Understanding Persistent Dizziness and Headaches: When to Seek Help
Initially, there was dizziness, which progressed to dizziness and headache after a few days? Hello Doctor, I have never experienced dizziness or headaches before! At the beginning of January this year, I suddenly felt a bit dizzy while reading (not the spinning type) and it laste...
Dr. Lin Zijing Reply:
Head pain is primarily felt in the walls of blood vessels, scalp nerves, and muscles. Brain imaging studies can only rule out certain conditions (such as larger tumors or bleeding) but cannot diagnose the cause of headaches. Most headaches are classified as tension-type headaches...[Read More] Understanding Persistent Dizziness and Headaches: When to Seek Help
Understanding Natural Relief and Recurrence in Neurological Conditions
Natural relief recurrence Hello Doctor: My symptoms include muscle weakness and numbness in the left eye and face, along with pain, all occurring only on the left side. Additionally, my condition tends to improve on its own, and my MRI results are normal. What could this conditio...
Dr. Zeng Kongyan Reply:
Dear Mr. Wang, Regarding your inquiry, it is difficult to speculate on the condition based solely on the symptoms mentioned and the normal MRI results. First, it is essential to determine whether there is any diplopia (double vision) associated with the ocular muscle paralysis. ...[Read More] Understanding Natural Relief and Recurrence in Neurological Conditions
Understanding Visual Disturbances: Causes and Concerns in Neurology
The eyes are dazzled? Hello, Doctor. Recently, I have been experiencing strange visual disturbances. It's not like the dizziness associated with anemia; my mind is clear and normal, and I don't feel faint or see things moving. However, I do feel a slight heaviness behin...
Dr. Lin Zijing Reply:
Visual symptoms may have the following causes: 1. Ocular issues: retinal detachment, elevated intraocular pressure, corneal disease, etc. 2. Optic nerve problems: inflammation, multiple sclerosis, etc. 3. Cerebrovascular issues: transient ischemic attacks, migraines, etc. 4. Brai...[Read More] Understanding Visual Disturbances: Causes and Concerns in Neurology
Can Facial Paralysis Affect Your Ability to Climb High Mountains?
Is there a conflict between facial paralysis and climbing high mountains? Hello Dr. Yeh, A couple of days ago, I felt something unusual with my face; it was not very responsive, and I had difficulty using a straw. I went to the hospital's neurology department for an examina...
Dr. Ye Boshou Reply:
1. In cases of simple facial nerve paralysis, aside from limited eyelid and facial movements, there should not be significant issues. Similarly, climbing activities should not have much impact. Remember to take medication, rest adequately, and perform appropriate facial massages,...[Read More] Can Facial Paralysis Affect Your Ability to Climb High Mountains?
Distinguishing Between Autonomic and Somatic Nervous Systems
How to distinguish between the autonomic nervous system and the somatic nervous system? How to distinguish between the autonomic nervous system and the somatic nervous system?
Dr. Huang Yongquan Reply:
Hello: The nervous system is primarily composed of neurons and glial cells, and it is divided into the central nervous system and the peripheral nervous system. The former includes the brain and spinal cord, while the latter includes cranial nerves and spinal nerves. Cranial nerv...[Read More] Distinguishing Between Autonomic and Somatic Nervous Systems
Understanding Eyelid Tremors: Causes and Concerns in Neurology
Regarding the eyelids? Doctor Yeh, when I close my eyes, my eyelids twitch, but they don't twitch when my eyes are open. What could be the problem? Thank you.
Dr. Ye Boshou Reply:
Hello: It is likely eyelid muscle twitching, which is related to stress.[Read More] Understanding Eyelid Tremors: Causes and Concerns in Neurology
Understanding Morning Fainting in Toddlers: Causes and Concerns
A two-year-old child fainting upon waking up in the morning? Hello Dr. Lin: I have a three-year-old boy at home who experiences fainting spells or appears to have a blank stare with his eyes rolled back for about 20 to 30 minutes every morning after waking up. He also exhibits le...
Dr. Lin Zijing Reply:
Fainting accompanied by transient loss of consciousness, blank stare, eye rolling, and leg twitching should raise suspicion for either epilepsy or transient cerebral hypoperfusion. Generally, brain and cardiac evaluations are necessary. Brain assessments include electroencephalog...[Read More] Understanding Morning Fainting in Toddlers: Causes and Concerns
Understanding Facial Twitching: Causes and When to Seek Help
Facial twitching? Doctor, my facial skin has been twitching for the past two to three days. Is this related to any issues with my facial nerves?
Dr. Liu Zhiyang Reply:
Hello, eyelid muscle twitching is usually benign. However, if the twitching persists, it is advisable to follow up with a neurologist for further evaluation and treatment. Wishing you peace and health. Sincerely, Dr. Liu Chih-Yang, Director of Neurology, Taoyuan Hospital, Ministr...[Read More] Understanding Facial Twitching: Causes and When to Seek Help
Misdiagnosing Jaw Muscle Spasms as Tinnitus: A Common Issue
Jaw muscle spasms can often be misdiagnosed as subjective tinnitus? Dear Dr. Huang, I came across a report online yesterday with a title similar to that of my email. My mother is experiencing a similar issue; she reports a buzzing sound in her left ear, which is often accompanie...
Dr. Huang Yongquan Reply:
Hello: The sound associated with jaw muscle spasms is often a fixed frequency ticking sound rather than the buzzing sound you mentioned. The buzzing in your left ear, accompanied by conjunctival injection (only on the lateral side) and dizziness, may warrant an investigation into...[Read More] Misdiagnosing Jaw Muscle Spasms as Tinnitus: A Common Issue
Understanding Sudden Leg Weakness and Falls Upon Waking
Weakness in the legs leading to falls? I don't know what the reason is, but about five years ago, I started experiencing sudden falls when getting out of bed in the morning. I haven't taken any sleeping pills, sedatives, or any medications before sleeping, and I haven&#...
Dr. Lin Zijing Reply:
This situation may be caused by your brain's neurons not being fully awake or not having regained full control of your limbs when you wake up from sleep. Additionally, it is important to differentiate this from sleep paralysis, where a person wakes up and finds their body un...[Read More] Understanding Sudden Leg Weakness and Falls Upon Waking
Understanding Left Facial Numbness: Causes and Concerns
Left facial numbness? Hello Doctor, I would like to ask you about my left facial numbness that has lasted for over two months. I have read several Q&A articles regarding facial nerve paralysis and have tried some facial exercises, which seem to appear normal. However, when I ...
Dr. Liu Zhiyang Reply:
Dear Nick: The numbness on the left side of your face may be a sensation of "numbness" or "paralysis." Both the trigeminal nerve and the facial nerve could potentially be affected. It is advisable to follow up with a neurology clinic for further evaluation. Wi...[Read More] Understanding Left Facial Numbness: Causes and Concerns
Understanding Chronic Migraines and Facial Spasms: A Patient's Journey
Headache and facial twitching? I kindly ask the doctor to take a moment to look at my concerns so that I can reference them during my medical visits. Thank you. About four to five years ago, I was diagnosed with migraine status. My headaches have never improved over the years; th...
Dr. Lin Zijing Reply:
Your headaches are so frequent and severe that you should consult a physician for evaluation or consider preventive medication treatment. Recent medical studies indicate that multiple episodes of migraines can indeed increase the risk of ischemic stroke, as migraines are associat...[Read More] Understanding Chronic Migraines and Facial Spasms: A Patient's Journey
Understanding Post-Sexual Headaches and Dry Eyes: Causes and Solutions
Headache Experiencing dry eyes and headaches the day after sexual intercourse could be attributed to several factors. It may be related to dehydration, as sexual activity can lead to fluid loss. Additionally, if you are experiencing tension or stress during or after intercourse, ...
Dr. Lin Zijing Reply:
Dry eyes and headaches after sexual activity may be related to parasympathetic nervous system excitation and strong contraction of the head muscles. Additionally, it is important to differentiate this from "orgasmic headache." Orgasmic headaches are more common in sexua...[Read More] Understanding Post-Sexual Headaches and Dry Eyes: Causes and Solutions
Managing Anxiety and Balance Disorders After Brain Injury
Anxiety. Disruption of balance in the brain? Hello Dr. Lin: I am 36 years old and had a serious car accident when I was 17. At that time, I suffered a severe concussion, and I lost vision in my right eye due to a severed optic nerve. Recently, over the past 1-2 months, I have bee...
Dr. Lin Zijing Reply:
Your symptoms are quite diverse, and generally, such a condition is not associated with neurological disorders. There is a term commonly used: "neurasthenia," which is also referred to as "autonomic nervous system dysfunction," and it may resemble your symptom...[Read More] Managing Anxiety and Balance Disorders After Brain Injury
Understanding Neurological Symptoms: Seeking the Right Specialist for Diagnosis
Symptom inquiry? Hello Dr. Lin: Recently, I have been experiencing many symptoms and have seen numerous doctors in various hospitals without finding the cause. Could you please help explain my symptoms? 1. I have sharp pain in the left back of my head accompanied by muscle spasms...
Dr. Lin Zijing Reply:
Your symptoms are quite broad and nonspecific, which may indicate the presence of two to three concurrent conditions or a transient episodic illness. Here are some analyses based on your symptoms: 1. Headache: The stabbing pain and spasms in the back of your head may be due to n...[Read More] Understanding Neurological Symptoms: Seeking the Right Specialist for Diagnosis
Understanding Chronic Headaches: Causes, Symptoms, and Diagnosis
Intermittent headaches I have been experiencing frequent headaches since middle school. Whenever the weather is too hot or too cold, or when my body feels unwell to a certain extent, I get headaches. When the pain occurs, I take acetaminophen; otherwise, the headache can last for...
Dr. Ye Boshou Reply:
Hello: 1. There is no medical consensus that thicker meninges cause headaches. 2. For tension-type headaches, it is important to learn relaxation techniques and identify the sources of tension. 3. Tension-type headache is a clinical diagnosis, with examinations conducted to rule ...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Diagnosis
Unexplained Dizziness: Navigating Neurological Concerns and Next Steps
Dizziness of unknown origin? Hello Doctor, I have been experiencing continuous dizziness for a week (at times, it feels like there is a force pushing my eyeballs outward), slight imbalance while walking, and decreased dexterity in my hands. Occasionally, I have tremors, nausea, a...
Dr. Lin Zijing Reply:
The causes of dizziness can be broadly categorized into the following: 1. Vestibular disorders: Such as motion sickness, viral infections, abnormal displacement of otoliths, and Meniere's disease. 2. Visual disorders: For instance, wearing glasses with an incorrect prescrip...[Read More] Unexplained Dizziness: Navigating Neurological Concerns and Next Steps
Understanding Head Injuries: Symptoms and When to Seek Help
The front part of the head hit the wall? Hello, doctor! Two days ago, I accidentally fell down the stairs and hit my head. I bled a lot but did not lose consciousness and was aware of my surroundings. However, my forehead started to swell and has continued to swell down to the br...
Dr. Ye Boshou Reply:
Hello: 1. It is likely a subcutaneous hematoma of the head, which will gradually be absorbed; apply cold compresses. 2. If there are no neurological symptoms, a CT scan is not necessary.[Read More] Understanding Head Injuries: Symptoms and When to Seek Help
Understanding Neck and Head Discomfort: Possible Neurological Issues
Discomfort in the neck and head? I have been experiencing a strange sensation in my head (hard to describe) for about six months. Recently, I have also felt stiffness in my neck, and I find it somewhat difficult to control the movement of my left eye (although I can still control...
Dr. Huang Yongquan Reply:
Hello: Your symptoms should be evaluated in conjunction with the timing of their occurrence, your condition, your age, medical history, and the physical examination findings. Making assumptions directly may only add to your worries. Since you have already sought medical attention...[Read More] Understanding Neck and Head Discomfort: Possible Neurological Issues
Comprehensive Evaluation for Persistent Nerve and Muscle Symptoms
May I ask about a single examination? Hello, Doctor: I am an office worker who spends most of the day sitting in front of a computer and rarely exercises. I've been experiencing symptoms for about a year, and since I haven't received treatment, my condition has worsened...
Dr. Lin Zijing Reply:
Normal lumbar spine X-rays and MRIs can differentiate between intervertebral disc and lumbar spine lesions. Therefore, it is important to consider lower pathologies such as piriformis syndrome, which may arise from piriformis injury, inflammation, overuse, or hemorrhage. Nearby t...[Read More] Comprehensive Evaluation for Persistent Nerve and Muscle Symptoms