Understanding Unusual Symptoms in Epilepsy: Is It a New Seizure Type?
Epilepsy Hello, doctor. I have a history of epilepsy, experiencing both generalized and focal seizures (a sense of déjà vu). I am currently in a medication-free phase and have not had any seizures. However, recently I have been experiencing some unusual sensations and I am unsure...
Dr. Ye Boshou Reply:
Hello: Abnormal sensations may be a manifestation of a seizure, but further examination is necessary for confirmation. It is best to conduct an electroencephalogram (EEG) during the occurrence.[Read More] Understanding Unusual Symptoms in Epilepsy: Is It a New Seizure Type?
Understanding Sudden Dizziness and Fainting in Stroke Patients
Occasionally, I experience sudden dizziness that leads to fainting? Hello: My mother is 68 years old and has had a stroke for 5 years, resulting in weakness on her right side and occasional coughing. Since last year, she has experienced sudden dizziness that prevents her from get...
Dr. Zeng Kongyan Reply:
Dear Ying-Ying, Based on the symptoms described, there could be many potential causes, including the simplest ones such as inner ear imbalance, low blood pressure, or cough syncope. These causes are generally not life-threatening and can be managed with symptomatic or pharmacolo...[Read More] Understanding Sudden Dizziness and Fainting in Stroke Patients
Will Taking Medication Affect My EEG Results? A Neurology Inquiry
Suspected autonomic nervous system dysfunction? Today, I visited the neurology department at the second outpatient clinic on Xinyi Road in Taipei City. The doctor prescribed three medications and referred me to Renai Hospital for an EEG (electroencephalogram) test. The EEG is sch...
Dr. Ye Boshou Reply:
Hello: It should not have much impact, so please rest assured.[Read More] Will Taking Medication Affect My EEG Results? A Neurology Inquiry
Understanding Severe Forgetfulness: Symptoms, Causes, and Next Steps
Severe forgetfulness Dear Vice Dean, I have some symptoms I would like to consult with you about. Over a decade ago, I experienced several episodes while walking where I suddenly lost all consciousness. During these episodes, I had no memory of what happened, and my vision was c...
Dr. Zeng Kongyan Reply:
Hello Juju, Regarding the situation mentioned in your letter, complex epilepsy is a possible cause. However, since no abnormalities were found in the examinations conducted over a decade ago, I recommend that you visit a large hospital's neurology department for a re-evalua...[Read More] Understanding Severe Forgetfulness: Symptoms, Causes, and Next Steps
Understanding EEG Tests for Children After Febrile Seizures
Electroencephalogram (EEG) Hello Dr. Chuang, My 4-year-old son experienced a febrile seizure in early December this year. Pediatrician Dr. Chang suggested that we could schedule an EEG two weeks later. Should we make an appointment to see you for this? Thank you for your respon...
Dr. Zhuang Yumin Reply:
Dear Ms. Huang, Recommendation: You may schedule an appointment with Dr. Tsai Hung-Ying, a pediatric neurologist at our hospital (Pediatrics Department, Second Clinic on Tuesday afternoons). Wishing you peace and good health. Sincerely, Dr. Liu Chih-Yang Attending Physicia...[Read More] Understanding EEG Tests for Children After Febrile Seizures
Understanding Toe Tremors in Comatose Patients: What You Need to Know
Toe twitching Hello Doctor, my mother previously underwent a tracheostomy due to tracheal stenosis. On October 27, she was hospitalized for emergency treatment due to tracheal spasms, but due to a delay in the ambulance, it took over an hour for her to arrive at the hospital, by ...
Dr. Gao Chunde Reply:
The patient has been in a coma for a month, and the chances of regaining consciousness are likely lower, but not entirely absent. There may be spontaneous twitching in the toes and legs, which could be related to muscle spasms and abnormal electrical discharges in the brain. If t...[Read More] Understanding Toe Tremors in Comatose Patients: What You Need to Know
Essential Tests for Headaches and Dizziness: A Guide
Headache and dizziness? I have scheduled a health check-up at the health department and would like to request additional tests specifically for my headaches and dizziness. What additional tests should I consider? Thanks!
Dr. Ye Boshou Reply:
Hello: The causes of headaches and dizziness are different. The health examination for headaches includes electroencephalography (EEG) and computed tomography (CT) imaging analysis. If dizziness is related to blood flow issues, a transcranial Doppler ultrasound may be necessary.[Read More] Essential Tests for Headaches and Dizziness: A Guide
Concerns About Mad Cow Disease: Symptoms, Tests, and Specialist Recommendations
I suspect that I have mad cow disease (Creutzfeldt-Jakob disease)? Two weeks ago, after having Japanese barbecue with my girlfriend, I experienced a week-long headache and temporary memory loss, where I would forget what I did earlier that day in the afternoon, having no recollec...
Dr. Lin Zijing Reply:
Bovine spongiform encephalopathy, officially known as variant Creutzfeldt-Jakob disease (vCJD), was first identified in 1996 in the United Kingdom. Creutzfeldt-Jakob disease (CJD) itself was discovered as early as 1920. Both conditions exhibit similar pathological changes in the ...[Read More] Concerns About Mad Cow Disease: Symptoms, Tests, and Specialist Recommendations
Understanding Nerve Pain: Causes and When to Seek Further Testing
Neuralgia Dear Doctor: Since August of last year, I have been experiencing pain on both sides of my head (near the ears and temples) every few days. Occasionally, I also feel sharp nerve pain on the top of my head. Soon after, I started to feel soreness in the nerves at the back ...
Dr. Lin Zijing Reply:
Bilateral temporal headaches are often tension-type headaches caused by prolonged poor posture or stress. Pain in the posterior neck and occipital region is more commonly due to cervical nerve or muscle issues. The most severe pain upon waking may be attributed to improper sleepi...[Read More] Understanding Nerve Pain: Causes and When to Seek Further Testing
Understanding Chronic Back Pain and Neurological Symptoms: Causes and Solutions
Lower back pain? I often experience lower back pain and discomfort, with the pain being particularly severe. Even light pressure near my spine in the lower back area causes significant soreness. Sometimes, I suddenly feel a sharp, nerve-like pain that lasts for at least three sec...
Dr. Huang Yingzhe Reply:
Dear Ray, This is Dr. Huang Ying-Che, the Director of the Neurology Department at Tainan Hospital, Department of Health, Executive Yuan. Regarding your back issues, it may be related to neuromuscular problems. It would be advisable to undergo an X-ray or nerve conduction studi...[Read More] Understanding Chronic Back Pain and Neurological Symptoms: Causes and Solutions
Understanding Hand Numbness and Seizures: Is It Epilepsy?
Numbness in the hands? I have already consulted with a neurologist at Chiayi Jiayi Hospital, and the doctor verbally concluded that I might have epilepsy. I have undergone an EEG and am currently waiting for an MRI. Recently, I have been experiencing occasional hand numbness, mus...
Dr. Zeng Kongyan Reply:
Generally, if the EEG does not show epileptiform activity, the diagnosis of epilepsy must rely on clinical symptoms. The symptoms described in your letter could potentially be indicative of epilepsy, but further confirmation is needed through outpatient follow-up or assessment of...[Read More] Understanding Hand Numbness and Seizures: Is It Epilepsy?
Understanding Changes in Chronic Migraines and Hearing Issues
Chronic migraines have recently changed in pattern? Hello, Doctor: I have been experiencing chronic headaches for a long time and have undergone examinations at the hospital, but my EEG results were normal. I have been taking antipyretic analgesics and peripheral vasodilators. Ho...
Dr. Lin Zijing Reply:
Long-term headaches that have a similar pattern are generally less concerning. However, if you gradually notice the emergence of other symptoms or an increase in headache frequency, it is advisable to seek consultation with a neurologist. If there are auditory issues, the physici...[Read More] Understanding Changes in Chronic Migraines and Hearing Issues
Managing Dual Antiepileptic Medications: Dosage, Differences, and Side Effects
Simultaneous use of two antiepileptic drugs? Hello Dr. Lin, My brother was originally taking the antiepileptic medication Depakene, three times a day at a total of three pills. However, he still occasionally experiences absence seizures and has episodes of generalized tonic-clon...
Dr. Lin Zijing Reply:
Antiepileptic drugs are intended to prevent the occurrence of seizures, as seizures are caused by abnormal electrical discharges in the brain, which can lead to brain damage, inflammation, atrophy, and even life-threatening situations during severe episodes. Doctors regularly mon...[Read More] Managing Dual Antiepileptic Medications: Dosage, Differences, and Side Effects
Understanding Neurological Issues: Seeking Help for Unexplained Symptoms
Consultation I have a seemingly absurd but actually serious question, and I hope to get an answer here. (I once asked a doctor, but was treated like I was crazy.) In high school, I had pseudo-myopia but did not want to become myopic. My mother happened to have bought traditional ...
Dr. Zhuang Yumin Reply:
Dear Yu: Your question is indeed difficult to answer. Whether the issue with traditional Chinese medicine is related to your symptoms cannot be determined without immediate testing. If you are simply troubled by chronic headaches, objective examinations such as an electroencephal...[Read More] Understanding Neurological Issues: Seeking Help for Unexplained Symptoms
Understanding Persistent Headaches: Causes, Concerns, and Next Steps
Persistent headache for one week? I have been experiencing a persistent headache for a week now, with continuous pain that occasionally subsides for brief periods (1-2 hours). In the first few days, I felt nauseous and had a decreased appetite, but now I only occasionally feel na...
Dr. Zeng Kongyan Reply:
Hello: Theoretically, headaches can be a manifestation of many diseases. If the described symptoms occur in a younger individual with a previous history of headaches, they could be indicative of migraines. If the symptoms persist for a week without improvement, a consultation wit...[Read More] Understanding Persistent Headaches: Causes, Concerns, and Next Steps
Understanding Chronic Headaches: Causes, Symptoms, and Treatment Options
Regarding the issue of chronic migraines? Hello Dr. Yeh, thank you for taking the time to answer my questions. I have habitual headaches, sometimes on the left temple and sometimes affecting half of my head, with a sensation of throbbing pain like blood vessels are swelling. When...
Dr. Ye Boshou Reply:
Hello: Based on your description, it seems like you might be experiencing migraines (also known as vascular headaches), which can be related to food and menstrual cycles. Your brain wave activity is mostly normal, but vascular headaches can also include other vascular abnormaliti...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatment Options
Understanding High Blood Pressure and Elevated Body Temperature in Seniors
High blood pressure and elevated body temperature? Hello Dr. Yeh, My grandmother is 89 years old and has been experiencing unstable blood pressure, with more than three episodes in a day recently. She feels a constant internal heat, as if something is moving inside her, which is...
Dr. Ye Boshou Reply:
Hello: Some blood pressure medications can cause vasodilation, leading to symptoms such as fever and facial flushing. When you see your doctor, please bring your medications and inform them if any adjustments are needed.[Read More] Understanding High Blood Pressure and Elevated Body Temperature in Seniors
Understanding Electric Shock Sensations in the Right Brain: Causes and Solutions
There is a tingling sensation above the right ear? Hello, my mother-in-law (in her sixties) has been experiencing a sensation similar to electric shocks in the right side of her brain (above the ear) for the past few weeks. This sensation lasts for several seconds and occurs freq...
Dr. Ye Boshou Reply:
If there is only a tingling sensation without headache, dizziness, or weakness or numbness in the limbs, it may indicate a localized sensory abnormality in the skin. Medications for sensory abnormalities can provide some relief. Additionally, an electroencephalogram (EEG) can be ...[Read More] Understanding Electric Shock Sensations in the Right Brain: Causes and Solutions
Understanding Headaches in Hypertensive Patients: Causes and Concerns
Headache Hello Doctor: My father has high blood pressure, and he takes his medication on time, but he often experiences headaches that last for 2-3 hours, which is distressing for me as his daughter! He previously underwent an EEG at the hospital, which came back normal. I would ...
Dr. Ye Boshou Reply:
There are many causes of headaches. First, inquire about the antihypertensive medications being taken. If there is no improvement, consider an evaluation at a neurology clinic.[Read More] Understanding Headaches in Hypertensive Patients: Causes and Concerns
Can You Rent EEG Monitoring Equipment in Taiwan for Medication Management?
Are there brainwave monitoring devices available for rent? Since I had a grand mal seizure at the age of 16, I have been on medication, specifically Tegretol 200 mg extended-release. Initially, I took two tablets twice a day, but now I take one tablet twice a day. During this tim...
Dr. Huang Yingzhe Reply:
Dear Xiaomi, According to my knowledge, there is currently no simple and reliable device that allows patients to self-use and detect abnormalities. Electroencephalography (EEG) only holds clinical reliability after interpretation by a physician who has undergone extensive traini...[Read More] Can You Rent EEG Monitoring Equipment in Taiwan for Medication Management?