Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
I would like to inquire about the diagnosis and medication for epilepsy in infants and young children? Hello Doctor: My daughter was born in mid-June this year, with good development in utero, weighing nearly 3800 grams, head circumference at 40 weeks, and delivered via cesarean ...
Dr. Jiang Junyi Reply:
Dear Ms. Sherry, First of all, I want to acknowledge that the process of providing support is truly not easy. Regarding pediatric epilepsy, I recommend consulting a pediatric neurologist, as they have more extensive experience in this area. Generally, the common treatment princi...[Read More] Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
Is It Autonomic Nervous System Disorder or Something Else?
Is it autonomic nervous system dysfunction or another condition? Hello doctor, I started experiencing symptoms suggestive of autonomic nervous system dysfunction last year. During episodes, I experience palpitations, chest tightness, shortness of breath, dizziness, and abdominal ...
Dr. Jiang Junyi Reply:
Dear Ms. Wang, You mentioned that you have been frequently waking up due to hand numbness and purple nails (even without any pressure), which may indicate carpal tunnel syndrome. Carpal tunnel syndrome typically occurs in individuals who perform repetitive wrist movements, such ...[Read More] Is It Autonomic Nervous System Disorder or Something Else?
Is Stress Causing My Blurry Vision and Confusion?
Is it too much stress? Hello, doctor. I would like to ask about experiencing flashing lights in my eyes over the past week or two. I have seen an ophthalmologist, and the tests showed no abnormalities. However, in the last couple of days, I have been feeling very confused and una...
Dr. Jiang Junyi Reply:
Dear Ms. Xiao Wu, You mentioned that your eyes are "twinkling." I wonder if you are also experiencing headaches? Symptoms of migraine with aura can include visual disturbances. These may manifest as bright lights resembling stars or lightning, as well as blurred or dis...[Read More] Is Stress Causing My Blurry Vision and Confusion?
Understanding Hand Tremors: Causes and When to Seek Help
Body tremors? Hello doctor, I have recently been experiencing slight tremors in my hands, especially when holding objects. I also feel a bit shaky when bending down or leaning forward, and when I lie flat, my body seems to pulse in rhythm with my heartbeat.
Dr. Cai Zongzhang Reply:
Hello, Ms. Chiu! It is recommended that you visit the neurology outpatient clinic.[Read More] Understanding Hand Tremors: Causes and When to Seek Help
Understanding Seizures After Brain Hypoxia: Treatment and Recovery Insights
Due to brain hypoxia-related lesions, the doctor stated that there is abnormal electrical discharge in the brain, resulting in epilepsy? Dear Doctor, The abnormal electrical discharges in the brain following hypoxia are quite mild. The patient experienced cardiac arrest due to ...
Dr. Cai Zongzhang Reply:
Hello, A-Zhou! The symptoms described above are all sequelae caused by cerebral hypoxia injury. If the shaking severely affects caregiving, then medication should be considered to avoid the patient becoming drowsy due to the medication.[Read More] Understanding Seizures After Brain Hypoxia: Treatment and Recovery Insights
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 Nerve Pain: Insights on Tingling and Numbness
Tingling sensations in the hands and feet? Hello Doctor, on August 14th, after waking up from my afternoon nap, I felt a stabbing pain in the pad of my index finger. The next day, the stabbing pain improved, but I started to experience slight numbness in my right hand, which last...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may suggest a peripheral nerve issue. Pain accompanied by burning sensations, tingling, or even muscle weakness should raise concerns about nerve problems. Common causes of peripheral nerve injury include acute direct trauma such as nerve traction, t...[Read More] Understanding Nerve Pain: Insights on Tingling and Numbness
Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?
Is it related to sleeping posture, cervical spine issues, or vascular problems? Hello, Dr. Jiang. 1. The first issue is a problem that has existed for many years. I often experience numbness in the fingers of both hands while riding a motorcycle. It doesn't always happen i...
Dr. Jiang Junyi Reply:
Hello Mr. Chang, It seems that there are four issues based on your description: 1. Carpal tunnel syndrome may need to be considered. 2. Cubital tunnel syndrome may also need to be considered. 3. Cervical spine degeneration causing nerve root compression may be a possibility. 4...[Read More] Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?
Morning Hand Pain: Understanding Stiffness and Discomfort in Pinky Joints
In the morning upon waking, there is pain, stiffness, and tightness in the joints where the little fingers connect to the palms? Hello, Doctor. Since mid-June of this year, I have been experiencing tightness and pain in the joints connecting the little fingers to the palms of bot...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest bilateral ulnar nerve compression. It could also be caused by thoracic nerve root compression. If the nerve compression leads to peripheral neuropathy, the following characteristics may be present: 1. Pain with a burning or electric shock-li...[Read More] Morning Hand Pain: Understanding Stiffness and Discomfort in Pinky Joints
Understanding Hand Numbness: When to Seek Medical Attention
Numbness in the hands? Hello Doctor: I usually experience numbness in my hands after intense exercise, but recently I've noticed that any movement of my hands causes numbness starting from my fingertips. If I continue to move, the numbness spreads to my entire palm, but if I...
Dr. Jiang Junyi Reply:
Dear Miss Yi-An, Your symptoms may be primarily attributed to hyperventilation caused by intense exercise, leading to sensations of abnormality. Hyperventilation can result in decreased carbon dioxide levels in the blood, causing an increase in pH, a condition known medically as...[Read More] Understanding Hand Numbness: When to Seek Medical Attention
Signs of Stroke Recurrence: Understanding Fever and Weakness in Patients
Stroke patients have recently experienced fever and weakness? Hello, doctor. My mother has had a stroke for over ten years, resulting in paralysis on her left side. She has also experienced two strokes on her right side. While she can move her right hand, it is weaker and she can...
Dr. Jiang Junyi Reply:
Dear Ms. JOJU, I hope this message finds you well. I would like to inquire about your mother's cerebral blood vessels. If there is already significant stenosis, dehydration caused by fever may lead to insufficient cerebral blood flow, resulting in neurological deficits. Thi...[Read More] Signs of Stroke Recurrence: Understanding Fever and Weakness in Patients
Understanding Cold Hands and Feet: Neurological Concerns Explained
Cold or numb hands and feet? Doctor, I have a question. When I was hiking, my hands would sometimes feel numb or cold. Taking a break would help, but it would happen again as soon as I continued hiking. Eventually, I started experiencing this even at work when I was in a hurry. I...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may indicate hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "respiratory alkalosis." This can trigger systemic reactions and...[Read More] Understanding Cold Hands and Feet: Neurological Concerns Explained
Palpitations, Anxiety, and Neurological Symptoms: When to Seek Help
Palpitations, anxiety, and other symptoms? In February, I experienced palpitations for the first time and went to the emergency room. Blood tests showed no abnormalities, and follow-up with a cardiologist also indicated no issues. In March, I suddenly had a sharp pain on the left...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "sharp pain on the left side of your face," which may warrant consideration of trigeminal nerve dysfunction. The diagnostic criteria for trigeminal neuralgia are as follows: - At least three attacks - Pain occurring in one or m...[Read More] Palpitations, Anxiety, and Neurological Symptoms: When to Seek Help
Can You Get the COVID Vaccine with Frequent Headaches and Heart Issues?
If you frequently experience headaches, dizziness, numbness in your hands and feet, and a rapid heartbeat, it is important to consult with a healthcare professional before receiving the COVID-19 vaccine. They can evaluate your symptoms and medical history to determine if vaccinat...
Dr. Jiang Junyi Reply:
Hello, Miss: Propranolol works by reducing sympathetic nervous system activity and is commonly used clinically as a preventive medication for migraines. Your symptoms may need to be considered in the context of migraine attacks that can cause visual disturbances. Our autonomic ne...[Read More] Can You Get the COVID Vaccine with Frequent Headaches and Heart Issues?
Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Dizziness, headache, and tightness and pain in the shoulder and cervical spine? Hello, doctor. I started experiencing severe headaches, dizziness, neck tightness and pain, and numbness in my hands and feet around July of last year. I initially thought it was due to fatigue or hea...
Dr. Jiang Junyi Reply:
Hello, Miss: In addition to your original issues, we may need to consider vascular headaches, which could be related to your menstrual cycle. Furthermore, since you mentioned a connection to posture, we should consider "intracranial hypotension headache." The primary sy...[Read More] Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Understanding Neck Pain: Causes and Treatment After a Concussion
Neck issues Hello Doctor, last July I fell while ice skating and suffered a concussion. After recovering, I have been experiencing persistent neck pain. The pain became unbearable, so I went to the hospital for an examination. I had an X-ray of my neck, and the doctor said that t...
Dr. Jiang Junyi Reply:
Hello, Miss: Based on your description, it may be necessary to consider spinal-related disorders. Excessive force during neck rotation and other external factors can lead to cervical instability, dislocation, and cervical disc herniation. If there are pathological changes in the ...[Read More] Understanding Neck Pain: Causes and Treatment After a Concussion
Understanding Hand Tremors: Causes, Symptoms, and Management Tips
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. Although my sleep duration hasn't significantly increased, the quality of my sleep has improved. I've observed a reduction in the amplitude and duration of muscle contractions below my r...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be worth considering that some smaller muscles are less frequently used, leading to tremors during muscle coordination. Generally, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, esse...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Tips
Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. This week, I have been trying to massage and improve my sleep quality (going to bed around 10:00 PM and waking up at 5:30 AM, waking up once or twice during the night). The muscle twitching in my ...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, In the previous two responses, I believe I have addressed some of your concerns. Nerves require adequate sleep and nutritional support for repair. Fortunately, there are two experts in peripheral nerves at National Taiwan University Hospital—Professors Chih-Chao Y...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Understanding Ankle Pain and Numbness in Children: A Guide for Parents
Ankle pain. Numbness extending to the hand as well? Hello, Doctor. I apologize for bothering you. My child has been complaining of leg pain since he was four years old. At first, we thought it was growing pains, but after a while, it didn't seem right. When I asked him, he s...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to visit the pediatric neurology department at a medical center.[Read More] Understanding Ankle Pain and Numbness in Children: A Guide for Parents
Understanding Nerve Issues: From Tingling Limbs to Facial Symptoms
Numbness starting from the limbs to the face? Hello, I recently discovered that I often wake up with numbness in both arms while sleeping. Last week, I noticed that my left leg started to feel numb, followed by my right leg, both hands, and my scalp, which have been alternating i...
Dr. Jiang Junyi Reply:
Dear Ms. Sumi, Regarding the issue of sensory abnormalities you mentioned, since your symptoms are atypical, a comprehensive evaluation is recommended. Sensory nerve abnormalities can occur in various conditions and are generally classified as symmetrical or unilateral. In sym...[Read More] Understanding Nerve Issues: From Tingling Limbs to Facial Symptoms