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 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
Understanding Systemic Joint and Bone Itching: Causes and Next Steps
Systemic joint and bone itching can occur in the hands, feet, back, and pelvis? In 2020, I visited a neurologist due to widespread itching in my bones, along with joint pain in my limbs. Sometimes, I experience a burning, itchy, painful, and aching sensation, both day and night, ...
Dr. Peng Shiwei Reply:
Hello, I recommend that you consistently see one physician. If they believe that assistance from another specialist is necessary, they will inform you accordingly. If you have any concerns about the medication prescribed by your doctor, please discuss them with your primary physi...[Read More] Understanding Systemic Joint and Bone Itching: Causes and Next Steps
Understanding Hand Tremors: Causes and When to Seek Help
Tremor issues Hello doctor, this morning when I started using the computer, my right hand, which I use to hold the mouse, experienced significant shaking, especially when pressing the buttons. I also tried other movements and found that my hand trembles quite a bit when making a ...
Dr. Jiang Junyi Reply:
Hello Mr. Jam: You mentioned that "the shaking is more pronounced when pressing buttons, and after trying other movements, I found that there is also significant shaking when making a fist, which sometimes occurs and sometimes does not." This symptom seems to be related...[Read More] Understanding Hand Tremors: Causes and When to Seek Help
Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
I feel exhausted every day and I feel like I'm about to die! Last night, I suddenly felt unwell in the latter half of my sleep. I got up to check my blood pressure, which was 91/56. I felt like crying; I wanted to sleep but couldn't. At first, I experienced hand tremors...
Dr. Jiang Junyi Reply:
Hello: You mentioned symptoms such as "feeling sleepy but unable to sleep well, initially experiencing hand tremors and numbness in the legs... switching positions while sleeping, rapid internal shaking, left-sided numbness, and a fast heartbeat." These symptoms may sug...[Read More] Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
Understanding Chest Tightness and Fainting: Could It Be Autonomic Dysfunction?
Chest tightness followed by numbness in the hands, suddenly fainting, and waking up a few minutes later? Hello doctor, my mother has recently been experiencing sudden chest tightness and shortness of breath, followed by numbness in her right hand, and then she fainted. After a fe...
Dr. Jiang Junyi Reply:
Dear Miss JX, You mentioned experiencing sudden chest tightness and shortness of breath, followed by numbness in your right hand and then fainting. First, we need to consider the symptoms of syncope. The most common causes are reflex syncope, which can occur due to excessive sti...[Read More] Understanding Chest Tightness and Fainting: Could It Be Autonomic Dysfunction?
Understanding Brain Waves: Can They Indicate Brain Tumors?
Brain waves and brain tumors? The article you found discusses that electroencephalography (EEG) can detect abnormal waveforms in specific areas of the brain, indicating that there may be dysfunction in those regions. However, it emphasizes that while EEG and neurological examinat...
Dr. Hong Weibin Reply:
Hello: Essentially, an electroencephalogram (EEG) is a functional test used to assess the integrity of brain function. The concept of this article is correct. To completely rule out a brain tumor, imaging studies are still necessary. Brain tumors can be classified as benign or ma...[Read More] Understanding Brain Waves: Can They Indicate Brain Tumors?
Understanding Visual Disturbances: Insights on Flashing Lights and Eye Symptoms
Frequent bright spots and flashes in the eyes are indicative of enhanced Scherer's symptom? Hello Doctor, I am really very anxious and I seek your help to understand what might be wrong with me. I apologize for the lengthy message. My symptoms started in January after I boug...
Dr. Hong Weibin Reply:
Hello: 1-4. It is likely due to eye strain; I recommend reducing the use of VR, mobile phones, and computers, and taking more breaks. Improvement is expected in a few months. 5-6. It may be "typical aura without headache." In some patients, typical auras are always acco...[Read More] Understanding Visual Disturbances: Insights on Flashing Lights and Eye Symptoms
Do Jewelry and Smart Bands Affect EEG Results?
Could you please provide more context or specify what information you need regarding an EEG (electroencephalogram)? If I forgot to remove earrings, necklaces, bracelets, and a Xiaomi band during an EEG test, will it affect the results? I realized this after the test was completed...
Dr. Cai Zongzhang Reply:
Hello: 1. Environmental electromagnetic interference or abnormal physiological activity in the brain can be easily distinguished during an electroencephalogram (EEG). 2. During the EEG, it is necessary to simultaneously monitor the electrocardiogram (ECG), and the electrode patch...[Read More] Do Jewelry and Smart Bands Affect EEG Results?
Understanding Muscle Twitches: Causes, Treatments, and Concerns
Muscle twitching Hello Doctor, I have been experiencing intermittent muscle twitching for two months now, feeling it several times a day. The twitches last about 2 seconds each and are not localized, mostly occurring in my feet, abdomen, shoulders, buttocks, and knees, with more ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "stretching causes a slight tingling sensation in the soles of the feet, which is quite uncomfortable." This may indicate symptoms caused by compression of the spinal nerve roots by surrounding tissues. It is advisable to visit a neurology clin...[Read More] Understanding Muscle Twitches: Causes, Treatments, and Concerns
Understanding Muscle Twitches and Weakness: A Neurology Perspective
Weakness in the legs and muscle tremors? Doctor, last week I experienced muscle twitching in multiple areas of my body, so I went to a neurologist for an electroencephalogram, which came back normal. Although the twitching is not very frequent, I sometimes notice significant musc...
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 and Weakness: A Neurology Perspective
Understanding Involuntary Eye and Limb Movements: A Neurology Perspective
Involuntary twitching of the eyes and a feeling of weakness in the limbs? Hello Doctor, Two weeks ago, I started experiencing twitching in the area under my right eye, which has continued until now. A few days later, I noticed frequent twitching in the back of my left foot and ...
Dr. Cai Zongzhang Reply:
Hello, you have many concerns about your symptoms. You have undergone relevant examinations, and it is recommended that you follow up with your physician based on the test results. Until a diagnosis is confirmed, try to relax and not let worry affect your mood.[Read More] Understanding Involuntary Eye and Limb Movements: A Neurology Perspective
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
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 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 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 Napping During Awake EEG Affect Test Accuracy?
Brainwave issues Hello, doctor! I would like to ask if taking a brief nap during a wakefulness EEG test would affect the accuracy of the measurements. Previously, I had a normal wakefulness EEG due to dizziness, but now the cause of my dizziness has not improved. Could that short...
Dr. Jiang Junyi Reply:
Based on your description, the primary indication for an electroencephalogram (EEG) is epilepsy. Other conditions such as intracranial lesions, stroke, encephalitis, brain tumors, and metabolic brain disorders can currently be assisted in diagnosis through brain imaging. For the ...[Read More] Does Napping During Awake EEG Affect Test Accuracy?
Why Are Antiepileptic Drugs Prescribed for Insomnia?
Why is it necessary to take anticonvulsants for insomnia? Hello, Dr. Lan. I have insomnia and visited a neurologist who prescribed me 0.5 mg of Clonazepam and 500 mg of Calcium Carbonate. I found out that Clonazepam is an anticonvulsant medication. I had a car accident last Decem...
Dr. Lan Shengxing Reply:
Dear Mr. Tsai, the symptoms you described may be indicative of a parasomnia, specifically a type of sleep disorder known as sleep movement disorder. Mild forms of sleep movement disorder are not epilepsy, but to determine whether your symptoms are related to epilepsy, an EEG (ele...[Read More] Why Are Antiepileptic Drugs Prescribed for Insomnia?
Understanding Childhood Epilepsy: Symptoms, Treatment, and Management
Pediatric epilepsy Hello, doctor. My child is currently 3 years old and has mild developmental delay. In March of this year, an EEG showed abnormal discharges (currently not on medication). In February, during an episode, he blinked his eyes and had a slight head nodding twice, b...
Dr. Huang Yingzhe Reply:
Absence seizures have a defined pattern on an electroencephalogram (EEG), so in addition to clinical symptoms, EEG findings are necessary for confirmation. However, it does sound like an epileptic seizure. It is advisable to consult a pediatric neurologist or pediatric epilepsy s...[Read More] Understanding Childhood Epilepsy: Symptoms, Treatment, and Management