Can Epilepsy Patients Safely Undergo Cosmetic Surgery?
Can patients with epilepsy undergo cosmetic surgery? Hello doctor, I have epilepsy, and my condition has been well-controlled with medication for about five years without any seizures. I am considering undergoing cosmetic surgery for under-eye bags, which requires local anesthesi...
Dr. Cai Zongzhang Reply:
Hello CHU: It is recommended to discuss medication and assess risks with your physician before proceeding with surgery.[Read More] Can Epilepsy Patients Safely Undergo Cosmetic Surgery?
Understanding Eye Twitching and Facial Discomfort: Possible Causes and Solutions
After the twitching of the lower right eyelid, my face feels strange? Hello doctor, about four or five days ago, my right lower eyelid twitched for 2-3 days intermittently. Yesterday, the eyelid stopped twitching, but I felt some tightness in the area of my right cheekbone. Today...
Dr. Jiang Junyi Reply:
Dear Miss CC, You mentioned that "the apple of my right cheek feels a bit tight..." Have you looked in the mirror? Is there any asymmetry? Issues with the cervical spine typically manifest near the area behind the ear. If the symptoms persist, I recommend visiting a ne...[Read More] Understanding Eye Twitching and Facial Discomfort: Possible Causes and Solutions
Managing Facial Pain After Incomplete Recovery from Bell's Palsy
Incomplete recovery from facial nerve paralysis has resulted in facial pain? Hello Doctor, I would like to ask for your advice: My wife has developed facial nerve paralysis. Due to a delay in seeking medical attention, her recovery has not been complete. The doctor has diagnosed ...
Dr. Jiang Junyi Reply:
Dear Mr. San Ge, You mentioned that "the facial nerve paralysis has not healed due to the delay in seeking medical attention, and in the afternoon, the facial nerve becomes tense and painful, as if the nerve is about to snap, requiring pain medication." This symptom ma...[Read More] Managing Facial Pain After Incomplete Recovery from Bell's Palsy
Understanding Accompanying Symptoms of Facial Nerve Paralysis
Symptoms accompanying facial nerve paralysis? Hello Dr. Jiang, after undergoing brain tumor surgery last year, I experienced postoperative complications such as facial paralysis. Recently, in addition to the typical symptoms of facial paralysis, including incomplete closure of th...
Dr. Jiang Junyi Reply:
Dear Mr. Zolt, Due to the occurrence of "tingling and burning sensations on the tip of the tongue," it may be necessary to consider lesions in the brainstem or cranial nerves. You mentioned, "Does the addition of these symptoms indicate a progression of the diseas...[Read More] Understanding Accompanying Symptoms of Facial Nerve Paralysis
Understanding Unpredictable Head Pain: Causes and Solutions
Intermittent head pain? Hello Doctor, about two weeks ago, I started experiencing a mild pain at the top of my head. The next day, I began to feel intermittent pain throughout my entire head, even extending to the eye sockets, and I also had a stiff sensation in my neck. I later ...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that "the symptoms in the forehead and brow ridge are more pronounced" and also noted that "exercising more and massaging the neck, along with the topical medication you prescribed, have provided some improvement." It may be nece...[Read More] Understanding Unpredictable Head Pain: Causes and Solutions
Effective Methods for Assessing Peripheral Nerve Issues in Neurology
Methods for assessing peripheral nerves around the head? I currently have double vision and facial numbness due to peripheral nerve issues. How should I assess my current neurological condition? Which diagnostic method is more effective in general medical facilities, nerve conduc...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned the issue of "diplopia." If the symptoms have occurred acutely, it may be necessary to consider structural abnormalities. Peripheral issues may involve the structures of the eyes and orbits, such as the eyeball and extraocular muscles. Central ...[Read More] Effective Methods for Assessing Peripheral Nerve Issues in Neurology
Understanding Visual Disturbances After Traumatic Experiences in Teens
After seeing or thinking about bloody and nauseating images, the visual field becomes narrowed? Hello Doctor, my son is 19 years old. Since he was about 11, he has experienced episodes where his vision narrows after seeing graphic images (such as corpses or dissection scenes), bu...
Dr. Hong Weibin Reply:
Hello: 1. I have not heard of cases where visual field narrowing occurs intermittently. 2. Most issues related to the brain or eyes that cause changes in the visual field tend to be persistent. 3. It is unlikely that if a fall causes injury to the brain or eyes, nerve damage woul...[Read More] Understanding Visual Disturbances After Traumatic Experiences in Teens
Understanding Facial Nerve Control Issues: Causes and Solutions
The facial nerve on the right side is not functioning properly? Hello, doctor. Since I can remember, my lower lip on the right side has always been crooked when I speak, and I can also notice that my cheeks are asymmetrical when I smile. My speech is somewhat unclear, and when I ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "my dominant hand is the right hand, but its dexterity is not as good as my left hand. Although it does not affect my daily life, I would like to ask if this is related to the facial issues mentioned above." You noted that the function of your ...[Read More] Understanding Facial Nerve Control Issues: Causes and Solutions
Understanding Morning Eye Muscle Numbness: Causes and Insights
Waking up with a tingling sensation in the muscles at the corners of the eyes? Dr. Jiang, in the past two days, has experienced a tingling sensation in the muscles at the back of his eyes upon waking, but his vision seems to be unaffected. What could this phenomenon be? I kindly ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the muscles at the back of the eyes feel numb, but vision seems to be fine." This may indicate symptoms related to the trigeminal nerve... facial sensation. Normal vision could suggest that there are no abnormalities with the optic nerve. It i...[Read More] Understanding Morning Eye Muscle Numbness: Causes and Insights
Understanding Tension Headaches: When to Consider MRI and Specialist Care
Tightness in the temples (EEG examination) Hello, Dr. Jiang. Thank you for your response in January (copied below). After your reply, I visited a nearby hospital (neurology department) and had an EEG, which came back normal. I asked the doctor if an MRI was necessary, and he said...
Dr. Jiang Junyi Reply:
Hello Mr. William, You mentioned, "If the EEG is normal, is there still a need for an MRI?" Due to health insurance limitations, typically when there are suspected structural abnormalities in the brain, an MRI can be requested under health insurance. Abnormal EEG findi...[Read More] Understanding Tension Headaches: When to Consider MRI and Specialist Care
Understanding Eyelid Twitches: Causes and Treatment Options
Eyelid issues Hello, doctor. Since I can remember, every time I chew with my mouth, my upper eyelid twitches continuously, and the frequency matches the movement of my jaw. I couldn't find similar information online. Could you please tell me what this symptom is and if there...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may indicate a facial nerve disorder, and it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Eyelid Twitches: Causes and Treatment Options
Understanding Widespread Numbness and Tingling: Possible Causes and Insights
Generalized body pain? Hello, I started experiencing numbness from the soles of my feet to my upper body about two weeks ago. This has now extended to my face, including my eyes, throat, tongue, and lips. I have intermittent numbness and tingling throughout my entire body. The nu...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to continue follow-up treatment in the neurology department.[Read More] Understanding Widespread Numbness and Tingling: Possible Causes and Insights
Dizziness and Leg Weakness: Understanding Neurological Symptoms
Dizziness, leg numbness, and tremors? Hello, doctor. Today, I felt like the floor was shaking while standing on one leg, which I didn't experience last night or before. The leg I was standing on also felt particularly shaky. Sometimes, I experience numbness and slight weakne...
Dr. Jiang Junyi Reply:
Dear Ms. Bei, You mentioned that "when standing on one leg, I always feel like the floor is shaking, but this was not the case last night or before, and the leg I stand on is particularly shaky. Sometimes my legs and feet feel numb and slightly weak, but it does not affect ...[Read More] Dizziness and Leg Weakness: Understanding Neurological Symptoms
Understanding Sudden Body Jerks Before Sleep: What Could It Be?
What is this problem? When I am about to fall asleep while lying in bed, my lower back suddenly jerks (I'm not sure if "jerk" is the right term). The movement is somewhat similar to kicking my legs out and then pulling them back in while sitting, with more force du...
Dr. Jiang Junyi Reply:
Dear Miss Chi Li, You mentioned that "when I am about to fall asleep while lying in bed, my lower back suddenly jerks (I'm not sure if 'jerk' is the right term), and the movement is somewhat like kicking my legs out and then pulling them back in, with more fo...[Read More] Understanding Sudden Body Jerks Before Sleep: What Could It Be?
Understanding Persistent Dizziness and Visual Disturbances: A Neurological Perspective
Dizziness and inability to focus? Hello Doctor: Since November of last year, I have been experiencing dizziness and a feeling of heaviness in my head in the afternoons (not vertigo, but a dull sensation), along with unusual fatigue and low-grade fever. I subsequently underwent va...
Dr. Cai Zongzhang Reply:
Hello: The above symptoms are suspected to be autonomic neuropathy. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Persistent Dizziness and Visual Disturbances: A Neurological Perspective
Understanding Forehead Twitches: Causes, Health Impact, and When to Seek Help
Consultation for Forehead Tics Dear Dr. Jiang, Recently, I have experienced occasional twitching in the area above my right eye on the forehead. The duration of the twitching varies; sometimes it lasts longer, and other times it disappears quickly. There are no noticeable discom...
Dr. Jiang Junyi Reply:
Dear Mr. Ah-Hsiang, You mentioned experiencing occasional twitching in the area above your right eye. If your symptoms involve muscle movements in the forehead region, these are typically controlled by the facial nerve. It is important to carefully observe the patient's fac...[Read More] Understanding Forehead Twitches: Causes, Health Impact, and When to Seek Help
Understanding Dizziness and Neck Pain: When to Seek Medical Advice
Dizziness and neck pain? Hello, Dr. Jiang. For the past two or three days, I have occasionally experienced dizziness (a sensation of swaying or mild shaking while sitting or lying down). I often wake up in the middle of the night, and when I do, I feel some pain near the occipita...
Dr. Jiang Junyi Reply:
Dear Mr. KK, You mentioned experiencing a sensation of swelling and pain from the center of your forehead to the right eye socket, along with mild nasal congestion and pain on the right side, and ear fullness upon waking this morning. It is important to first consider benign par...[Read More] Understanding Dizziness and Neck Pain: When to Seek Medical Advice
Should I Seek Medical Attention After Nasal Swab Mishap?
I would like to ask Dr. Jiang whether this situation requires medical attention or if it can be monitored further. Thank you? Hello, Doctor Jiang. I recently had contact with a confirmed case, and during a rapid test, I mistakenly inserted the swab stick 11 centimeters into my no...
Dr. Jiang Junyi Reply:
Dear Ms. Chang, You mentioned that "an operational error led to the rapid test swab being inserted 11 centimeters into the nostril," which likely means it passed through the nasal turbinates and reached the oropharynx. Our nasopharynx contains bone, and unless there ha...[Read More] Should I Seek Medical Attention After Nasal Swab Mishap?
Managing Exam-Related Headaches: Tips for Students
Exam-related headache Hello, doctor. I don't experience pressure headaches before exams, but during long exams like midterms or finals, I feel a lot of pressure in my head and a sense of heaviness. My eyes become strained and dry from overuse, which affects my performance. I...
Dr. Jiang Junyi Reply:
Dear Mr. Ke, You mentioned whether taking Tylenol during exams could lead to dependence. Pure Tylenol (acetaminophen) does not cause dependence. However, the extra-strength Tylenol contains caffeine, which may lead to dependence. Will taking Tylenol affect your exam performanc...[Read More] Managing Exam-Related Headaches: Tips for Students
Understanding Sleep Issues: When to Consult a Neurologist for Snoring
Father's Sleep Issues 2 Hello Doctor, thank you for your response. My father does snore at night, and it happens quite frequently (sometimes it lasts longer, and sometimes it's shorter). If we want to have this checked, would you recommend seeing a neurologist?
Dr. Jiang Junyi Reply:
Dear Mr. Zhu, Your father belongs to a high-risk group for moderate to severe COVID-19. Given the current tight situation of the COVID-19 pandemic, it is advisable to wait until the situation stabilizes before going to the hospital for examinations. Regarding the sleep center: ...[Read More] Understanding Sleep Issues: When to Consult a Neurologist for Snoring