Eyelid, Neurology FAQ - Page 2

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Understanding Pulsating Temples: Causes and Concerns After Head Injury

The temple is pulsating continuously? Hello, I am consulting on behalf of my mother. A few years ago, she was in a car accident where she hit the left side of her head, but there were no external injuries. Over the years, she has occasionally experienced headaches, but since the ...


Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned that your mother "often presses on the left temple..." which may indicate tension-type headache, caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the forehead and temples, resembling the sens...

[Read More] Understanding Pulsating Temples: Causes and Concerns After Head Injury


Can You Have Myasthenia Gravis Without Obvious Symptoms?

Can myasthenia gravis occur without obvious symptoms? Hello Doctor: Previously, I visited an ophthalmologist due to tightness around my eye muscles and dry eye syndrome. I informed the doctor that after using a medication containing "neostigmine" for about a month, my p...


Dr. Jiang Junyi Reply:
Hello, Miss: The main clinical manifestation of myasthenia gravis is muscle weakness, with weakness of the extraocular muscles that control eye movement being the most common. "Night sweats and palpitations" typically occur when the myasthenia gravis worsens and affects...

[Read More] Can You Have Myasthenia Gravis Without Obvious Symptoms?


Understanding Eyelid Twitching: Causes and Connections to Oral Movements

Eyelid twitching? Hello Doctor: On January 26, 2023, in the afternoon, my left upper eyelid started twitching, and it felt heavy. On the evening of January 27, when I began to eat, the frequency of my jaw clenching coincided with the twitching of my left upper eyelid; every time ...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the left upper eyelid is twitching, and it jumps when I bite." Your symptoms may initially suggest simple eyelid twitching. Eyelid movements are controlled by the facial nerve, and if the eyelid is twitching continuously, the doctor will...

[Read More] Understanding Eyelid Twitching: Causes and Connections to Oral Movements


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


Is Breath-Holding During Exercise Risky for Cervical Artery Dissection?

Questions about vertebral artery dissection? Holding your breath for 5 to 10 seconds and then breathing again, or practicing diaphragmatic breathing to extend the inhalation and exhalation times, without engaging in other physical activities, may carry some risks. There have been...


Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned concerns about "vertebral artery dissection... using diaphragmatic breathing to prolong inhalation and exhalation." The clinical symptoms you are worried about regarding vertebral artery dissection may include severe pain near the back of the n...

[Read More] Is Breath-Holding During Exercise Risky for Cervical Artery Dissection?


Understanding Facial Numbness After a Head Injury: What to Expect

Numbness following facial impact? Hello, doctor. I had an accident where I hit the corner of a table near my eyebrow and eye. There is a wound below my right eyebrow, and it is swollen. After the impact, I experienced numbness in the right eyebrow, right eyelid, right side of my ...


Dr. Jiang Junyi Reply:
Hello, Xin Xin: You mentioned, "I can understand the temporary numbness from the impact, but it has been three days now. Could this cause any issues?" As of 10/12, have your symptoms improved? Typically, after tissue is injured by external force, symptoms such as swelli...

[Read More] Understanding Facial Numbness After a Head Injury: What to Expect


Understanding the Connection Between Chronic Migraines and Eye Twitching

Chronic migraines and eyelid twitching issues? Hello, Doctor! I was previously diagnosed with aura migraines at a small clinic, and it has been nine years since my first episode, occurring approximately every four months. Before an attack, I experience photophobia, blurred vision...


Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "the upper right eyelid keeps twitching, occurring every few minutes, and has been happening for four to five days." Your symptoms are more indicative of migraine-related symptoms. You also noted experiencing some visual disturbances wh...

[Read More] Understanding the Connection Between Chronic Migraines and Eye Twitching


Right Eye Focusing Issues and Partial Eyelid Droop: Possible Causes

Inability of the right eye to focus and the eyelid being partially open? Hello, for the past week, I have been unable to focus with my right eye. After seeing an ophthalmologist, both eyes showed no abnormalities, and my vision is normal at 1.0. The ophthalmologist suggested that...


Dr. Jiang Junyi Reply:
Dear Mr. Jack, You mentioned that "your right eye has been unable to focus for the past week." You have a history of hypertension, and I wonder if you also have metabolic syndrome (issues such as increased waist circumference, elevated fasting blood glucose, or abnorma...

[Read More] Right Eye Focusing Issues and Partial Eyelid Droop: Possible Causes


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 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 Involuntary Muscle Twitches: Causes and Treatment Options

Involuntary muscle twitching? My muscles randomly twitch, including my eyelids, abdomen, arms, and legs. Sometimes the twitching frequency is very high and can last for more than a day. This started in March 2021, and since then, I have undergone numerous tests at various medical...


Dr. Jiang Junyi Reply:
Hello Mr. Chris: You mentioned that you have a regular routine, do not smoke or drink alcohol, exercise regularly each week, take vitamin B complex and fish oil supplements, control your diet, and mostly drink plain water without coffee or tea. If your muscle twitching persists, ...

[Read More] Understanding Involuntary Muscle Twitches: Causes and Treatment Options


Understanding Eyelid Twitching: Causes and When to See a Neurologist

Eyelid twitching Hello, Doctor! I would like to inquire about a condition I experience. Whenever I close my eyes to rest, I can feel my eyelids rapidly twitching (similar to rapid blinking, but my eyes are still closed). This twitching does not stop even if I keep my eyes closed ...


Dr. Jiang Junyi Reply:
Hello Miss Tong, You mentioned, "After opening my eyes, my eyelids don't blink uncontrollably anymore, and this has been going on for a while. I wonder what could be causing this issue?" Most eyelid twitching is physiological and not caused by any disease. The eye...

[Read More] Understanding Eyelid Twitching: Causes and When to See a Neurologist


Can Vaccines Cause Neurological Issues? Understanding Eye and Muscle Twitches

Can vaccination cause neurological issues? Hello doctor, I had no issues after receiving the first two doses of the AstraZeneca vaccine. However, after my third dose of Moderna, I started experiencing frequent twitching in my left lower eyelid about a week later, occurring 2-5 ti...


Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "after receiving the third dose of Moderna, my left lower eyelid started twitching frequently, 2-5 times an hour, and it has been nearly three weeks." Your symptoms do not seem to indicate a serious adverse reaction. There have been many r...

[Read More] Can Vaccines Cause Neurological Issues? Understanding Eye and Muscle Twitches


Understanding Eyelid Twitching: Causes and Remedies Explained

Eyelid muscle twitching Hello Doctor: My eyelid has been twitching for nearly a month, specifically in the upper left eyelid. It twitches intermittently several times a day, although it is not very noticeable externally, I can clearly feel it. The twitching seems to occur more fr...


Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that your eyelid twitches "when you hit your head and when you are more tired; what could be the problem?" Eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe th...

[Read More] Understanding Eyelid Twitching: Causes and Remedies Explained


Understanding Facial Twitches: When to Seek Medical Advice

Facial twitching? The right upper eyelid has been twitching at the outer edge, and occasionally the left corner of the mouth twitches as well. The frequency is irregular and not frequent (about once or twice a week), but it has persisted for approximately two months. I became awa...


Dr. Jiang Junyi Reply:
Dear Miss Ai, You mentioned "twitching at the end of the right upper eyelid, and occasionally at the left corner of the mouth, with an irregular and infrequent frequency." Eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the...

[Read More] Understanding Facial Twitches: When to Seek Medical Advice


Understanding Unexplained Cool Sensation at the Corner of the Mouth

Occasionally, there is a "cool sensation at the corners of the mouth" (without saliva)? Dear Dr. Jiang, Thank you very much for taking the time to respond to my concerns. Recently, I have been experiencing a "cool sensation at the corners of my mouth" (withou...


Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned that you have recently experienced a "cool sensation at the corners of your mouth" (without saliva), particularly noticeable after meals. You are currently on the 14th day of treatment for prostatitis with levofloxacin. First, we should con...

[Read More] Understanding Unexplained Cool Sensation at the Corner of the Mouth


Understanding Eyelid and Mouth Twitches: Causes and Concerns

Eyelid and mouth corner twitching? Hello, doctor! A few months ago, my right upper eyelid started twitching for no apparent reason, and I wasn't sure if the frequency was excessive. At that time, I thought it might be due to fatigue, so I didn't pay much attention to it...


Dr. Cai Zongzhang Reply:
Hello, Ah Quan: If the above symptoms do not improve with rest, it is recommended to visit a neurology clinic for further evaluation.

[Read More] Understanding Eyelid and Mouth Twitches: Causes and Concerns


Understanding Eyelid Twitching: Causes and Concerns for Neurological Health

Eyelid twitching for three to four days, with the eyelid appearing double-layered; the left eye feels different from the right eye? In the past few days, I have experienced an unexplained twitching in my left upper eyelid, which occurs even when I close my eyes before sleeping or...


Dr. Hong Weibin Reply:
Hello: There are many potential causes for eyelid muscle twitching. The most common causes include stress, electrolyte imbalances, lack of sleep, dehydration, excessive caffeine or stimulant intake, certain medications, fatigue, kidney disease, and diabetic neuropathy, among othe...

[Read More] Understanding Eyelid Twitching: Causes and Concerns for Neurological Health


Understanding Unilateral Eye Closure Issues: Causes and Next Steps

Issues with Eye Closure Hello Doctor, currently I am experiencing symptoms where I cannot close my left eye independently, but I can close both eyes simultaneously and also close my right eye alone. When I smile, my left side of the face appears significantly weaker. Additionally...


Dr. Jiang Junyi Reply:
Hello Mr. Sun: You mentioned that "the left side of your face is noticeably weaker when you smile, and there is also tinnitus in your left ear." This may indicate a left-sided facial nerve injury. Facial nerve paralysis is quite similar, primarily affecting the seventh ...

[Read More] Understanding Unilateral Eye Closure Issues: Causes and Next Steps


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