Understanding Pain Above the Eyebrows: Possible Causes and Solutions
Pain in the area above both eyebrows? Hello Dr. Jiang: I have been experiencing pain in the area of my eyebrows for the past 2-3 days. It hurts when I press on it. Do you have any solutions, Dr. Jiang?
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "the area above both eyebrows hurts, and it is painful when pressed." If tapping causes a dull pain, it may be worth considering inflammation of the frontal sinuses due to sinusitis. In daily life, it is advisable to avoid dry and cold ...[Read More] Understanding Pain Above the Eyebrows: Possible Causes and Solutions
Understanding Exploding Head Syndrome: Symptoms and When to Seek Help
Sleep issues In the past week, when lying down to sleep, I have experienced a sensation in my brain that feels like a mild electric shock. After this sensation, I can change positions or fall asleep normally. However, this has occurred about 2-3 times over the week. Yesterday, I ...
Dr. Jiang Junyi Reply:
Dear Mr. Shen, You mentioned that "when lying down to sleep, it feels like my brain has been lightly shocked by an electric current..." This may indicate a sleep disorder. Exploding Head Syndrome has two main causes: one is unstable brain waves or transitions in brain ...[Read More] Understanding Exploding Head Syndrome: Symptoms and When to Seek Help
Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Autonomic Nervous System Dysfunction or Multiple Sclerosis? Hello Dr. Jiang, In early September, I experienced brief episodes of numbness and tingling in my limbs, lasting only a few seconds but occurring quite frequently. I consulted a clinic, and they suggested it might be a c...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "temporary numbness and tingling in your limbs, which lasts for a few seconds but occurs quite frequently." These symptoms are more indicative of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels ...[Read More] Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Understanding Parkinson's Disease and Cerebellar Atrophy Symptoms
Parkinson's disease and cerebellar atrophy? Hello doctor, recently I have been experiencing some unsteadiness while walking, but I'm not sure if it's psychological. Additionally, I have a bit of difficulty controlling my left little finger and ring finger. I have t...
Dr. Hong Weibin Reply:
Hello: Typically, Parkinson's disease or cerebellar atrophy tends to occur in middle age. Generally speaking, it is quite rare for these conditions to manifest at the age of 16. If you are still concerned, I recommend seeking assistance from a neurologist, who can conduct a ...[Read More] Understanding Parkinson's Disease and Cerebellar Atrophy Symptoms
Deviated Uvula and Uneven Pupil Size: When to Seek Medical Advice?
Deviated uvula with unequal pupil size? Although this question may seem a bit strange, I recently noticed that my uvula is leaning to one side. Additionally, under certain lighting conditions, my pupils appear to be of unequal size. After consulting with family members, they also...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "the uvula is deviating to one side," which is primarily controlled by the vagus nerve. You also noted that "under moderate lighting conditions, it is easier to perceive a discrepancy in the size of the pupils, with the right eye respond...[Read More] Deviated Uvula and Uneven Pupil Size: When to Seek Medical Advice?
Understanding Facial Nerve Palsy: Diagnosis and Further Testing Options
Facial nerve paralysis examination Hello Dr. Jiang, about a month ago, I woke up one day to find that I couldn't move the left side of my face. During my consultation, the neurologist suspected that it might be a viral cause of facial nerve paralysis. I have been taking ster...
Dr. Jiang Junyi Reply:
Hello Mr. Kobayashi: You mentioned "facial nerve paralysis," which is a condition affecting the peripheral cranial nerves and usually resolves on its own. 1. If you would like to pursue further brain examinations, what options are available? Are they covered by health i...[Read More] Understanding Facial Nerve Palsy: Diagnosis and Further Testing Options
Understanding Long-Term Effects of Childhood Head Injuries on Adult Health
My brother had a backward fall and hit his head when he was one year old, and he is currently 40 years old? Hello, Doctor Jiang. I would like to ask you about my brother. He had a head injury at the age of one when he fell backward, which resulted in immediate loss of consciousne...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned that your brother exhibits "slow learning, delayed responses, insufficient memory, noticeable social difficulties, repetitive confirmation actions, easy nervousness, repetitive speech, and an inability to listen to others. He sometimes becomes e...[Read More] Understanding Long-Term Effects of Childhood Head Injuries on Adult Health
Understanding Facial Nerve Palsy: Diagnosis and Further Brain Examination Options
Facial nerve paralysis examination Hello Dr. Jiang, about a month ago, I woke up one day and found that I could not move the left side of my face. During my visit, the neurologist diagnosed it as possibly viral-induced facial nerve paralysis. I have been taking steroids for a wee...
Dr. Jiang Junyi Reply:
Hello Mr. Kobayashi: You mentioned "facial nerve paralysis," which is a condition affecting the peripheral cranial nerves and typically resolves on its own. 1. If you wish to pursue further brain examinations, what options are available? Are they covered by health insur...[Read More] Understanding Facial Nerve Palsy: Diagnosis and Further Brain Examination Options
Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Suspected autonomic nervous system dysfunction? Hello doctor, I started experiencing intermittent tingling, numbness, and weakness in my limbs at the beginning of September, which lasts for about a few seconds. I have visited many clinics and had blood tests to check my electroly...
Dr. Cai Zongzhang Reply:
Hello, it is recommended to visit the neurology and rheumatology clinics for examination.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Understanding Post-Massage Head Pain: Is It a Sign of Vertebral Artery Dissection?
Headache and dizziness after massage? I went for a massage yesterday and asked the therapist to work on the muscles around the occipital area. However, he applied too much pressure, and now the massage point is painful. Is there a possibility of vertebral artery dissection? Curre...
Dr. Jiang Junyi Reply:
Hello Mr. Yi, You mentioned, "Could the pain at the massage point possibly indicate vertebral artery dissection?" Generally, issues with the vertebral artery occur after severe rotation, and localized pressure is less likely to cause such problems. More than half of p...[Read More] Understanding Post-Massage Head Pain: Is It a Sign of Vertebral Artery Dissection?
Understanding Eye and Ear Symptoms: Seeking Guidance from a Neurologist
Inquiry Consultation Dear Dr. Jiang, I am unsure which medical specialty my issue falls under. If it is not within your area of expertise, I would appreciate your guidance on which specialty I should consult. Here is my concern: when I turn my eyes to the right (and occasionally...
Dr. Jiang Junyi Reply:
Hello Mr. Ah-Hsiang: You mentioned that "when turning right (and occasionally left), there is a flash accompanied by a 'pop' sound (similar to an electrical short circuit) echoing in the ear." This may suggest issues related to the temporomandibular joint or t...[Read More] Understanding Eye and Ear Symptoms: Seeking Guidance from a Neurologist
Understanding Persistent Dizziness Without Vertigo: Key Insights
Dizziness without vertigo? I would like to ask the doctor, since last week I have been feeling lightheaded every day, but I do not experience vertigo. When I close my eyes with my feet together, my body sways slightly. I have never experienced anything like this before. Although ...
Dr. Jiang Junyi Reply:
Dear Mr. Zhang, You mentioned that when you stand with your feet together and close your eyes, your body sways slightly. This may indicate that your proprioception is affected. Conditions such as anemia, autonomic dysfunction, and inner ear imbalance could contribute to your sym...[Read More] Understanding Persistent Dizziness Without Vertigo: Key Insights
Understanding Muscle Twitching: Causes and Concerns in Neurology
Muscle tremors Hello Doctor, I would like to ask you some questions. In September, I experienced some health issues that led to anxiety. After seeing the appropriate doctors, they assured me that everything was fine and my symptoms gradually improved. However, recently, I have be...
Dr. Hong Weibin Reply:
Hello: The body's muscles are controlled by nerves, which function like electrical wires, transmitting signals to control muscle movements. However, just like wires can become faulty over time and can be affected by external factors such as temperature and humidity, leading ...[Read More] Understanding Muscle Twitching: Causes and Concerns in Neurology
Understanding Involuntary Muscle Twitches: Causes and Management Tips
Involuntary muscle twitching? Hello Doctor, I would like to ask a question. Since around October 10th, I have been experiencing some involuntary muscle twitching, starting with my left eyelid, then my right elbow joint, and my thighs and calves, which twitch intermittently for ab...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may suggest "benign fasciculation syndrome," which can be triggered by acute viral infections, anxiety, and medication use. Prolonged exercise is one of the main causes of muscle twitching. Common medications that can cause muscle twitching inc...[Read More] Understanding Involuntary Muscle Twitches: Causes and Management Tips
Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Head pressure/pain/nausea? I have been experiencing headaches for over a year. Initially, I thought it was just a migraine, and taking painkillers and resting would help. However, the more I slept, the more intense the pain became, accompanied by nausea and a feeling of wanting t...
Dr. Jiang Junyi Reply:
Dear Miss Fei, You mentioned that "the pain location can vary, usually it is unilateral, occasionally in the middle of the forehead or associated with high eye pressure, and whenever a headache occurs, there is a feeling of nausea." First, we should consider typical mi...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Understanding Muscle Tremors: Causes and Solutions for Your Concerns
Muscle twitching Hello, I have noticed that my arms and thighs experience slight tremors when they are suspended, exerted, or stretched at certain angles, similar to the shaking sensation when stretching. Essentially, I can feel the tremors while exerting myself and when my limbs...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "after playing the piano, my fingers shake more severely after movement or exertion." Your symptoms may suggest benign muscle tremors. Certain situations in daily life can trigger this issue, such as exercise, acute viral infections, a...[Read More] Understanding Muscle Tremors: Causes and Solutions for Your Concerns
Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
I would like to know the difference between migraine and intracranial hypertension headache? Hello, I would like to inquire about my hospitalization this year due to headaches. The attending physician suspected I have migraines. Initially, they treated me with intracranial pressu...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "you were awakened by severe pain in the right occipital region in the early morning," which may need to be considered due to carbon dioxide accumulation causing vasodilation in the brain, leading to increased intracranial pressure. The d...[Read More] Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Facial nerve paralysis Hello Doctor, two weeks ago I noticed symptoms of left facial nerve paralysis: I cannot close my eye, my mouth cannot open, my face cannot move, and sounds in my ear are excessively loud. A neurologist prescribed steroids and also performed acupuncture and ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that facial nerve paralysis affects hearing. This is because the stapedius muscle, which is responsible for stabilizing the stapes bone, is innervated by the facial nerve. Recovery of symptoms requires nerve regeneration, unlike facial muscles that can i...[Read More] Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Four limbs numbness, neck pain, headache, various minor ailments? Hello Dr. Jiang, this is Ms. Li who inquired about some issues at the beginning of September. Since early September, I have been experiencing tingling and numbness in my entire arms and legs, along with occasional ...
Dr. Jiang Junyi Reply:
Dear Ms. Li, I am not sure if there is a medical center near your residence. The examination of neurological diseases requires a period of follow-up for comparison. For instance, if a score drops from 80 to 70, it may still be considered passing from a 60-point perspective. The ...[Read More] Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Can Patients with Facial Nerve Paralysis Receive the BNT Vaccine?
Facial nerve paralysis Hello Dr. Jiang, I would like to ask if a patient with facial nerve paralysis can receive the first dose of the BNT vaccine at this time. The BNT vaccine has a rare side effect of facial nerve paralysis, which may make it difficult to distinguish between th...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-Lin, Facial nerve paralysis is not a contraindication for receiving the BNT vaccine. It is not recommended to administer the vaccine within two weeks of an acute infection. Based on the current domestic epidemic situation, vaccination can be considered one month a...[Read More] Can Patients with Facial Nerve Paralysis Receive the BNT Vaccine?