Understanding the Differences Between Bulging and Herniated Discs: A Guide
Herniated disc Hello, doctor. Recently, I underwent a self-paid full-body MRI, and in the spine section, it showed: 1. C4/5/6 central bulging disc with mild spinal cord compression. 2. L5/S1 herniated disc. Both conditions are referred to as disc herniation (HIVD) in Chinese. Cou...
Dr. Jiang Junyi Reply:
According to your description, the main difference between a bulging disc and a herniated disc lies in the severity. A herniated disc is typically more serious, as it has already caused compression of the surrounding tissues. If it compresses a nerve root, it can lead to symptoms...[Read More] Understanding the Differences Between Bulging and Herniated Discs: A Guide
Understanding Post-Concussion Symptoms: When to Seek Medical Help
Dizziness, headache, weakness in the limbs, and a lightheaded feeling..? On December 17, I was hit on the head by a friend, resulting in swelling and bruising on my forehead. After some time, I began to experience headaches and dizziness. When I went to the emergency room, the do...
Dr. Jiang Junyi Reply:
Based on your description: First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope: excessive stimulation of the vagus nerve, which leads to bradycardia and decreased cardiac output. This can occur when transitioning from a sup...[Read More] Understanding Post-Concussion Symptoms: When to Seek Medical Help
Understanding Eye Floaters and Flashing Lights: When to Seek Help
Blinking with closed eyes Hello, doctor. When I close my eyes, I often see moving orbs of light (blue) that sometimes flash intensely. Other times, although they don't flash particularly, when I open my eyes, there is always a small dark spot (which feels like an afterimage)...
Dr. Jiang Junyi Reply:
Hello, based on your description, if it is a common aura migraine symptom, it manifests as visual disturbances such as seeing stars and lightning-like flashes, as well as blurred or distorted vision. After the aura subsides, there is typically a severe, unilateral throbbing heada...[Read More] Understanding Eye Floaters and Flashing Lights: When to Seek Help
Understanding Head Injuries: Pain in the Temple and Behind the Ear
I hit the back of my head, and now I have pain in my left temple and behind my ear? Doctor: Hello, I hit the back of my head on the corner of a table last night. It was extremely painful at the moment, but I did not experience any loss of consciousness or dizziness. I sat down, c...
Dr. Jiang Junyi Reply:
Hello, based on your described symptoms, they are very similar to those of cervical myofascial injury. Clinically, it often presents as pain at the affected site, discomfort, muscle stiffness, or a sensation of heaviness. Sometimes, palpable myofascial trigger points can be felt ...[Read More] Understanding Head Injuries: Pain in the Temple and Behind the Ear
Understanding Dizziness and Pressure in the Back of the Head
Sometimes there is a feeling of dizziness at the back of the head? Hello Doctor: Recently, I sometimes feel a dull and tight sensation at the back of my head, but I do not experience any headaches. However, I occasionally feel that my eyes are particularly fatigued and that my in...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be alleviated after stretching activities, often recu...[Read More] Understanding Dizziness and Pressure in the Back of the Head
Flashing Lights Behind Closed Eyes: Possible Neurological Causes
Seeing something flashing with closed eyes? Hello doctor, I would like to ask you about something. Recently, when I sleep, I often see flashes of light in front of my eyes, sometimes blue and sometimes transparent. I went to an ophthalmologist, but no abnormalities were found. Th...
Dr. Hong Weibin Reply:
Hello: Besides the sensation of light and shadow flickering when closing your eyes, in what other situations might similar symptoms occur? Is it more likely to happen when you are fatigued or have stayed up late? Does it also occur during a midday nap, aside from nighttime sleep?...[Read More] Flashing Lights Behind Closed Eyes: Possible Neurological Causes
Understanding Fatigue, Neck Tension, and Cognitive Issues: A Neurology Perspective
Mental fatigue, heavy tiredness, frequent yawning, and tightness in the neck? In the past few days, my mental state has not been good; I often feel distracted, and I experience slight pressure and pain in my head, which is not too severe. I frequently yawn and occasionally feel n...
Dr. Gao Chunde Reply:
Symptoms such as stress and lack of sleep can be alleviated by spending more time outdoors during the day to relax, applying a warm towel to the shoulders and neck before bedtime, and maintaining a regular sleep schedule. If these measures do not improve the situation, consider s...[Read More] Understanding Fatigue, Neck Tension, and Cognitive Issues: A Neurology Perspective
Understanding Inner Ear Issues: Dizziness, Imbalance, and Tinnitus Explained
Inner ear issues One night, I woke up suddenly in the middle of my sleep and opened my eyes to a spinning sensation that lasted for a few minutes. Since that incident, I have felt different throughout the day, experiencing a constant sense of floating, regardless of whether I am ...
Dr. Hong Weibin Reply:
Hello, thank you for your inquiry. Your description of symptoms is very detailed. Dizziness can generally be classified into peripheral dizziness (caused by issues in the inner ear or the eighth cranial nerve) and central dizziness (caused by problems in the brainstem or cerebell...[Read More] Understanding Inner Ear Issues: Dizziness, Imbalance, and Tinnitus Explained
Understanding Stroke Symptoms: What Your Body Might Be Telling You
Stroke Neurological Issues Dear Dr. Hong, I have been experiencing the following symptoms for quite some time: my right eye feels stiff when I move it, there is slight swelling in my right eye, and sometimes it appears red upon waking. I also feel pressure in my right brain, hav...
Dr. Hong Weibin Reply:
Hello, thank you for your inquiry. Based on your condition, I recommend that you seek a consultation with a neurologist in person. You mentioned that your right eye has difficulty moving and sometimes experiences redness and swelling. I wonder if you are experiencing double visio...[Read More] Understanding Stroke Symptoms: What Your Body Might Be Telling You
Is Your Neck Discomfort a Sign of Stroke? Understanding the Symptoms
Is the risk of stroke high? Hello, Dr. Jiang: On October 14th, I felt a pressure in the left side of my neck below the ear, which was uncomfortable. On the morning of October 15th, when I woke up, my vision suddenly went black for about 20 seconds before turning white, and I felt...
Dr. Gao Chunde Reply:
Neck compression can be a sensation or the presence of a palpable mass. If there is an issue with the neck vessels, the most concerning condition is arterial dissection, such as carotid or vertebral artery dissection, which can occur due to external trauma or severe neck twisting...[Read More] Is Your Neck Discomfort a Sign of Stroke? Understanding the Symptoms
Can Vision Be Restored After Brain Tumor Surgery-Induced Blindness?
Postoperative blindness in one eye following brain tumor surgery? Is it possible for my father to regain vision after losing sight in one eye due to surgery for a brain tumor?
Dr. Lan Shengxing Reply:
Hello, if the surgery requires the removal of the affected area, then recovery is not possible.[Read More] Can Vision Be Restored After Brain Tumor Surgery-Induced Blindness?
Understanding Sensory Disorders: Causes, Symptoms, and When to Seek Help
Sensory processing disorder? Hello, Doctor: I am experiencing sensory disturbances, primarily affecting pain perception, touch, and internal bodily sensations (which are somewhat difficult to describe, such as the feeling in my abdomen during constipation, eye strain from prolong...
Dr. Lan Shengxing Reply:
Hello, the neurology and psychosomatic medicine clinics should be able to address these types of issues.[Read More] Understanding Sensory Disorders: Causes, Symptoms, and When to Seek Help
Post-Emergency Complications in Neurology: A Caregiver's Dilemma
Post-emergency complications Hello Doctor, my father has been living in a nursing home for nearly eight or nine years due to complications from a brain injury that has affected his condition and self-care abilities. In addition to having a urinary catheter, he also relies on a na...
Dr. Lan Shengxing Reply:
You may need some time for him to gradually recover.[Read More] Post-Emergency Complications in Neurology: A Caregiver's Dilemma
Understanding Benign Fasciculation Syndrome: Causes and Treatment Options
Benign fasciculation syndrome (BFS) is a neurological condition characterized by the presence of involuntary muscle twitches, known as fasciculations, without any associated muscle weakness or atrophy. These twitches can occur in various muscle groups and are often benign, meanin...
Dr. Lan Shengxing Reply:
The term "benign" indicates that the condition is unlikely to involve any serious or difficult-to-treat diseases, and there is no need for excessive worry. Clonazepam has few side effects, with daytime drowsiness being the most commonly reported complaint.[Read More] Understanding Benign Fasciculation Syndrome: Causes and Treatment Options
Head Injury, Insomnia, and Numbness: Understanding Neurological Symptoms
Head trauma + insomnia + numbness? Hello Doctor, last Thursday, September 1st, I accidentally bumped into a wooden cabinet at home (the cabinet is 137 cm tall and I am 177 cm tall). At the moment, I felt a little pain, but I was fully conscious. There was some redness and mild sw...
Dr. Hong Weibin Reply:
Hello: Based on your symptom description, it can be classified as post-concussive syndrome. Symptoms may persist for several weeks and will eventually resolve on their own. If you are still very concerned, you can visit a neurologist for an evaluation. The neurologist will likely...[Read More] Head Injury, Insomnia, and Numbness: Understanding Neurological Symptoms
Understanding Benign Fasciculation Syndrome: Causes and Treatment Options
Involuntary twitching of the eyelids and body muscles? In early July, my left upper eyelid suddenly started to twitch involuntarily. At first, I thought it was due to eye fatigue and didn't pay much attention to it. However, the frequency of the twitches increased, and I beg...
Dr. Gao Chunde Reply:
The reasons are as you described: tension and stress, sometimes due to lack of sleep. The examination will not show any abnormalities; it is the nerves that are more excitable due to the aforementioned conditions. Your medication can help improve this. Additionally, maintaining a...[Read More] Understanding Benign Fasciculation Syndrome: Causes and Treatment Options
Managing Neck and Throat Discomfort: Tips for Relief and Exercises
Including above the throat and neck? In the past, while sleeping, I unknowingly ended up lying on my back, and when I woke up in the morning, my jaw was misaligned, causing one side to protrude. When I pressed on it and swallowed repeatedly, it went back into place, but I felt ti...
Dr. Gao Chunde Reply:
Symptoms are more related to nervous tension and tightness in the shoulder and neck muscles. It is advisable to spend more time outdoors and avoid prolonged staring at computers or electronic devices. Taking a break every half hour to move your eyes, neck, and stretch is recommen...[Read More] Managing Neck and Throat Discomfort: Tips for Relief and Exercises
Chronic Fatigue and Brain Fog: Seeking Answers for Persistent Symptoms
Excessive sleepiness and mental fatigue? Hello Doctor... The patient's condition is as follows: They do not experience insomnia at night, fall asleep normally, sleep for 8 hours, but still wake up feeling very fatigued, with slight headaches and persistent brain fog througho...
Dr. Gao Chunde Reply:
It would be advisable to have a neurologist reassess whether the issue is related to intracranial pressure. If none of the neurologists can provide a reasonable explanation, chronic fatigue syndrome could be considered, which seems to be an area of expertise for family medicine p...[Read More] Chronic Fatigue and Brain Fog: Seeking Answers for Persistent Symptoms
Severe Pain in Right Eye Socket and Forehead: Possible Neurological Issues
Severe pain in the right orbital area, right eyebrow, and right forehead? About a week ago, while watching television, I suddenly experienced severe pain in my right eye socket, right eyebrow, and right forehead without any warning. It felt like it was about to split open or expl...
Dr. Gao Chunde Reply:
If accompanied by tearing, conjunctival injection, or nasal congestion, it may be related to trigeminal autonomic cephalalgias, which can occur in recurrent episodes and be severe enough to seek medical attention. In your case, if there have been no subsequent episodes, you can o...[Read More] Severe Pain in Right Eye Socket and Forehead: Possible Neurological Issues
Understanding Post-Facial Nerve Paralysis Symptoms and Concerns
Post-facial nerve paralysis sequelae Hello Doctor: About seven years ago, I suffered from facial nerve paralysis on the left side of my face. During rehabilitation, the doctor mentioned that my recovery was good due to my young age, and after about six months, I almost fully reco...
Dr. Lan Shengxing Reply:
The issue you mentioned is indeed a sequela of facial nerve paralysis. It is recommended that you visit a rehabilitation department for a rehabilitation program.[Read More] Understanding Post-Facial Nerve Paralysis Symptoms and Concerns