Understanding Unusual Head Sensations: When to Seek Neurological Evaluation
Recently, I've been feeling strange in my head, as if there is something stuck at the back of my brain? Hello, I have gallstones and have previously experienced vertigo, but I was taken off medication by my doctor five years ago because I hadn't had an episode in over t...
Dr. Huang Zixuan Reply:
If you are concerned about conditions related to epilepsy, it is recommended to undergo an electroencephalogram (EEG) at a hospital. Additionally, it is advisable to keep a record of the times when you experience these uncomfortable sensations, as having a complete record will he...[Read More] Understanding Unusual Head Sensations: When to Seek Neurological Evaluation
Understanding Headaches and Unexplained Weight Loss: A Neurology Perspective
Headache and weight loss? Hello doctor, I have been experiencing occasional headaches for the past few months, mostly feeling a sense of pressure in my head. Recently, I have been feeling quite uncomfortable, with the pain almost constant throughout the day, primarily concentrate...
Dr. Lan Shengxing Reply:
Dear, the headache symptoms described may be associated with cervical syndrome and tension-type headaches. Maintaining a good lifestyle can help relax the muscles and reduce the frequency and intensity of pain. Worrying is normal, but try not to let it affect your daily routine. ...[Read More] Understanding Headaches and Unexplained Weight Loss: A Neurology Perspective
Could My Symptoms Indicate Chorea? Understanding Neurological Concerns
Could it be chorea? About a month ago, I started experiencing a sensation in my left wrist that feels like muscle twitching, pulling slightly inward a couple of times. Following that, I began to feel muscle twitches in my eyelids, arms, and back. Last Sunday, while staring at the...
Dr. Lan Shengxing Reply:
Dear Kevin, The symptoms you described could be indicative of various conditions, but they seem more aligned with myoclonus. Myoclonus that occurs before sleep is mostly a normal physiological phenomenon. To determine whether it is a condition that requires treatment, an electr...[Read More] Could My Symptoms Indicate Chorea? Understanding Neurological Concerns
Understanding Seizure Recurrence After a Five-Year Hiatus
Seizures in epilepsy If a person has experienced symptoms of epilepsy but has not had a seizure for about five years, is it possible for the epilepsy to recur?
Dr. Huang Zixuan Reply:
To assess the recurrence rate of epilepsy, it is essential to consider the type of seizures and the underlying causes. However, there is a lack of consensus regarding the timing for discontinuing treatment and evaluating recurrence rates. Overall, most experts agree on the follow...[Read More] Understanding Seizure Recurrence After a Five-Year Hiatus
Understanding Involuntary Finger Tremors and Weakness: A Neurological Perspective
The middle finger experiences involuntary twitching? I started experiencing tremors in my left hand at the age of 19, and recently, over the past month, I've noticed that my body sometimes shakes as well. Although it's not very visible externally, I can feel the tremors...
Dr. Lan Shengxing Reply:
The symptoms mentioned, including tremors and decreased coordination, are characteristic of movement disorders, and most of the necessary examinations have already been conducted. If a more obvious condition were present, it should have been detected. Therefore, if the symptoms p...[Read More] Understanding Involuntary Finger Tremors and Weakness: A Neurological Perspective
Understanding Abnormal EEG Results: Causes and Concerns Explained
Electroencephalogram (EEG) I have abnormal brain wave results (cortical dysfunction in the left hemisphere), but I have no other physical discomfort. What could be the possible causes? I'm really worried, thank you.
Dr. Gao Chunde Reply:
Electroencephalography (EEG) primarily assesses the electrical activity of the cerebral cortex and its responsiveness to various stimuli to infer cortical function. Asymmetry in brain wave patterns may represent normal variations in healthy individuals, or it could be influenced ...[Read More] Understanding Abnormal EEG Results: Causes and Concerns Explained
Understanding Ischemic Stroke: Symptoms, Diagnosis, and Treatment Options
Ischemic stroke? Hello, I would like to ask you about a condition I saw on a television program called "ischemic stroke." My mother (45 years old) has several symptoms that match, such as headaches, experiencing blackouts upon waking, and weakness in her limbs, especial...
Dr. Ye Boshou Reply:
Hello: Based on the content of your message, a detailed evaluation is required at the outpatient clinic. Please visit the neurology outpatient department for an assessment before arranging any related tests. Thank you~~[Read More] Understanding Ischemic Stroke: Symptoms, Diagnosis, and Treatment Options
Understanding Imbalance: Exploring Neurological Issues in Teens
Walking with an unsteady gait and feeling heavy-headed while the legs feel light? Since early March, I have been experiencing a very mild sense of imbalance while walking, an uncontrollable feeling, as if my head is heavy and my legs are light. I sometimes walk off course and str...
Dr. Lan Shengxing Reply:
There are many possible causes for walking imbalance, affecting organs from head to toe. Regardless of the underlying reason, clinical symptoms or biochemical blood tests can help identify a direction for diagnosis. Instrumental examinations can only serve as an adjunct in the fa...[Read More] Understanding Imbalance: Exploring Neurological Issues in Teens
Understanding Involuntary Tremors in Children: Which Specialist to Consult?
Which department should I consult for involuntary shaking? Hello, my son is currently 4 and a half years old. For the past month, he has been experiencing involuntary shaking movements that suddenly pause for 1-2 seconds, followed by a brief shake of his legs or body. There are n...
Dr. Gao Chunde Reply:
Please visit the neurology outpatient clinic for further evaluation of the sudden pauses lasting one to two seconds. It may be necessary to consider the possibility of absence seizures, and a more detailed history along with an EEG examination should be conducted.[Read More] Understanding Involuntary Tremors in Children: Which Specialist to Consult?
Understanding Visual Disturbances: Causes and Potential Treatments
Visual oscillation Hello, Director Yeh: Recently, I have noticed a sensation of movement when looking at things, particularly evident with the following: 1. The text and images on my computer screen (the higher the contrast, the more pronounced it is); 2. Static electronic billb...
Dr. Ye Boshou Reply:
Hello: That is poor coordination; do not focus your gaze for too long. Look at distant objects more often. If there are any issues, consult a neurologist.[Read More] Understanding Visual Disturbances: Causes and Potential Treatments
Two Weeks of Unexplained Headaches: Seeking Medical Advice and Insurance Coverage
Continuous headaches for two weeks, yet unable to receive treatment covered by health insurance? Dear Dr. Lin, I have been experiencing persistent, unexplained pain in the right posterior part of my head for two consecutive weeks. I visited a neurologist who conducted an EEG and...
Dr. Lin Zijing Reply:
An electroencephalogram (EEG) showing no abnormalities indicates that approximately 80% of the cortical areas of the brain are functioning normally. However, certain conditions or lesions in specific areas of the brain, such as those near the pituitary gland, cerebellar lesions, ...[Read More] Two Weeks of Unexplained Headaches: Seeking Medical Advice and Insurance Coverage
Understanding Muscle Twitches: Causes, Symptoms, and Management
Muscle twitching Hello Doctor: Recently, I have been experiencing numbness in my hands and feet, as well as muscle twitching, so I consulted a neurologist. The doctor performed nerve conduction studies and an EEG, which showed normal brain activity. However, the nerve conduction ...
Dr. Lin Zijing Reply:
Certain diseases can cause irregular muscle twitching throughout the body, such as benign fasciculation syndrome or motor neuron disease (amyotrophic lateral sclerosis). Benign fasciculation syndrome does not present with other symptoms but is often associated with anxiety disord...[Read More] Understanding Muscle Twitches: Causes, Symptoms, and Management
Understanding Dizziness and Heavy Head: Causes and Solutions for Young Adults
Dizziness when walking, along with a heavy head and light legs? Earlier this year, I experienced frequent dizziness and a feeling of heaviness in my head and lightness in my legs. At a blood pressure measurement station at Taipei's Xingtian Temple, my blood pressure was reco...
Dr. Gao Chunde Reply:
If all tests are normal but you still experience dizziness and headaches, you may want to visit a neurology clinic. It could just be a type of chronic headache, such as tension-type headache. However, it is essential to consult a neurologist who can evaluate other symptoms and pe...[Read More] Understanding Dizziness and Heavy Head: Causes and Solutions for Young Adults
Understanding Dizziness and Headaches: Causes and Solutions for Young Adults
Headache + Dizziness Earlier this year, I experienced frequent dizziness and a sensation of heaviness in my head and lightness in my legs. At a blood pressure measurement station at Taipei's Xingtian Temple, my blood pressure was recorded at approximately 178/99 mmHg. A volu...
Dr. Zeng Kongyan Reply:
Hello: In response to your question, there are many causes of dizziness, including brain lesions, inner ear balance issues, and medical conditions such as anemia, hypotension, and fluid imbalance. For a 36-year-old individual experiencing dizziness along with high blood pressure ...[Read More] Understanding Dizziness and Headaches: Causes and Solutions for Young Adults
Understanding Pediatric Headaches: When to Seek Specialist Care
Pediatric headaches Hello Dr. Tseng, my 10-year-old daughter often experiences pain in her left temple. She has already seen a doctor and undergone an EEG, but no abnormalities were found. Which specialty should we continue to consult? Thank you!
Dr. Zeng Kongyan Reply:
Hello: In response to your question, if a 10-year-old girl is experiencing headaches and has already undergone an EEG, it is essential to clarify the underlying cause of the headaches and rule out any structural brain lesions. If the headaches are due to tension-type headaches or...[Read More] Understanding Pediatric Headaches: When to Seek Specialist Care
Persistent Right Forehead Pain: Seeking Answers After Medication
I have a migraine near the right forehead area. I have seen a doctor, and after taking medication, I still feel some discomfort? Hello, Doctor. I started experiencing headaches about three weeks ago on a Monday. At that time, the symptoms felt like there was a pulsating pressure ...
Dr. Gao Chunde Reply:
Initially, the symptoms were consistent with migraines. After treatment, the headache should improve, but it may evolve into a tension-type headache. If discomfort persists, it is advisable to return for a follow-up appointment for reevaluation by a physician. Any necessary exami...[Read More] Persistent Right Forehead Pain: Seeking Answers After Medication
Understanding Persistent Dizziness and Headaches: When to Seek Help
Initially, there was dizziness, which progressed to dizziness and headache after a few days? Hello Doctor, I have never experienced dizziness or headaches before! At the beginning of January this year, I suddenly felt a bit dizzy while reading (not the spinning type) and it laste...
Dr. Lin Zijing Reply:
Head pain is primarily felt in the walls of blood vessels, scalp nerves, and muscles. Brain imaging studies can only rule out certain conditions (such as larger tumors or bleeding) but cannot diagnose the cause of headaches. Most headaches are classified as tension-type headaches...[Read More] Understanding Persistent Dizziness and Headaches: When to Seek Help
Persistent Leg Cramps in Elderly After Stroke: Seeking Solutions
Persistent leg cramps in the elderly? After my mother suffered a thrombotic stroke, she has been experiencing persistent leg cramps, averaging a small cramp every ten minutes (tight cramps from the calf to the foot) and a larger cramp once an hour (with her body arching). She has...
Dr. Gao Chunde Reply:
Although post-stroke patients are prone to seizures as a sequela, the characteristics you described seem to exhibit a regular periodicity. Another common condition in the elderly is periodic limb movement disorder, which typically occurs during the onset of sleep or in light slee...[Read More] Persistent Leg Cramps in Elderly After Stroke: Seeking Solutions
Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Chronic headache Hello Dr. Lin, I have some issues I would like to consult you about. I have been experiencing headaches for about 10 years. Initially, the pain was localized in the back of my head, but now it has extended to the top of my head. Generally, the pain is on the left...
Dr. Lin Zijing Reply:
It sounds like a vascular headache, which is caused by the excessive dilation of extracranial arteries (such as the cranial arteries, occipital artery, and frontal artery). The main symptom is severe pulsating headache on one side of the head. Some individuals may have triggers s...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Understanding Morning Fainting in Toddlers: Causes and Concerns
A two-year-old child fainting upon waking up in the morning? Hello Dr. Lin: I have a three-year-old boy at home who experiences fainting spells or appears to have a blank stare with his eyes rolled back for about 20 to 30 minutes every morning after waking up. He also exhibits le...
Dr. Lin Zijing Reply:
Fainting accompanied by transient loss of consciousness, blank stare, eye rolling, and leg twitching should raise suspicion for either epilepsy or transient cerebral hypoperfusion. Generally, brain and cardiac evaluations are necessary. Brain assessments include electroencephalog...[Read More] Understanding Morning Fainting in Toddlers: Causes and Concerns