Understanding Dizziness and Tremors: Possible Causes and Next Steps
Shaking like an earthquake? Hello, last month I experienced dizziness (feeling like the ground was shaking, and I was unsteady while walking). During this time, my right little finger felt a bit numb. I went to National Taiwan University Hospital for a consultation. The doctor sa...
Dr. Gao Chunde Reply:
Your symptoms do not resemble those of cerebellar atrophy or Parkinson's disease, and since the MRI did not show any abnormalities, you can be temporarily reassured. The overall course of your condition is more consistent with what is referred to as inner ear imbalance, whic...[Read More] Understanding Dizziness and Tremors: Possible Causes and Next Steps
Understanding Visual Disturbances After Ecstasy Use: A Neurological Perspective
Using hallucinogens to induce flashes? I have previously used ecstasy, and afterward, I experienced an unexplained light sensation in my visual field for 24 hours, even when my eyes are closed. I have seen an ophthalmologist, and there are no retinal abnormalities. I am wondering...
Dr. Huang Yongquan Reply:
Hello: I would like to know if you are still experiencing these symptoms. Do they occur only while taking the medication, or do they persist afterward? I recommend visiting an outpatient clinic for further examination.[Read More] Understanding Visual Disturbances After Ecstasy Use: A Neurological Perspective
Understanding Neck Pain and Eyelid Spasms: Possible Causes and Insights
Occipital eyelid Hello~ This morning when I woke up, I felt pain at the upper part of my neck (near the head), my eyelid was twitching, and I also had a headache. I measured my blood pressure at 106/66 and my heart rate was 71, indicating no hypertension. Could you please help me...
Dr. Huang Yongquan Reply:
If you are unsure whether it is due to staying up late or excessive fatigue, you can try applying a warm compress and getting some rest. If discomfort persists, you should consider visiting a clinic for examination and treatment.[Read More] Understanding Neck Pain and Eyelid Spasms: Possible Causes and Insights
Understanding the Aftermath of Meningitis: Eye Issues and Recovery
Sequelae of meningitis? Hello, Dr. Huang... Recently, I was admitted to Taichung Veterans General Hospital due to sudden strabismus in my right eye, which made it difficult to focus and caused severe double vision. My physician arranged for an MRI, and the results indicated menin...
Dr. Huang Yingzhe Reply:
Dear Dr. Huang Ying-Che from the Neurology Department of Tainan Hospital, Ministry of Health and Welfare, Hello. There are numerous causes of ocular muscle paralysis (you are referring to the lateral rectus muscle, right?), and many of them remain undetermined. The primary purpo...[Read More] Understanding the Aftermath of Meningitis: Eye Issues and Recovery
Facial Numbness and Inability to Close Eye: Possible Neurological Issues?
Facial numbness and inability to close the eyelids? Hello Doctor: My right side of the face, mouth, and tongue feel numb, and when I smile, the mouth on that side becomes stiff. The right side of my mouth appears slightly droopy, and I cannot fully close my right eye, which revea...
Dr. Lan Shengxing Reply:
Dear Stacy: This condition may be related to a previous facial nerve issue on the right side of your face. Please visit the neurology outpatient clinic for evaluation and treatment.[Read More] Facial Numbness and Inability to Close Eye: Possible Neurological Issues?
Electric Shock Sensation in the Back of the Head When Moving Eyes
When moving the eyes, there is a sensation of electric shock in the back of the head? Hello doctor, I started experiencing this issue about ten days ago. When I move my eyes (up, down, left, or right), I feel a brief electric shock sensation in the back of my head. Later, I also ...
Dr. Lan Shengxing Reply:
Dear Van, the symptoms you described are quite difficult to consolidate into a single diagnosis. However, these symptoms are not common and may not fall within the scope of ophthalmology, especially if the fundus examination is normal. There are other conditions that need to be r...[Read More] Electric Shock Sensation in the Back of the Head When Moving Eyes
Understanding Occipital Pain: Causes and Diagnostic Approaches
Occipital headache Hello, Dr. Lan. I have a situation where if I lower my head and then lift it up, I experience pain in the right posterior part of my head, accompanied by dizziness. Shortly after, my vision in the right eye becomes blurry. Additionally, pressing on the right po...
Dr. Lan Shengxing Reply:
Dear Ami, the symptoms you described may indicate involvement of the cervical nerve roots. However, due to the presence of blurred vision, it is difficult to clearly understand and consolidate a single cause based on the information provided. I recommend that you consult a neurol...[Read More] Understanding Occipital Pain: Causes and Diagnostic Approaches
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Severe autonomic nervous system dysfunction? Dear Doctor, I have read a lot of relevant information and would like to focus on my daily routine and dietary intake. I would also like to explain my symptoms. In recent years, I have developed a strong liking for very spicy food, to...
Dr. Gao Chunde Reply:
It seems that there may be symptoms of anxiety and even approaching panic attacks. This can be examined in daily life to identify any specific external causes, such as dietary factors, work, family, or other stressors. If no external causes are found, it may be related to intrins...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Forehead Twitches: When to Seek Further Neurological Evaluation
Facial and forehead twitching? Doctor, I would like to consult about the involuntary twitching I've been experiencing on the left side of my forehead. It has been occurring intermittently for several days, averaging over 20 times a day in the same area, just above my left ey...
Dr. Gao Chunde Reply:
Muscle twitching can be a result of nerve hyperexcitability due to lack of sleep, or it may indicate the early signs of neurological disorders such as neuropathy or involuntary movements. An electromyogram (EMG) is used to determine whether the electrical activity originates from...[Read More] Understanding Forehead Twitches: When to Seek Further Neurological Evaluation
Facial Movements Causing Ear Sounds: A Post-Facial Nerve Paralysis Concern
Facial movements cause a humming sound in the left ear? I experienced facial nerve paralysis over a month ago (on the left side of my face and I am currently in the recovery phase). I am almost fully recovered, but whenever I perform facial movements that require effort, I hear a...
Dr. Lan Shengxing Reply:
Dear Ken, the symptoms you described may be a result of the nerve recovery process. However, it is still advisable for you to visit an otolaryngologist to ensure that this is not related to an ear condition, for your peace of mind.[Read More] Facial Movements Causing Ear Sounds: A Post-Facial Nerve Paralysis Concern
Persistent Eye Twitching: Causes and Solutions for Lasting Discomfort
Eyelid twitching persisting for more than a month? Dear Dr. Lan, Hello. My left lower eyelid has been twitching continuously for over a month, with an average frequency of more than 100 times per minute. The twitching is localized only to the left lower eyelid. I have researched...
Dr. Lan Shengxing Reply:
Dear Alice, the continuous twitching of one eyelid should raise the consideration of eyelid spasm. Since it has already affected your daily life, I recommend that you visit a clinic for examination and treatment. Best regards, Lan Shengxing.[Read More] Persistent Eye Twitching: Causes and Solutions for Lasting Discomfort
Understanding Nosologic Entity in Neurology: The Case of Tolosa-Hunt Syndrome
a nosological entity The phrase "某某疾病 is a nosological entity" means that the disease in question is recognized as a distinct and defined medical condition, rather than just a collection of symptoms or signs. In this context, when referring to Tolosa-Hunt syndrome as a ...
Dr. Huang Yongquan Reply:
Tolosa-Hunt syndrome is a condition caused by inflammation of the venous sinuses near the eye, characterized by redness, swelling, and pain around the eye. The syndrome is named after the two physicians who first described it: Tolosa in 1954 and Hunt in 1961.[Read More] Understanding Nosologic Entity in Neurology: The Case of Tolosa-Hunt Syndrome
Could My Symptoms Indicate Chorea? Understanding Neurological Concerns
Could it be chorea? About a month ago, I started experiencing a sensation in my left wrist that feels like muscle twitching, pulling slightly inward a couple of times. Following that, I began to feel muscle twitches in my eyelids, arms, and back. Last Sunday, while staring at the...
Dr. Lan Shengxing Reply:
Dear Kevin, The symptoms you described could be indicative of various conditions, but they seem more aligned with myoclonus. Myoclonus that occurs before sleep is mostly a normal physiological phenomenon. To determine whether it is a condition that requires treatment, an electr...[Read More] Could My Symptoms Indicate Chorea? Understanding Neurological Concerns
Understanding Neurological Symptoms After a Back Injury: What You Need to Know
After a back injury, it can lead to abnormal neurological sensations? Hello Doctor: I am currently undergoing rehabilitation for a back injury, but this injury has also caused me to experience taste abnormalities. After visiting an otolaryngologist, the doctor diagnosed me with &...
Dr. Zheng Zhiwen Reply:
Dear Hui, Hello. If the lower half of the body has reduced sensitivity and there is a history of lumbar spine injury, it is possible that there is damage to the lumbar nerves. A detailed examination of the symptoms may require a clinic visit or further testing for confirmation....[Read More] Understanding Neurological Symptoms After a Back Injury: What You Need to Know
Understanding Involuntary Tremors in Children: Which Specialist to Consult?
Which department should I consult for involuntary shaking? Hello, my son is currently 4 and a half years old. For the past month, he has been experiencing involuntary shaking movements that suddenly pause for 1-2 seconds, followed by a brief shake of his legs or body. There are n...
Dr. Gao Chunde Reply:
Please visit the neurology outpatient clinic for further evaluation of the sudden pauses lasting one to two seconds. It may be necessary to consider the possibility of absence seizures, and a more detailed history along with an EEG examination should be conducted.[Read More] Understanding Involuntary Tremors in Children: Which Specialist to Consult?
Understanding Unexplained Dizziness: Causes and Solutions
Recent strange sensations? Hello, doctor. Recently, I've suddenly been feeling dizzy, but I can't describe any specific sensations in my head. It feels like I can't concentrate, and looking at something makes me feel slightly uncomfortable and a bit pressure-like. ...
Dr. Lan Shengxing Reply:
Dear Jill, your question is not very easy to understand. I will try to discuss it based on the symptoms. If you notice that looking at something causes more discomfort, it may be worth considering binocular diplopia caused by differences in the two eyes, or a change in your visua...[Read More] Understanding Unexplained Dizziness: Causes and Solutions
Blurred Vision and Weakness After Walking: Possible Causes Explained
Experiencing poor vision after walking a distance or exercising? Hello doctor, after walking a certain distance or exercising, I experience poor vision, occasional dizziness, and weakness in my limbs. I feel more comfortable when lying down. I'm not sure what the cause is. T...
Dr. Lan Shengxing Reply:
Hello Peter, poor vision, floaters, or weakness in the limbs can actually have many possible causes. If these symptoms occur after exercising or walking a certain distance, several issues should be considered: 1. Is there any abnormality in heart function? 2. Is there any dysfunc...[Read More] Blurred Vision and Weakness After Walking: Possible Causes Explained
Eye Movement Pain: Possible Neurological Issues Explained
Pain in the head when moving the eyes? I'm sorry to hear that you're feeling unwell. Over the past couple of days, you've been experiencing a cold with persistent coughing, but you've also noticed a strange sensation of swelling in your eyes. Additionally, mov...
Dr. Gao Chunde Reply:
The extraocular muscles behind the eyeball are actually connected to the meninges, so moving the eyes can cause head pain, which is a mild reaction of the meninges. It's important to also check for any neck stiffness, fever, headache, and whether there is any double vision. ...[Read More] Eye Movement Pain: Possible Neurological Issues Explained
Understanding Persistent Discomfort in the Forehead Area: A Neurology Perspective
Discomfort that the head cannot tolerate? I have been experiencing a persistent tight discomfort around the upper right corner of my forehead, which is almost always present and causing me significant distress. It affects my ability to think clearly, and I also find myself easily...
Dr. Ye Boshou Reply:
Hello: 1. It seems to be anxiety, which is causing muscle tension. 2. First, learn to relax and avoid focusing on the discomfort. Exercise can be helpful; if it doesn't work, a clinic evaluation is necessary.[Read More] Understanding Persistent Discomfort in the Forehead Area: A Neurology Perspective
Understanding Facial Asymmetry: Is It a Stroke or Something Else?
Facial asymmetry? Hello, doctor. Recently, I've been experiencing a tingling and swelling sensation on one side of my face. When I relax, I notice that my eye and mouth appear uneven, but my arms and legs are normal with no abnormalities. I can close my eyes and mouth, and i...
Dr. Lin Zijing Reply:
The main symptoms of facial nerve paralysis include facial asymmetry, inability to close the eyelids, tearing, taste disturbances, a sensation of food stagnation in the mouth, and difficulty drinking without spilling. The affected side may appear droopy, and the eye may appear mi...[Read More] Understanding Facial Asymmetry: Is It a Stroke or Something Else?