Understanding Unilateral Sensory Changes: A Neurological Perspective
Altered sensation on the left side of the body? A month ago, I swallowed a fish bone, and now I have different sensations on the left side of my body compared to the right (the right side is normal). My left cheek is slightly swollen and numb (the chin and cheek are noticeably mo...
Dr. Gao Chunde Reply:
Swelling and tenderness indicate the presence of inflammation or infection. It is recommended to promptly visit a major hospital's otolaryngology department for a detailed examination, as deep neck infections and cellulitis cannot be ruled out.[Read More] Understanding Unilateral Sensory Changes: A Neurological Perspective
Persistent Left Eye Twitching: Causes and Solutions Explained
The lower left eyelid is twitching continuously? The lower eyelid of my left eye has been twitching slightly for a week. I initially thought it was due to lack of sleep, but even after getting more rest in the past few days, the twitching hasn't stopped. Could you please tel...
Dr. Gao Chunde Reply:
This is a common temporary phenomenon among office workers, often occurring during periods of high workload and stress, typically resolving after a busy period, usually within one to two weeks. If the above situations do not apply, sometimes the consumption of stimulants such as ...[Read More] Persistent Left Eye Twitching: Causes and Solutions Explained
Dizziness and Nausea When Turning in Bed: What to Do?
Dizziness and nausea when turning over? In the past, I was diagnosed with anemia, so I pay close attention to my daily diet. However, recently, when I turn from lying on my left side to my right side while sleeping, I experience severe dizziness (the surroundings appear to be spi...
Dr. Gao Chunde Reply:
This is a type of positional vertigo, and you can consult an otolaryngologist or a neurologist. If there is a detection of otolith dislodgment, it can also be repositioned during the examination.[Read More] Dizziness and Nausea When Turning in Bed: What to Do?
Understanding Involuntary Head and Facial Movements: A Patient's Journey
Involuntary movements of the head include constant tension and shaking of the head, face, and ears throughout the day? Hello, Dr. Gao! I have been suffering from involuntary tension and shaking in my head, face, and ears for nearly fourteen years. It has been incredibly painful, ...
Dr. Gao Chunde Reply:
Based on your description, both neurology and psychiatry should be followed up with regular appointments for treatment. Additionally, participating in activities such as hospital volunteering or other programs that provide care and support to patients can be beneficial. By helpin...[Read More] Understanding Involuntary Head and Facial Movements: A Patient's Journey
Understanding Dizziness and Nausea: Neurological Concerns in Chronic Illness
Dizziness, blurred vision, a feeling of pressure and heat in the temples, and nausea? Recently, my father-in-law has been experiencing dizziness, vision changes (seeing white), a sensation of heat in his temples, and nausea. He has several chronic conditions, including heart dise...
Dr. Lan Shengxing Reply:
Hello, if your eyes are turning white and it resembles the symptoms of rolling back, it may be related to dizziness. However, there are many potential causes for similar symptoms, making it difficult to explain each one. It would be more appropriate for you to take your father-in...[Read More] Understanding Dizziness and Nausea: Neurological Concerns in Chronic Illness
Understanding Facial Myokymia: Causes, Symptoms, and Treatment Options
Continued inquiry: Involuntary twitching of the left cheek? Dear Dr. Gao, Thank you very much for your response. If the second reason is correct, that the facial nerve was injured due to the cosmetic surgery and subsequent impact, could my symptoms be due to abnormal adhesions b...
Dr. Gao Chunde Reply:
If there is damage to the facial nerve, which primarily consists of motor fibers that control facial muscle movements, it will inevitably lead to related functional impairments. One can self-assess whether facial expressions appear unnatural (indicating weakness in certain facial...[Read More] Understanding Facial Myokymia: Causes, Symptoms, and Treatment Options
Understanding Visual Disturbances: Causes and Solutions for Eye Pain and Flashes
Every day upon opening my eyes (before sitting up), I see numerous transparent dots (that do not move) and my vision keeps flashing? Both eyes have -200 degrees of myopia and -250 degrees of astigmatism. Since mid-April, I have experienced eye pain until the end of May, with no c...
Dr. Gao Chunde Reply:
Considering the recurrent occurrence of visual aura associated with migraines or occipital lobe epilepsy (recurrent discharges), it is recommended to promptly visit a neurologist for further EEG testing and pharmacological treatment. If necessary, brain imaging studies should als...[Read More] Understanding Visual Disturbances: Causes and Solutions for Eye Pain and Flashes
Uncontrollable Facial Twitches After Cosmetic Surgery: Causes and Solutions
Involuntary twitching of the left cheek? Two years ago, I underwent cosmetic surgery to elevate my cheeks. (Below are the surgical details provided by my doctor.) After the surgery, my cheeks were quite swollen, and before the swelling subsided, my left cheek was accidentally bum...
Dr. Gao Chunde Reply:
Based on the symptom description, it is more akin to facial myokymia, which refers to involuntary muscle twitching of the facial muscles. This can range from benign nerve hyperexcitability (such as eyelid twitching) to involuntary discharges due to facial nerve damage, and to spe...[Read More] Uncontrollable Facial Twitches After Cosmetic Surgery: Causes and Solutions
Understanding Facial Nerve Issues: Symptoms and Recovery Insights
Facial nerve issues Hello, Dr. Gao. Earlier this year, I experienced facial nerve paralysis on the right side of my face due to an unknown viral infection. After medication and rehabilitation, I have mostly recovered. However, last month I noticed that when I blink my right eye, ...
Dr. Gao Chunde Reply:
This is a complication following facial nerve paralysis, where the muscles of the ossicles in the middle ear, innervated by the facial nerve, become paralyzed and weak. This leads to a diminished ability to adjust to external sounds. Whenever there is loud external noise or when ...[Read More] Understanding Facial Nerve Issues: Symptoms and Recovery Insights
Understanding Scalp Twitching: Causes and When to See a Neurologist
Scalp twitching issue? Hello: Recently, I have been experiencing a sensation in my scalp that feels like a muscle twitch while walking. It is not painful, and my blood pressure is normal. I would like to ask two questions: 1. What could be the possible causes of the symptoms desc...
Dr. Gao Chunde Reply:
There is a rich network of muscles beneath the scalp, and sometimes their contraction can lead to a feeling of tightness in the head, accompanied by brief neuromuscular contractions that may feel like twitching. If the twitching is localized to a specific area, it could indicate ...[Read More] Understanding Scalp Twitching: Causes and When to See a Neurologist
Next Steps in Neurology: Addressing Skull Deformities and Symptoms
What is the next step after neurology? I have a depression on the right side of my skull, which has been accompanied by a persistent feeling of pressure and tightness, even affecting my right eye. Additionally, the right eyeball appears to be noticeably lower than the left, and t...
Dr. Gao Chunde Reply:
Craniofacial structural defects fall under the scope of plastic surgery. However, regarding whether the 3D imaging reconstruction of the skull is covered by health insurance or is out-of-pocket, and whether surgical correction is necessary after the examination, there are specifi...[Read More] Next Steps in Neurology: Addressing Skull Deformities and Symptoms
Experiencing Sudden Visual Disturbances: Causes and Insights
Objects appear to be shaking or vibrating? Sometimes, unexpectedly, while watching TV or looking at anything, I notice that my vision is shaking continuously. I once asked a family member to observe my eyes while the symptoms were occurring, and they said there was nothing unusua...
Dr. Lan Shengxing Reply:
Dear Yi Gao, the issue you mentioned may be caused by nystagmus. You can visit a neurologist for an examination, and the underlying cause will be determined based on the results of the tests.[Read More] Experiencing Sudden Visual Disturbances: Causes and Insights
Understanding Numbness in Limbs: Causes and Concerns
Numbness in the hands and feet? Hello, for the past two days, I've been experiencing numbness in the left side of my body, including my arms and legs, lasting from half an hour to several hours. Sometimes, my left limbs feel cold, while the right side does not. I often have ...
Dr. Gao Chunde Reply:
Please visit the neurology outpatient department of the hospital as soon as possible to determine the cause and receive symptomatic treatment. This symptom raises concern for transient ischemic attack (TIA), which is a warning sign of an ischemic stroke.[Read More] Understanding Numbness in Limbs: Causes and Concerns
Understanding Pulsating Sensations in the Head and Eyes
The head and eyes can sense the heartbeat? Hello doctor, I often feel my heartbeat in my head and eyes, and sometimes it is accompanied by pain. I also frequently feel a pressure and tightness around my ears. Could you please tell me what these symptoms might indicate? Thank you!
Dr. Huang Yongquan Reply:
Headaches accompanied by a pulsating sensation are generally referred to as vascular headaches, with migraines being the most common type. However, if there are additional symptoms such as red eyes, unilateral swelling, and nasal congestion, one must also consider cluster headach...[Read More] Understanding Pulsating Sensations in the Head and Eyes
Understanding Dizziness: Insights from Traditional and Modern Medicine
Question: Is there really dizziness? (After examinations by Traditional Chinese Medicine, Neurology, and Otolaryngology) After consultations with Traditional Chinese Medicine, Neurology, and Otolaryngology, the findings are as follows: 1. Traditional Chinese Medicine: (1) Exc...
Dr. Gao Chunde Reply:
Dizziness is a subjective sensation, and physicians can determine if there is a vertiginous component by observing eye movements. Other clinical findings, such as blood pressure, hemoglobin levels, electrolytes, and additional tests, can help identify potential causes. After hear...[Read More] Understanding Dizziness: Insights from Traditional and Modern Medicine
Understanding EEG Results: What to Expect and Next Steps in Neurology Care
Based on the previous response, I went for an examination? Based on previous symptoms of eyelid twitching, sensitivity to light, and pressure in the back of the head, I visited a large hospital for an outpatient consultation. The doctor conducted preliminary tests on my limbs and...
Dr. Gao Chunde Reply:
The EEG is the most important test; it can determine whether there are abnormal discharges in the brain and if there is any localized functional impairment. Whether to perform a CT or MRI scan should be based on the results of the EEG.[Read More] Understanding EEG Results: What to Expect and Next Steps in Neurology Care
Understanding Neurological Symptoms: When to Seek Help and Tests to Consider
What tests should be done or which specialty should I consult? Hello Doctor: For the past month or two, I have been experiencing persistent pain in my forehead, sometimes accompanied by tinnitus. I feel fatigued throughout the day, and my eyes have difficulty focusing on a single...
Dr. Lan Shengxing Reply:
Dear Little Gray, generally speaking, frontal headaches tend to be tension-type headaches, especially when accompanied by feelings of fatigue. However, when symptoms such as weakness occur, it is advisable to go to the hospital for imaging studies to rule out other intracranial i...[Read More] Understanding Neurological Symptoms: When to Seek Help and Tests to Consider
Understanding Eye Twitching, Dizziness, and Treatment Options
Eyelid twitching accompanied by slight dizziness, a feeling of pressure in the back of the head, and a perception that things appear brighter than usual? I have been experiencing eyelid twitching for a week, accompanied by slight dizziness. There is a feeling of pressure in the b...
Dr. Gao Chunde Reply:
Eyelid twitching, a heavy sensation in the back of the head, and seeing bright lights are common symptoms associated with fatigue from work or excessive eye strain. Typically, resting and taking a walk outdoors can lead to improvement within one to two weeks. The first two medica...[Read More] Understanding Eye Twitching, Dizziness, and Treatment Options
Understanding Left Facial Tightness: Causes and Treatment Options
Tightness in the left side of the face? Recently, for about 1 to 2 weeks, I have been experiencing occasional unusual sensations in the left side of my neck below the ear, along with tightness and tingling in my cheek near the ear. I visited a neurologist who examined my eyes and...
Dr. Lan Shengxing Reply:
Dear Joy, this feeling of tension is difficult to explain with a specific diagnosis, as many conditions can present this symptom. If the medication hasn't helped, the next step is to broaden the scope. In addition to returning to the original neurologist, you might also cons...[Read More] Understanding Left Facial Tightness: Causes and Treatment Options
Understanding the Risks of Brain Atrophy After Concussion: What You Need to Know
Cerebral atrophy inquiry? Hello, Doctor. I have been experiencing dizziness due to a concussion, but I have gradually returned to normal after about six weeks. An MRI examination was also normal (no bleeding). I found some research reports online indicating that concussions may l...
Dr. Gao Chunde Reply:
Concussions can increase the likelihood of developing dementia in the future, particularly in cases of repetitive head impacts, such as those experienced by boxers who are frequently struck in the head. The probability of a single impact leading to this outcome is extremely low. ...[Read More] Understanding the Risks of Brain Atrophy After Concussion: What You Need to Know