves over time, can we rule out non-cerebral issues? A: Dizziness related to cerebrovascular diseases may present with other neurological symptoms, such as sensory abnormalities, diplopia (brainstem), or balance issues (cerebellum). However, improvem...

[Read More] Understanding Dizziness: Insights from Neck Ultrasound Findings


Understanding Tinnitus and Dizziness: Insights from Neurology

Tinnitus, dizziness? Hello Dr. Jiang, the following questions are for a patient (I actually have similar symptoms myself): 1. Tinnitus, dizziness, and a sensation of noise in the head have been intermittent for 30 years (I am 56 years old this year). 2. Recently, after 8 months ...


Dr. Jiang Junyi Reply:
Hello: Based on your description, the management of cardiovascular disease primarily involves controlling the three highs (hypertension, hyperlipidemia, and hyperglycemia), which you seem to have achieved. However, you did not mention any sleep issues, so it may be worth consider...

[Read More] Understanding Tinnitus and Dizziness: Insights from Neurology


Understanding Cervical Spine Vascular Issues: Symptoms and Solutions

Cervical vascular issues Hello, doctor. A year ago, I underwent cervical traction therapy due to cervical degeneration. However, after just one session of traction, my body began to undergo significant changes. Initially, I experienced dizziness, headaches, rapid heartbeat, insom...


Dr. Jiang Junyi Reply:
Hello, based on your description, if rehabilitation does not yield satisfactory results, an MRI of the cervical spine may be considered. The symptoms you mentioned may be related to cervical disc herniation, which often exacerbates nerve root pain during coughing or sneezing. A d...

[Read More] Understanding Cervical Spine Vascular Issues: Symptoms and Solutions


Understanding Cervical Spine Vascular Issues: Symptoms and Solutions

Cervical vascular issues Hello, doctor. A year ago, I underwent cervical traction therapy due to cervical degeneration. However, after just one session of traction, my body began to undergo significant changes. Initially, I experienced dizziness, headaches, rapid heartbeat, insom...


Dr. Jiang Junyi Reply:
Hello: It is recommended that you choose a medical center near your home for relevant examinations. This will make it easier to compare changes over time. Additionally, the information will be more comprehensive, and it will be easier for physicians from different specialties to ...

[Read More] Understanding Cervical Spine Vascular Issues: Symptoms and Solutions


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


Understanding Trapezius Muscle Issues and Pulsatile Tinnitus

Trapezius muscle issues and pulsatile tinnitus? Hello Dr. Jiang, Since I changed to a new pillow last September, I experienced a stiff neck that healed after a week. However, about a month later, I began to feel soreness and numbness in my left upper trapezius muscle, with inte...


Dr. Jiang Junyi Reply:
Hello: Regarding your questions, may I ask Dr. Jiang whether I can request a cervical ultrasound examination, or seek help from another specialty? A: Typically, vertebral artery issues are more related to hearing. If you request a carotid artery examination, the attending physici...

[Read More] Understanding Trapezius Muscle Issues and Pulsatile Tinnitus


Neck Examination: Understanding Neurological Symptoms and Diagnostic Options

Neck examination Hello, Dr. Jiang: About ten years ago, one day I pressed hard on my left neck, and then suddenly felt as if my entire right side was filled with water; it felt strange. Since then, I have been unable to resolve several sequelae. 1. The corner of my mouth droops t...


Dr. Jiang Junyi Reply:
Hello: Your symptoms may be more indicative of cervical radiculopathy due to nerve root compression, especially since the symptoms worsen after lifting heavy objects. Additionally, abnormalities in the cervical blood vessels can sometimes present similar symptoms. It is recommend...

[Read More] Neck Examination: Understanding Neurological Symptoms and Diagnostic Options


Managing High Blood Pressure and Dizziness: Essential Tips and Tests

High blood pressure... dizziness... how to manage it? 1. After experiencing bloating, I discovered that I have a blood pressure issue. Currently, after medication, my morning readings are mostly around 135/95, and in the evening, about 145/100. The doctor mentioned that my heart ...


Dr. Jiang Junyi Reply:
Hello: Your age has presented issues with hypertension. In addition to external factors or physical discomfort, it may be necessary to consider the possibility of secondary hypertension. Primary hypertension, which accounts for about 90% of cases, is of unknown origin and is beli...

[Read More] Managing High Blood Pressure and Dizziness: Essential Tips and Tests


Understanding Right Occipital Pain: Causes and Concerns After Throat Issues

Pain in the right occipital region? Hello Doctor: I would like to briefly describe my situation. About three months ago, I experienced severe pain while swallowing due to a purulent infection in my right tonsil. At that time, I also felt tightness and pain in the occipital region...


Dr. Jiang Junyi Reply:
Hello: The most common cause of right occipital pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the muscles at the back of the neck, resulting in pain in the occipital region. This condition may become more rigid, tense, and painful, esp...

[Read More] Understanding Right Occipital Pain: Causes and Concerns After Throat Issues


Unraveling the Mystery of Unexplained Neurological Symptoms

Unknown etiology? Around June 14, I suddenly experienced a jolt of dizziness, the kind that made it hard to stand, but it was not accompanied by headaches or nausea. I thought it was just due to lack of sleep, as I had been under a lot of stress from final exams and had hardly ea...


Dr. Jiang Junyi Reply:
Hello, Student Chang: You have done a lot of homework, which is impressive. Myofascial pain syndrome in the neck should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be allev...

[Read More] Unraveling the Mystery of Unexplained Neurological Symptoms


Understanding Rhythmic Nerves: Can They Cause High Blood Pressure?

What is the autonomic nervous system? Can it cause high blood pressure? Due to chronic headaches, blood pressure is usually well-controlled, but occasionally, discomfort from headaches can trigger hypertension. EEG results are normal. Is there a need to perform MRI, cervical ultr...


Dr. Lai Lunxiang Reply:
Hello! Headaches are often related to magnetic resonance imaging (MRI) or cervical intracranial ultrasound. There are many factors to consider when evaluating headache disorders, but these examinations are not absolutely recommended. Thank you!

[Read More] Understanding Rhythmic Nerves: Can They Cause High Blood Pressure?