Understanding Long-Term Effects of Childhood Head Injuries on Adult Health
My brother had a backward fall and hit his head when he was one year old, and he is currently 40 years old? Hello, Doctor Jiang. I would like to ask you about my brother. He had a head injury at the age of one when he fell backward, which resulted in immediate loss of consciousne...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned that your brother exhibits "slow learning, delayed responses, insufficient memory, noticeable social difficulties, repetitive confirmation actions, easy nervousness, repetitive speech, and an inability to listen to others. He sometimes becomes e...[Read More] Understanding Long-Term Effects of Childhood Head Injuries on Adult Health
Understanding Persistent Dizziness and Heaviness After Vaccination
Feeling of heaviness in the head accompanied by a sensation of dizziness and swaying of the body? Hello, doctor. I am 41 years old. In February 2021, I slipped and fell in the bathroom, hitting the back of my head, which swelled up. At the time, I didn't have any issues and ...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: You mentioned that "about three days after receiving the BNT vaccine, I felt a heaviness in my head, and occasionally I feel dizzy, as if I'm swaying." The issue of dizziness may also be related to factors such as poor inner ear circulation, inadequ...[Read More] Understanding Persistent Dizziness and Heaviness After Vaccination
Understanding Pulsatile Tinnitus: Causes and Consultations for Ear Sounds
Regular sounds in the left ear? Hello Dr. Hong, I need to work on the computer for long periods. Occasionally, I hear a chirping sound in my left ear that syncs with my pulse. I have undergone carotid and intracranial ultrasounds twice (at different hospitals two years apart), ...
Dr. Hong Weibin Reply:
Hello: Generally speaking, if you hear a sound that is synchronized with your pulse and vascular abnormalities have been ruled out, it may indeed be the vascular pulse being transmitted to your ears. The conduction of sound waves relies on a medium, and bones, muscles, and skin a...[Read More] Understanding Pulsatile Tinnitus: Causes and Consultations for Ear Sounds
Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Suspected autonomic nervous system dysfunction? Hello doctor, I started experiencing intermittent tingling, numbness, and weakness in my limbs at the beginning of September, which lasts for about a few seconds. I have visited many clinics and had blood tests to check my electroly...
Dr. Cai Zongzhang Reply:
Hello, it is recommended to visit the neurology and rheumatology clinics for examination.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Understanding Post-Massage Head Pain: Is It a Sign of Vertebral Artery Dissection?
Headache and dizziness after massage? I went for a massage yesterday and asked the therapist to work on the muscles around the occipital area. However, he applied too much pressure, and now the massage point is painful. Is there a possibility of vertebral artery dissection? Curre...
Dr. Jiang Junyi Reply:
Hello Mr. Yi, You mentioned, "Could the pain at the massage point possibly indicate vertebral artery dissection?" Generally, issues with the vertebral artery occur after severe rotation, and localized pressure is less likely to cause such problems. More than half of p...[Read More] Understanding Post-Massage Head Pain: Is It a Sign of Vertebral Artery Dissection?
Sudden Headache and Limb Numbness: Understanding Neurological Symptoms
Sudden headache with numbness, curling, and weakness in the limbs? I experienced a sharp pain at the top of my head that made me vomit, followed by numbness in my limbs (including my abdomen) that progressively worsened. My hands felt cold and curled up, and I had a sensation of ...
Dr. Jiang Junyi Reply:
Dear Miss Long, The symptoms you mentioned may need to be considered in two parts. The first symptom, "sharp pain at the top of the head leading to vomiting," should raise concerns about headache related to cerebrovascular diseases, such as thunderclap headache. This t...[Read More] Sudden Headache and Limb Numbness: Understanding Neurological Symptoms
Can Multivitamins Cause Dizziness? Understanding Neurological Effects
Feeling dizzy after taking a multivitamin? After taking two multivitamins in the morning after breakfast, I felt dizzy and lightheaded throughout the day. I would like to ask the doctor if taking multivitamins can cause dizziness?
Dr. Jiang Junyi Reply:
Hello Ms. Momo: You mentioned that "taking multivitamins may cause dizziness." I'm curious about the ingredients in your multivitamin and which brand you are using. Clinically, most people find that taking vitamins reduces dizziness. There are many causes of dizzin...[Read More] Can Multivitamins Cause Dizziness? Understanding Neurological Effects
Understanding Right-Side Pain and Numbness: Causes and Solutions
Pain and numbness on the right side of the body? Hello Doctor: I have been experiencing these symptoms for over a year. The main issues are soreness and tightness in the right side of my neck and shoulder, along with numbness and tingling that radiates from my right arm to my fin...
Dr. Jiang Junyi Reply:
Dear Mr. Tsao, You mentioned that "the soreness and tightness in the right shoulder and neck, along with numbness and tingling extending from the right arm to the fingers," may indicate a potential issue with cervical nerve root compression. It is important to consider...[Read More] Understanding Right-Side Pain and Numbness: Causes and Solutions
Understanding Persistent Dizziness Without Vertigo: Key Insights
Dizziness without vertigo? I would like to ask the doctor, since last week I have been feeling lightheaded every day, but I do not experience vertigo. When I close my eyes with my feet together, my body sways slightly. I have never experienced anything like this before. Although ...
Dr. Jiang Junyi Reply:
Dear Mr. Zhang, You mentioned that when you stand with your feet together and close your eyes, your body sways slightly. This may indicate that your proprioception is affected. Conditions such as anemia, autonomic dysfunction, and inner ear imbalance could contribute to your sym...[Read More] Understanding Persistent Dizziness Without Vertigo: Key Insights
Understanding Intermittent Headaches and Dizziness: When to Seek Help
Intermittent headaches and dizziness? Hello Dr. Jiang, In the past week, I have been experiencing recurrent headaches that are different from my usual migraines caused by staying up late until 2 or 3 AM. Sometimes the pain is unilateral, while other times it affects my entire h...
Dr. Jiang Junyi Reply:
Dear Mr. You, You mentioned that "the night before last, I suddenly experienced blurred vision, dizziness, and a feeling of impending fainting, with my vision becoming increasingly dark. This lasted for about 5 minutes before gradually returning to normal, primarily occurri...[Read More] Understanding Intermittent Headaches and Dizziness: When to Seek Help
Understanding Brain Atrophy: Do You Need Treatment Without Symptoms?
Symptoms of brain atrophy? Hello Dr. Jiang: I underwent an MRI scan of my head, and the report indicated "Diffuse widening of sulci and cisterns suggesting brain atrophy." However, I currently do not have any cognitive issues, and my memory is normal. Do I need treatmen...
Dr. Jiang Junyi Reply:
Dear Mr. Jiang, You mentioned "Diffuse widening of sulci and cisterns suggesting brain atrophy," which refers to brain atrophy. If there are no signs of functional decline in daily living, there is no need to worry too much. In diagnosing cognitive impairment, in addit...[Read More] Understanding Brain Atrophy: Do You Need Treatment Without Symptoms?
Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Head pressure/pain/nausea? I have been experiencing headaches for over a year. Initially, I thought it was just a migraine, and taking painkillers and resting would help. However, the more I slept, the more intense the pain became, accompanied by nausea and a feeling of wanting t...
Dr. Jiang Junyi Reply:
Dear Miss Fei, You mentioned that "the pain location can vary, usually it is unilateral, occasionally in the middle of the forehead or associated with high eye pressure, and whenever a headache occurs, there is a feeling of nausea." First, we should consider typical mi...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Muscle twitching In May, I noticed that my heels felt numb when I got out of bed, but the sensation disappeared after I walked around for a bit. This symptom lasted for about one to two weeks. However, in August, the numbness returned and lasted for another one to two weeks. In m...
Dr. Jiang Junyi Reply:
Hello Ms. Yeh: Amyotrophic lateral sclerosis (ALS) is a term that encompasses a group of motor neuron diseases. Typically, there are no significant sensory abnormalities, such as the tingling sensations you mentioned. Motor neurons control muscle movement; generally, the motor ne...[Read More] Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
I would like to know the difference between migraine and intracranial hypertension headache? Hello, I would like to inquire about my hospitalization this year due to headaches. The attending physician suspected I have migraines. Initially, they treated me with intracranial pressu...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "you were awakened by severe pain in the right occipital region in the early morning," which may need to be considered due to carbon dioxide accumulation causing vasodilation in the brain, leading to increased intracranial pressure. The d...[Read More] Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
Understanding Autonomic Nervous System Disorders in Teens
Autonomic nervous system dysfunction? Hello, doctor… I apologize for the interruption. I am currently a senior in high school, and since the beginning of the semester, I have not been getting enough sleep due to my studies (around three to five hours). Since mid-September, I have...
Dr. Jiang Junyi Reply:
Dear Ms. Lan Yu, Your symptoms may suggest the phenomenon of sympathetic nervous system hyperactivation. Anxiety can exacerbate these symptoms. Additionally, anemia or fluid deficiency may lead to insufficient cerebral circulation. Symptoms can be improved by replenishing fluids...[Read More] Understanding Autonomic Nervous System Disorders in Teens
Is Nortriptyline HCL Recommended for Tension Headache Prevention in Taiwan?
Is Nortriptyline HCL one of the options for the standard treatment regimen for the prevention of tension-type headaches in Taiwan? Hello, I have been experiencing tension-type headaches for many years. Currently, I reside abroad and have found that Nortriptyline HCL has the best ...
Dr. Jiang Junyi Reply:
Dear Mr. Bob, You mentioned that "the tension headache issue has been a problem, and after trying several medications while living abroad, I found that Nortriptyline HCL has the best preventive effect." Nortriptyline HCL is classified as a tricyclic antidepressant (TCA...[Read More] Is Nortriptyline HCL Recommended for Tension Headache Prevention in Taiwan?
Understanding Hand Tremors: Causes and Diagnosis in Neurology
Tremor issues? I would like to consult a doctor about a situation where one finger on my hand trembles, particularly when it is about 1 centimeter away from the surface of a table. The tremor seems to be most pronounced in the index finger, and it worsens when my hand is resting ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsu, You mentioned that "the tremor is more severe when resting on the lap, while it is less noticeable when placed on a table at shoulder height." This may suggest a consideration of postural tremor. When maintaining the hands in a fixed position, or extendin...[Read More] Understanding Hand Tremors: Causes and Diagnosis in Neurology
Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Four limbs numbness, neck pain, headache, various minor ailments? Hello Dr. Jiang, this is Ms. Li who inquired about some issues at the beginning of September. Since early September, I have been experiencing tingling and numbness in my entire arms and legs, along with occasional ...
Dr. Jiang Junyi Reply:
Dear Ms. Li, I am not sure if there is a medical center near your residence. The examination of neurological diseases requires a period of follow-up for comparison. For instance, if a score drops from 80 to 70, it may still be considered passing from a 60-point perspective. The ...[Read More] Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care
Persistent symptoms one month after receiving the AZ vaccine? Hello, Dr. Jiang: I received the AZ vaccine on September 10, and that night I had a fever of 41.4 degrees Celsius. However, the fever subsided by the morning of the following day. Two weeks later, on September 13, I no...
Dr. Jiang Junyi Reply:
Dear Ms. Chuang, You mentioned that "two weeks after September 13, I found that I seemed unable to express a complete sentence and could only say simple words." It may be necessary to consider the adverse reaction of thrombosis associated with the AZ vaccine, currently...[Read More] Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care
Understanding Pain Above the Temples: Causes and Solutions
Pain above the temple? Hello Dr. Jiang, I have been experiencing pain above my temples for the past two weeks. It hurts when I press on that area, and when the pain intensifies, my eyebrows also start to hurt, but pressing on the temples alleviates the eyebrow pain. I previously ...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: Your symptoms may suggest tension-type headache, which is caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the forehead and temples, similar to wearing a tight headband. Since this is caused by muscle fatigue, it typ...[Read More] Understanding Pain Above the Temples: Causes and Solutions