Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Brain tumor, brain cancer I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and I smoke. My medi...
Dr. Hong Weibin Reply:
1. It is recommended that you directly inquire with the hospital's health examination center for clearer information. The same type of examination can have different modalities, and the purpose and results may vary. 2. Generally, a CT scan or MRI with contrast agent should b...[Read More] Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Understanding Post-Concussion Symptoms and Chronic Headaches
Head trauma Hello Doctor, three weeks ago I bumped my head on a medical far-infrared device. I experienced dizziness and headaches for about 7 days, which then subsided. I haven't had any headaches for the past two weeks, but today the headache has returned, along with dizzi...
Dr. Jiang Junyi Reply:
Hello: Two months ago, I underwent a CT scan due to cervical spine issues, and I really prefer not to use a CT scan for confirmation. Are there any other methods available? A: You may consider arranging a brain MRI at your own expense. Generally, if there is no loss of consciousn...[Read More] Understanding Post-Concussion Symptoms and Chronic Headaches
Understanding Burning Sensations in the Back of the Head: Causes and Solutions
The back of the head feels like it's burning? 1. The sensation of heat in the back of the head, resembling a burning feeling, could be caused by various factors such as tension headaches, migraines, or even anxiety. It is advisable to manage stress, ensure proper hydration, ...
Dr. Jiang Junyi Reply:
Hello: Regarding the issues you mentioned, 1. The sensation of heat in the back of the head feels somewhat like burning; what could be the possible causes? How can it be improved? (It started around the afternoon of October 9th) A: It may be necessary to consider cervical myofasc...[Read More] Understanding Burning Sensations in the Back of the Head: Causes and Solutions
Understanding Persistent Left Facial and Occipital Numbness: Causes and Concerns
Shoulder and neck pain? Hello doctor, I would like to ask what could be the cause of persistent numbness on the left side of my face and the back of my head for the past four days?
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Persistent Left Facial and Occipital Numbness: Causes and Concerns
Managing Neurological Symptoms for Software Engineers: Tips for Relief
Wellness Consultation Hello, doctor. I started working in September as a software engineer, which requires me to sit in front of the computer for long periods. Since last year, I have intermittently experienced various neurological symptoms, including tinnitus, vestibular neuriti...
Dr. Jiang Junyi Reply:
Hello: Regarding the repair of muscle nerves, in addition to nutritional supplements, adequate rest and avoiding injuries are essential. In terms of food, it is recommended to consume substances that help eliminate free radicals, such as sufficient amounts of vitamins E and C, be...[Read More] Managing Neurological Symptoms for Software Engineers: Tips for Relief
Understanding Cognitive and Emotional Issues After a Car Accident
Issues After a Car Accident I have a family member who is a 40-45 year old female. She previously suffered a minor intracerebral hemorrhage due to a car accident, but the doctor determined that it would absorb on its own, so no surgery was performed. Additionally, she has sustain...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious localized hematoma, head trauma is mostly mild. However, the following conditions should prompt consideration of delayed bleeding and a visit to the emerge...[Read More] Understanding Cognitive and Emotional Issues After a Car Accident
Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Brain cancer brain tumor I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and have a smoking hi...
Dr. Jiang Junyi Reply:
Hello: Here is the answer to your question. It is recommended to first undergo a non-contrast MRI to assess the lesions. (Generally, cerebrovascular diseases and brain tumors can be initially differentiated. As for dental issues, after the MRI, we can evaluate whether they signif...[Read More] Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Assessing Delayed Brain Hemorrhage Risk After Head Injuries
The right occipital region was struck? 1. Sorry, doctor, it's me again. Last time I forgot to mention that I hit the back of my head on the right side at midnight on September 24, and I also bumped the back of my head on the right side against the corner of the refrigerator ...
Dr. Jiang Junyi Reply:
Hello: Because the tissues of young people are more flexible, they can absorb external forces better. There is a lower risk of delayed subdural hematoma. I suggest you consult a neurologist to discuss examination and treatment. Wishing you good health and peace. Dr. Jiang from Ta...[Read More] Assessing Delayed Brain Hemorrhage Risk After Head Injuries
Understanding Post-Trauma Symptoms: When to Worry After a Head Injury
The right occipital region was struck? 1. How long after a head injury can the possibility of delayed bleeding be ruled out? 2. The area of impact is slightly pink but disappeared after applying ice; there is some pain, but it is not significant (the pain is mainly in the right...
Dr. Jiang Junyi Reply:
Hello: If you are concerned, it is advisable to consult a neurologist to discuss examinations. 2. The area that was hit is slightly pink, but it disappeared after applying ice. There is some pain, but it is not significant (the pain is mainly in the right posterior part of the he...[Read More] Understanding Post-Trauma Symptoms: When to Worry After a Head Injury
Understanding Delayed Intracranial Hemorrhage After Head Trauma
Pain in the right occipital region after a head injury? 1. Sorry, Dr. Jiang, it's me again. If delayed intracranial hemorrhage occurs, does it always involve a significant amount of bleeding? 2. If there is mild bleeding in the brain, will it be reabsorbed on its own? How ...
Dr. Jiang Junyi Reply:
Hello: If the bleeding volume is not significant and you have not taken anticoagulants, blood clots usually get absorbed. It is recommended that you consult a neurologist for discussion and treatment. Wishing you good health and peace. Dr. Jiang from the Department of Neurology c...[Read More] Understanding Delayed Intracranial Hemorrhage After Head Trauma
Should I See a Neurologist for My Sleep Disturbances and Panic Symptoms?
Hello, doctor. I'm not sure which specialty to see? Hello, doctor. On the night of September 25th, I suddenly felt numbness starting from my shoulder to my head, felt cold all over, and had a near-death sensation. I went to the emergency room, but after no treatment, I felt ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "hyperventilation." During this condition, the level of carbon dioxide in the blood decreases, leading to an increase in pH, a medical condition known as "respiratory alkalosis." This can trigger systemic reactions and symptoms...[Read More] Should I See a Neurologist for My Sleep Disturbances and Panic Symptoms?
Understanding Head Injuries: Signs, Symptoms, and Care After a Hit
The right occipital region was struck? 1. Today, I hit the back right side of my head against a pole. At the moment of impact, I was conscious and there were no obvious external injuries. Should I be concerned about a brain hemorrhage? 2. How can I determine the severity of a h...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious localized hematoma, head trauma is mostly mild. However, the following conditions warrant consideration of delayed bleeding and require a visit to the eme...[Read More] Understanding Head Injuries: Signs, Symptoms, and Care After a Hit
Understanding Parkinson's Disease: Symptoms, Diagnosis, and Concerns
Parkinson's disease Hello Dr. Hong, I am 60 years old and do not have any issues with hypertension, diabetes, or high cholesterol; my overall health condition is fairly good. However, over two years ago, my family noticed that my head would have slight tremors when at rest. ...
Dr. Hong Weibin Reply:
Hello: Common causes of tremors, aside from Parkinson's disease, include essential tremor and physiological tremor, among others. A neurologist needs to conduct a detailed medical history inquiry and monitor the patient over a period of six months to a year to have greater c...[Read More] Understanding Parkinson's Disease: Symptoms, Diagnosis, and Concerns
Understanding Sleep-Related Headaches: Causes and Solutions
Sleep-related headache Hello doctor, my father is 55 years old and recently he has been waking up with headaches after sleeping for a certain period, especially around 7-8 AM when it is most likely to occur. A few days ago, he experienced headaches from the night until the mornin...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Sleep-Related Headaches: Causes and Solutions
Should I Worry About Past Head Injuries? A Neurology Perspective
I previously sustained an injury to the back of my head? Hello, doctor. When I was in middle school, I accidentally hit the back of my head while playing with my classmates. I remember it hurt a lot at the moment, and I felt dizzy and had blurred vision for about 10 seconds. I im...
Dr. Hong Weibin Reply:
If none of the following symptoms are present, further observation is recommended: head trauma accompanied by bleeding; not crying or being fussy after the fall, but gradually developing confusion, coma, or excessive drowsiness; experiencing recurrent vomiting, drowsiness, altere...[Read More] Should I Worry About Past Head Injuries? A Neurology Perspective
Which Imaging Test is Best for Diagnosing Dementia: CT, MRI, or PET?
Which imaging technique is more accurate for diagnosing dementia: CT, MRI, or PET? I have a history of type 2 diabetes for 8 years, depression for 20 years, and insomnia without deep sleep for that duration. I have a history of smoking. My grandmother passed away from dementia. M...
Dr. Hong Weibin Reply:
Hello: 1. If there are issues with a head computed tomography (CT) scan that cannot be resolved, a head magnetic resonance imaging (MRI) may be arranged for further examination. If the CT scan shows no problems, then an MRI may not be necessary. Arranging for examinations must ...[Read More] Which Imaging Test is Best for Diagnosing Dementia: CT, MRI, or PET?
Head Injury from Medical Infrared Device: Recovery Tips and Risks
Hit on the top of the head? Hello Doctor: Yesterday, I was hit on the top of my head by a medical-grade low-temperature far-infrared device. When I went from sitting to standing, my head hit the device. At the moment, I only felt some pain, but today it still hurts. I do not have...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious local hematoma, head trauma is mostly mild. However, the following situations should prompt consideration of delayed bleeding and a visit to the emergency ...[Read More] Head Injury from Medical Infrared Device: Recovery Tips and Risks
Understanding Nerve Sensations: Is Your Tingling Related to GERD?
Numbness issues Hello Dr. Jiang: Recently, I have been experiencing a slight tingling sensation in the back side of my armpit, which occasionally spreads to other areas of my back. It is not painful and does not last long. I would like to know if this indicates any issues. Previo...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of nerve root compression in the back or symptoms of nerve inflammation. There is a low correlation with medication. Long-term use of proton pump inhibitors in the elderly population has been associated with a higher incidence of cognitive...[Read More] Understanding Nerve Sensations: Is Your Tingling Related to GERD?
Understanding Nighttime Headaches: Causes and Solutions
Sleep-related headache Hello, doctor. I would like to ask about my father. Since September, he has been experiencing sudden headaches while sleeping, but he feels fine during the day. The headaches only occur at night while he is asleep. My father is a smoker and underwent cardia...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the primary reason for the headache at night is likely due to respiratory issues during sleep, leading to carbon dioxide accumulation, which in turn increases cerebral blood flow and intracranial pressure. Given that your father has risk factors ...[Read More] Understanding Nighttime Headaches: Causes and Solutions
Understanding Tinnitus and Dizziness: Insights from Neurology
Tinnitus, dizziness? Hello Dr. Jiang, the following questions are for a patient (I actually have similar symptoms myself): 1. Tinnitus, dizziness, and a sensation of noise in the head have been intermittent for 30 years (I am 56 years old this year). 2. Recently, after 8 months ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the management of cardiovascular disease primarily involves controlling the three highs (hypertension, hyperlipidemia, and hyperglycemia), which you seem to have achieved. However, you did not mention any sleep issues, so it may be worth consider...[Read More] Understanding Tinnitus and Dizziness: Insights from Neurology