Understanding Muscle Twitches and Weakness: A Neurological Perspective
Muscle twitching and weakness? Hello, doctor. Last Tuesday, I visited the neurology department with complaints of facial nerve dysfunction and decreased dexterity in my right hand. During my follow-up appointment this Tuesday, my right hand is still not functioning well. I am ver...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned, combined with sensory abnormalities, may suggest peripheral nerve inflammation. Amyotrophic lateral sclerosis (ALS) primarily affects motor neurons and typically does not present with sensory abnormalities. Regarding fasciculations, they are ass...[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective
Is It Hyperventilation or Autonomic Nervous System Disorder?
Is this considered hyperventilation or autonomic nervous system dysfunction? Hello Doctor: Several times in the past, when I felt nervous, I would start to breathe heavily without realizing it. One time, I was breathing so heavily that my whole body felt numb, and even though it ...
Dr. Jiang Junyi Reply:
Hello: Hyperventilation refers to a breathing rate that exceeds the body's needs. Clinically, many conditions can lead to hyperventilation, including sepsis, significant blood loss, hypoxia, and acute myocardial infarction. As for "hyperventilation syndrome," it ge...[Read More] Is It Hyperventilation or Autonomic Nervous System Disorder?
Understanding Balance Issues: Insights on Neurological Symptoms and Management
Frequent feelings of heaviness in the head and lightness in the legs, leading to imbalance during activities? Hello, I often feel unbalanced when I start moving in the morning (I don't feel much when sitting or lying down). For example, if I turn too quickly, I experience a ...
Dr. Jiang Junyi Reply:
Hello: Headaches can be quite bothersome, and if you are experiencing them frequently, you might consider using preventive medications that have low side effects and can be used long-term. Common prodromal symptoms of migraine include visual disturbances, such as seeing bright li...[Read More] Understanding Balance Issues: Insights on Neurological Symptoms and Management
Understanding Persistent Headaches: Causes and Concerns
Headache for more than two weeks? Hello doctor, I have been experiencing migraines for several years. Previously, the pain was on the left side, occurring before my menstrual period or during times of stress. The pain felt like a throbbing sensation in the back of my head and tem...
Dr. Jiang Junyi Reply:
Hello, I am not sure if you are experiencing any cold symptoms, which could potentially lead to tension-type headaches. Common prodromal symptoms of migraines include visual disturbances, such as seeing stars or flashes of light, as well as blurred or distorted vision. These ar...[Read More] Understanding Persistent Headaches: Causes and Concerns
Chronic Hand Numbness and Pain: Which Specialist Should You See?
For years of paralysis and pain, which specialty should I consult? Hello, doctor. I often experience numbness, stiffness, and pain in both my hands, which has been ongoing for several years. The pain tends to be particularly severe in winter, waking me up at night in tears, espec...
Dr. Jiang Junyi Reply:
Hello: Carpal tunnel syndrome occurs when the median nerve is compressed by ligaments as it passes through the wrist, leading to numbness in the hand from the thumb to half of the ring finger. Generally, sensory nerves are affected first, and after some time, motor nerves may als...[Read More] Chronic Hand Numbness and Pain: Which Specialist Should You See?
Understanding Muscle Twitches: Are They Linked to ALS or Anxiety?
Muscle twitching Hello Doctor: I experienced dizziness and weakness in my limbs at the end of December last year. After visiting a neurology department at the hospital, an EEG showed no abnormalities. However, I continued to feel dizzy into early January, so I switched to another...
Dr. Jiang Junyi Reply:
Hello: The ALS you are concerned about primarily refers to issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those in the brainstem and spinal cord are called lower motor neuro...[Read More] Understanding Muscle Twitches: Are They Linked to ALS or Anxiety?
Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Muscle twitching and electromyography-related issues? Hello Doctor, Since around June 2017, I began to notice slight tremors in both of my hands, and when lying flat, I felt a sensation of my body vibrating. In July, I visited a neurologist for the first time, and the doctor ob...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, about 70% of patients with motor neuron disease present with limb weakness, while around 20% exhibit weakness in the bulbar region as their clinical manifestation. In terms of limb involvement, the initial presentation is usually asymmetric hand weaknes...[Read More] Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Can Cervical Nerve Compression Cause Redness in Hands and Fingers?
Cervical nerve compression can cause redness in the palms? My mother is 51 years old and has been experiencing cervical nerve compression and degeneration for the past two years. In the last month, her palms and fingers have turned a reddish-dark color, but she has no other disco...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, cervical spine curvature and narrowing deformities, along with intervertebral disc compression at the C4-C5 level affecting the nerves that innervate the shoulders, can lead to neck and shoulder pain. Additionally, compression at the C5-C6 level affecti...[Read More] Can Cervical Nerve Compression Cause Redness in Hands and Fingers?
Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Increased dizziness, swelling in the left leg, and occasional numbness in both hands, with the left hand being more affected? Hello, doctor. Basically, I'm experiencing dizziness and issues with my left leg (the hot weather affects me significantly; my dizziness worsens and ...
Dr. Jiang Junyi Reply:
Hello: The vascular stenosis you mentioned, if identified through a neck ultrasound, refers to the extracranial vessels, with the vertebral artery typically being more associated with dizziness. Controllable risk factors for stroke include metabolic syndrome, and your overweight ...[Read More] Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Understanding Dizziness and Low Potassium Levels in Older Adults
Dizziness and hypokalemia? Hello Dr. Jiang, I would like to ask about my mother's condition. She is 65 years old. The week before last, she suddenly experienced dizziness accompanied by persistent vomiting, cold sweats, and numbness in her hands and feet around noon after ge...
Dr. Jiang Junyi Reply:
Hello, Your mother's symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV). The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, or suddenly...[Read More] Understanding Dizziness and Low Potassium Levels in Older Adults
Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective
Muscle twitching, peripheral numbness in the limbs, shoulder and neck pain, headache? Hello Doctor: In November of this year, I began experiencing widespread muscle twitching and sudden pains throughout my body without a specific location (more frequently in my thighs, calves, an...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are not easily encompassed by a single disease. However, it is worth considering that patients with anxiety often exhibit symptoms of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increase in ...[Read More] Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective
Understanding Dizziness During Sports: Possible Neurological Issues
Sudden dizziness during exercise, unable to determine direction? Hello Doctor, in the past two days while playing badminton, everything was normal for the first 10 minutes. After I squatted down to pick up a shuttlecock and stood up, I started feeling dizzy. My hands knew where t...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms can be divided into two categories. The first is the cause of dizziness: 1. Neurogenic reflex leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insufficient cerebral blood flow. 2. Or...[Read More] Understanding Dizziness During Sports: Possible Neurological Issues
Is Waking Up at Night with Head Pain a Sign of Brain Tumor?
Waking up in the middle of the night due to pain is not necessarily indicative of a brain tumor? Last night, I experienced a dull headache before going to bed, and I was awakened by the pain around 5 AM. I took some pain relievers, and after one or two hours, the pain subsided. I...
Dr. Jiang Junyi Reply:
According to your description, the likelihood of a brain tumor causing headaches is relatively low, and the pain tends to worsen over time. Given your age, the more common causes are tension-type headaches or migraines. The symptoms of tension-type headaches are typically bilater...[Read More] Is Waking Up at Night with Head Pain a Sign of Brain Tumor?
Understanding Headaches and Numbness: Which Specialist to See?
Head numbness and headache? Hello Doctor: I have been experiencing headaches for the past six months. Sometimes they feel like sharp pains, other times they are more of a pressure pain, with no fixed pattern or location. Additionally, I have numbness in my head and face, and my e...
Dr. Jiang Junyi Reply:
Hello: Regarding the issue of high intraocular pressure, you can visit an ophthalmologist to measure your eye pressure, which can help rule out the problem of elevated intraocular pressure. As for the headache, it is advisable to first rule out migraine-related issues. Symptoms o...[Read More] Understanding Headaches and Numbness: Which Specialist to See?
Understanding Pulsating Head Sensations: When to See a Neurologist
The head may feel pulsating? Hello doctor, I started experiencing ear fullness about a month ago, followed by tinnitus. The noise from the tinnitus is really loud, and I can only sleep until around two or three in the morning. Then I began to have dizziness with a sensation of sp...
Dr. Jiang Junyi Reply:
Based on your description, your dizziness symptoms may suggest Meniere's disease, which is characterized by recurrent episodes of vertigo accompanied by tinnitus or hearing loss. During episodes, resting and using some antihistamine anti-vertigo medications along with anxiol...[Read More] Understanding Pulsating Head Sensations: When to See a Neurologist
Understanding Numbness in Limbs: Causes and Self-Care Tips
Numbness in all four limbs? Hello, I have a question! My hands and feet often feel numb, and the timing and location of these episodes are quite irregular, but they have been occurring frequently lately. Last month, it was only occasional, but recently, it happens quite often, mo...
Dr. Jiang Junyi Reply:
Based on your description: The symptoms of dizziness and numbness you mentioned are more likely caused by syncope or hyperventilation. A rapid drop in blood pressure or vasoconstriction can lead to decreased cerebral blood flow, which may trigger symptoms such as dizziness or blu...[Read More] Understanding Numbness in Limbs: Causes and Self-Care Tips
Persistent Hand Numbness After Retinal Surgery: Next Steps?
Hand issues? I underwent retinal detachment surgery at the end of May and was on bed rest for a month. After that, I started experiencing slight numbness in my fingertips. I consulted a rehabilitation specialist and began neck stretching exercises, but after 14 sessions, my condi...
Dr. Jiang Junyi Reply:
Hello, I recommend discussing with your rehabilitation physician the possibility of undergoing nerve conduction studies and electromyography to determine if, in addition to cervical compression, you may also have carpal tunnel syndrome. Wishing you good health and happiness. Best...[Read More] Persistent Hand Numbness After Retinal Surgery: Next Steps?
Experiencing Numbness in Left Buttock When Sitting or Lying Down?
There is a patch of numbness on the left buttock when sitting down or lying down? Hello, doctor. Since the beginning of this year, I have been suffering from "suspected" autonomic nervous system dysfunction... I have asked many questions, and I appreciate your patience ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of sciatic nerve root compression, which is caused by a herniated disc that compresses the cervical nerve roots. If the first sacral nerve root is compressed, it can lead to a tingling sensation in the buttocks. It is advisable to lift hea...[Read More] Experiencing Numbness in Left Buttock When Sitting or Lying Down?
Experiencing Dizziness and Lightheadedness: Causes and Solutions
I have been experiencing frequent dizziness lately, and even when sitting still, I feel like I'm swaying? I have been staying up late every day last week, almost going to bed around 3 AM and waking up at 6 AM. I took short naps around noon and in the late afternoon. This wee...
Dr. Jiang Junyi Reply:
Hello, based on your description, the headaches related to your menstrual cycle are likely migraines, characterized by visual disturbances. Symptoms may include seeing stars and lightning-like flashes, as well as blurred or distorted vision, which are all common aura symptoms of ...[Read More] Experiencing Dizziness and Lightheadedness: Causes and Solutions
Understanding Nerve Issues: Why Are My Hands Numb?
Numbness in the hands? Hello: Since before the Lunar New Year, I have been experiencing a feeling of fullness and pressure in my ears, along with neck tightness. Sometimes I have dry mouth and fever, and I haven't been sleeping well at night. I visited an ENT specialist, but...
Dr. Jiang Junyi Reply:
Hello, you may want to consider sleep disorders. Common causes include obstructive sleep apnea syndrome: habitual snoring, nasal congestion, enlarged tonsils, family members noticing breathing pauses, and a persistent feeling of not being well-rested, waking up frequently during ...[Read More] Understanding Nerve Issues: Why Are My Hands Numb?