Understanding Absence Seizures in Young Children: Symptoms and Next Steps
Childhood Absence Seizures Hello, Doctor Jiang. My son is currently 2 years and 10 months old. When he was about 6 months old, he had a febrile seizure and was diagnosed with complex febrile seizures. Then, at 1 year and 10 months, he experienced another seizure of unknown origin...
Dr. Jiang Junyi Reply:
Hello: In the field of neurology, pediatric neurological disorders often involve various genetic or metabolic diseases. Regarding epilepsy, if it is absence epilepsy, there will be a specific pattern observed on the electroencephalogram (EEG). Benign focal epilepsy should also be...[Read More] Understanding Absence Seizures in Young Children: Symptoms and Next Steps
Understanding Absence Seizures in Young Children: Symptoms and Next Steps
Childhood Absence Seizures Hello Dr. Jiang, my son is currently 2 years and 10 months old. When he was about 6 months old, he had a febrile seizure and was diagnosed with complex febrile seizures. Then, at 1 year and 10 months, he had another seizure of unknown origin. At 2 years...
Dr. Jiang Junyi Reply:
Hello: In the field of neurology, pediatric neurological disorders require consideration of various genetic or metabolic diseases. For epilepsy, if it is absence epilepsy, there will be a specific pattern observed on the electroencephalogram (EEG). Benign focal epilepsy should al...[Read More] Understanding Absence Seizures in Young Children: Symptoms and Next Steps
Chest Tightness, Dizziness, and Rapid Heartbeat: Seeking Further Diagnosis
Chest tightness, dizziness, and rapid heartbeat? For the past six months, I have frequently experienced chest tightness, dizziness, and a rapid heartbeat. I have undergone a comprehensive health check-up at my own expense, and everything came back normal. Additionally, I have had...
Dr. Jiang Junyi Reply:
Hello, based on your description, if you are overweight or experiencing severe snoring, you may want to consider sleep apnea. This condition is commonly caused by the obstruction of the airway due to soft tissue in the throat, which narrows the upper airway and leads to snoring a...[Read More] Chest Tightness, Dizziness, and Rapid Heartbeat: Seeking Further Diagnosis
Managing Seizures Triggered by Antidepressants: A Patient's Journey
Post-drug-induced epilepsy Hello Doctor, about 14 years ago, I experienced a head injury. I have a history of depression and sleep disorders, and my depression improved over time. However, approximately 12 years ago, I fainted in the bathroom after taking antidepressant medicatio...
Dr. Cai Zongzhang Reply:
Hello, epilepsy requires regular medication adherence and treatment according to the physician's instructions. Additionally, maintaining a stable daily routine can help stabilize the condition.[Read More] Managing Seizures Triggered by Antidepressants: A Patient's Journey
Understanding Risks of Hydrocephalus Surgery: A Guide for Families
Inquiry about the risks of hydrocephalus surgery? Hello, doctor! Recently, I have read many articles that only describe symptoms, sequelae, and surgical methods. I am inquiring about the risks during the surgical process. The patient has experienced elevated intracranial pressure...
Dr. Hong Weibin Reply:
1. General anesthesia typically involves the use of intravenous and inhalational anesthetics to block pain. In a normal human body, the brainstem's respiratory center sends signals to the respiratory muscles to facilitate breathing. However, during the administration of anes...[Read More] Understanding Risks of Hydrocephalus Surgery: A Guide for Families
Understanding Facial Nerve Dysfunction After Cosmetic Procedures
Facial nerve Hello, doctor. Two years ago, I had a cosmetic mole removal procedure done near the inner corner of my eyebrow. About a month later, I noticed a slight drooping of my eyelid, but since it was not very noticeable, I thought I was overreacting and did not see a doctor....
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Typically, the imp...[Read More] Understanding Facial Nerve Dysfunction After Cosmetic Procedures
Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Unknown dizziness Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests, including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, exercise ECG, ech...
Dr. Jiang Junyi Reply:
Hello: It seems that you have undergone many examinations, yet you still experience poor sleep. I wonder if you have had a sleep study done? Many symptoms such as dizziness, elevated blood pressure, and difficulty concentrating could potentially be explained by obstructive sleep ...[Read More] Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Understanding Childhood Epilepsy: Is It Truly Benign After Years Without Seizures?
Inquiry about epilepsy issues? Hello, Dr. Jiang. I have a question to ask you: I had epilepsy when I was a child, and I took my medication regularly, gradually reducing and eventually stopping it around the time I was in the third year of junior high school. Since then, I have no...
Dr. Jiang Junyi Reply:
Hello: Your symptoms resemble benign childhood epilepsy. The clinical symptoms of benign childhood epilepsy typically occur between the ages of 3 and 13, with the most common age range being 6 to 9 years. The symptoms primarily consist of focal twitching of the face and limbs. Mo...[Read More] Understanding Childhood Epilepsy: Is It Truly Benign After Years Without Seizures?
Understanding Balance Issues: Insights on Neurological Symptoms and Management
Frequent feelings of heaviness in the head and lightness in the legs, leading to imbalance during activities? Hello, I often feel unbalanced when I start moving in the morning (I don't feel much when sitting or lying down). For example, if I turn too quickly, I experience a ...
Dr. Jiang Junyi Reply:
Hello: Headaches can be quite bothersome, and if you are experiencing them frequently, you might consider using preventive medications that have low side effects and can be used long-term. Common prodromal symptoms of migraine include visual disturbances, such as seeing bright li...[Read More] Understanding Balance Issues: Insights on Neurological Symptoms and Management
Understanding Muscle Twitches: Are They Linked to ALS or Anxiety?
Muscle twitching Hello Doctor: I experienced dizziness and weakness in my limbs at the end of December last year. After visiting a neurology department at the hospital, an EEG showed no abnormalities. However, I continued to feel dizzy into early January, so I switched to another...
Dr. Jiang Junyi Reply:
Hello: The ALS you are concerned about primarily refers to issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those in the brainstem and spinal cord are called lower motor neuro...[Read More] Understanding Muscle Twitches: Are They Linked to ALS or Anxiety?
Unexplained Dizziness: Seeking Answers Beyond Medication Relief
Persistent dizziness with no clear cause ~ I can only relieve the symptoms with sedatives each time? Hello Doctor: My dizziness symptoms occur several times a day, characterized by brief episodes of fatigue, lethargy, weakness, and occasional short bouts of dizziness and nausea. ...
Dr. Jiang Junyi Reply:
Hello: You have many symptoms, and my final recommendation is to focus on examinations at the same medical center to gain a deeper understanding. If you are concerned about a previous stroke, you can rule it out by undergoing a self-paid MRI of the brain. Regarding your tendency ...[Read More] Unexplained Dizziness: Seeking Answers Beyond Medication Relief
First Seizure: Understanding Recurrence Risks and Follow-Up Care
Will a first seizure lead to recurrence? Doctor, a few days ago, I suddenly experienced a seizure with convulsions in my limbs, foaming at the mouth, and collapsed. After being taken to the hospital, the doctor determined it was likely epilepsy, but brain scans, chest X-rays, and...
Dr. Jiang Junyi Reply:
Hello: If you have only experienced one seizure, it may not yet be diagnosed as epilepsy. Epilepsy is a neurological disorder characterized by a tendency to have sudden seizures (epileptic seizures). Seizures occur due to a sudden and temporary disruption of normal electrical act...[Read More] First Seizure: Understanding Recurrence Risks and Follow-Up Care
Uncontrollable Jaw Clenching: Understanding Neurological and Stress Factors
Involuntary mandibular clenching? Hello, Doctor. In early September of this year, due to high stress, I started grinding my teeth to protect them and wore an occlusal splint for two weeks. After that, my lower jaw began to involuntarily clench. My teeth often collide with each ot...
Dr. Jiang Junyi Reply:
Hello: The causes of excessive tension in the masticatory muscles may include electrolyte imbalances. Prolonged overuse of these muscles can lead to a square-shaped face or muscle tightness. The electrical stimulation response you mentioned refers to the facial nerve examination,...[Read More] Uncontrollable Jaw Clenching: Understanding Neurological and Stress Factors
Understanding EEG Results: What Do Flat Waves and Seizure Waves Mean?
The meaning represented by an EEG examination? Hello, doctor. Could you please explain what it means when the EEG results show a flat wave? Additionally, what does it signify if seizure waves are present? Thank you!
Dr. Jiang Junyi Reply:
Hello: EEG is obtained by recording the electrical potentials from the scalp. At rest, the apical dendrites of pyramidal cells are in a polarized state; when signals are received, depolarization occurs, creating a dipole field system with a potential difference across the cell. T...[Read More] Understanding EEG Results: What Do Flat Waves and Seizure Waves Mean?
Does Drinking Tea Affect EEG Results for Headache Diagnosis?
Headache examination? Doctor, I had an EEG last month due to headaches, but I took a small sip of tea before the test. The results indicated no issues, but I'm a bit concerned whether that could have affected the results, such as the presence of a tumor.
Dr. Jiang Junyi Reply:
Hello: Brain waves are more easily affected by sleeping pills and hypoglycemia. Additionally, lack of sleep can also significantly impact the pattern of brain waves. As for brain tumors, more precise examinations are not primarily based on brain waves. Typically, brain imaging su...[Read More] Does Drinking Tea Affect EEG Results for Headache Diagnosis?
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
Understanding Essential Tremor: Causes, Treatments, and Next Steps
Tremors in the hands, feet, and body? Hello, doctor: I would like to ask about my condition. I noticed that my left hand has been trembling since high school, and now my right hand also has slight tremors. When I extend my five fingers forward, they tremble significantly. When I ...
Dr. Jiang Junyi Reply:
Hello, essential tremor: The exact cause of the tremor cannot be determined; it may be due to a specific constitution or hereditary tremor. Typically, the tremor is more pronounced when holding objects, while some individuals may experience shaking when writing or performing spec...[Read More] Understanding Essential Tremor: Causes, Treatments, and Next Steps
Understanding Dizziness: Neurological Concerns and Solutions
Dizziness. Brain issues? Hello. This has been going on for three years. Whenever I make even a slight movement, I feel lightheaded (it takes about 5 to 10 seconds to feel better). I have the urge to stretch my heels and stick out my tongue. I'm not sure if this is how I orig...
Dr. Jiang Junyi Reply:
Hello, based on your description, benign paroxysmal positional vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, leaning back, lying down, getting up, turning over,...[Read More] Understanding Dizziness: Neurological Concerns and Solutions
Understanding Transient Limb Weakness: Possible Causes and Next Steps
Recently, I have experienced occasional and noticeable weakness in my limbs over the past month? Hello Doctor: For the past month, I have been experiencing intermittent episodes of transient weakness in my limbs. During these episodes, my hands and feet feel light, and I occasion...
Dr. Jiang Junyi Reply:
Hello, your symptoms may suggest hyperventilation. Rapid or deep breathing can lead to excessive expulsion of carbon dioxide, resulting in respiratory alkalosis, which raises blood pH levels and affects the normal electrophysiological processes of the nervous system. Some patient...[Read More] Understanding Transient Limb Weakness: Possible Causes and Next Steps
Understanding Recurring Postural Headaches: Causes and Solutions
Recently, I have been experiencing recurrent postural headaches for the past two weeks? Hello, doctor. Since the beginning of January, I have been suffering from various symptoms of autonomic nervous system dysfunction. I have seen many specialists, and although I underwent an EE...
Dr. Jiang Junyi Reply:
Hello: I wonder if you excessively use electronic devices in your daily life. Your symptoms are very similar to cervical myofascial pain syndrome, which commonly presents with pain at the affected site, discomfort, muscle stiffness, or a feeling of heaviness. Symptoms may worsen ...[Read More] Understanding Recurring Postural Headaches: Causes and Solutions