Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Postoperative neurological sequelae Hello, Dr. Jiang. I underwent brain tumor resection surgery two years ago, and I have been experiencing facial nerve issues corresponding to CN4 through CN8 (such as diplopia, tinnitus, facial paralysis, headaches, etc.). After undergoing treat...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "diplopia, tinnitus, facial numbness, and headaches," which may warrant consideration of hyperbaric oxygen therapy to improve circulation in the affected areas post-surgery. Additionally, recent repetitive transcranial magnetic stimulation ...[Read More] Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Should You Use B Vitamins and Zinc for Neuropathy or Choose Keener Capsules?
Medication Use Can nerve paralysis be treated with B-complex vitamins and zinc supplements, or is it better to take Enada capsules?
Dr. Jiang Junyi Reply:
Dear Mr. ZWS, You mentioned, "Can I take B-complex vitamins and zinc for nerve paralysis, or is it better to take Kenda capsules?" In the acute phase of facial nerve paralysis, symptoms improve over time due to nerve damage. The use of corticosteroids in the first week...[Read More] Should You Use B Vitamins and Zinc for Neuropathy or Choose Keener Capsules?
Understanding Facial Twitching: When to See a Neurologist
Facial twitching? Doctor, I started experiencing muscle twitching on the left side of my nose bridge while at work yesterday. The twitching is particularly noticeable when my body is relaxed, and it has persisted until now. Should I see a neurologist, or should I observe the symp...
Dr. Jiang Junyi Reply:
Hello Mr. Tian: You mentioned that "the muscle twitching on the left side of the nasal bridge, especially noticeable when the body is relaxed, has persisted until now." Facial movements are controlled by the facial nerve, and during the consultation, the physician will ...[Read More] Understanding Facial Twitching: When to See a Neurologist
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
Facial Numbness: Neurological Concerns or Food Allergy?
Facial issues Hello Doctor: I would like to ask about experiencing occasional numbness on the left side of my face over the past year. However, my facial expressions remain unaffected, and the numbness gradually improves within 1-2 hours. Recently, I have particularly noticed tha...
Dr. Jiang Junyi Reply:
Dear Ms. Chang, You mentioned that "the special observation is that facial numbness occurs particularly when eating sushi." Your symptoms may suggest a dysfunction of the trigeminal nerve. This condition can sometimes progress to trigeminal neuralgia. Demyelination of ...[Read More] Facial Numbness: Neurological Concerns or Food Allergy?
Understanding Pulsatile Tinnitus: Causes and Concerns for Patients
Tinnitus issues? Hello Doctor: I have been experiencing pulsatile high-frequency tinnitus in my left ear for the past three months. The tinnitus is persistent throughout the day, but it usually diminishes briefly after taking a hot shower, only to return shortly afterward. A mont...
Dr. Jiang Junyi Reply:
Hello Mr. Wen: You asked, "Does an acoustic neuroma always result in hearing loss?" The hearing loss associated with acoustic neuroma typically progresses gradually. Subsequently, as the tumor compresses the brainstem, other cranial nerve symptoms and cerebellar signs m...[Read More] Understanding Pulsatile Tinnitus: Causes and Concerns for Patients
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 MRI Limitations in Central Nervous System Assessment
Interpretation of Central Nervous System MRI Hello Dr. Jiang, after undergoing brain surgery last year, I developed symptoms related to the trigeminal and facial nerves. During this period, I have undergone blood tests, nerve conduction studies, and magnetic resonance imaging (MR...
Dr. Jiang Junyi Reply:
Dear Mr. Zolt, You mentioned that the tests for trigeminal and facial nerve symptoms, including blood tests, nerve conduction studies, and MRI scans, showed normal results for the first two, but the MRI results indicated that the physician could not accurately assess the conditi...[Read More] Understanding MRI Limitations in Central Nervous System Assessment
Understanding Facial Tics: Risks and Neurological Implications
Involuntary facial twitching and facial spasms? Involuntary facial twitching of the facial nerve raises concerns about potential life-threatening conditions. Continuous twitching may not directly cause brain damage or lead to the death of brain neurons; however, it can be indicat...
Dr. Cai Zongzhang Reply:
There are various possible causes for involuntary facial muscle twitching. If the symptoms persist and do not improve, it is recommended to consult a neurologist for an evaluation.[Read More] Understanding Facial Tics: Risks and Neurological Implications
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 Involuntary Facial Twitches: When to Seek Medical Advice
Twitching of the left corner of the mouth? Hello, doctor. For the past few days, I've been experiencing involuntary twitching at the corner of my left mouth. How long should I wait before seeing a doctor? (It has been about 2 to 3 days already.) Is there any way to improve t...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the left corner of your mouth involuntarily twitches repeatedly," which may indicate symptoms of nerve inflammation. Some metabolic disorders, such as hyperthyroidism and electrolyte imbalances, can also present with similar symptoms. Th...[Read More] Understanding Involuntary Facial Twitches: When to Seek Medical Advice
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 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 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
Managing Persistent Facial and Head Numbness: Expert Insights
Numbness and swelling in the head and face? I have been experiencing numbness and swelling in my head and face every day for over ten years. Last year, I went to Fu Jen Catholic University Hospital for a facial nerve examination, and the results were normal. The doctor prescribed...
Dr. Jiang Junyi Reply:
Hello Mr. Cool Dragon 999, You mentioned experiencing daily numbness and swelling in your head and face. This could potentially indicate a vascular headache, such as a migraine. The clinical diagnosis relies on your medical history, including any triggers and alleviating factors...[Read More] Managing Persistent Facial and Head Numbness: Expert Insights
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
Unexplained Tingling: Understanding Nerve Issues and Symptoms
Unexplained numbness? On a certain Saturday evening while sitting and watching TV, I felt numbness in the soles of my feet. I got up to move around and noticed that my ring finger and little finger on both hands were also numb. I thought it was due to poor posture and would impro...
Dr. Jiang Junyi Reply:
Dear Ms. Chi, You mentioned that "the location of the numbness changed after taking the medication, and now the entire abdomen feels numb." If you are only experiencing tingling sensations without any weakness, it may be worth considering hyperventilation. However, if ...[Read More] Unexplained Tingling: Understanding Nerve Issues and Symptoms
Joint Pain After COVID-19 Vaccination: Understanding Possible Causes
Joint pain after COVID-19 vaccination? Doctor: Hello, I received my first dose of the AstraZeneca vaccine on July 30, 2021, and my second and third doses of Moderna on October 3, 2021, and March 14, 2022, respectively. I am approximately 50 years old. About 1 to 2 weeks after the...
Dr. Jiang Junyi Reply:
Hello: Your symptoms do not appear to be indicative of Guillain-Barré syndrome, which is formally known as acute inflammatory demyelinating polyneuropathy. It is an acute peripheral neuropathy that may affect the motor, sensory, and autonomic nervous systems of the body. Typical ...[Read More] Joint Pain After COVID-19 Vaccination: Understanding Possible Causes
Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Cervical nerve compression Hello, I am 42 years old and have recently discovered that cervical spine compression is causing numbness and tingling in my hands and feet. I am currently taking medication (B12 and a nerve stabilizer) and undergoing rehabilitation (heat therapy, elect...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Chen, You mentioned cervical nerve root compression and mitral valve insufficiency. Neither of these conditions is a contraindication for receiving the COVID-19 vaccine. The reactions that may occur after vaccination are mostly mild and include pain and swelling a...[Read More] Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?