Eye, Neurology FAQ

Understanding Cardiac Arrest and Coma in Patients with Atrial Fibrillation

Myocardial infarction Dear Director Huang, I would like to ask you a few questions regarding a patient with atrial fibrillation who has a history of a mild hemorrhagic stroke in the basal ganglia several years ago. The patient was admitted to the intensive care unit due to myoca...

Dr. Huang Yingzhe Reply:
Dear Mr. Tsai, This is Dr. Huang Ying-Che, the Director of the Neurology Department at Tainan Hospital, Ministry of Health and Welfare. 1. It is possible that due to pre-existing stroke damage in the brain and renal failure, there are significant functional issues. 2. It is dif...

Understanding Dizziness: Causes and Solutions for Neurological Issues

Uncomfortable? In the past two days, whenever I open my eyes, the world seems to spin around me. The images in front of me are swirling, making me feel very dizzy, nauseous, and uncomfortable. I am afraid to open my eyes and can't even get up; I just want to lie down. Doctor...

Dr. Ye Boshou Reply:
It may be caused by semicircular canal imbalance, and a neurological examination should be conducted to rule out other causes. Generally, recovery occurs gradually over 5 to 10 days.

Left Cheek Pain When Straining Left Eye: Causes and Concerns

Left cheek pain!? Why does my left cheek hurt whenever I exert effort with my left eye? Could this be a serious symptom? I believe the pain is located inside my cheek, about 2 centimeters below my left eye. Could it be due to eye strain?

Dr. Ye Boshou Reply:
1. Have you ever been injured? 2. Do you have symptoms of a runny nose or nasal congestion? If yes, it may be sinusitis; if no, it could be a facial nerve or trigeminal nerve issue. If symptoms persist, medical evaluation is necessary.

Understanding and Managing Visual Field Loss After Neurological Trauma

Visual field loss Hello, Doctor! I had a car accident in early 2002, and I am still experiencing residual effects, including complete loss of vision in my left visual field (including the central area to the left). At that time, I underwent an MRI, and the physician at Taichung V...

Dr. Huang Yingzhe Reply:
Dear Dr. Huang Ying-Che, Director of the Neurology Department at Tainan Hospital, Ministry of Health and Welfare: This must be differentiated to determine whether it is an issue with the optic nerve, the eyeball and its附屬器官 (accessory structures), or a brain problem. Please firs...

How Long Does It Take to Wake Up After a Stroke?

How long does it take to regain consciousness after a stroke? My mother had surgery on May 15, and it has been 8 days since then. During this time, it seems that she has woken up and opened her eyes, and when I call her, she sometimes grips my hand tightly. However, this only hap...

Dr. Qiu Conglang Reply:
Hello: There are two types of strokes, one is caused by a vascular blockage and the other by a rupture leading to hemorrhage. Since your mother has undergone surgery, I assume she has experienced a hemorrhagic stroke. Whether a patient wakes up after stroke surgery depends on the...

Understanding Eye Muscle Issues: When to See a Doctor?

Hello, doctor. I would like to ask about issues related to the muscles around the eyes? In the past couple of days, due to staying up late, I've been experiencing some unusual muscle sensations in my right eye. When I make certain facial expressions (like laughing), I feel a...

Dr. Ye Boshou Reply:
Have you ever had facial nerve paralysis? If the symptoms persist, you should see a doctor.

Understanding Neurological Symptoms in Children: A Guide for Concerned Parents

Suspicious symptoms Dear Dr. Yeh, I hope this message finds you well. I would like to seek your advice regarding my seven-year-old nephew, who has a history of allergic asthma and is currently on medication for management. Recently, he has been experiencing episodes where the co...

Dr. Ye Boshou Reply:
Please consult a neurologist or pediatric neurologist to check for the possibility of epilepsy or Lennox-Gastaut syndrome.

Understanding Severe Insomnia: Seeking Help for Sleep Struggles

The first time experiencing such severe insomnia? Hello Doctor: I have been experiencing insomnia for almost two weeks now. Even though I feel very tired and want to sleep, as soon as I close my eyes, my mind starts racing with endless thoughts. I have never experienced anything ...

Dr. Lai Lunxiang Reply:
Hello, Xiaoping. Regarding sleep disorders.

Understanding Facial Pain: Could It Be a Stroke Warning Sign?

Facial issues Dr. Lai, I have been experiencing persistent pain in the left side of my nose, which radiates to the left side of my face, causing numbness. My eyes and mouth are normal, but the left side of my face feels swollen. I consulted an ENT specialist, but the doctor said ...

Dr. Lai Lunxiang Reply:
Hello! 1. There seems to be little correlation between stroke and hypokalemia. 2. Based on your description, I suspect you may have trigeminal neuralgia, but I still recommend that you visit an outpatient clinic for a detailed examination. Thank you!

Understanding Forehead Twitches: Causes and Connections to Headaches

The forehead may twitch similarly to an eyelid twitch? Hello: Recently, I have been experiencing twitching in the middle of my forehead near the hairline (between my eyes). It feels similar to an eyelid twitch. I am unsure what the cause is and whether it is related to anything e...

Dr. Lai Lunxiang Reply:
Hello! I believe that the situation you described in the second paragraph points out the symptoms you are experiencing. I think that the first and second paragraphs are the same, and addressing the stress related to the underlying causes can help alleviate the symptoms. Thank you...

Understanding Facial Nerve Disorders: Symptoms, Causes, and Treatment Options

Facial nerve dysfunction issues? Hello, Director! I would like to consult you about the issue of facial nerve dysfunction. I often experience involuntary eyebrow twitching or eyelid spasms, which lead to frequent headaches and eye fatigue. At times, it becomes severe enough to ca...

Dr. Ye Boshou Reply:
Occasional tics are nothing to worry about. The speed of speech is related to personality and mood; try self-adjusting and relaxing to see if it improves. If there is still no improvement, a visit to the clinic is necessary to check for other issues, such as hyperthyroidism, amon...

Persistent Eyelid Twitching: Should You Worry About Neurological Issues?

Eyelid twitching for more than two months? Hello Doctor, for the past two months, my left eyelid has been twitching continuously, at least ten times a day, with each episode lasting about ten seconds. I previously underwent an MRI due to severe headaches, but the doctor said my M...

Dr. Ye Boshou Reply:
Eyelid twitching is caused by unstable nerves related to headaches, and it usually resolves on its own. However, if the symptoms persist, please consult a neurologist to rule out other causes (MRI may not reveal anything).

Understanding Facial Nerve Issues: Causes and When to Seek Help

Facial nerve Hello doctor, for the past two months, I have been experiencing occasional involuntary facial twitching, and my eyelids also tremble slightly. Sometimes the twitching lasts for a long time, and the duration of the facial spasms varies. Could you please explain why th...

Dr. Ye Boshou Reply:
Involuntary facial twitching is a phenomenon of neurological instability, which may be related to tension and nerve excitability. It is advisable to reduce the intake of stimulating foods such as coffee. If the symptoms persist, a neurological examination should be conducted.

Chronic Headaches: When to See a Neurologist for Relief

Headache issues Hello, doctor. I would like to ask you some questions. I have been experiencing headaches for several years now. Each time, the pain starts from my neck and moves upward, and sometimes it only affects the left side of my head. I cannot feel better without taking p...

Dr. Ye Boshou Reply:
Yes, if the neck pain persists, please visit a neurology clinic for a clinical examination, after which it can be determined whether further testing is necessary.

Understanding Body and Head Tremors: Causes and Management Strategies

Body and head shaking? Hello, I am currently experiencing a phenomenon (body and head shaking) that has been troubling me, and I fear that if it continues, it may severely impact my life. Here are the details: Two years ago, I was diagnosed with hyperthyroidism and have been taki...

Dr. Lai Lunxiang Reply:
Hello, 1. The symptoms of head and body tremors are mostly caused by degeneration of the cerebellum or midbrain, but they are primarily seen in older adults. Given your age, it seems unlikely (though early-onset forms do exist), so this aspect may require further examination. ...

Sudden Sleepiness and Concentration Issues: Is It a Stroke Concern?

Sleepy If you suddenly feel very sleepy, have difficulty concentrating, and your eyes are almost closing, but you experience no other symptoms and feel alert again after 5 to 10 minutes, could this be a sign of a cerebrovascular issue?

Dr. Ye Boshou Reply:
The exact timing of the occurrence is unknown, and it is unclear whether there is genuine fatigue. However, based on the currently limited information, it is not possible to rule out cerebrovascular issues.

Understanding Epilepsy: Do All Cases Have Underlying Causes?

Is there always an underlying cause for epilepsy? Hello, doctor. A few days ago, I suddenly experienced full-body convulsions while sleeping, with my eyes rolling back, clenched jaws, and my limbs exerting force. I fell off the bed without being aware of it, and the episode laste...

Dr. Huang Yingzhe Reply:
Dear A-Chun, It is generally stated that if there is a record of abnormal electrical discharges in the brain waves and you are experiencing symptoms, it is likely that you have epilepsy. CT scans or MRIs may not necessarily show abnormalities. However, since you have had multipl...

Understanding Neck and Shoulder Pain: Possible Causes and Treatments

excuse me? Hello, doctor. I have a few questions that I would like to consult your expertise on. Thank you for your assistance. I am 188 cm tall, weigh 130 kg, and have a body fat percentage of 42%. I am a carrier of hepatitis B and have sinusitis among other conditions, for whic...

Dr. Ye Boshou Reply:
There are many causes of headaches that are not necessarily related to blood pressure. If headaches persist, it is advisable to first consult a neurologist.

Understanding Stroke Recovery: Assessing Consciousness and Rehabilitation Options

Stroke issues Dear Director Huang, My mother is 66 years old and underwent heart valve replacement surgery several years ago. On October 11, 2004, she suddenly lost the ability to speak and was unable to move her right hand and leg. After diagnosis, it was determined that she su...

Dr. Huang Yingzhe Reply:
Dear Ah-Chung, This is Dr. Huang Ying-Che, the Director of the Neurology Department at Tainan Hospital, Ministry of Health and Welfare. 1. It may not strictly fit the definition of a vegetative state; the patient might have some level of consciousness, but could be experiencing...

Understanding Lip Tremors: Causes and Concerns in Neurology

Lip tremors Hello, Doctor. For the past month, I have experienced occasional twitching of both my upper and lower eyelids, which lasts for a short time and seems to be a normal phenomenon, so I haven't paid much attention to it. However, in the past two days, I have noticed ...

Dr. Ye Boshou Reply:
The tremors are not visibly apparent and seem to be more related to sensation rather than function. They are unrelated to facial nerve paralysis or stroke and may be associated with anxiety or autonomic nervous system dysregulation. It is advisable to avoid stimulating beverages ...

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