Discomfort from Wearing a Hat Too Long: Neurological Insights
Wearing a hat for too long can cause discomfort in the head? Hello doctor, I have been wearing a hat for the past couple of days, and now I have a persistent sensation of wearing a hat on my head. Since last night, I have been feeling discomfort and numbness in the area between m...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is dull, aching, ...[Read More] Discomfort from Wearing a Hat Too Long: Neurological Insights
Understanding Facial Nerve Palsy: Causes, Symptoms, and Treatment Options
Facial nerve paralysis Hello, doctor. On March 14th, I suddenly felt pain in the right side of my neck, which didn't feel like a muscle strain but rather like nerve pain. However, it improved by the evening. On the morning of March 15th, the pain returned and lasted all day ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms indicate peripheral facial nerve paralysis, primarily affecting the seventh cranial nerve (if it were due to cervical nerve compression, it would not affect the face). Clinically, symptoms may include pain behind the ear 1-2 days prior to the onset. There may...[Read More] Understanding Facial Nerve Palsy: Causes, Symptoms, and Treatment Options
Do You Need a Neurology Checkup for Numbness and Weakness?
Do I need to see a neurologist for an examination? Last year, around July and August 2017, I experienced numbness and some weakness on the left side of my hand, foot, waist, and neck. Sometimes, I even felt numbness behind my left ear. At that time, I went to the neurology depart...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may warrant consideration of brain lesions (sudden onset of blurred vision) and spinal cord nerve lesions (abnormal sensations in the left limbs), among others. May I ask what examinations you have undergone at our hospital? Please share your medical history ...[Read More] Do You Need a Neurology Checkup for Numbness and Weakness?
Understanding Post-Concussion Symptoms: What to Do After a Head Injury
Concussion inquiries? Hello Doctor: I was involved in a motorcycle accident four weeks ago as a passenger, wearing a full-face helmet. I have no memory of the accident and when I opened my eyes again, I was already in the hospital. I was unconscious when I was brought to the hosp...
Dr. Jiang Junyi Reply:
Hello: Because you have sustained a severe head injury, common symptoms include the following: – Vomiting two times or more – Age over 65 or under 2 years – Drug or alcohol overdose – Persistent severe diffuse headache – Loss of consciousness for more than 30 minutes after the in...[Read More] Understanding Post-Concussion Symptoms: What to Do After a Head Injury
Understanding Eyelid Twitching: Signs of Facial Nerve Disorders?
Eyelid issues Doctor, I have been experiencing slight twitching in my left eyelid for about a month now, although there were periods when it stopped. Recently, in the last three days, it has become more frequent, but today it has decreased again. However, I have felt a strange se...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the cause of eyelid twitching is primarily due to facial nerve instability. If the eyelid continues to twitch, the physician will carefully observe the patient's face during the consultation. If, aside from the eyelid, no other facial muscle...[Read More] Understanding Eyelid Twitching: Signs of Facial Nerve Disorders?
Understanding Eye Twitching: Causes, Symptoms, and When to Seek Help
The lower eyelid has been twitching intermittently for a week? For a week, my lower eyelid has been twitching (since Sunday). That morning, I woke up feeling some swelling at the outer corner of my upper eyelid and lower eyelid. I thought it was just normal edema, so I didn'...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest myofascial pain syndrome in the posterior neck muscle group, which can also lead to referred discomfort in the eyes. The key issue lies within the muscles of the posterior neck. The myofascial connection points are located in the forehead area. I&...[Read More] Understanding Eye Twitching: Causes, Symptoms, and When to Seek Help
Should I Get a Brain Scan for My Frequent Headaches and Dizziness?
I have a question to ask the doctor? Hello doctor, I have been experiencing frequent numbness in my head, dizziness, and neck stiffness. I also feel some tightness between my eyebrows. I had blood tests and urinalysis done recently, and the results were normal. Do I need to under...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be related to discomfort caused by tightness in the cervical fascia, as the cervical fascia connects to the forehead and the temporal region (temples) of the skull, allowing the head to rotate at various angles. I recommend the following: 1. Change p...[Read More] Should I Get a Brain Scan for My Frequent Headaches and Dizziness?
Should I Get Further Tests for Possible Neurological Issues?
Should I undergo additional tests to rule out the possibility of any lesions? Thank you? Hello Doctor: I have developed elevated intraocular pressure due to poor posture from frequently looking down while taking naps. I have seen an ophthalmologist, and my eye pressure is now und...
Dr. Jiang Junyi Reply:
Hello: The causes of discomfort in the forehead may initially be attributed to cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder pain that may extend to the forehead. In the early st...[Read More] Should I Get Further Tests for Possible Neurological Issues?
Understanding Facial and Scalp Tightness and Pain: A Neurology Perspective
Tightness and tingling pain in the face and scalp? The area around the left eye, forehead, and scalp feels tight, with a prickling sensation upon touch. The eyes can close tightly, and daily activities are normal with low stress levels and regular exercise. This symptom has persi...
Dr. Jiang Junyi Reply:
Hello: The location you described may suggest trigeminal neuralgia, as touching the area can cause a sharp, stabbing sensation. Trigeminal neuralgia is more common in women than in men and typically occurs in adults around the age of 50. The primary cause is often due to vascular...[Read More] Understanding Facial and Scalp Tightness and Pain: A Neurology Perspective
High Eye Pressure and Headaches: Understanding Neurological Symptoms
Elevated intraocular pressure sensation + headache? Since last week, I have suddenly been experiencing frequent dizziness and headaches. When I close my eyes while sleeping, I feel a slight swelling in my eyes, and there are also some bloodshot areas. Over the past few days, the ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of forehead swelling is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, bu...[Read More] High Eye Pressure and Headaches: Understanding Neurological Symptoms
Understanding Facial Nerve Disorders: Symptoms and Concerns
Facial nerve Hello, I would like to ask if the following symptoms could be related to facial nerve dysfunction. Last night, I felt pain behind my ear, and by around noon today, I noticed that when I smile, the movement on the right side of my face is reduced. I also have a tingli...
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. Sometimes, patient...[Read More] Understanding Facial Nerve Disorders: Symptoms and Concerns
Managing Excessive Sleepiness After Stroke: Tips for Recovery
Post-stroke sequelae Hello Doctor, my grandmother is 74 years old and experienced an ischemic stroke a month ago. Since the stroke, she has been frequently drowsy and often keeps her eyes closed during the day (though she can open them). After speaking a little, she falls asleep ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider central sleep apnea caused by conditions such as stroke, trauma, or other issues affecting the brain, which prevent it from sending respiratory signals, leading to sleep apnea. Additionally, some sedatives or muscl...[Read More] Managing Excessive Sleepiness After Stroke: Tips for Recovery
Understanding Facial Nerve Spasms: Diagnosis and Treatment Options
Facial nerve spasm Hello Doctor: My father has been experiencing facial nerve spasms for almost 2 years now. He receives Botox injections at the hospital every 4 months, but I feel the results are not very effective; his symptoms persist, including "twitching of the right ey...
Dr. Hong Weibin Reply:
Hello: Hemifacial spasm is caused by involuntary discharges of the facial nerve, resulting in contractions of the eyelid and the corner of the mouth. However, in your description, in addition to eyelid blinking, there is also a simultaneous action of swallowing (is it a true swal...[Read More] Understanding Facial Nerve Spasms: Diagnosis and Treatment Options
Understanding Hand Numbness and Arm Tightness: Possible Causes and Solutions
Numbness in the hands and tightness in the arms? Hello Doctor, for the past two weeks, I have been waking up at night due to numbness in my palms. Upon waking, I notice that the sensation in my forearms becomes very dull, as if they have been compressed for a long time. However, ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms related to peripheral nerve compression, as the symptoms are associated with posture. Generally speaking, during sleep, our bodies only remain still during the rapid eye movement (REM) phase; throughout th...[Read More] Understanding Hand Numbness and Arm Tightness: Possible Causes and Solutions
Understanding Carotid Artery Occlusion After a Stroke: Key Concerns
What to do about carotid artery occlusion? My mother recently suffered a stroke, presenting with facial drooping, eye misalignment, drooling, and weakness in her legs. After being sent to the hospital for treatment, she was diagnosed with a cerebrovascular accident. The physician...
Dr. Jiang Junyi Reply:
Based on your description of the symptoms of generalized muscle pain, it is possible that during the magnetic resonance imaging (MRI) examination, patients are typically instructed to remain still to achieve better imaging, which can lead to muscle tension and discomfort. Your mo...[Read More] Understanding Carotid Artery Occlusion After a Stroke: Key Concerns
Understanding Lip Twitching: Causes and When to Seek Medical Help
Twitching of the lower left lip? Hello Dr. Jiang, recently due to high stress, I have been staying up late until three or four in the morning. Last Tuesday night, when I closed my eyes to sleep, I felt like my left eyelid was twitching, but it returned to normal when I opened my ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of facial nerve inflammation. Abnormal twitching can also be related to caffeine consumption. If it involves the trigeminal nerve, there may be sensations of abnormality. Generally, nerve inflammation typi...[Read More] Understanding Lip Twitching: Causes and When to Seek Medical Help
Could Head Symptoms Indicate a More Serious Condition Like a Tumor?
Is it possible that there is a more serious issue, such as a tumor? Head – When experiencing dizziness, it feels like a heavy, fleeting sensation. Sometimes there is blurred vision and intermittent headaches that are not severe, more like a throbbing pain, with a dull, tight sens...
Dr. Jiang Junyi Reply:
Hello: I'm not sure if your intraocular pressure is elevated. If there is a difference between your two eyes, it may be worth considering the possibility of glaucoma. Additionally, your symptoms cannot rule out vascular headaches such as migraines, although they are less com...[Read More] Could Head Symptoms Indicate a More Serious Condition Like a Tumor?
Understanding Headaches and Numbness: Which Specialist to See?
Head numbness and headache? Hello Doctor: I have been experiencing headaches for the past six months. Sometimes they feel like sharp pains, other times they are more of a pressure pain, with no fixed pattern or location. Additionally, I have numbness in my head and face, and my e...
Dr. Jiang Junyi Reply:
Hello: Regarding the issue of high intraocular pressure, you can visit an ophthalmologist to measure your eye pressure, which can help rule out the problem of elevated intraocular pressure. As for the headache, it is advisable to first rule out migraine-related issues. Symptoms o...[Read More] Understanding Headaches and Numbness: Which Specialist to See?
Is Neck Cracking During Rotation Normal? Understanding Your Symptoms
Cervical rotation exercises produce cracking or popping sounds? Hello, Doctor. For the past couple of days, I've been experiencing tight pain in the left occipital region, and my neck and shoulders seem quite stiff. Therefore, I did some neck rotation exercises (similar to w...
Dr. Jiang Junyi Reply:
Hello: The sounds you mentioned are primarily due to friction occurring between the joint surfaces, the cartilage pads, and the tendons and joint capsule during joint movement. In most individuals, these sounds are not prominent, while in some, they may be more noticeable. If the...[Read More] Is Neck Cracking During Rotation Normal? Understanding Your Symptoms
Understanding Pulsating Head Sensations: When to See a Neurologist
The head may feel pulsating? Hello doctor, I started experiencing ear fullness about a month ago, followed by tinnitus. The noise from the tinnitus is really loud, and I can only sleep until around two or three in the morning. Then I began to have dizziness with a sensation of sp...
Dr. Jiang Junyi Reply:
Based on your description, your dizziness symptoms may suggest Meniere's disease, which is characterized by recurrent episodes of vertigo accompanied by tinnitus or hearing loss. During episodes, resting and using some antihistamine anti-vertigo medications along with anxiol...[Read More] Understanding Pulsating Head Sensations: When to See a Neurologist