Understanding Persistent Tinnitus: Causes, Tests, and Treatment Options
Tinnitus for three months? Hello Doctor: Three months ago, I suddenly experienced tinnitus without any apparent cause. My hearing has not been affected, but I feel like there is a high-frequency cicada sound in the background, which becomes louder after physical activity. I have ...
Dr. Jiang Junyi Reply:
Hello Mr. QQQ: You mentioned that "hearing tests, tympanometry, no sinus inflammation, brainstem auditory evoked potentials, electroencephalogram, SSR+RRIV, intracranial vascular ultrasound, and carotid ultrasound were all normal. I am curious if sleep affects tinnitus?.... ...[Read More] Understanding Persistent Tinnitus: Causes, Tests, and Treatment Options
Understanding Abnormal EEG Results in a 3-Year-Old: What Parents Should Know
Abnormal EEG findings in a 3-year-old child? A 3-year-old boy in our family was hospitalized around November 2023 due to fever and experienced two episodes of febrile seizures within three hours. A few weeks after discharge, an EEG was performed, and the doctor noted a small abno...
Dr. Jiang Junyi Reply:
Hello Mr. Hsieh: Pediatric neurologists typically aim to minimize the use of antiepileptic medications unless epilepsy has significantly impacted the child's daily life. After all, antiepileptic drugs can lead to cognitive decline in children's learning abilities. It is...[Read More] Understanding Abnormal EEG Results in a 3-Year-Old: What Parents Should Know
Understanding Persistent Tinnitus: Causes, Treatments, and When to Seek Imaging
Tinnitus for two months? Hello Doctor: Two months ago, I started experiencing tinnitus without any apparent cause. There is no feeling of ear blockage, and the sound seems to be emanating from the nasopharynx. It is a high-pitched, non-directional ringing sound that does not affe...
Dr. Jiang Junyi Reply:
Hello Mr. Q: You mentioned that "tympanometry, hearing tests, brainstem auditory evoked potentials, and EEG are all normal..." Is it necessary to perform a CT scan for tinnitus that has persisted for six months? Should we just observe for now? I would also like to ask w...[Read More] Understanding Persistent Tinnitus: Causes, Treatments, and When to Seek Imaging
Uncontrollable Limb Movements: When to See a Neurologist?
Involuntary limb movements? Hello Dr. Jiang, on the morning of May 23rd, I experienced uncontrollable, forceful movements of my limbs while in a semi-conscious state. I struggled to stay awake but could not control the movements of my limbs, and my fingers felt weak. After much e...
Dr. Jiang Junyi Reply:
Dear Ms. Enid, You mentioned experiencing "uncontrollable vigorous movements of the limbs while in a semi-conscious state." Your symptoms may warrant consideration of extrapyramidal syndrome or focal epilepsy. Extrapyramidal syndrome is typically caused by medication a...[Read More] Uncontrollable Limb Movements: When to See a Neurologist?
Understanding Myoclonic Jerks in Children with EMAS Epilepsy
Involuntary muscle spasms? Hello Doctor: My child is currently 3 years old and was diagnosed with EMAS epilepsy at the age of 2. However, physical examinations (EEG, MRI) and genetic blood tests have not revealed any underlying cause. He is currently taking Depakine and Keppra fo...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, You mentioned that "the attending physician discussed that the muscle twitching while awake is not considered an epileptic seizure... Does muscle twitching while awake count as a focal seizure in epilepsy?" Caring for a child can be very stressful and ch...[Read More] Understanding Myoclonic Jerks in Children with EMAS Epilepsy
Understanding One-Sided Headaches: Causes and Solutions for Neurological Symptoms
Unilateral ear fullness, unilateral eye pressure and swelling, unilateral neck tightness, and headache? Hello, I have been experiencing headaches for a long time, which are usually relieved by painkillers. Two years ago, I started having episodes of persistent headaches that are ...
Dr. Jiang Junyi Reply:
Dear Ms. Y: You mentioned experiencing "unilateral tightness and discomfort, always on the same side... with a sensation of 'unilateral ear fullness and unilateral eye pressure' (notably tightness when moving the eyeball)." This may warrant consideration of c...[Read More] Understanding One-Sided Headaches: Causes and Solutions for Neurological Symptoms
Fainting and Head Injury: Understanding Risks and Recovery Steps
Fainting and hitting the head? Hello, Doctor Jiang. My girlfriend fainted on March 4th while going to the bathroom due to stomach pain and hit her head. She was unconscious for a while (not sure how long, as there was no one around) and then woke up on her own. There were no exte...
Dr. Jiang Junyi Reply:
Hello Mr. Ksyii, You mentioned, "I fainted on my way to the bathroom due to stomach pain and hit my head, and was unconscious for a while... 1. I would like to ask the doctor if there is a possibility of intracranial bleeding? What should I pay attention to? 2. Should I con...[Read More] Fainting and Head Injury: Understanding Risks and Recovery Steps
Frequent Limb Jerks in 5-Year-Old Before Sleep: When to Seek Help?
A 5-year-old boy experiences twitching of the hands and feet before falling asleep? Doctor, my 5-year-old son often experiences twitching of his limbs before falling asleep, but recently the frequency has increased and the intensity of the twitching has also grown. Previously, he...
Dr. Jiang Junyi Reply:
Dear Ms. Yuhan, You mentioned that "the 5-year-old boy often experiences twitching of the limbs before falling asleep." If this does not affect his cognitive function, such twitching is usually a benign response. It may occur due to excessive tension, where the body is...[Read More] Frequent Limb Jerks in 5-Year-Old Before Sleep: When to Seek Help?
Understanding Hand Tremors: When to See a Neurologist
Hello Dr. Jiang: Regarding the issue of hand tremors? Hello Dr. Jiang: My right hand sometimes trembles involuntarily, but my left hand does not. My lips also exhibit similar symptoms, although they are milder. I am currently on psychiatric medication, but even after adjustments,...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: You mentioned that "your right hand sometimes trembles involuntarily, but your left hand does not, and your lips have similar symptoms." This may indicate an abnormality in the signaling of the motor nervous system. Additionally, medication side effects ...[Read More] Understanding Hand Tremors: When to See a Neurologist
Understanding Partial Epilepsy: Treatment, Triggers, and Lifestyle Tips
Focal epilepsy Hello, Doctor. I was diagnosed with focal epilepsy over a month ago. My first seizure occurred while I was exercising and sweating heavily; I suddenly felt like my right hand was being electrocuted, then I collapsed and experienced generalized convulsions. A week l...
Dr. Cai Zongzhang Reply:
Hello, Yiyi: During the initial treatment of epilepsy, it is essential to have regular outpatient follow-ups to adjust the medication dosage until the condition stabilizes. It may take some time to observe the efficacy of the medication and make adjustments, so please be patient ...[Read More] Understanding Partial Epilepsy: Treatment, Triggers, and Lifestyle Tips
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
Can MRI Detect Epilepsy Four Days After Seizure? Insights from Neurology
Can a test detect epilepsy four days after a seizure? I would like to ask you, during my first seizure, it occurred in the morning. The precursor was a feeling of fear, and then I lost consciousness. When I woke up, I was sitting on the sofa with a bump on my head. However, about...
Dr. Cai Zongzhang Reply:
Hello: During the first seizure, the physician will arrange for blood tests and brain imaging studies to diagnose the underlying cause of epilepsy. Typically, blood tests are completed immediately upon presentation, checking for any abnormalities in blood components. The purpose ...[Read More] Can MRI Detect Epilepsy Four Days After Seizure? Insights from Neurology
Understanding Persistent Dizziness: Causes and Next Steps for Relief
Feeling dizzy all day? Hello Doctor, I have been experiencing dizziness since early May (not a spinning sensation, just feeling lightheaded all day). Initially, I had symptoms of heat and dizziness, thinking it was heatstroke; I also had two episodes of gout at that time, but it ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned, "1. Is it okay if the C-reactive protein is normal? 2. Is it possible that the feeling of pressure and dizziness in the head is actually a headache rather than vertigo? 3. I'm unsure what else I should get checked." How has the medication...[Read More] Understanding Persistent Dizziness: Causes and Next Steps for Relief
Understanding Tourettes: Managing Bone Itching and Discomfort
Tourette syndrome and bone itching? Hello Doctor, I have visited the hospital several times regarding my bone itching issue. I have undergone neurological examinations, EEG, ultrasound, and dopamine tests, and every doctor has said there is no problem. However, my bones are very ...
Dr. Peng Shiwei Reply:
You should consult your attending physician regarding your concerns. If Tourette syndrome is confirmed, maintaining a regular daily routine, a balanced diet, and engaging in appropriate exercise can be beneficial. For dietary advice, you may consider consulting a nutritionist. Th...[Read More] Understanding Tourettes: Managing Bone Itching and Discomfort
Exploring Causes of Slow Brain Waves with Normal MRI and Blood Tests
Slow wave in EEG (electroencephalogram) examination? The EEG shows slow waves, but blood tests and MRI are normal. However, there is a slight decline in attention, comprehension, and memory, not experienced throughout the entire day, with periods of clarity. After evaluations at ...
Dr. Wu Mukhan Reply:
Hello, the presence of slow waves in brain activity can have many causes, including drowsiness during the examination, cortical dysfunction, and neurological diseases (such as tumors or strokes). If you have already undergone an MRI and no significant lesions were found, that can...[Read More] Exploring Causes of Slow Brain Waves with Normal MRI and Blood Tests
Understanding Unusual Body Symptoms: A Guide to Neurological Issues
Feeling unwell? Hello doctor, about three months ago, while I was using my phone, I suddenly experienced a moment of darkness (not sure if it was a hallucination). Later, after waking up in the afternoon, I felt my heart racing and noticed a flickering sensation in my vision, whi...
Dr. Cai Zongzhang Reply:
Hello San: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Unusual Body Symptoms: A Guide to Neurological Issues
Understanding EEG Reports: Insights into Mild Diffuse Slow Waves
Electroencephalogram (EEG) Report Type of Recording: Routine Condition: Awake 1. EEG Diagnosis: Abnormal Mild occasional diffuse slow waves 2. EEG Description: a. Background Activities: Alpha 9-10Hz 20-40µV, posterior dominant rhythm; symmetry +; reactiv...
Dr. Jiang Junyi Reply:
Dear Ms. Jim, You mentioned "Theta 5-6Hz, 20-40uV, occasional, diffuse" slow waves in a localized area, indicating potential damage to that brain region, which requires special attention. The presence of diffuse slow waves typically suggests that the subject may be dro...[Read More] Understanding EEG Reports: Insights into Mild Diffuse Slow Waves
Understanding Sleep-Related Muscle Twitches and Anxiety Disorders
Teeth clenching and facial muscle twitching upon falling asleep? Hello Dr. Jiang: I have been experiencing anxiety and autonomic nervous system dysregulation for the past six years. During severe episodes, I take half a Xanax for relief. In recent years, I have noticed that somet...
Dr. Jiang Junyi Reply:
Hello Ms. Cocoa: You mentioned that "the eyelid nerves and even the facial nerves at the corners of the mouth are twitching involuntarily... the teeth are clenching involuntarily, and after clenching, the facial muscles (near the cheekbones) also start to twitch significantl...[Read More] Understanding Sleep-Related Muscle Twitches and Anxiety Disorders
Persistent Dizziness: Understanding Neurological Causes and Next Steps
Feeling dizzy all day long? Hello doctor, I have been experiencing dizziness since early May (it's not a spinning sensation, but I feel lightheaded all day). Initially, I thought it was heat exhaustion due to the combination of feeling hot and dizzy, but now I only have dizz...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the ENT examination includes hearing tests, balance assessments, inner ear temperature differentials, eye movement tests, and brainstem response, while the neurology examination includes awake EEG, brainstem auditory evoked potentials, and carotid ...[Read More] Persistent Dizziness: Understanding Neurological Causes and Next Steps
Understanding Suspected Autoimmune Encephalitis: Symptoms, Diagnosis, and Treatment
Is there a diagnosis of autoimmune encephalitis? Hello Doctor, my sister was diagnosed with schizophrenia last September. She has been taking medication at Hospital A for nearly a year, during which she gradually developed mild involuntary hand tremors and head tilting backward. ...
Dr. Peng Shiwei Reply:
Hello, the question you asked is very complex. I am unable to answer it online. I recommend that you take your sister to see a doctor for a consultation in person. Thank you.[Read More] Understanding Suspected Autoimmune Encephalitis: Symptoms, Diagnosis, and Treatment