Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
High intraocular pressure, pain in the temples and eye sockets, stiffness in the shoulders and neck, and nausea? Hello Doctor: I have been troubled by a persistent issue that occurs occasionally, and each time it is quite uncomfortable. The situations in which it happens are not ...
Dr. Jiang Junyi Reply:
Dear Ms. P: The symptoms you mentioned resemble typical vascular headaches, commonly known as migraines. The diagnostic criteria for migraines are as follows: 1. Headaches occur more than 5 times. 2. Without taking pain relief medication, the headache lasts for more than 4 hour...[Read More] Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
Is It a Stroke? Understanding Symptoms and When to Seek Help
Suspected stroke? Hello, doctor. This morning when I got up, I experienced a sudden cramp in my left calf muscle due to the significant temperature changes over the past two days. At that moment, I felt a sensation in my head similar to blood rushing to my brain, followed by dizz...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe the likelihood of a stroke is low (generally, it would present as sudden vision loss, typically affecting one eye). I think it may be presyncope. I recommend that you see a cardiologist or neurologist for further evaluation. Thank you for ...[Read More] Is It a Stroke? Understanding Symptoms and When to Seek Help
Facial Numbness After Waking: Possible Causes and When to Seek Help
Numbness in the upper left side of the face upon waking up? I have been noticing this phenomenon for at least a month now. The main symptom is numbness around my left eye (forehead, temples, cheekbones, etc.), which is not painful. It tends to occur upon waking, especially in the...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "the symptoms mainly involve numbness around the left eye (forehead, temples, cheekbone, etc.)." This symptom may suggest inflammation of the first branch of the trigeminal nerve (ophthalmic nerve). First, we need to rule out sinusitis...[Read More] Facial Numbness After Waking: Possible Causes and When to Seek Help
Understanding Vestibular Neuritis: Causes and Recovery from Dizziness
Vertigo Hello, doctor! After getting up in the middle of the night to use the restroom and giving my child a pacifier, I suddenly experienced vertigo and vomiting upon returning to bed, which led me to the emergency room. I did not have any cold symptoms. The vertigo only occurre...
Dr. Cai Zongzhang Reply:
Hello, Ms. Chen: It is recommended to visit an otolaryngologist to check for any ear disorders that may be causing vestibular nerve dysfunction.[Read More] Understanding Vestibular Neuritis: Causes and Recovery from Dizziness
Understanding Right Middle Finger Spasms: Causes and Relief Strategies
Spasms of the right middle finger? Hello, I have nearly ten years of history with epilepsy, primarily characterized by seizures affecting the upper body and above the neck (on the right side). About three months ago, I began experiencing twitching on the right side of my face (in...
Dr. Cai Zongzhang Reply:
Hello Ms. Chen: The cause of the spasms in your right middle finger may not necessarily be related to epilepsy. It is recommended that you visit a neurology clinic for an examination.[Read More] Understanding Right Middle Finger Spasms: Causes and Relief Strategies
Understanding Visual Disturbances and Leg Weakness: A Neurological Perspective
Visual abnormalities and weakness or numbness in the calves? Hello Doctor, since June, I have been experiencing unclear vision on the edges of my left eye. After an ophthalmological examination, a visual field defect was found, raising concerns about a possible neurological issue...
Dr. Jiang Junyi Reply:
Dear Miss Abo, You mentioned that "the edges of things appear unclear in my left eye." The report seems unable to explain this condition, but it does mention "suspect hypoplasia of the right vertebral artery." I wonder if you have any risk factors for cerebro...[Read More] Understanding Visual Disturbances and Leg Weakness: A Neurological Perspective
Could Your Mysterious Symptoms Be Related to Autonomic Nervous System Dysfunction?
Is it autonomic nervous system dysfunction? Hello Doctor: Since the beginning of December this year, I have been experiencing a series of inexplicable pains. I visited a cardiologist who diagnosed me with mitral valve prolapse and mild hypertension. I also went to a pulmonologist...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an evaluation of the underlying cause.[Read More] Could Your Mysterious Symptoms Be Related to Autonomic Nervous System Dysfunction?
Understanding Left Jaw Pain: When to See a Neurologist or Dentist
Sharp pain in the left lower jaw and cheek? Hello Doctor: For the past two days, I've been experiencing intermittent sharp pain on the left side of my cheek, feeling like someone is poking me with a needle or giving me an electric shock, which is quite uncomfortable. The pai...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned that "the pain extends from the jaw up to the temples, around the eyes, and the scalp, and down to the chin, occurring several times a minute or suddenly once every few hours. The pain intensifies during activities such as eating, yawning, turn...[Read More] Understanding Left Jaw Pain: When to See a Neurologist or Dentist
Understanding Abnormal VEP Results: What They Mean for Your Health
Abnormal VEP (Visual Evoked Potential) test results? Hello Doctor: I recently visited an ophthalmologist due to issues with the changing dimensions of text. After seeing two doctors with no findings, I was advised to consult a neurologist. Preliminary tests including a CT scan an...
Dr. Peng Shiwei Reply:
Hello, the V100 extension indicates that there may be an issue with the optic nerve conduction, such as optic neuritis. The doctor will arrange further tests for differential diagnosis. Please complete the tests and return for a follow-up appointment to have the doctor explain th...[Read More] Understanding Abnormal VEP Results: What They Mean for Your Health
Understanding Deep Eye Pain and Swelling: Possible Causes and Solutions
Deep pain in the orbit and a sensation of eye swelling? Hello Doctor: I have been experiencing headaches for a year, with a persistent feeling of swelling deep in the area around the right eye socket and nasal bridge. I feel pressure in my right eye (there is a noticeable differe...
Dr. Jiang Junyi Reply:
Dear Mr. Lan, You mentioned that "the pressure and pain around the eye area have increased and radiate to the upper right teeth, and there is also discomfort in the right posterior neck and occipital region. The pain is persistent..." Your symptoms may suggest the poss...[Read More] Understanding Deep Eye Pain and Swelling: Possible Causes and Solutions
Investigating Post-AZ Vaccine Neurological Issues: A Case of Myasthenia Gravis
Development of myasthenia gravis after receiving the AZ vaccine? Hello Doctor: After receiving my first dose of the AZ vaccine in mid to late July 2021, I noticed that I frequently fell from late July to early August. I initially thought it was due to not exercising for a long ti...
Dr. Hong Weibin Reply:
Hello: Currently, similar case reports can be found in the PubMed search engine of the National Library of Medicine at the National Institutes of Health in the United States.[Read More] Investigating Post-AZ Vaccine Neurological Issues: A Case of Myasthenia Gravis
Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms
Do I have epilepsy? Could I possibly have a brain tumor? Hello Doctor, I have two questions to ask you, regarding headaches and epilepsy. Most importantly, I am very worried that I might have a brain tumor or something similar, and I hope to receive some advice. Regarding epile...
Dr. Cai Zongzhang Reply:
Hello, Student C: The symptoms mentioned may be related to sleep apnea. It is recommended to visit a neurologist for a detailed examination to determine the underlying cause.[Read More] Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms
Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle twitching? Hello, doctor! Recently, I have been experiencing occasional muscle twitching and facial spasms. It feels like my face is on the verge of twitching, causing discomfort, particularly around the area near my eye socket close to my nose and the masseter...
Dr. Cai Zongzhang Reply:
Hello, if the above symptoms persist despite adequate rest and sleep, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Pulsatile Tinnitus: When Your Eyes Beat with Your Heart
The eye perceives pulsations that are in sync with the heartbeat? Hello doctor, I have been experiencing a pulsating sensation in my eyes that seems to coincide with my heartbeat since high school. It becomes more pronounced when I lie down or close my eyes. Sometimes my heartbea...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is advisable to consult a neurologist. There is a possibility that you may have a carotid-cavernous fistula, so please ask your doctor to conduct an examination.[Read More] Understanding Pulsatile Tinnitus: When Your Eyes Beat with Your Heart
Understanding Neurological Disorders: Symptoms and Concerns Explained
Neurodisorder Hello Doctor, my recent condition is as follows: On the night of November 2nd, I experienced tinnitus and dizziness. On the morning of November 3rd, I woke up with muscle cramps and palpitations, and I began to feel numbness in my tongue. On the night of November 6t...
Dr. Cai Zongzhang Reply:
The above symptoms are related to dysfunction of the right facial nerve. It is recommended to visit a neurology outpatient clinic for examination and treatment.[Read More] Understanding Neurological Disorders: Symptoms and Concerns Explained
Understanding Evening Headaches: Causes and When to Seek Help
Normal during the day, headache at night? Hello Doctor, I apologize for bothering you. Currently, I work in the morning and attend classes in the evening, with my sleep schedule being approximately from 12:00 AM to 6:50 AM. I have experienced similar situations before, but they d...
Dr. Peng Shiwei Reply:
Based on your condition, it is recommended that you visit a neurology outpatient clinic for further evaluation, as additional tests may be necessary.[Read More] Understanding Evening Headaches: Causes and When to Seek Help
Understanding Complex Head and Neck Pain: Possible Causes and Solutions
Pain in the neck, occipital region, temples, eyebrows, and cheekbones? Hello doctor, last Wednesday I carried two bottles of formula, each weighing 1.6 kg, home by bike. It was noon and the sun was very strong and glaring. After getting home, I started to have a headache. I initi...
Dr. Jiang Junyi Reply:
Hello Ms. A: You mentioned that "when lying down, I feel very uncomfortable from the back of my head to my shoulders, and my head hurts when I lie down. Additionally, my gums around the upper left wisdom tooth have been inflamed recently, and I experience throbbing pain in t...[Read More] Understanding Complex Head and Neck Pain: Possible Causes and Solutions
Understanding Facial and Scalp Numbness: Causes and Next Steps
Regarding facial and scalp numbness (medical examination has been conducted)? Hello, doctor. For the past two months, I have been experiencing intermittent numbness on the right side of my scalp and cheek, and occasionally around my nose. I do not have diabetes, hypertension, or ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the right side of the scalp and cheek area experiences intermittent numbness, and occasionally there is a tingling sensation near the nose." The MRI report did not reveal any lesions related to the trigeminal nerve. The symptoms should b...[Read More] Understanding Facial and Scalp Numbness: Causes and Next Steps
Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia
Autonomic nervous system dysfunction, trigeminal neuralgia? Hello Doctor, my recent condition is as follows: On the night of November 2, I experienced tinnitus and dizziness. On the morning of November 3, I woke up with muscle cramps and palpitations, and I began to feel numbness...
Dr. Cai Zongzhang Reply:
The above symptoms are related to the function of the right facial nerve, and it is recommended to visit a neurology outpatient clinic for treatment.[Read More] Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia
Understanding Persistent Headaches: Symptoms and Possible Causes
About headaches? Hello Doctor: Ten days ago, at around 8 PM, I suddenly felt a strange sensation in my head, possibly similar to increased intracranial pressure, followed by a brief tingling sensation and then a persistent, severe throbbing headache. After taking pain medication ...
Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned that at 8 o'clock, you suddenly felt something unusual in your head, possibly similar to increased intracranial pressure, followed by a brief tingling sensation and then a persistent, severe throbbing headache. You also noted that you experien...[Read More] Understanding Persistent Headaches: Symptoms and Possible Causes