Understanding Facial Nerve Paralysis: Symptoms, Recovery, and When to Seek Help
Facial nerve paralysis Hello Doctor, I was diagnosed with facial nerve paralysis by a neurologist a week ago. The symptoms include almost complete immobility on the left side of my face, inability to raise my eyebrows, close my eyes, flare my nostrils, open my mouth, smile, and w...
Dr. Jiang Junyi Reply:
Hello Mr. Kobayashi: You mentioned that a few days ago you felt pain at the junction of the bone behind your ear and your ear, along with a slight warmth. I would like to ask if this is a symptom of recovery, a sign of worsening, or an unrelated symptom? If an examination is need...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Recovery, and When to Seek Help
Understanding Facial Twitching: Concerns and Neurological Insights
Facial spasms Hello Doctor, on October 7th, I experienced a twitch near my nose, and the next day, I started to notice slight twitching in some areas of my face, both sides. By October 13th, it had improved significantly, but in the afternoon, my mouth corner twitched again. Howe...
Dr. Jiang Junyi Reply:
Dear Mr. Lin, You mentioned, "Could it evolve into facial nerve dysfunction, causing my mouth to droop?" What you are concerned about likely refers to facial nerve paralysis. The clinical symptoms can include a tingling or stiff sensation in the face. Due to the inabil...[Read More] Understanding Facial Twitching: Concerns and Neurological Insights
Facial Nerve Issues: Concerns About Appearance and Recovery
Facial nerve issues Hello Dr. Jiang, my condition has improved quite a bit today, but I am concerned that the jumping I started last week might affect my appearance. Thank you, doctor.
Dr. Jiang Junyi Reply:
Dear Mr. Lin, Please do not worry too much about appearance issues. You can compare your previous photos to see if there have been any changes. Generally speaking, significant muscle inflammation or nerve compression is more likely to cause muscle atrophy. Thank you for your in...[Read More] Facial Nerve Issues: Concerns About Appearance and Recovery
Understanding Eyelid Twitching: When to Seek Neurological Evaluation
Eyelid twitching? Hello doctor, my left lower eyelid has been twitching for over a month. I consulted an ophthalmologist who confirmed that my eyes are normal and there are no issues. The twitching frequency varies, and it doesn't cause my entire eye to close, nor do other a...
Dr. Jiang Junyi Reply:
Dear Miss Jill, You mentioned "twitching of the lower left eyelid." Generally, eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's face. If, aside from the eyelid, n...[Read More] Understanding Eyelid Twitching: When to Seek Neurological Evaluation
Post-Vaccine Numbness: Understanding Neurological Reactions
Numbness after vaccine injection? Hello, Dr. Jiang. This morning (9/27), after receiving the BNT vaccine, I experienced a tingling sensation in my head and face in the afternoon (including the back of my head, above my mouth, and my cheeks). I looked up the vaccine information an...
Dr. Jiang Junyi Reply:
Hello Mr. JAM: You mentioned the sensation of "numbness in the head and face (including the back of the head, above the mouth, and the cheeks)" which is different from facial nerve paralysis. Facial nerve paralysis primarily affects the seventh cranial nerve, mainly cha...[Read More] Post-Vaccine Numbness: Understanding Neurological Reactions
Understanding Eyelid Twitching: Causes, Treatments, and Concerns
Right eyelid twitching? Doctor, my right upper or lower eyelid has been twitching for about three weeks (the upper eyelid twitches several times a day, while the lower eyelid twitches continuously for a few hours and then stops). 1. The twitching is only in my right eyelid; there...
Dr. Jiang Junyi Reply:
Dear Miss Xiao Fen, You mentioned eyelid twitching, which is typically related to peripheral nerve issues. If it were a brain tumor, there would generally be additional symptoms related to dysfunction in nearby brain tissue. Eyelid movement is controlled by the facial nerve; if ...[Read More] Understanding Eyelid Twitching: Causes, Treatments, and Concerns
Understanding Pulsating Sensations Between the Left Temple and Ear
I feel a nerve twitching between my left temple and left ear? Hello Doctor, I have recently been experiencing a sensation of nerve pulsation between my left temple and the area above my left ear (it is not painful, occurs in intermittent bursts, and each episode does not last lon...
Dr. Jiang Junyi Reply:
Dear Ms. Min, You mentioned feeling a pulsing sensation between your left temple and left ear, which is not painful and occurs intermittently, with each episode not lasting too long. This may suggest localized muscle spasms. Nerve compression typically presents with symptoms suc...[Read More] Understanding Pulsating Sensations Between the Left Temple and Ear
Understanding Occasional Facial Numbness: Is It Related to Nerve Issues?
Occasional facial numbness? Last night, while lying flat in bed, I suddenly felt a tingling and numb sensation on the left side of my face and around my ear. It felt somewhat cool and was different from the numbness caused by posture issues. It was only slightly uncomfortable, bu...
Dr. Jiang Junyi Reply:
Dear Ms. Cherry, You mentioned that "facial movements are normal," which is less indicative of facial nerve damage. Facial nerve damage primarily affects the seventh cranial nerve, with clinical symptoms including a sensation of stiffness in the face and loss of motor ...[Read More] Understanding Occasional Facial Numbness: Is It Related to Nerve Issues?
Understanding Facial Pain and Tension: Anxiety's Impact on Nerve Health
Anxiety and tension can cause bilateral facial discomfort near the mouth, presenting as tingling, numbness, tightness, and occasional twitching? Recently, due to some issues at home, I often feel easily tense. When I am tense, I experience symptoms such as rapid heartbeat, chest ...
Dr. Jiang Junyi Reply:
Dear Mr. Chiu, The symptoms you mentioned may be related to hyperventilation, which can lead to decreased carbon dioxide levels in the blood, resulting in an increased pH and systemic reactions and symptoms. Common manifestations include vasoconstriction and decreased calcium le...[Read More] Understanding Facial Pain and Tension: Anxiety's Impact on Nerve Health
Understanding Dizziness: Causes, Symptoms, and When to Seek Help
I would like to inquire about issues related to dizziness (vertigo)? Hello Doctor, I experienced dizziness for the first time about two years ago after dining at an all-you-can-eat restaurant. The next day, when I opened my eyes, everything around me was spinning wildly, accomp...
Dr. Jiang Junyi Reply:
Hello, sir: 1. I would like to ask what my symptoms might indicate. Should we consider Meniere's disease if I have auditory abnormalities? 2. If I need to see a doctor, would you recommend a neurologist or an otolaryngologist? If it is not a case of benign paroxysmal positi...[Read More] Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Understanding Sudden Numbness and Pain: Is It a Stroke Warning?
Experiencing numbness in the left side of the body, including the arms and legs, while sleeping? I am a person who often stays up late. Last night at 2 AM, I suddenly experienced swelling and pain on the right side of my face, near the cheek close to the ear. Before going to bed,...
Dr. Jiang Junyi Reply:
Hello, ma'am: Have you measured your blood pressure? "Stroke warning signs?" These are usually accompanied by elevated blood pressure. "Facial dysfunction?" Facial nerve paralysis only affects the area of the facial nerve and does not cause symptoms in th...[Read More] Understanding Sudden Numbness and Pain: Is It a Stroke Warning?
Sudden Facial Drooping After Injury: Understanding Possible Causes
Waking up suddenly with a crooked mouth? Hello Doctor: I have a history of hypertension. Last Wednesday, I was hit on the left big toe by a piece of wood, which turned black and caused me intense pain that nearly made me faint. That evening, I noticed some twitching on the left s...
Dr. Jiang Junyi Reply:
Hello, Ms. Juan: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometim...[Read More] Sudden Facial Drooping After Injury: Understanding Possible Causes
Understanding Facial Nerve Disorders: Symptoms, Treatments, and Management
Facial nerve dysfunction I have been diagnosed with Ramsay Hunt Syndrome for seven and a half months. Since being hospitalized, I have been continuously receiving rehabilitation therapy and acupuncture treatment, and I am taking B12 supplements. However, my symptoms have been rec...
Dr. Cai Zongzhang Reply:
Hello Ken! Based on the symptoms described above, they are all sequelae of facial nerve injury. Continuous follow-up and taking B12 are the correct treatment approaches. Additionally, good sleep also aids in nerve repair, so please be patient and continue with the treatment.[Read More] Understanding Facial Nerve Disorders: Symptoms, Treatments, and Management
Understanding Diplopia in Myasthenia Gravis: Diagnosis and Treatment Insights
Diplopia caused by myasthenia gravis? Hello Doctor: I have been experiencing double vision for nearly a year, and since the situation has worsened, I went to a neurologist for an examination. The tests included a contrast-enhanced brain MRI, skin sympathetic nerve reflex (SSR), R...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the effects of the medication typically begin around thirty minutes after administration, with peak effects occurring approximately two hours later, followed by a gradual decline. There are many causes of diplopia: binocular causes include ocular...[Read More] Understanding Diplopia in Myasthenia Gravis: Diagnosis and Treatment Insights
Understanding Facial Nerve Palsy: Symptoms, Treatments, and Next Steps
Hello, I would like to inquire about facial nerve paralysis? Hello, thank you very much for taking the time to respond. About two days ago, I noticed some abnormalities in my face, which I would like to describe: I am experiencing weakness on the right side of my face, such as be...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patient...[Read More] Understanding Facial Nerve Palsy: Symptoms, Treatments, and Next Steps
Persistent Eye Twitching: Causes and Solutions for Lasting Discomfort
Eyelid issue: Right lower eyelid twitching for two and a half months? Doctor: My right lower eyelid has been twitching for two and a half months. I visited the ophthalmology department at Taipei Medical University Hospital, and they said everything is normal. The doctor mentioned...
Dr. Jiang Junyi Reply:
According to your description, eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles. If only the eyelid is affected and there are no involuntary movements in othe...[Read More] Persistent Eye Twitching: Causes and Solutions for Lasting Discomfort
Understanding Facial Twitching: Stress and Neurological Concerns
Facial twitching at the corners of the mouth may be related to stress issues? I personally have polycystic ovary syndrome (related to stress, obesity, and hormones). I have experienced sudden involuntary body tremors for a long time without paying much attention to them since the...
Dr. Jiang Junyi Reply:
Hello, based on your description, the causes of facial muscle twitching can include not only muscle and nerve issues but also some metabolic disorders such as thyroid dysfunction and sleep disorders. It is recommended that you consult a neurologist to discuss examination and trea...[Read More] Understanding Facial Twitching: Stress and Neurological Concerns
Why Does My Eyelid Twitch After Hard Blinking? Understanding the Causes
After forcefully blinking, the tail end of the left eyelid twitches? Hello Doctor: About four days ago, I noticed that after I forcefully blinked and then opened my eyes, the outer part of my left upper eyelid would twitch slightly. It's not very noticeable in the mirror, bu...
Dr. Jiang Junyi Reply:
Your description of eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's face. If, aside from the eyelid, there is no twitching in other facial muscles, it is considered simple ey...[Read More] Why Does My Eyelid Twitch After Hard Blinking? Understanding the Causes
Understanding Facial Asymmetry and Neurological Symptoms: When to Seek Help
I'm not sure if I need to seek medical attention? I have always felt that my face is asymmetrical; the right side feels looser and weaker, the corners of my mouth droop, and my right eye appears larger and is more prone to dryness (which has led me to habitually blink harder...
Dr. Jiang Junyi Reply:
Hello, based on your description, the issue of facial asymmetry can be evaluated through facial nerve electrophysiological tests to help clarify whether there is any facial nerve damage. Regarding the dizziness and the sensation of vibrations you mentioned, it may be worth consid...[Read More] Understanding Facial Asymmetry and Neurological Symptoms: When to Seek Help
Understanding Facial Nerve Paralysis: Pain Management and Recovery Insights
Facial nerve paralysis with left-sided facial pain during treatment? Hello Doctor, I started experiencing an imbalance and paralysis in my face on August 1st. After seeking treatment at the hospital on August 3rd, I have been undergoing a combination of Western medication and acu...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes patients...[Read More] Understanding Facial Nerve Paralysis: Pain Management and Recovery Insights