Head, Neurology FAQ

Understanding Long-Term Effects of Head Injuries from Falls

Hello, doctor. I would like to ask about injuries from falls? Hello doctor, when I was 19 years old, I accidentally fell while going up the stairs and hit my head. At that time, I only felt dizzy but was fully conscious. Since there was bleeding, I went to the hospital. The docto...

Dr. Jiang Junyi Reply:
Hello Mr. Chen, You mentioned, "For the past 6 years, if I experience dizziness, will it be related to my previous injury?" Generally speaking, if there is no loss of consciousness, no anticoagulant medication use, or obvious local hematoma, head trauma is usually mild...

Understanding MRI Results: When to Seek Further Medical Advice

Magnetic Resonance Imaging Interpretation Issues Hello, doctor. I have been experiencing some health issues, so I underwent a health check-up and paid for a full-body MRI. I would like to ask the following questions: 1. The MRI report from the health check-up only mentioned a cy...

Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned, "it's not a significant issue, so it wasn't documented." This often reflects the personal judgment of the radiologist who interprets the report; some physicians may choose to minimize descriptions to avoid complicating explanatio...

Understanding Sudden Left-Sided Head Pain: Possible Causes and Concerns

Left-sided headache? Hello Doctor, I apologize for the interruption. I'm not sure if it's related to my late sleeping schedule a couple of days ago, but for the past two days, I've been experiencing sudden sharp pains on the left side of my head, like an electric s...

Dr. Cai Zongzhang Reply:
Hello Andy: Insufficient sleep can easily lead to headaches or trigeminal neuralgia. It is recommended to take appropriate rest, and if symptoms persist, please visit a neurology clinic.

Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes

Severe headache on one side at a specific time during sleep? Since last week, I have been waking up in severe pain around five or six in the morning. The pain starts from my left temple and radiates to the entire left side of my face, lasting about five minutes before subsiding f...

Dr. Jiang Junyi Reply:
Dear Ms. Qianyu, You mentioned that "you are often awakened by severe pain around five or six in the morning, starting from the left temple." Your symptoms may suggest a consideration of sinus headache. Typically, there is a feeling of pressure or fullness around the e...

Headaches Triggered by Strong Smells: Understanding the Connection

Headache and Taste Sensation Hello, doctor. After quitting smoking for a year or two, I have been experiencing headaches triggered by the smell of smoke or strong food aromas. The pain can be so intense that it only improves the next day after I wake up. For example, I have stron...

Dr. Jiang Junyi Reply:
Dear Ms. Jun, You mentioned that "smelling smoke or food odors can trigger headaches," which may warrant consideration of migraine issues. The diagnosis of migraine includes the following criteria: 5: Headaches occurring more than 5 times. 4: Headaches lasting more th...

Understanding Chronic Fatigue: Causes and Solutions for Brain Fog

Feeling fatigued no matter what you do? Doctor, I sleep at least 8 hours every day. Usually, when I wake up in the morning, I don't feel refreshed. Sometimes on my days off, even after sleeping for 8 or 9 hours, I still feel very sleepy and can't go back to sleep. In th...

Dr. Cai Zongzhang Reply:
Hello Junjun: Based on the symptoms mentioned, it is recommended to first visit a family medicine clinic to check for any thyroid disorders. If none are found, it is advised to continue exercising to strengthen cardiovascular function, which can enhance physical stamina.

Understanding Tiny Acute Ischemic Infarcts: Causes and Management

Physical examination revealed signs of a previous minor stroke? Hello Doctor: Last month, the MRI results for my brain were interpreted as follows: Z719 Counseling, unspecified, V6540 Counseling, not otherwise specified, ||cre:0, eGFRr:0 Imaging findings: Brain MRI study without ...

Dr. Jiang Junyi Reply:
Hello, sir: You mentioned "A tiny acute ischemic infarct, left occipital subcortical white." An elder relayed that it was a concussion; could this have related effects? MRI primarily detects cerebral infarctions within a month. It cannot explain events that occurred muc...

Understanding Dizziness and Blurred Vision: Causes and Solutions

Dizziness/Blurred vision Hello Doctor: I have been feeling normal before going out these past few days, but after being outside for a while, I started to feel unwell (cold sweats, rapid breathing, dizziness, blurred vision, gastrointestinal discomfort, dry mouth, tinnitus, etc.)....

Dr. Jiang Junyi Reply:
Hello Ms. Wu, You mentioned that "standing for a long time makes you feel dizzy." Given the recent high temperatures, we should first consider mild heat syncope as a possible cause. The primary reason is that in high-temperature outdoor environments, the microvasculatu...

Feeling Dizzy and Disconnected: Understanding Neurological Symptoms

Feeling lightheaded and disoriented? Hello, doctor. Recently, while traveling in Japan, I have been experiencing difficulty concentrating, feeling spaced out, and a sense of lightheadedness. I also have persistent muscle twitches, both localized and generalized, and I feel comple...

Dr. Peng Shiwei Reply:
Hello, online consultations are limited in scope and cannot replace an in-person examination, making it difficult to fully understand your issue. If your symptoms are causing you significant distress, please schedule an appointment for a proper evaluation by a physician. Thank yo...

Dizziness After Exercise or Work: Understanding Your Symptoms

Dizziness or lightheadedness after exercise or work? Hello, recently I have been experiencing dizziness after intense exercise or during activities that involve holding my breath. I often feel dizzy when there is significant movement or shaking of my head and neck, especially aft...

Dr. Jiang Junyi Reply:
Hello Ms. Alex, You mentioned that you often feel dizzy after intense exercise or breath-holding activities, and after exertion (or standing up too quickly after bending down for a long time). This may indicate symptoms similar to syncope. When cerebral blood flow drops below 30...

Understanding the Reality of Neurological Sensations and Hallucinations

The sensation of a burning feeling in the brain? Recently, I have been considered to have a dissociative disorder and I wonder if it is caused by hallucinations, but they feel very real. I experience sensations of spinning, a line, and an inability to think; it feels like there a...

Dr. Jiang Junyi Reply:
Dear Mr. Hsueh, You mentioned "dissociative disorder, wondering if it is caused by hallucinations." Your symptoms may need to first rule out structural issues in the brain, as abnormal electrical discharges can sometimes present similar symptoms. I recommend that you v...

Understanding Neurofibromatosis: When to Seek Further Testing for Your Child

The necessity of examination for neurofibromas? Hello Dr. Jiang, my child was not diagnosed with café-au-lait spots at birth, but we discovered more than six café-au-lait spots of various sizes when he turned one month old. There appear to be about a dozen spots visually. I have ...

Dr. Jiang Junyi Reply:
Hello, Ms. Jun: You mentioned, "Are the symptoms related to neurofibromatosis hereditary?" This can be assessed through genetic testing. Below is information from the Pediatric Neurology Department of Kaohsiung Veterans General Hospital. For infants and young children...

Post-Operative Challenges of Occipital Lobe Hemorrhage: Recovery Insights

Postoperative issues related to intracranial hemorrhage in the occipital lobe? Hello, my mother is currently 60 years old and recently underwent a right occipital lobectomy due to a cerebral hemorrhage. She has experienced narrowing of the visual field in her left eye (which was ...

Dr. Peng Shiwei Reply:
Hello, regarding your questions: 1. Visual field loss due to damage to the occipital lobe is relatively difficult to recover in the short term, but the brain still has plasticity, so it is advisable to observe for a period of time. During this time, please remind the caregiver to...

Understanding Sudden Vision Changes: Possible Causes and Concerns

Vision problems I would like to ask the doctor under what circumstances symptoms of optic nerve compression could cause a sudden increase in my eye prescription. I primarily have issues with my eyes, but the ophthalmologist has not found any abnormalities. Here are my symptoms: ...

Dr. Peng Shiwei Reply:
Hello, regarding your question: 1. Generally, there are two types of brain lesions associated with the optic nerve. The first type involves brain lesions that cause compression of the optic nerve, with symptoms primarily manifesting as visual field defects, such as loss of peri...

Understanding Dizziness and Confusion: Possible Neurological Causes

Dizziness and altered consciousness? Hello, doctor. Since February of last year, I've been experiencing a heavy, dizzy sensation in my forehead and around my eyes. This feeling has significantly impacted my daily life. When I look at things, everything used to be clear, but ...

Dr. Jiang Junyi Reply:
Dear Mr. Yu, You mentioned that "the area between the eyebrows feels very heavy, and my vision is gradually becoming blurry, but it gets a bit better after resting." These symptoms may suggest autonomic nervous system dysfunction leading to decreased cerebral circulati...

Understanding CT Scan Results for Brain Issues: Key Questions Answered

CT Report for Brain Issues After getting my new glasses, I felt an immediate increase in my prescription. I noticed a faint shadow in areas with light, and I have been experiencing some headaches. Concerned that it might be caused by a brain tumor, I underwent a brain CT scan. Th...

Dr. Jiang Junyi Reply:
Hello Mr. Li: First of all, the symptoms of "brain tumors" can vary depending on the location in the brain. You mentioned that "after getting new glasses... it feels like the prescription suddenly increased," which may require ruling out refractive issues. Cou...

Managing Visual Aura Migraines: Tips for Relief and Prevention

Dry heaving, dizziness, and migraine? Hello Doctor, this is Kevin, who asked a question previously. After your response, I have tried to avoid caffeine, alcohol, and chocolate, and I have also maintained a regular schedule (going to bed at midnight and waking up at 7 AM). I am dr...

Dr. Jiang Junyi Reply:
Dear Mr. Kevin, You mentioned the clinical recommendations for using migraine prophylactic medications for "visual aura migraines." Here are the key points: 1. Recurrent migraine attacks that significantly affect the patient's quality of life or daily activities,...

Understanding Dizziness and Brain Fog: Exploring Neurological Causes

Dizziness and a feeling of heaviness in the head? Hello! I have been experiencing dizziness, a feeling of heaviness in my head, and difficulty concentrating for the past two weeks. I also feel tightness and numbness in my head. I have undergone an electrocardiogram and thyroid fu...

Dr. Peng Shiwei Reply:
Hello, general dizziness and a feeling of heaviness in the head can be related to many factors. If your current examinations are all normal, it is possible that it is caused by primary headaches. I recommend that you discuss this further with your primary physician. Thank you for...

Understanding Persistent Dizziness: Possible Causes and Next Steps

Dizziness and an unsteady sense of balance? Hello Doctor, I have been experiencing dizziness for over a month. I have consulted with a neurologist, an otolaryngologist, and a cardiologist, and all tests have come back normal. However, my symptoms have not improved with medication...

Dr. Jiang Junyi Reply:
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...

Understanding Persistent Dizziness: Possible Causes and Next Steps

Dizziness and an unsteady sense of balance? Hello, Doctor. I have been experiencing dizziness for over a month. I have seen specialists in neurology, otolaryngology, and cardiology, and all tests have come back normal. However, my symptoms have not improved with medication. I wou...

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