Understanding the Causes and Concerns of ALS: A Patient's Journey
The causes of amyotrophic lateral sclerosis (ALS)? Hello, doctor. I apologize for the interruption. On November 21, I visited a clinic due to static tremors in my hands and feet, where I underwent four X-rays—two of my cervical spine and two of my lumbar spine. It was found that ...
Dr. Cai Zongzhang Reply:
Hello, Xiao Bo: There are various possible causes for involuntary muscle twitching, and it cannot be directly attributed to amyotrophic lateral sclerosis (ALS). If the symptoms do not improve after adequate rest, it is recommended to visit a neurology clinic for evaluation.[Read More] Understanding the Causes and Concerns of ALS: A Patient's Journey
Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Facial nerve Hello, doctors! I am 28 years old, and in March of this year, I noticed weakness on the right side of my face, with difficulty closing my right eye. I have noticeable asymmetry in my eyes, and when I drink, water leaks from the right side of my mouth. When I try to m...
Dr. Jiang Junyi Reply:
Hello Dr. De: You mentioned that "some doctors said I have both facial nerve paralysis and spasms... (I am completely confused)." Generally speaking, facial nerve paralysis occurs due to inflammation, which prevents the muscle tissue it innervates from contracting adequ...[Read More] Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Understanding the Link Between Sleep Disorders and Stroke Symptoms
Autonomic nervous system dysfunction, insomnia, stroke? Hello, Doctor. I would like to ask some questions. My mother has been suffering from chronic insomnia and has been taking medication prescribed by a doctor, but her insomnia remains severe. Recently, she has experienced dry ...
Dr. Wu Mukhan Reply:
Hello: There are many causes of insomnia, including psychological factors, medications, lifestyle habits, degenerative diseases, sleep apnea, and other sleep disorders. Sudden unilateral body paralysis or weakness may indeed be related to cerebrovascular diseases. It is advisable...[Read More] Understanding the Link Between Sleep Disorders and Stroke Symptoms
Understanding Sleep-Related Muscle Twitches and Anxiety Disorders
Teeth clenching and facial muscle twitching upon falling asleep? Hello Dr. Jiang: I have been experiencing anxiety and autonomic nervous system dysregulation for the past six years. During severe episodes, I take half a Xanax for relief. In recent years, I have noticed that somet...
Dr. Jiang Junyi Reply:
Hello Ms. Cocoa: You mentioned that "the eyelid nerves and even the facial nerves at the corners of the mouth are twitching involuntarily... the teeth are clenching involuntarily, and after clenching, the facial muscles (near the cheekbones) also start to twitch significantl...[Read More] Understanding Sleep-Related Muscle Twitches and Anxiety Disorders
Understanding Numbness: Causes and When to Seek Medical Help
Numbness in the hands and face? I'm not quite sure if it's due to my recent menstrual period combined with prolonged standing and walking, or if my hand came into contact with an electrical device while it was charging. Initially, I felt a tingling sensation in the palm...
Dr. Wu Mukhan Reply:
Your symptoms may be caused by hyperventilation or peripheral nerve issues. If there is no improvement, it is recommended to consult a neurologist for further evaluation.[Read More] Understanding Numbness: Causes and When to Seek Medical Help
Facial Surgery Complications: Inability to Smile and Eye Closure Issues
After the facelift surgery, the left side of the face is unable to express emotions? I underwent a three-layer facelift surgery on September 19, and now the left side of my face cannot lift the corner of my mouth, causing my smile to be lopsided. The lower eyelid cannot close pro...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned the symptoms of "a crooked smile and the inability to close the lower eyelid," which may indicate inflammation of the facial nerve. During the acute phase, due to nerve damage, improvement of symptoms may take some time. The use of corticoster...[Read More] Facial Surgery Complications: Inability to Smile and Eye Closure Issues
Could Your Symptoms Indicate ALS or Another Neurological Disorder?
Do these symptoms indicate amyotrophic lateral sclerosis (ALS), or could they be related to another neurological disorder? Hello, I started experiencing muscle tightness and soreness in my left forearm since last Saturday (9/23), accompanied by eyelid twitching, which occurred ab...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the issues of muscle soreness and tremors may need to first rule out cervical spinal cord and nerve compression, as these are symptoms of lower motor neuron involvement. Lower motor neuron symptoms include muscle atrophy, weakness, and fasciculations. Th...[Read More] Could Your Symptoms Indicate ALS or Another Neurological Disorder?
Persistent Dizziness: Understanding Neurological Causes and Next Steps
Feeling dizzy all day long? Hello doctor, I have been experiencing dizziness since early May (it's not a spinning sensation, but I feel lightheaded all day). Initially, I thought it was heat exhaustion due to the combination of feeling hot and dizzy, but now I only have dizz...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the ENT examination includes hearing tests, balance assessments, inner ear temperature differentials, eye movement tests, and brainstem response, while the neurology examination includes awake EEG, brainstem auditory evoked potentials, and carotid ...[Read More] Persistent Dizziness: Understanding Neurological Causes and Next Steps
Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Persistent dizziness throughout the day for half a month without improvement? On August 25, I suddenly started experiencing dizziness, headaches, pain around my right eye, vomiting, and difficulty focusing on the computer screen, especially with text, which made me feel nauseous....
Dr. Peng Shiwei Reply:
Hello, whether you need to undergo a CT scan should be discussed with your attending physician. Thank you for your question.[Read More] Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Understanding Persistent Head Sensations: Causes and Solutions
It feels like my brain is shaking? Hello Doctor, recently I have been feeling like my head is swaying almost all day long. It feels as if someone is tightly wrapping my head with a string and pulling it back and forth, side to side. It’s very tense, and I constantly feel like my ...
Dr. Cai Zongzhang Reply:
Hello HSN: The symptoms mentioned above are suspected to be caused by vestibular nerve dysfunction leading to balance disorders. It is recommended to continue follow-up treatment at the neurology outpatient clinic. An MRI scan should only be considered if there is no improvement ...[Read More] Understanding Persistent Head Sensations: Causes and Solutions
Understanding Left Eyebrow Pain: When to See a Neurologist
Left brow bone. Pain and swelling at the eyebrow? Hello Dr. Peng, three days ago I suddenly felt a throbbing pain in my left brow bone, my eyelid is swollen, and I also have a headache. When I press on the left brow bone near the temple, I feel localized pain. Which specialty sho...
Dr. Peng Shiwei Reply:
Hello, it seems you have already come for a consultation. Please take the medication as instructed. Thank you.[Read More] Understanding Left Eyebrow Pain: When to See a Neurologist
Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Difficulties with complex medical conditions and stroke issues? Hello, doctor. I would like to consult you regarding the prediction and prevention of strokes in the elderly. My mother is 75 years old and has been managing diabetes for over 20 years without any other chronic or ma...
Dr. Jiang Junyi Reply:
Hello Ms. Water, You mentioned that "after finishing household chores, she suddenly felt a wave of fatigue." This may indicate a potential sleep disorder. I recommend undergoing multiple sleep physiology tests. Regarding your question about whether a stroke requires wa...[Read More] Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry
I have a severe headache that feels like an explosion on both sides, and the ringing in my ears has become louder? I have a terrible headache. I thought taking a nap would help, but the pain woke me up. I first went to a neurologist for an MRI, which showed no issues. I visited a...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You mentioned issues related to "headaches and cranial noises," which may suggest tension-type headache, a form of myofascial pain. Myofascia refers to the connective tissue that envelops the surface of muscles. Tension-type headaches are caused by tightn...[Read More] Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry
Understanding Nerve Pain and Tingling After COVID-19: A Neurology Perspective
Occasional tingling and pain in the hands and feet? Hello, doctor. Since I tested positive for COVID-19 in June, I have been experiencing occasional soreness in my left eye for about one to two weeks. I have seen a doctor who said my eyes are fatigued and performed examinations, ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe there is a possibility of cervical spine compression, which can indeed cause symptoms on both sides. I recommend that you consult a neurologist for further evaluation. Thank you for your inquiry.[Read More] Understanding Nerve Pain and Tingling After COVID-19: A Neurology Perspective
Understanding Lower Eyelid Twitching: Causes and Solutions
Lower eyelid twitching? The left lower eyelid twitches slightly when drinking water, and it stops after finishing. Later, I noticed that when I forcefully flare my left nostril, the twitching of the left lower eyelid becomes more pronounced, but it stops when I relax the nostril....
Dr. Cai Zongzhang Reply:
Hello Hebe: Based on the symptoms mentioned, it may be a left-sided facial nerve lesion. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Lower Eyelid Twitching: Causes and Solutions
Understanding Occasional Numbness and Tingling in Limbs: Causes and Concerns
Occasional tingling or numbness in the hands and feet? Hello doctor, last week I experienced soreness in my left eye for four to five days and consulted a physician who mentioned that my eyes were fatigued. During this time, I occasionally felt tingling sensations in my left arm ...
Dr. Jiang Junyi Reply:
Hello Mr. Zhe, You mentioned that "the right side has somewhat similar symptoms," which may still warrant consideration of spinal nerve root compression. Additionally, cerebrovascular diseases should also be ruled out. Multiple sclerosis is considered a rare disease in...[Read More] Understanding Occasional Numbness and Tingling in Limbs: Causes and Concerns
Understanding MRI Results: When to Seek Further Medical Advice
Magnetic Resonance Imaging Interpretation Issues Hello, doctor. I have been experiencing some health issues, so I underwent a health check-up and paid for a full-body MRI. I would like to ask the following questions: 1. The MRI report from the health check-up only mentioned a cy...
Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned, "it's not a significant issue, so it wasn't documented." This often reflects the personal judgment of the radiologist who interprets the report; some physicians may choose to minimize descriptions to avoid complicating explanatio...[Read More] Understanding MRI Results: When to Seek Further Medical Advice
Understanding Sudden Left-Sided Head Pain: Possible Causes and Concerns
Left-sided headache? Hello Doctor, I apologize for the interruption. I'm not sure if it's related to my late sleeping schedule a couple of days ago, but for the past two days, I've been experiencing sudden sharp pains on the left side of my head, like an electric s...
Dr. Cai Zongzhang Reply:
Hello Andy: Insufficient sleep can easily lead to headaches or trigeminal neuralgia. It is recommended to take appropriate rest, and if symptoms persist, please visit a neurology clinic.[Read More] Understanding Sudden Left-Sided Head Pain: Possible Causes and Concerns
Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes
Severe headache on one side at a specific time during sleep? Since last week, I have been waking up in severe pain around five or six in the morning. The pain starts from my left temple and radiates to the entire left side of my face, lasting about five minutes before subsiding f...
Dr. Jiang Junyi Reply:
Dear Ms. Qianyu, You mentioned that "you are often awakened by severe pain around five or six in the morning, starting from the left temple." Your symptoms may suggest a consideration of sinus headache. Typically, there is a feeling of pressure or fullness around the e...[Read More] Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes
Post-Operative Challenges of Occipital Lobe Hemorrhage: Recovery Insights
Postoperative issues related to intracranial hemorrhage in the occipital lobe? Hello, my mother is currently 60 years old and recently underwent a right occipital lobectomy due to a cerebral hemorrhage. She has experienced narrowing of the visual field in her left eye (which was ...
Dr. Peng Shiwei Reply:
Hello, regarding your questions: 1. Visual field loss due to damage to the occipital lobe is relatively difficult to recover in the short term, but the brain still has plasticity, so it is advisable to observe for a period of time. During this time, please remind the caregiver to...[Read More] Post-Operative Challenges of Occipital Lobe Hemorrhage: Recovery Insights