Understanding Pulsating Sensations Near the Temple: Causes and Concerns
Throbbing in the temples? Hello, doctor... About two weeks ago, I started experiencing intermittent twitching just above my left temple. When I place my hand on that area, it feels like something is being bitten, similar to the movement in the temple. The twitching occurs every 7...
Dr. Jiang Junyi Reply:
Hello: You mentioned muscle twitching; could you please clarify whether this issue is related to the blood vessels, nerves, or muscles? A: If the twitching is involuntary, it is generally caused by instability in the motor neurons. PS: Two years ago, I had a dead nerve in the upp...[Read More] Understanding Pulsating Sensations Near the Temple: Causes and Concerns
Understanding Eye Muscle Twitches: Causes and Solutions for Eyelid Spasms
Eyelid muscle spasms Hello, doctor. Recently, I've been experiencing intermittent twitching in the lower eyelid of my right eye (when I look in the mirror, it moves left and right). This has been ongoing for several days, occurring approximately every few minutes, and it is ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles. If, apart from the eyelid, there is no twitching in other facial muscles, it...[Read More] Understanding Eye Muscle Twitches: Causes and Solutions for Eyelid Spasms
Understanding Brain Vibration: Causes and Concerns in Neurology
Intracranial vibration Consulting a doctor: When I get into bed at night, my body remains still, but I experience a sensation of vibration in my brain and eyes for about 5 minutes, occurring 2 to 3 times a week. What could this condition be?
Dr. Cai Zongzhang Reply:
Hello, based on the described symptoms, it is suggested that this may be vertigo. It is recommended to visit a neurologist or an otolaryngologist for a detailed examination.[Read More] Understanding Brain Vibration: Causes and Concerns in Neurology
Understanding Dizziness and Discomfort: A Neurological Perspective
Dizziness and general discomfort? 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, ex...
Dr. Jiang Junyi Reply:
Hello, based on your description, I wonder if you have been paying attention to the care of your neck, as cervical myofascial pain syndrome may cause symptoms such as pain, discomfort, muscle stiffness, or a heavy sensation, leading to fatigue-like symptoms. Regarding the adjustm...[Read More] Understanding Dizziness and Discomfort: A Neurological Perspective
Headache Triggered by Eye Movement: Is It a Cold Complication?
Eye movement causes headaches? Two days ago, I woke up feeling like I had a cold with a slight fever. I had a severe headache accompanied by muscle aches, but I still went to class. In the afternoon, I took a nap for over three hours, but I still didn't feel any better. Afte...
Dr. Cai Zongzhang Reply:
Hello, if the symptoms persist, it is recommended that you visit an outpatient clinic for an examination.[Read More] Headache Triggered by Eye Movement: Is It a Cold Complication?
Understanding Eyelid Twitching: When to See a Neurologist?
Eyelid twitching? Hello Doctor, I would like to ask about my eyelid twitching, which has been continuous for a week. Is it necessary to seek medical attention? I'm not sure if I'm experiencing vertigo or if the eyelid twitching is causing visual disturbances, making eve...
Dr. Hong Weibin Reply:
Hello: If you experience persistent twitching of the upper eyelid accompanied by nystagmus, it is advisable to seek assistance from a neurologist. If the symptoms do not improve, a head imaging study may be arranged.[Read More] Understanding Eyelid Twitching: When to See a Neurologist?
Understanding Dizziness and Visual Disturbances: When to Seek Help
Dizziness/headache with visual disturbances? Hello Doctor, last weekend I experienced a sudden sharp pain on the left side of my head, and since then I have felt as if a layer of bright glitter has been placed over my vision, which has persisted for about five days. (However, the...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider a migraine with aura. Symptoms include visual disturbances such as seeing stars and lightning-like flashes, as well as blurred or distorted vision, which are all common migraine auras. A few minutes after the aura ...[Read More] Understanding Dizziness and Visual Disturbances: When to Seek Help
Understanding Recovery Challenges After Orthognathic Surgery
Poor recovery status after orthognathic surgery? Hello, doctor... It has been over two years since my orthognathic surgery to advance my mandible, but the left side of my face is still experiencing muscle stiffness. When I smile, my face appears uneven, and the left side of my mo...
Dr. Jiang Junyi Reply:
Hello: Your description does not rule out issues related to peripheral facial nerve problems. Aside from corticosteroids, there is insufficient evidence to support the effectiveness of other treatment methods. After the acute phase, there are almost no medications that are defini...[Read More] Understanding Recovery Challenges After Orthognathic Surgery
Post-Surgery Facial Recovery: Addressing Concerns After Jaw Surgery
Poor recovery status after orthognathic surgery? Hello, doctor... It has been over two years since my orthognathic surgery to advance my mandible, but the left side of my face is still experiencing muscle stiffness. When I smile, my face is uneven, and the left side of my mouth f...
Dr. Jiang Junyi Reply:
Hello: Your description does not rule out issues related to peripheral facial nerve problems. Aside from corticosteroids, there is insufficient evidence to support the effectiveness of other treatment methods. After the acute phase, there are almost no medications that are defini...[Read More] Post-Surgery Facial Recovery: Addressing Concerns After Jaw Surgery
Do You Need Further Testing for Headaches? Insights from Neurology
Do headaches require further examination? Hello Doctor, I am 56 years old. In early March of this year, I experienced a severe headache for the first time due to stress. It resolved on its own within 1 to 2 hours without medication. In early May, while traveling abroad, I had thr...
Dr. Hong Weibin Reply:
If your headache triggers are tension and lack of sleep, and your headache improves after taking medication and adjusting your lifestyle, it indicates that you are experiencing a primary headache. Primary headaches include tension-type headaches and migraines, among others, and d...[Read More] Do You Need Further Testing for Headaches? Insights from Neurology
Understanding Unexplained Severe Head Pain: Possible Causes and Insights
Abnormal head pain Recently, my father has been experiencing severe headaches that are so intense they cause him to tear up. He has already seen doctors at Cheng Kung University and Chi Mei Hospital, but they all mentioned that neuralgia is difficult to diagnose and there are no ...
Dr. Hong Weibin Reply:
There are many causes of headaches, including primary headaches (such as migraines and tension-type headaches) and secondary headaches (such as brain tumors). There are also neuropathic pain conditions (such as trigeminal neuralgia) and vascular pain (such as cerebral aneurysms)....[Read More] Understanding Unexplained Severe Head Pain: Possible Causes and Insights
Understanding Post-Menopausal Migraines: Symptoms, Causes, and Treatment Options
Chronic headaches Hello, I have just gone through menopause for two years and am experiencing some mild symptoms. Before menopause, I occasionally had migraines (often on the right side, sometimes severe enough to cause vomiting, with overall weakness and loss of appetite, requir...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are likely indicative of a mixed headache. Given the presence of localized tender points, tension-type headache should be considered first. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, ...[Read More] Understanding Post-Menopausal Migraines: Symptoms, Causes, and Treatment Options
Is There a Connection Between Dizziness and Lower Back Pain?
Is there a connection between dizziness and lower back pain? Hello Doctor: I have experienced lower back pain three times in the past five years, each lasting two to three days. The pain occurs when I bend my back slightly. During the first two episodes of back pain, I fainted on...
Dr. Jiang Junyi Reply:
Hello, based on your description, we can divide it into two parts: first, let's discuss the possible causes of syncope (fainting). Common causes include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues an...[Read More] Is There a Connection Between Dizziness and Lower Back Pain?
Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Is this autonomic nervous system dysfunction? Hello, I have been experiencing severe dizziness for over a month now, which occurs constantly every minute of the day. Additionally, I have a sensation of ear fullness on one side, drooping eyelids, and dryness (though there is no vi...
Dr. Cai Zongzhang Reply:
Hello, based on the symptoms you described, it is difficult to determine whether there is a direct relationship with the nervous system. Stress may be a contributing factor, and physical fatigue could also play a role. I recommend maintaining a regular daily routine and consideri...[Read More] Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Understanding Persistent Dizziness and Discomfort: A Neurological Perspective
Dizziness / Eyes / Ears / Soreness Hello, I would like to ask about a sudden onset of dizziness I experienced one day, followed by discomfort and a feeling of pressure in one eye. After visiting an ophthalmologist, I was told everything was fine. Then, I started experiencing ear ...
Dr. Jiang Junyi Reply:
Hello: Many factors can cause symptoms of dizziness, such as anemia, autonomic dysfunction, inner ear imbalance, and even Meniere's disease. Blood tests should include the differentiation of possible complications (anemia, hyperthyroidism/hypothyroidism, diabetes, recurrent ...[Read More] Understanding Persistent Dizziness and Discomfort: A Neurological Perspective
Managing Tics: Overcoming Nervous Habits Like Nose Twisting and Eye Blinking
Repeated nose wrinkling and blinking? Since elementary school, I have experienced an uncontrollable urge to twist my nose or blink repeatedly. If I try to resist these actions, I feel uncomfortable. Initially, I also had intrusive thoughts that I found unpleasant and wanted to st...
Dr. Cai Zongzhang Reply:
Hello, based on your description, it is advisable for you to seek assistance from a psychiatrist. The psychological aspects related to nose pinching or blinking should be addressed. In the meantime, I recommend that you try to relax.[Read More] Managing Tics: Overcoming Nervous Habits Like Nose Twisting and Eye Blinking
Can Facial Nerve Paralysis Aftermath Improve Over Time?
Facial nerve paralysis A year ago, I experienced facial nerve paralysis on the right side of my face. I went to the hospital for an examination and underwent relevant treatments for over a month at the time of the onset, and my condition improved significantly. However, there are...
Dr. Jiang Junyi Reply:
Hello: The peripheral facial nerve paralysis you mentioned is quite similar, 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. In the acute ...[Read More] Can Facial Nerve Paralysis Aftermath Improve Over Time?
Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Dizziness, a feeling of pressure and fullness in both sides of the back of the head, numbness in the left side of the face, and discomfort in the left eye? Hello Doctor: I am a 37-year-old male. Since May of last year, I have been experiencing dizziness, a feeling of pressure in ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with the autonomic nervous system. I'm not sure if you have undergone any tests related to this or arterial blood gas analysis. Hyperventilation can also cause similar symptoms. Excessive hyperventilation leads to a decrease in carbo...[Read More] Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Understanding Nerve Pain: A Case of Throat and Neck Discomfort
I got shocked and it hurts a lot? On the first day, I experienced dizziness, nausea, and a slightly elevated temperature of about 37.5°C. On the second day, I developed a fever of 38.5°C, and my throat began to hurt, accompanied by sharp pain on the right side of my neck (located...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of neuropathic pain, which is typically caused by damage to the sensory nervous system. Particularly, peripheral nervous system disorders are common, such as postherpetic neuralgia, but some central nervous system diseases can also cause s...[Read More] Understanding Nerve Pain: A Case of Throat and Neck Discomfort
Chiropractic Care: Is Neck Adjustment Causing My Symptoms?
Spinal adjustment and cervical spine adjustment? I have had scoliosis since I was in elementary school and have been undergoing rehabilitation. In my first year of high school, I switched to chiropractic treatment, which also involved adjustments to my neck. After about 6 or 7 se...
Dr. Jiang Junyi Reply:
Hello, based on your description, the neck stiffness may suggest cervical myofascial pain syndrome, which commonly presents with localized pain, discomfort, muscle tightness, or a sensation of pressure. Sometimes, palpable myofascial trigger points can be felt under the skin. As ...[Read More] Chiropractic Care: Is Neck Adjustment Causing My Symptoms?