Understanding Eyelid Twitching: Signs of Facial Nerve Disorders?
Eyelid issues Doctor, I have been experiencing slight twitching in my left eyelid for about a month now, although there were periods when it stopped. Recently, in the last three days, it has become more frequent, but today it has decreased again. However, I have felt a strange se...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the cause of eyelid twitching is primarily due to facial nerve instability. If the eyelid continues to twitch, the physician will carefully observe the patient's face during the consultation. If, aside from the eyelid, no other facial muscle...[Read More] Understanding Eyelid Twitching: Signs of Facial Nerve Disorders?
Understanding Eye Twitching: Causes, Symptoms, and When to Seek Help
The lower eyelid has been twitching intermittently for a week? For a week, my lower eyelid has been twitching (since Sunday). That morning, I woke up feeling some swelling at the outer corner of my upper eyelid and lower eyelid. I thought it was just normal edema, so I didn'...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest myofascial pain syndrome in the posterior neck muscle group, which can also lead to referred discomfort in the eyes. The key issue lies within the muscles of the posterior neck. The myofascial connection points are located in the forehead area. I&...[Read More] Understanding Eye Twitching: Causes, Symptoms, and When to Seek Help
Understanding Facial Nerve Issues: Symptoms and When to Seek Help
Facial issues Hello Dr. Jiang, last November, I experienced intermittent twitching in my lower left lip for almost a month. I went to a neurologist for an examination, and tests for trigeminal nerve and thyroid function were normal, with no signs of inflammation. The doctor sugge...
Dr. Jiang Junyi Reply:
Hello: The clinical manifestation of facial nerve paralysis is muscle weakness. If accompanied by other sensory symptoms, one should consider the possibility of trigeminal nerve involvement. The most common cause of trigeminal nerve pathology is compression by vascular structures...[Read More] Understanding Facial Nerve Issues: Symptoms and When to Seek Help
Understanding Facial Nerve Disorders: Symptoms and Concerns
Facial nerve Hello, I would like to ask if the following symptoms could be related to facial nerve dysfunction. Last night, I felt pain behind my ear, and by around noon today, I noticed that when I smile, the movement on the right side of my face is reduced. I also have a tingli...
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 Disorders: Symptoms and Concerns
Understanding Facial Nerve Spasms: Diagnosis and Treatment Options
Facial nerve spasm Hello Doctor: My father has been experiencing facial nerve spasms for almost 2 years now. He receives Botox injections at the hospital every 4 months, but I feel the results are not very effective; his symptoms persist, including "twitching of the right ey...
Dr. Hong Weibin Reply:
Hello: Hemifacial spasm is caused by involuntary discharges of the facial nerve, resulting in contractions of the eyelid and the corner of the mouth. However, in your description, in addition to eyelid blinking, there is also a simultaneous action of swallowing (is it a true swal...[Read More] Understanding Facial Nerve Spasms: Diagnosis and Treatment Options
Uncontrollable Jaw Clenching: Understanding Neurological and Stress Factors
Involuntary mandibular clenching? Hello, Doctor. In early September of this year, due to high stress, I started grinding my teeth to protect them and wore an occlusal splint for two weeks. After that, my lower jaw began to involuntarily clench. My teeth often collide with each ot...
Dr. Jiang Junyi Reply:
Hello: The causes of excessive tension in the masticatory muscles may include electrolyte imbalances. Prolonged overuse of these muscles can lead to a square-shaped face or muscle tightness. The electrical stimulation response you mentioned refers to the facial nerve examination,...[Read More] Uncontrollable Jaw Clenching: Understanding Neurological and Stress Factors
Understanding Lip Twitching: Causes and When to Seek Medical Help
Twitching of the lower left lip? Hello Dr. Jiang, recently due to high stress, I have been staying up late until three or four in the morning. Last Tuesday night, when I closed my eyes to sleep, I felt like my left eyelid was twitching, but it returned to normal when I opened my ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of facial nerve inflammation. Abnormal twitching can also be related to caffeine consumption. If it involves the trigeminal nerve, there may be sensations of abnormality. Generally, nerve inflammation typi...[Read More] Understanding Lip Twitching: Causes and When to Seek Medical Help
Understanding Facial Nerve Pain: Causes, Symptoms, and Treatment Options
Facial nerve neuralgia I have already consulted both an otolaryngologist and a dentist, and no abnormalities were found. Currently, I am continuing to take anti-inflammatory pain medication and muscle relaxants prescribed by a neurologist (three times a day). I can close my eyes ...
Dr. Jiang Junyi Reply:
Hello: Your neuropathic pain is likely trigeminal neuralgia, which is more common in women and typically occurs in adults around the age of 50. There are many causes, most commonly due to compression of the trigeminal nerve by vascular structures as it exits the brainstem. Other ...[Read More] Understanding Facial Nerve Pain: Causes, Symptoms, and Treatment Options
Unraveling the Mystery of Unexplained Neurological Symptoms
Unknown etiology? Around June 14, I suddenly experienced a jolt of dizziness, the kind that made it hard to stand, but it was not accompanied by headaches or nausea. I thought it was just due to lack of sleep, as I had been under a lot of stress from final exams and had hardly ea...
Dr. Jiang Junyi Reply:
Hello, Student Chang: You have done a lot of homework, which is impressive. Myofascial pain syndrome in the neck should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be allev...[Read More] Unraveling the Mystery of Unexplained Neurological Symptoms
Understanding Facial Nerve Pain: Symptoms and When to Seek Help
Facial nerve Hello Doctor: I experience pain when pressing on the back end of my left eyebrow, which radiates down to my cheek and feels like nerve pain. I do not have any pain when not pressing on it. I would like to know what this symptom might indicate and which department I s...
Dr. Jiang Junyi Reply:
Hello: The nerve distribution you mentioned seems to resemble the trigeminal nerve. The branches of the trigeminal nerve are roughly distributed from top to bottom in the forehead, cheeks, and chin. The nerve endings that dentists anesthetize during tooth extraction are branches ...[Read More] Understanding Facial Nerve Pain: Symptoms and When to Seek Help
Understanding Facial Nerve Paralysis: Symptoms, Treatment, and Recovery
Facial nerve paralysis Hello, doctor. I would like to ask about my condition. Today marks the sixth day of my facial nerve disorder. I have been taking steroids for the first three days. Yesterday, I underwent an electromyography (EMG) test. After returning home, I started to mas...
Dr. Jiang Junyi Reply:
1. Facial nerve paralysis is a relatively common condition, with statistics indicating that there are 15 to 40 cases per 100,000 people each year. The progression of this condition is quite rapid in the early stages, typically reaching its peak within two days. Prior to the onset...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Treatment, and Recovery
Understanding Eye Twitching: Causes, Caffeine, and Stress Management
Facial nerve - Irregular twitching of the right eyelid for over a month? Hello Doctor: For the past month, my right eyelid has been twitching irregularly, with each episode lasting about five to ten seconds. The next twitch may occur half an hour to an hour later. Some days, it t...
Dr. Jiang Junyi Reply:
Hello: 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 other facial muscles are not twitching, it is classified as simple...[Read More] Understanding Eye Twitching: Causes, Caffeine, and Stress Management
Understanding Ear Pain: Possible Neurological Causes and Solutions
Ear pain Hello Doctor: I have visited an otolaryngologist who said that the appearance of my ear's inner membrane is normal. They prescribed muscle relaxants, but I still occasionally experience sharp pain that can make me tear up. The pain feels like a pulsating sharp sensa...
Dr. Jiang Junyi Reply:
Hello: The cause of ear pain is mostly due to middle ear inflammation, but in rare cases, it can be attributed to nerve abnormalities. The sensory nerves of the ear primarily originate from the mandibular branch of the trigeminal nerve, which innervates parts of the auricle, exte...[Read More] Understanding Ear Pain: Possible Neurological Causes and Solutions
Electromyography for Facial Nerve Recovery: What to Expect?
Electromyography (EMG) of the facial nerve? Hello, doctor. About a month and a half ago, I received treatment for facial nerve paralysis, and I believe I have recovered over 95% so far (especially when raising my eyebrows or squinting, there is still a slight difference between t...
Dr. Jiang Junyi Reply:
Hello: Facial paralysis is believed to be caused by unknown reasons or viral infections, which lead to impaired blood flow in the vessels supplying nutrients to the facial nerve, resulting in paralysis. Improving blood flow to the facial nerve is the principle of treatment. This ...[Read More] Electromyography for Facial Nerve Recovery: What to Expect?
Managing Facial Nerve Paralysis: Do You Still Need High-Dose B Vitamins?
Medication for Facial Nerve Palsy #2 Hello Dr. Jiang, I apologize for bothering you again. I am the inquirer from #118762. Previously, I asked about my left facial nerve paralysis that occurred about a month ago. After taking steroids and B vitamins, my symptoms have improved by ...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response. Since everyone's dietary habits and nutrient absorption vary, it is generally recommended to supplement with B vitamins for at least one month. Additionally, we will conduct a blood test in the clinic to check the levels of Vitamin B...[Read More] Managing Facial Nerve Paralysis: Do You Still Need High-Dose B Vitamins?
Can I Take Mycobal for Facial Nerve Paralysis Recovery?
Medications for Facial Nerve Palsy Hello, about a month ago I experienced facial nerve paralysis on the left side of my face. I have been taking steroids and B vitamins, and my symptoms have improved by more than 90% so far. I am currently on the lowest dose of steroids (one pill...
Dr. Jiang Junyi Reply:
Hello: Mecobalamin, the main component of which is vitamin B12, has the following functions: 1. Improves nucleic acid and protein metabolism in nerve cells: It participates in the synthesis of nucleic acids and nucleoproteins, activating the metabolism and biosynthesis of amino a...[Read More] Can I Take Mycobal for Facial Nerve Paralysis Recovery?
Understanding Facial Nerve Issues: Symptoms, Diagnosis, and Treatment
Facial nerve Hello, Doctor. On January 6th (Friday), I woke up to find that my right eyelid could not fully open (currently covering half of my eyeball). I can close it, but I cannot open it completely. There are no other symptoms such as drooling. I initially thought there might...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many causes for eyelid drooping, such as myasthenia gravis, nerve compression, autoimmune diseases, and medications that need to be investigated. Currently, you have ruled out significant structural issues. If you are concerned, you can...[Read More] Understanding Facial Nerve Issues: Symptoms, Diagnosis, and Treatment
Flashing Lights Behind Closed Eyes: Possible Neurological Causes
Seeing something flashing with closed eyes? Hello doctor, I would like to ask you about something. Recently, when I sleep, I often see flashes of light in front of my eyes, sometimes blue and sometimes transparent. I went to an ophthalmologist, but no abnormalities were found. Th...
Dr. Hong Weibin Reply:
Hello: Besides the sensation of light and shadow flickering when closing your eyes, in what other situations might similar symptoms occur? Is it more likely to happen when you are fatigued or have stayed up late? Does it also occur during a midday nap, aside from nighttime sleep?...[Read More] Flashing Lights Behind Closed Eyes: Possible Neurological Causes
Understanding Involuntary Cheek Tension: Possible Causes and Solutions
Involuntary tension and tightening of the cheeks? Hello doctor, I often experience involuntary tension in my cheeks (without twitching) that lasts for several hours, and this has been ongoing for two to three months. I would like to know what might be causing this. Thank you.
Dr. Jiang Junyi Reply:
Hello, based on your description, if it involves the motor nerves of the nasal and facial region, it is primarily managed by the facial nerve, and it is rare to have bilateral symptoms. Your symptoms may be related to cervical nerve muscle issues or degeneration of the cervical j...[Read More] Understanding Involuntary Cheek Tension: Possible Causes and Solutions
Persistent Scalp Numbness: Understanding Neurological Concerns
Scalp numbness has persisted for a long time? Since the last time I leaned my head against the edge of the chair and felt tense, I woke up to find that my scalp has been numb for several days. I have experienced a similar numbness before, but I don't remember what caused it ...
Dr. Jiang Junyi Reply:
According to your description, the facial nerves are innervated by the trigeminal nerve, while the nerves in the posterior brain are derived from the cervical spinal nerves' cutaneous branches. Therefore, prolonged local pressure may lead to symptoms resembling nerve paralys...[Read More] Persistent Scalp Numbness: Understanding Neurological Concerns