Understanding Sleep Movements in Children: Is It Epilepsy?
Children may experience eyelid twitching, chewing, and swallowing during sleep? Hello Doctor: My son is currently 3 and a half years old. Recently, I have noticed that he often exhibits chewing and swallowing movements while sleeping, along with eyelid twitching and exertion of o...
Dr. Cai Zongzhang Reply:
Hello, the symptoms you mentioned cannot be directly attributed to neurological responses; they may be reactions related to the sleep process. It is advisable to seek further evaluation and treatment from a pediatrician.[Read More] Understanding Sleep Movements in Children: Is It Epilepsy?
Understanding Hand Tremors: When to See a Neurologist and Treatment Options
Finger tremors? Hello, I have been researching but haven't found a similar issue. My job requires me to use a computer for 8-9 hours a day, and over time, I am unsure if the excessive use of my fingers for fine motor tasks (such as writing, using chopsticks, or turning pages...
Dr. Cai Zongzhang Reply:
Hello, if your symptoms are interfering with your daily life or work, it is advisable to seek further evaluation or treatment from a neurologist.[Read More] Understanding Hand Tremors: When to See a Neurologist and Treatment Options
Understanding Involuntary Eye and Limb Movements: A Neurology Perspective
Involuntary twitching of the eyes and a feeling of weakness in the limbs? Hello Doctor, Two weeks ago, I started experiencing twitching in the area under my right eye, which has continued until now. A few days later, I noticed frequent twitching in the back of my left foot and ...
Dr. Cai Zongzhang Reply:
Hello, you have many concerns about your symptoms. You have undergone relevant examinations, and it is recommended that you follow up with your physician based on the test results. Until a diagnosis is confirmed, try to relax and not let worry affect your mood.[Read More] Understanding Involuntary Eye and Limb Movements: A Neurology Perspective
Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Muscle twitching Hello Doctor, I am a 23-year-old student. Two weeks ago, I experienced persistent twitching in the area under my right eye, which has since improved. However, I then started to have frequent twitching in my left foot and the top of my foot, so I went to see a neu...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of sympathetic nervous system hyperactivity. The ALS you are concerned about primarily refers to issues with motor neurons, which control muscle movement. Generally, the motor neurons in the brain are referred to as upper motor neurons, wh...[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Understanding Dizziness, Headaches, and Nausea: Possible Causes and Solutions
Dizziness, headache, nausea, and eye discomfort? Recently, I've been experiencing pain around my eye sockets, dizziness, nausea after eating, and occasional headaches. I researched online and found that it might be acute glaucoma, so I visited an ophthalmologist. However, th...
Dr. Jiang Junyi Reply:
Hello, based on your description, in addition to the eye issues, it may be necessary to consider factors such as migraines. Common symptoms of migraine with aura include visual disturbances. These may manifest as bright lights resembling stars or lightning, as well as blurred or ...[Read More] Understanding Dizziness, Headaches, and Nausea: Possible Causes and Solutions
Understanding Hand Tremors and Weakness: When to Seek Medical Advice
Tremors, feelings of depression, blood pressure 168/74? Hello doctor, I sometimes experience weakness in my hands and feet (I eat normally three meals a day), averaging about two days a month with this condition. This symptom started around the fifth grade of elementary school. W...
Dr. Jiang Junyi Reply:
Hello, based on your description, the more common causes to rule out include thyroid abnormalities and the possibility of sympathetic nervous system instability. The causes of tremors can be categorized into four types: 1. Physiological tremors: These do not occur regularly and...[Read More] Understanding Hand Tremors and Weakness: When to Seek Medical Advice
Understanding Numbness in Limbs: Possible Causes and Concerns
Causes of Limb Numbness Hello Doctor, I have been experiencing numbness in my limbs for about two to three weeks. It started one night when I woke up, and the previous evening I had taken a steam bath. Sometimes it is painful and feels like an electric shock. About 80% of the tim...
Dr. Hong Weibin Reply:
Hello: Your symptoms indeed suggest the possibility of multiple sclerosis; another potential diagnosis could be polyneuropathy. Typically, further examinations are required to confirm the diagnosis, which may include nerve conduction studies, evoked potentials, lumbar puncture, a...[Read More] Understanding Numbness in Limbs: Possible Causes and Concerns
Understanding Sudden Limb Weakness and Numbness: Possible Causes
Numbness in the limbs, weakness, generalized muscle flaccidity, and tongue numbness? Hello doctor, my mother is 49 years old. Recently, for the past four days, she suddenly started experiencing gradual weakness in her limbs, along with numbness in her limbs and tongue. The sympto...
Dr. Hong Weibin Reply:
Hello: This is likely acute inflammatory demyelinating polyradiculoneuropathy, also known as Guillain-Barré syndrome. It is an autoimmune condition where antibodies attack the myelin sheath of nerve cells in the body. Prompt monitoring of vital signs and nerve conduction studies ...[Read More] Understanding Sudden Limb Weakness and Numbness: Possible Causes
Understanding Dizziness and Back Pain: A Guide to Autonomic Nervous System Disorders
Dizziness, back pain, and sweating of the hands? Hello Doctor, I have been experiencing dizziness frequently in the mornings, around 8 to 10 AM, which makes it difficult for me to concentrate at work. Before the dizziness occurs, I often feel a soreness in my back or a sensation ...
Dr. Jiang Junyi Reply:
Hello, based on your description: in addition to autonomic nervous system issues, it may be necessary to consider the possibility of arrhythmias. Furthermore, sleep apnea could also exacerbate the symptoms. Our autonomic nervous system is regulated by the sympathetic and parasymp...[Read More] Understanding Dizziness and Back Pain: A Guide to Autonomic Nervous System Disorders
Understanding Weakness in the Left Thumb: Is It ALS or Something Else?
Weakness in pressing down with the left thumb? Three days ago, I suddenly lost strength in my left thumb, making it difficult to perform tasks such as wearing a helmet, buttoning clothes, and unplugging devices. It has felt somewhat stiff and less agile for almost a year now. Whe...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may need to rule out ulnar nerve pathology and other common issues. Generally, ulnar nerve pathology can cause numbness. In cases of severe ulnar nerve pathology, the muscles it innervates may atrophy, leading to a "claw hand" deformity. Atrophy of ...[Read More] Understanding Weakness in the Left Thumb: Is It ALS or Something Else?
Managing Chronic Headaches After Concussion: Symptoms and Solutions
Chronic headache Hello, Doctor: Three years ago, I was hospitalized for a concussion for a week, and since then, I have experienced issues such as depression, headaches, and gastric ulcers, which have been continuously monitored. However, my headaches have been occurring more fre...
Dr. Jiang Junyi Reply:
Hello, based on your description: it may be necessary to first treat the migraines, as young women are a common demographic for migraines. The symptoms of migraine with aura include visual disturbances, such as seeing stars and flashes of light, as well as blurred or distorted vi...[Read More] Managing Chronic Headaches After Concussion: Symptoms and Solutions
Is Weakness in Right Hand, Foot, and Eye a Stroke Warning Sign?
Weakness in the hands, feet, and eyes? Hello: I usually sleep on my right side. Recently, I have felt weakness in my right hand and foot. In the past few days, I suddenly noticed that the strength to close my right eye and mouth tightly is weaker than on the left side. My cholest...
Dr. Cai Zongzhang Reply:
Hello, weakness in the hands and feet may be related to muscle or nerve issues. You should consider visiting a hospital for relevant examinations. As for maintenance, it is recommended to maintain a regular routine and a balanced diet.[Read More] Is Weakness in Right Hand, Foot, and Eye a Stroke Warning Sign?
Understanding Chronic Discomfort: A Year of Neurological Challenges
It has been a year, and recently, my daily routine has been affected by discomfort during waking hours? Hello, doctor. I have been experiencing discomfort for over a year. Initially, I felt unusually unwell at home on weekends, with persistent dizziness and chest tightness throug...
Dr. Jiang Junyi Reply:
Hello, based on your description and age, it may be necessary to first consider the symptoms of migraine. Common aura symptoms of migraine include visual disturbances such as seeing bright lights resembling stars or lightning, as well as blurred or distorted vision. These are all...[Read More] Understanding Chronic Discomfort: A Year of Neurological Challenges
Understanding Internal Tremors: Possible Causes and Insights
Feeling internal tremors in the body? Hello, Dr. Jiang. I have been experiencing intermittent muscle twitching in my limbs (arms, legs, chest, back, etc.), so I went to the hospital for a consultation. The doctor arranged a complete blood test (Hb, Hct, MCH, MCHC, MCV, MPV, Plt, ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with proprioception, which can sometimes be related to neurological instability that initially does not affect motor nerves. It is usually important to consider whether there is a problem with the conduction of signals in the spinal nerve...[Read More] Understanding Internal Tremors: Possible Causes and Insights
Understanding Serum Protein Electrophoresis: Resolving M-Spike Discrepancies
Serum protein electrophoresis analysis Hello, I have been experiencing a tingling sensation in my hands and feet (similar to wearing gloves and socks) and sought medical attention at two different healthcare institutions. Among the tests performed, the serum protein electrophores...
Dr. Jiang Junyi Reply:
Hello: M protein is typically used for classification testing in multiple myeloma. The symptoms you mentioned, such as numbness and tingling in the hands and feet (like gloves and socks), may still warrant consideration of peripheral neuropathy. Generally, a nerve conduction stud...[Read More] Understanding Serum Protein Electrophoresis: Resolving M-Spike Discrepancies
Sudden Dizziness and Cold Sensations: Understanding Neurological Symptoms
Sudden dizziness, along with coldness in the chest and hands? Hello Doctor: Recently, I have been experiencing sudden episodes of dizziness and visual disturbances at work, accompanied by a feeling of coolness in my chest and hands, sweating due to anxiety, lasting for several mi...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider issues related to the autonomic nervous system, specifically excessive activation of the sympathetic nervous system. Such symptoms may become more pronounced due to insufficient rest or dehydration. Generally, the ...[Read More] Sudden Dizziness and Cold Sensations: Understanding Neurological Symptoms
Prognosis After C4 AVM Rupture: Recovery from Nerve Damage and Surgery
Prognosis of ruptured spinal cord segment IV arteriovenous malformation? Previously, I experienced a subarachnoid hemorrhage and hydrocephalus due to the rupture of a C4 arteriovenous malformation (AVM). I am currently undergoing rehabilitation. Since I am scheduled for a venous ...
Dr. Jiang Junyi Reply:
Hello: The surgical treatment for AVM primarily aims to reduce the risk of rebleeding and to prevent new neurological damage. The originally damaged nerves must be rehabilitated to improve symptoms. It is recommended that you discuss this with your neurosurgeon. Wishing you good ...[Read More] Prognosis After C4 AVM Rupture: Recovery from Nerve Damage and Surgery
Understanding Muscle Twitches: Anxiety and Neurological Insights
Muscle spasm Hello doctor, I have anxiety disorder and sometimes when I feel particularly tense, I experience muscle twitching in my thighs (it's not a cramp, but a contraction and relaxation sensation that isn't painful). At that moment, I also feel quite cold. This si...
Dr. Hong Weibin Reply:
Hello: There are many causes of muscle cramps, including nerve root disorders, electrolyte imbalances, medications, and stress. You may first try to rest well and relax. If there is no improvement, please seek assistance from a physician. Wishing you a speedy recovery.[Read More] Understanding Muscle Twitches: Anxiety and Neurological Insights
Understanding Gastrointestinal Spasms and Migraines: When to See a Neurologist
Gastric spasms and migraine issues? Hello, Doctor. I have been experiencing gastric spasms for several years. I have visited a gastroenterologist multiple times, but they only diagnosed me with gastritis and prescribed some medications for inflammation and spasms. Recently, the f...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be worth considering gastrointestinal symptoms associated with migraines. Common prodromal symptoms of migraines include visual disturbances, such as seeing stars and flashes of light, as well as blurred or distorted vision. These are all ...[Read More] Understanding Gastrointestinal Spasms and Migraines: When to See a Neurologist
Understanding Sleep Disturbances: Involuntary Body Jerks Before Sleep
Body twitching before sleep? Hello Doctor: Recently, I've been experiencing hand numbness that has led to sleep issues. While the numbness has improved significantly, I have started to experience involuntary body movements before falling asleep. Sometimes my back muscles twi...
Dr. Cai Zongzhang Reply:
Hello, it sounds like the numbness in your hands is affecting your sleep and causing you distress. I recommend that you consult with a psychiatrist or a specialist in sleep disorders, as it may be helpful for you.[Read More] Understanding Sleep Disturbances: Involuntary Body Jerks Before Sleep