Chronic Migraines: Seeking Relief from Severe Headaches at Night
Increasingly severe headaches, requiring sitting up to sleep at night? Hello Dr. Jiang, I have been experiencing frequent migraines since high school, usually starting on the right side and spreading to the entire back of my head. When the pain is intense, I often vomit, and I h...
Dr. Jiang Junyi Reply:
Dear Ms. Ni, You mentioned that "since high school, I have frequently experienced migraines... I have visited several clinics, and they all prescribed pain relievers and muscle relaxants." Your symptoms may need to be considered for Chronic Daily Headache, defined as h...[Read More] Chronic Migraines: Seeking Relief from Severe Headaches at Night
Understanding Facial Nerve Paralysis: Common Aftereffects and Treatment Options
Facial nerve paralysis sequelae? Hello, Dr. Jiang. Current symptoms: 1. When closing my left eye, the muscles below the left corner of my mouth are also pulled. 2. There is no facial twitching at the corners of my mouth during normal activities; it only occurs when I close my eye...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned the issue of "facial nerve paralysis." Is the inability to close the left eye and the pulling of the mouth corner a common sequela? This usually occurs in patients with more severe inflammation, such as when the eye cannot close during the e...[Read More] Understanding Facial Nerve Paralysis: Common Aftereffects and Treatment Options
Understanding Facial Muscle Twitches: When to See a Neurologist or Ophthalmologist
Facial spasms Hello Doctor, I have been experiencing muscle twitching around the tear trough area on my right face (near the apple cheek) for about a month now, and there has been no improvement. Sometimes it occurs first thing in the morning, even when I am not fatigued. I have ...
Dr. Huang Hongling Reply:
If eyelid twitching persists for more than 2-3 weeks, is severe enough to cause the eyes to close, or if there are other symptoms such as twitching of facial or body muscles, redness of the eyes, discharge, or drooping eyelids, it is advisable to visit a neurology clinic for eval...[Read More] Understanding Facial Muscle Twitches: When to See a Neurologist or Ophthalmologist
Understanding Neuromyelitis Optica: Treatment Options and Risks
Neuromyelitis optica Hello, Dr. Huang! Thank you very much for your previous guidance! After following your advice, I immediately went to the emergency room for treatment. Due to the rapid deterioration of my condition and the resident physician's concern that the situation ...
Dr. Huang Hongling Reply:
Hello: Neuromyelitis optica is a condition in which the body produces antibodies that attack its own nervous system, thus requiring immunosuppressants for treatment. Both corticosteroids and mycophenolate mofetil are immunosuppressants that can lead to decreased immunity. Long-te...[Read More] Understanding Neuromyelitis Optica: Treatment Options and Risks
Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options
Dizziness and tinnitus with no identifiable cause? Hello Doctor: I started experiencing dizziness about a month ago. It's not a spinning sensation but rather a feeling of heaviness in my head and lightness in my legs. Occasionally, I feel a tingling sensation on my scalp, an...
Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned: "1. Is the dizziness symptom caused by autonomic nervous system dysfunction the same as the continuous dizziness I am currently experiencing? 2. Could dizziness caused by cervical nerve compression present as my current persistent dizziness? ...[Read More] Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options
Persistent Pain and Numbness in the Outer Calf: A Neurological Concern
Tingling and prickling sensation on the outer side of the calf? Hello Doctor, my father is 75 years old and has been experiencing numbness and tingling on the outer side of his calf for the past five days. Pain relievers and injections have not alleviated the pain, which has prev...
Dr. Jiang Junyi Reply:
Dear Mr. Jiang, You mentioned that your father is experiencing "numbness and tingling on the outer side of the calf... and the orthopedic images show no abnormalities..." It may be necessary to consider peripheral nerve compression. Symptoms of peripheral nerve compres...[Read More] Persistent Pain and Numbness in the Outer Calf: A Neurological Concern
Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Temporomandibular joint disorder causing trigeminal neuralgia? Hello, my symptoms began four years ago when I bit down on a hard object, resulting in a sudden electric shock-like pain in the left side of my face. Over the past few years, I have consulted with neurosurgeons, denti...
Dr. Jiang Junyi Reply:
Dear Mr. Kenny, You mentioned "trigeminal neuralgia." The cause of trigeminal neuralgia is primarily due to abnormal transmission of sensory signals by the trigeminal nerve. Approximately 80% of cases are caused by vascular compression of the trigeminal nerve at its en...[Read More] Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Understanding Non-Traumatic Intracerebral Hemorrhage and Recovery Options
Non-traumatic cortical hemorrhage in the left frontal lobe? Hello, doctor. At the end of January this year, after flying back to Taiwan, I experienced mild headaches, cold sweats, and vomiting the next day, along with pale complexion, which prompted me to seek emergency medical c...
Dr. Peng Shiwei Reply:
Each individual's condition is different, and online consultations cannot replace in-person diagnoses. It is advisable to discuss subsequent treatment options with your primary physician. Thank you.[Read More] Understanding Non-Traumatic Intracerebral Hemorrhage and Recovery Options
Post-Injection Neck and Shoulder Pain: Causes and Recovery Time
Pain upon touch in the shoulder and neck after an intramuscular injection? Hello Doctor: I received injections in both my right and left arms about two days ago for allergies (steroids and antihistamines). At the time of the injection, I felt a sudden soreness in my neck, which I...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "after receiving an injection (steroid, antihistamine), I felt a sudden soreness in my neck... and I experience pain in my back, shoulders, neck, and the back of my head." The injection may have affected the neuromuscular system: typicall...[Read More] Post-Injection Neck and Shoulder Pain: Causes and Recovery Time
Understanding SPECT Cerebral Perfusion Scan Results for Dementia Diagnosis
CEREBRAL PERFUSION SCAN WITH SPECT Report Consultation Dear Doctor, Thank you for taking the time to answer my questions. Below are the results of my father's (78 years old) Cerebral Perfusion Scan with SPECT conducted on February 21, 2024. I would like to inquire about the...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, Has your father’s condition progressed to Alzheimer's disease and Parkinson's disease due to his illness? The report you provided indicates that there seems to be a diagnosis of Alzheimer's based on imaging. There is a noted decrease in cerebral bloo...[Read More] Understanding SPECT Cerebral Perfusion Scan Results for Dementia Diagnosis
Understanding SPECT Cerebral Perfusion Scan Results in Dementia Diagnosis
CEREBRAL PERFUSION SCAN WITH SPECT REPORT INQUIRY Dear Doctor, Thank you for taking the time to assist with my inquiries. Below are the results from my father's (78 years old) Cerebral Perfusion Scan with SPECT conducted on February 21, 2024. I would like to ask the followi...
Dr. Peng Shiwei Reply:
Each individual's condition and physical status are different, so it is advisable to discuss with the elder's original attending physician. Thank you.[Read More] Understanding SPECT Cerebral Perfusion Scan Results in Dementia Diagnosis
Do Mild Concussions Require MRI Scans? Expert Advice for Parents
Is an MRI necessary for a mild concussion? Hello Doctor, my son had an accident while skiing in Japan before the Lunar New Year. He did not collide with any hard objects, but he experienced a mild concussion. At the time of the incident (around 10:00 PM, as it was night skiing), ...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Lin, You mentioned that your child needs an MRI, which is not inexpensive, and you would like to ask the doctor whether, given your child's current condition, an MRI is necessary for further examination. Currently, the out-of-pocket cost for MRI in Taiwan is...[Read More] Do Mild Concussions Require MRI Scans? Expert Advice for Parents
Understanding EPS Symptoms After Gastroenteritis Treatment: A Neurology Perspective
Symptom Analysis Last week, after taking antiemetics for gastroenteritis, I experienced extrapyramidal symptoms (EPS). It started with my teeth chattering, followed by sudden jaw deviation. I immediately went to the emergency room for an injection, which corrected the jaw misalig...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned, "Last night before bed, I took a muscle relaxant and my muscles started twitching involuntarily." Generally speaking, symptoms of extrapyramidal syndrome (EPS) caused by medication typically improve within three days after discontinuation....[Read More] Understanding EPS Symptoms After Gastroenteritis Treatment: A Neurology Perspective
Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery
Tightness in the thigh muscles, numbness, and mild edema in the legs? My mother, who is 88 years old, participated in a volunteer trip on November 14, where she walked too much, resulting in foot pain and nerve compression that prevented her from sleeping and standing. During thi...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that your mother is experiencing numbness in her feet, along with a sensation that the tendons in her right foot seem to be pulling up towards her buttocks. This may indicate compression of the lumbar nerve roots. Post-surgery, it is common to encount...[Read More] Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery
Two Years of Dizziness: Unraveling the Mystery Behind Neurological Symptoms
Dizziness for two years with no identifiable cause? About three years ago, I had to take a break from school due to panic attacks caused by dizziness. During this time, I frequently visited the emergency room. After being diagnosed two years ago, I suddenly experienced severe diz...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned, "Could my dizziness be related to my long-standing high cholesterol?" Indeed, elevated cholesterol levels, particularly high LDL (low-density lipoprotein), can accelerate atherosclerosis. High concentrations of LDL in the bloodstream can a...[Read More] Two Years of Dizziness: Unraveling the Mystery Behind Neurological Symptoms
Persistent Pain After Facelift Surgery: Is It a Long-Term Side Effect?
It has been a year since the facelift surgery, but the head still feels tight and numb, causing unbearable pain? In November 2022, I underwent a facelift surgery. Starting in February 2023, I experienced tightness and electric shock-like sensations in my head, along with recurren...
Dr. Jiang Junyi Reply:
Dear Ms. Cheng, You mentioned that the "tightness and electric sensation in your head" may indicate peripheral sensory nerve compression. These symptoms could be exacerbated by tightness in the cervical myofascia. It would be beneficial for you to supplement with B vit...[Read More] Persistent Pain After Facelift Surgery: Is It a Long-Term Side Effect?
Unexplained Right Leg Pain and Numbness: Possible Nerve Compression?
Unexplained tremors, pain, and numbness in the right foot? Hello Doctor, during my middle school years, I was diagnosed with a herniated disc after a classmate pulled my chair, causing me to fall. I tried physical therapy and corticosteroid injections, but they were not very effe...
Dr. Jiang Junyi Reply:
Dear Ms. W, You mentioned experiencing sudden severe pain in your right heel and persistent numbness and tingling. How should this be addressed? Thank you, doctor. Your symptoms indeed warrant consideration of lumbar nerve root compression. Typical discomfort associated with l...[Read More] Unexplained Right Leg Pain and Numbness: Possible Nerve Compression?
Will Numbness in My Foot Heal on Its Own After an Injury?
Will numbness in the feet resolve on its own? I recently sprained my right ankle and have been taking muscle relaxants and anti-inflammatory injections, which are helping me recover. However, I am experiencing a tingling sensation on the right side of my right big toe and the lef...
Dr. Jiang Junyi Reply:
Hello, Ah-Jie: You mentioned experiencing a tingling sensation on the right side of your right big toe and the left side of your right index toe, which may suggest a possible injury to the deep peroneal nerve. The pathway of the deep peroneal nerve begins at the lateral aspect o...[Read More] Will Numbness in My Foot Heal on Its Own After an Injury?
Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Facial nerve Hello, doctors! I am 28 years old, and in March of this year, I noticed weakness on the right side of my face, with difficulty closing my right eye. I have noticeable asymmetry in my eyes, and when I drink, water leaks from the right side of my mouth. When I try to m...
Dr. Jiang Junyi Reply:
Hello Dr. De: You mentioned that "some doctors said I have both facial nerve paralysis and spasms... (I am completely confused)." Generally speaking, facial nerve paralysis occurs due to inflammation, which prevents the muscle tissue it innervates from contracting adequ...[Read More] Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Can Botox Help with Non-Facial Nerve Pain Like Gingival Neuralgia?
Non-facial neuralgia issues Hello, I would like to inquire if it is possible to receive Botox injections for non-facial neuralgia (gingival neuralgia).
Dr. Cai Zongzhang Reply:
Hello, Ms. Tsai: Tooth root pain may be related to trigeminal nerve disorders. It is recommended to visit a neurology outpatient clinic.[Read More] Can Botox Help with Non-Facial Nerve Pain Like Gingival Neuralgia?