Understanding Sleep Disorders: Facial Twitches and Brain Discomfort
Sleep disorders facial Hello, doctor. For the past three years, I have been troubled by a problem that occurs at night. In the middle of my sleep, I suddenly feel discomfort in my brain, accompanied by facial twitching and a popping sound echoing in my ears. During these episodes...
Dr. Lan Shengxing Reply:
Dear Xuan, the issues you described should be evaluated through a sleep EEG or a polysomnography to determine the cause of your discomfort. In the meantime, it is advisable to avoid staying up late and refrain from drinking coffee in the afternoon to prevent overloading your brai...[Read More] Understanding Sleep Disorders: Facial Twitches and Brain Discomfort
Understanding Right-Sided Throbbing Pain During Fever: Is It Migraine?
Severe pain in the right side of the head during a fever? Hello, Doctor. The first time I experienced sharp pain in my right brain was after giving birth to my first child. At that time, the pain persisted for several days, with sharp episodes lasting a few seconds. I consulted a...
Dr. Jiang Junyi Reply:
Generally, severe headaches that meet the following characteristics: 1. Sudden onset, reaching maximum intensity in less than 1 minute; 2. Lasting from 1 hour to 10 days, with no regular pattern of recurrence in the following weeks or months. It is recommended to visit a neurolog...[Read More] Understanding Right-Sided Throbbing Pain During Fever: Is It Migraine?
Seeking Further Evaluation for Neurological Symptoms and Sleep Issues
How to seek further medical consultation? Hello, doctor. I'm sorry to bother you again. After my examination, I was diagnosed with mild sleep apnea (partly central). I have started using a ventilator, but I only feel a reduction in dizziness in the mornings upon waking. Abou...
Dr. Gao Chunde Reply:
Since half of the cases are central in nature, and the use of a ventilator only improves some symptoms, it may be time to consider a consultation with a neurologist. As for the examinations, we should not pre-determine what tests to conduct; rather, we should respect the professi...[Read More] Seeking Further Evaluation for Neurological Symptoms and Sleep Issues
Understanding Unusual Head Sounds After Liver Transplant Surgery
Sounds coming from the head? Hello Doctor, I underwent a liver transplant surgery in February of this year, and it has been over eight months since then. I have been recovering normally, but due to long-term sleep issues, my doctor prescribed sleeping pills. Recently, I have expe...
Dr. Gao Chunde Reply:
Based on the symptoms, it is possible that they are side effects of medications (including sleep aids or other medications) or it may not be the case, but rather that the underlying causes of insomnia have not been diagnosed and treated appropriately. It is recommended to consult...[Read More] Understanding Unusual Head Sounds After Liver Transplant Surgery
Understanding Seizures: Why EEG Results Can Be Normal Despite Symptoms
Epilepsy cannot be diagnosed? Hello, doctor! I have fainted before and hit my head, but since April, I have been experiencing episodes two to three times a week where I lose consciousness and don't remember anything, even in the hospital. I feel extremely fatigued. I have vi...
Dr. Gao Chunde Reply:
The rate of capturing epileptic waves in a single EEG is approximately 50%. When combined with awake and sleep EEG patterns, conducting four tests yields about 80% detection of abnormalities. Therefore, it is essential to correlate with clinical findings. If necessary, further me...[Read More] Understanding Seizures: Why EEG Results Can Be Normal Despite Symptoms
Understanding Visual Disturbances: Causes and Solutions for Eye Pain and Flashes
Every day upon opening my eyes (before sitting up), I see numerous transparent dots (that do not move) and my vision keeps flashing? Both eyes have -200 degrees of myopia and -250 degrees of astigmatism. Since mid-April, I have experienced eye pain until the end of May, with no c...
Dr. Gao Chunde Reply:
Considering the recurrent occurrence of visual aura associated with migraines or occipital lobe epilepsy (recurrent discharges), it is recommended to promptly visit a neurologist for further EEG testing and pharmacological treatment. If necessary, brain imaging studies should als...[Read More] Understanding Visual Disturbances: Causes and Solutions for Eye Pain and Flashes
Understanding Headaches: Is There Something Flowing in Your Brain?
The headache feels like something is flowing inside the brain? I have been experiencing headaches lately, and it feels like something is flowing inside my head, along with some sounds. I went to the hospital for an EEG, and the results were normal. However, I still feel like ther...
Dr. Gao Chunde Reply:
It is not possible to completely rule out bleeding, but there is no clear evidence to support the possibility of bleeding. Therefore, the examining physician is in a difficult position and has decided to perform an electroencephalogram (EEG) for you. An EEG can detect brain hemor...[Read More] Understanding Headaches: Is There Something Flowing in Your Brain?
Understanding Persistent Headaches: Causes, Symptoms, and When to Seek Help
Headaches in many situations? Hello, I often experience headaches in various situations, such as when it's cold or windy. I also get headaches when I don't get enough sleep, and I find it quite strange that I feel discomfort in my stomach when it's bloated and food...
Dr. Gao Chunde Reply:
Migraine is a type of moderate to severe headache that can be intolerable. It is often triggered by various factors such as temperature changes, wind, insufficient or excessive sleep, hunger or overeating, emotional stress, and certain foods or odors. Accompanying symptoms may in...[Read More] Understanding Persistent Headaches: Causes, Symptoms, and When to Seek Help
Understanding Long-Term Dizziness and Palpitations: A Neurological Perspective
Long-term palpitations and dizziness? Hello Doctor: After I graduated from junior high school and went on a trip where I rode roller coasters, I started experiencing dizziness. At that time, I often felt sensations similar to riding roller coasters and pirate ships, along with di...
Dr. Gao Chunde Reply:
In principle, there shouldn't be any major issues. It may be worth considering a consultation with a psychiatrist, as understanding the underlying cause could potentially improve the symptoms.[Read More] Understanding Long-Term Dizziness and Palpitations: A Neurological Perspective
Understanding EEG Results: What to Expect and Next Steps in Neurology Care
Based on the previous response, I went for an examination? Based on previous symptoms of eyelid twitching, sensitivity to light, and pressure in the back of the head, I visited a large hospital for an outpatient consultation. The doctor conducted preliminary tests on my limbs and...
Dr. Gao Chunde Reply:
The EEG is the most important test; it can determine whether there are abnormal discharges in the brain and if there is any localized functional impairment. Whether to perform a CT or MRI scan should be based on the results of the EEG.[Read More] Understanding EEG Results: What to Expect and Next Steps in Neurology Care
Understanding Chronic Headaches: When to Seek Further Medical Evaluation
Headache without any apparent cause and examination? I would like to ask about my headaches, which have been persistent for many years. Sometimes, they occur without any apparent triggers. At times, the pain is so severe that it prevents me from sleeping, leading me to take pain ...
Dr. Lan Shengxing Reply:
Dear Hsi-Hsien, it is unnecessary to conduct tests when experiencing pain, as it may sometimes introduce confounding factors. The decision to perform tests depends on the specific circumstances and the type of tests being considered. If no results are found from the headache eval...[Read More] Understanding Chronic Headaches: When to Seek Further Medical Evaluation
Understanding Sleep Jerks: Causes, Concerns, and Treatment Options
Involuntary body jerks just before falling asleep? Hello, doctor. Last time I consulted you about the issue of involuntary movements while sleeping, and you suggested that I visit a hospital. I went to a neurology clinic, where they performed a wakefulness EEG, and the results we...
Dr. Gao Chunde Reply:
The symptoms are brief, and the most likely cause of the involuntary movements related to sleep is indeed related to sleep disorders. However, as you mentioned epilepsy, it can also manifest during sleep. The general diagnosis of epilepsy relies on electroencephalography (EEG), w...[Read More] Understanding Sleep Jerks: Causes, Concerns, and Treatment Options
Persistent Dizziness and Balance Issues: Seeking Solutions for Neurological Symptoms
Feeling of foot drop, imbalance, and abnormal sensations in the brain? Hello doctors, three years ago I experienced a bout of dizziness that caused me to fall and lose consciousness, resulting in a chin injury that required seven stitches at the hospital. However, a month later, ...
Dr. Gao Chunde Reply:
Symptoms can be side effects of medication or may indicate a sensory disturbance. A detailed neurological examination by a neurologist should be conducted to assess this function. If abnormalities are found, further tests may be arranged to evaluate the spinal nerves or periphera...[Read More] Persistent Dizziness and Balance Issues: Seeking Solutions for Neurological Symptoms
Left Leg Discomfort: When to Seek Medical Advice for Nerve Issues
Left leg soreness with abnormal sensations? I have been experiencing many discomfort symptoms recently. I have undergone a cardiac ultrasound, cervical spine MRI, chest X-ray, EEG, and visual evoked potentials, all of which did not reveal any issues. The neurologist believes that...
Dr. Gao Chunde Reply:
There are some symptoms of sciatica, as well as mild symptoms of restless legs syndrome. If the symptoms become more persistent and pronounced, it would be advisable to return to a neurologist for evaluation. Perhaps some diagnostic tests can confirm the condition, and targeted t...[Read More] Left Leg Discomfort: When to Seek Medical Advice for Nerve Issues
Understanding Dizziness: Insights from Neurology for Your Symptoms
About dizziness? Hello Doctor, I started experiencing dizziness on July 10 of this year. When I bend over, lower my head, raise it, or turn my head in the morning, it feels like my body is shaking as if there is an earthquake. When I walk, it feels like my feet are bouncing off t...
Dr. Gao Chunde Reply:
On July 10, benign paroxysmal positional vertigo (BPPV) occurred. Generally, rest for two to three days to a week will lead to recovery. However, it is important to note that if there is excessive fatigue or irregular sleep patterns, it may recur. Some patients may develop feelin...[Read More] Understanding Dizziness: Insights from Neurology for Your Symptoms
Understanding Muscle Loss: Symptoms, Diagnosis, and Next Steps
"Often feel/see" and "often touch" my muscle loss? For the past four months, my aunt has frequently felt and observed muscle loss in her thighs, calves, soles of her feet, and the area beneath her thumb. This has been accompanied by muscle pain, occasional mus...
Dr. Lan Shengxing Reply:
Based on the symptoms described, a definitive diagnosis cannot be made without reviewing actual reports, and it is indeed difficult to provide a satisfactory answer without that information. However, since you have already consulted several neurologists, seeking help from a psych...[Read More] Understanding Muscle Loss: Symptoms, Diagnosis, and Next Steps
Understanding Discomfort in the Back of the Head: A Neurology Perspective
Discomfort in the back of the head? Doctor, have you heard of such a condition? I have been experiencing discomfort in the back of my head, which is hard to describe. One sensation feels like there is air accumulating in the back of my head, and it becomes hard. I also experience...
Dr. Lan Shengxing Reply:
Dear Ade, the symptoms you described are not very easy to understand clearly, but the combination of dizziness and shortness of breath may be related to autonomic nervous system dysfunction. This can be partially alleviated with medication, and I hope this can help you, Lan Sheng...[Read More] Understanding Discomfort in the Back of the Head: A Neurology Perspective
Persistent Dizziness After Head Injury: Seeking Solutions and Hope
Persistent dizziness Hello Doctor: In mid-May, I hit my head against a hard object. I did not lose consciousness, but I felt faint for a moment. Two days later, I started experiencing dizziness, and when I look at things, they seem to sway. I underwent a CT scan and an EEG, and t...
Dr. Lan Shengxing Reply:
Dear William, dizziness is just a symptom, not a disease. It is important to identify the underlying condition in order to treat it, such as issues with the inner ear or brainstem-evoked potentials. Most types of difficult-to-treat dizziness should be evaluated not only by a neur...[Read More] Persistent Dizziness After Head Injury: Seeking Solutions and Hope
Chronic Headaches: Understanding Symptoms and Seeking Effective Treatment
The headache just won't go away? Hello Doctor: I have been experiencing headaches since early May, and now it's June 29. At first, I felt a bit tired after work and wanted to take a nap, but when I woke up, I had a severe headache that lasted for about two hours. Later,...
Dr. Lan Shengxing Reply:
Dear KIKI, I am truly sorry to hear about your detailed symptom description. New and progressively worsening headaches can sometimes be a warning sign that indicates the need for a thorough examination. Your headache description is difficult to categorize under a single conditi...[Read More] Chronic Headaches: Understanding Symptoms and Seeking Effective Treatment
Understanding Persistent Discomfort in the Back of the Head: Possible Causes and Next Steps
Discomfort in the back of the head? Doctor, have you heard of this condition? I often feel discomfort in the back of my head, which I can't quite describe. One sensation is that it feels like there is air accumulating in the back of my head, and it becomes hard. I also exper...
Dr. Lan Shengxing Reply:
Dear Xiao Ming, have you considered going to a psychosomatic clinic for testing of autonomic nervous system disorders? Many psychosomatic clinics have such equipment available. Best regards, Lan Shengxing.[Read More] Understanding Persistent Discomfort in the Back of the Head: Possible Causes and Next Steps