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 differentiate. It has ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-Lin, Facial nerve paralysis is not a contraindication for receiving the BNT vaccine. It is advised not to administer the vaccine within two weeks of an acute infection. Based on the current domestic epidemic situation, vaccination can be considered one month after...[Read More] Can Patients with Facial Nerve Paralysis Receive the BNT Vaccine?
Understanding Fainting: Causes and Concerns in Neurology
Fainting issues Hello Doctor: In late August 2019, at the age of 29, I experienced diarrhea for an hour accompanied by severe abdominal cramping. After walking to the living room, I felt faint and informed my family, after which I fainted for about 30 seconds. According to my fam...
Dr. Jiang Junyi Reply:
Hello, Miss: Based on your description, it may be necessary to consider vasovagal syncope. First, we should consider the symptoms of syncope, which are commonly associated with reflex syncope: excessive stimulation of the vagus nerve can lead to bradycardia and decreased cardiac ...[Read More] Understanding Fainting: Causes and Concerns in Neurology
Can Inflammation Lead to Facial Nerve Paralysis? Prevention Tips
Inflammatory issues? Hello Dr. Jiang, thank you for patiently answering my questions. I would like to ask if this kind of inflammatory pulsation can worsen and lead to facial nerve paralysis? How can it be prevented? Thank you, doctor.
Dr. Jiang Junyi Reply:
Hello Mr. Lin: The main cause of facial nerve paralysis is viral infection. Please do not worry too much; it is localized nerve inflammation. If you are concerned, you can consult a neurologist for an examination. You may refer to the interview on facial nerve paralysis by Zhongg...[Read More] Can Inflammation Lead to Facial Nerve Paralysis? Prevention Tips
Understanding Pain Above the Temples: Causes and Solutions
Pain above the temple? Hello Dr. Jiang, I have been experiencing pain above my temples for the past two weeks. It hurts when I press on that area, and when the pain intensifies, my eyebrows also start to hurt, but pressing on the temples alleviates the eyebrow pain. I previously ...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: Your symptoms may suggest tension-type headache, which is caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the forehead and temples, similar to wearing a tight headband. Since this is caused by muscle fatigue, it typ...[Read More] Understanding Pain Above the Temples: Causes and Solutions
Can Inflammation Lead to Facial Nerve Paralysis? Prevention Tips
Inflammatory issues Hello Dr. Jiang, thank you for patiently answering my questions. I would like to ask if this type of inflammation and pulsation can worsen and lead to facial nerve paralysis? How can it be prevented? Thank you, doctor.
Dr. Jiang Junyi Reply:
Hello Mr. Lin: The primary cause of facial nerve paralysis is viral infection. Please do not worry too much. You can refer to the interview by Zhongguang regarding facial nerve paralysis at https://www.youtube.com/watch?v=eyeMD2jNwI8. Thank you for your question, and feel free to...[Read More] Can Inflammation Lead to Facial Nerve Paralysis? Prevention Tips
Concerns About Eye Rubbing and Nosebleeds After Child's Head Injury
After my son sustained a head injury, he had a nosebleed the following day, and recently I have noticed him rubbing his eyes? Hello, my son is currently two years and seven months old. Over two months ago, he slipped on water on the floor and hit his head. Since I was not present...
Dr. Jiang Junyi Reply:
Hello Claire, You mentioned that "a little over two months ago, I slipped on water on the floor and hit my head... I wonder if this is a consequence of visual impairment due to the brain impact?" Unless there is a severe head injury resulting in loss of consciousness, ...[Read More] Concerns About Eye Rubbing and Nosebleeds After Child's Head Injury
Understanding Facial Nerve Paralysis: Symptoms, Recovery, and When to Seek Help
Facial nerve paralysis Hello Doctor, I was diagnosed with facial nerve paralysis by a neurologist a week ago. The symptoms include almost complete immobility on the left side of my face, inability to raise my eyebrows, close my eyes, flare my nostrils, open my mouth, smile, and w...
Dr. Jiang Junyi Reply:
Hello Mr. Kobayashi: You mentioned that a few days ago you felt pain at the junction of the bone behind your ear and your ear, along with a slight warmth. I would like to ask if this is a symptom of recovery, a sign of worsening, or an unrelated symptom? If an examination is need...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Recovery, and When to Seek Help
Understanding Facial Twitching: Concerns and Neurological Insights
Facial spasms Hello Doctor, on October 7th, I experienced a twitch near my nose, and the next day, I started to notice slight twitching in some areas of my face, both sides. By October 13th, it had improved significantly, but in the afternoon, my mouth corner twitched again. Howe...
Dr. Jiang Junyi Reply:
Dear Mr. Lin, You mentioned, "Could it evolve into facial nerve dysfunction, causing my mouth to droop?" What you are concerned about likely refers to facial nerve paralysis. The clinical symptoms can include a tingling or stiff sensation in the face. Due to the inabil...[Read More] Understanding Facial Twitching: Concerns and Neurological Insights
Understanding Eyelid Twitching: When to Seek Neurological Evaluation
Eyelid twitching? Hello doctor, my left lower eyelid has been twitching for over a month. I consulted an ophthalmologist who confirmed that my eyes are normal and there are no issues. The twitching frequency varies, and it doesn't cause my entire eye to close, nor do other a...
Dr. Jiang Junyi Reply:
Dear Miss Jill, You mentioned "twitching of the lower left eyelid." Generally, eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's face. If, aside from the eyelid, n...[Read More] Understanding Eyelid Twitching: When to Seek Neurological Evaluation
Understanding Late-Stage Parkinson's Disease: Symptoms and Care Challenges
Parkinson's disease Hello, Doctor. My mother-in-law has been suffering from Parkinson's disease for several decades and has undergone deep brain stimulation surgery. Over the past year, she has frequently had difficulty swallowing saliva, which causes her to keep her mo...
Dr. Hong Weibin Reply:
Hello, It is highly likely that my mother-in-law is in the advanced stages of Parkinson's disease, which has resulted in significant muscle rigidity, including in her facial muscles and swallowing muscles. As a result, she is unable to close her mouth and has difficulty sw...[Read More] Understanding Late-Stage Parkinson's Disease: Symptoms and Care Challenges
Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Dizziness, headache, and optic nerve edema? Hello Doctor, since May 20th of this year, I have experienced symptoms such as blurred vision, dizziness, headaches, a sensation of something stuck in my throat, and difficulty breathing. After visiting an ENT clinic, the doctor suggest...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, There are many causes of headaches. If your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance may also contribute to your symptoms. First, it is im...[Read More] Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Brain MRI white matter lesions / Multiple sclerosis Hello Dr. Jiang, due to long-term headaches and sudden changes in my symptoms, I paid out of pocket for a brain MRI. (1) The attending physician said that my images showed no issues, and I even asked her to review them again, bu...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that the MRI showed numerous white matter lesions. It may be necessary to consider some central nervous system inflammation and myelin injury. Myelin is an insulating substance that surrounds nerves, and if it is damaged, the inflammatory process (pat...[Read More] Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Understanding Dizziness and Muscle Tremors: When to Seek Neurological Help
Dizziness, muscle twitching? Hello Doctor: I have been experiencing dizziness (I have taken Diphenidol but it hasn't been very effective). Since the onset of dizziness, I occasionally feel soreness in my cheeks, my limbs' muscles tend to twitch, and my eyelids also twit...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the muscles in your hands and feet easily tremble, your eyelids also twitch frequently, and recently your lips and chin have started to tremble." This may warrant consideration of structural issues in the brain or metabolic diseases. Wou...[Read More] Understanding Dizziness and Muscle Tremors: When to Seek Neurological Help
Post-Vaccine Numbness: Understanding Neurological Reactions
Numbness after vaccine injection? Hello, Dr. Jiang. This morning (9/27), after receiving the BNT vaccine, I experienced a tingling sensation in my head and face in the afternoon (including the back of my head, above my mouth, and my cheeks). I looked up the vaccine information an...
Dr. Jiang Junyi Reply:
Hello Mr. JAM: You mentioned the sensation of "numbness in the head and face (including the back of the head, above the mouth, and the cheeks)" which is different from facial nerve paralysis. Facial nerve paralysis primarily affects the seventh cranial nerve, mainly cha...[Read More] Post-Vaccine Numbness: Understanding Neurological Reactions
Sudden Paralysis, Tinnitus, and Eye Twitching: Neurological Concerns
Inability to move the entire body, eyelid twitching, and tinnitus? I'm sorry to hear that you're feeling this way. Earlier today, I felt a bit tired and decided to lie down for a rest. Just as I was getting up, I suddenly experienced tinnitus, followed by an inability t...
Dr. Jiang Junyi Reply:
Hello Mr. Tony, You mentioned experiencing "tinnitus, inability to move, eyelid twitching, and being unable to make sounds," which may suggest the possibility of "syncope." The primary cause could be vasodilation of the skin microvasculature in a hot outdoor ...[Read More] Sudden Paralysis, Tinnitus, and Eye Twitching: Neurological Concerns
Understanding the Link Between Sleep Disorders and Dementia Risks
I would like to ask about the relationship between sleep disorders and dementia? Hello Doctor, I have read on Google that dementia is often accompanied by sleep disorders. Could you please clarify which is the cause and which is the effect? I have been suffering from insomnia for...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to visit the neurology outpatient clinic.[Read More] Understanding the Link Between Sleep Disorders and Dementia Risks
Persistent Throat Discomfort and Vision Issues: A Neurological Perspective
Feeling of a lump in the throat, sensation of foreign body, difficulty breathing, blurred vision, eyelids often feel sticky as if sweating, fatigue, hair loss, and poor skin condition? Hello, doctor. My family member is experiencing significant discomfort, so I would like to inqu...
Dr. Jiang Junyi Reply:
Hello: I see that your family has undergone numerous examinations. I would like to suggest a principle to follow, which is the concept of "local healthcare." As we age and experience various symptoms, the recommended approach is to find a nearby hospital with an emergen...[Read More] Persistent Throat Discomfort and Vision Issues: A Neurological Perspective
Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
I would like to inquire about the diagnosis and medication for epilepsy in infants and young children? Hello Doctor: My daughter was born in mid-June this year, with good development in utero, weighing nearly 3800 grams, head circumference at 40 weeks, and delivered via cesarean ...
Dr. Jiang Junyi Reply:
Dear Ms. Sherry, First of all, I want to acknowledge that the process of providing support is truly not easy. Regarding pediatric epilepsy, I recommend consulting a pediatric neurologist, as they have more extensive experience in this area. Generally, the common treatment princi...[Read More] Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
Understanding Eyelid Twitching: Causes, Treatments, and Concerns
Right eyelid twitching? Doctor, my right upper or lower eyelid has been twitching for about three weeks (the upper eyelid twitches several times a day, while the lower eyelid twitches continuously for a few hours and then stops). 1. The twitching is only in my right eyelid; there...
Dr. Jiang Junyi Reply:
Dear Miss Xiao Fen, You mentioned eyelid twitching, which is typically related to peripheral nerve issues. If it were a brain tumor, there would generally be additional symptoms related to dysfunction in nearby brain tissue. Eyelid movement is controlled by the facial nerve; if ...[Read More] Understanding Eyelid Twitching: Causes, Treatments, and Concerns
Understanding Pulsating Sensations Between the Left Temple and Ear
I feel a nerve twitching between my left temple and left ear? Hello Doctor, I have recently been experiencing a sensation of nerve pulsation between my left temple and the area above my left ear (it is not painful, occurs in intermittent bursts, and each episode does not last lon...
Dr. Jiang Junyi Reply:
Dear Ms. Min, You mentioned feeling a pulsing sensation between your left temple and left ear, which is not painful and occurs intermittently, with each episode not lasting too long. This may suggest localized muscle spasms. Nerve compression typically presents with symptoms suc...[Read More] Understanding Pulsating Sensations Between the Left Temple and Ear