Sudden Loss of Consciousness and Fever After Head Injury: What to Do?
Sudden loss of consciousness leading to a fall, with the head striking the floor, followed by persistent fever? Hello Doctor, last night I stood up from a chair and suddenly felt dizzy, then lost consciousness and fell to the ground, hitting my head on the floor. When I regained ...
Dr. Wu Mukhan Reply:
Hello, sudden dizziness accompanied by altered consciousness can be dangerous, as it may be caused by conditions such as cerebrovascular disease, epilepsy, encephalitis, or central nervous system infections, all of which require thorough examination. If symptoms persist, it is ad...[Read More] Sudden Loss of Consciousness and Fever After Head Injury: What to Do?
Understanding Congenital Mirror Movement Disorder: Symptoms and Consultation
Bimanual coordinated mirror movements? Hello, doctor. I have experienced mirror movement phenomenon in my fingers since childhood, particularly with the mirror-like movement of the flexor digiti minimi in both hands. When I exert force with one hand, the other hand tends to move ...
Dr. Wu Mukhan Reply:
Hello, this is a type of movement disorder that may have a genetic component. It is recommended to consult the movement disorders clinic in the neurology department at a medical center for further evaluation.[Read More] Understanding Congenital Mirror Movement Disorder: Symptoms and Consultation
Understanding Uncontrollable Body Shaking: Causes and Solutions
The body may occasionally experience involuntary muscle spasms or twitching? Hello Doctor: I would like to ask on behalf of my father! My father has diabetes, kidney disease, and hypertension, and he also suffers from ischemia. He experiences severe shaking every day, not just mi...
Dr. Jiang Junyi Reply:
Dear Ms. Fen, You mentioned that your father is experiencing "intense shaking accompanied by discomfort," which may warrant consideration of structural issues in the brain, commonly seen after cerebrovascular diseases. Tremors can often be attributed to essential tremo...[Read More] Understanding Uncontrollable Body Shaking: Causes and Solutions
Trigeminal Neuralgia After Root Canal Treatment: What to Know
Trigeminal neuralgia after root canal treatment? In mid-June 2023, after undergoing root canal treatment on the lower right second molar, the tooth pain subsided. On August 14, I proceeded to the crown fabrication stage. During this time, I mentioned to the dentist that I occasio...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, tooth pain may also be one of the symptoms of trigeminal neuralgia. Please complete dental treatment and confirm that there are no dental diseases; if pain persists, you may visit a neurology clinic for further evaluation.[Read More] Trigeminal Neuralgia After Root Canal Treatment: What to Know
Understanding Unintentional Speech Errors in Older Adults: A Neurological Perspective
Mom often makes unintentional verbal slips? Hello Doctor: My mother is 60 years old and has been receiving treatment from a psychiatrist for some time. I am not entirely clear on her exact diagnosis, but I know she has sleep disorders. Living with her, I notice that she has a ver...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, there is a suspicion of cognitive decline. Both depression and dementia may present with the aforementioned symptoms. A differential diagnosis is necessary for treatment, and it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Unintentional Speech Errors in Older Adults: A Neurological Perspective
Understanding Unilateral Head Numbness: Causes and Relief Strategies
Unilateral head numbness Hello Doctor, I am 22 years old and a few weeks ago I suddenly started experiencing numbness on the left side of my head, specifically from the back of my skull to the top of my head. This occurs whether I am sitting, standing, or walking, and even while ...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned experiencing numbness on the left side of your head, specifically from the back of your skull to the top of your head. This symptom may be related to cervical nerve inflammation, particularly in individuals who frequently look down or overuse their c...[Read More] Understanding Unilateral Head Numbness: Causes and Relief Strategies
Understanding Skin Sensations: Is It Post-Shingles Nerve Pain?
Skin prickling Hello, for the past week, I've been experiencing a tingling sensation on my thigh whenever it comes into contact with my pants. I had shingles (herpes zoster) in mid-June on my abdomen, and I'm wondering if this could be a residual effect of the shingles....
Dr. Jiang Junyi Reply:
Hello Ms. Anita: You mentioned that "the skin on my thighs feels a bit prickly when it comes into contact with my pants, and I had shingles (on my abdomen) in mid-June." It may be necessary to consider inflammation of the lumbar nerves, specifically the second and third...[Read More] Understanding Skin Sensations: Is It Post-Shingles Nerve Pain?
Understanding Sensory Differences Between Left and Right Feet
There is a difference in sensation between the left and right foot? Several months ago, I started to occasionally feel a difference in sensation between my right and left foot. When I touch both feet, the left foot has a clear sensation, while the right foot feels somewhat numb o...
Dr. Jiang Junyi Reply:
Dear Ms. Wang, You mentioned that you have a habit of crossing your legs and that your mother has diabetes, but your last fasting blood glucose level was normal. Should diabetes be ruled out first? If it is not diabetes, what other conditions should be considered? Which specialt...[Read More] Understanding Sensory Differences Between Left and Right Feet
Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?
Tremor of the left thumb? Hello, doctor. I have had a cervical disc herniation at the C3-C4 and C5 levels for over ten years. My symptoms fluctuate; sometimes they improve, and other times they worsen. Occasionally, I experience neck and shoulder pain, as well as arm pain. This a...
Dr. Peng Shiwei Reply:
Hello, your symptoms are usually not related to brain lesions, but if they persist and worsen, it is recommended to visit an outpatient clinic for evaluation by a physician. Thank you for your inquiry.[Read More] Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?
Understanding Muscle Fasciculations: What Your EMG Results Mean
Fasciculation Hello Doctor, I have symptoms of muscle fasciculation. I previously underwent an electromyography (EMG) test on my left leg on June 20, 2023, and the report is as follows: Data: Report of EMG study: 1. The left vastus lateralis, tibialis anterior, and gastrocnemius...
Dr. Peng Shiwei Reply:
Hello, the report indicates that the electromyography (EMG) of your left foot is normal. If you have any further concerns, please discuss them with your attending physician. Thank you.[Read More] Understanding Muscle Fasciculations: What Your EMG Results Mean
Understanding Side Effects of Rydan Tablets in Elderly Patients
Medication Issue - Rydapt (Midostaurin) My grandmother originally lived in Changhua, but she temporarily moved to Taoyuan to stay with us in July because she needed to get dentures. Since she has a long-standing issue with hand tremors, we took her to the hospital for an examinat...
Dr. Peng Shiwei Reply:
Hello, there are many medications available for treating tremors and Parkinson's disease. Since there is a possibility of duplicate prescriptions or drug interactions, it is recommended that your grandmother see the same physician for diagnosis and medication management. Tha...[Read More] Understanding Side Effects of Rydan Tablets in Elderly Patients
Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Persistent dizziness throughout the day for half a month without improvement? On August 25, I suddenly started experiencing dizziness, headaches, pain around my right eye, vomiting, and difficulty focusing on the computer screen, especially with text, which made me feel nauseous....
Dr. Peng Shiwei Reply:
Hello, whether you need to undergo a CT scan should be discussed with your attending physician. Thank you for your question.[Read More] Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Understanding Muscle Twitches and Weakness After Illness: A Neurological Perspective
Muscle twitching accompanied by mild weakness? Hello Doctor, I am 21 years old. About a week ago, I had a cold, and in the past few days, I have started to experience mild weakness in my right leg, especially noticeable when sitting. This is accompanied by occasional muscle twitc...
Dr. Peng Shiwei Reply:
Hello, it is rare for individuals with amyotrophic lateral sclerosis (ALS) to occur at your age. Additionally, the exercises you have been practicing recently require frequent use of the knees. I recommend consulting with a sports medicine specialist or an orthopedic physician to...[Read More] Understanding Muscle Twitches and Weakness After Illness: A Neurological Perspective
Could Morning Back and Abdominal Pain Indicate Stiff Person Syndrome?
Is this similar to Stiff Person Syndrome? For the past six months, I have only experienced mid-back and upper abdominal pain while sleeping until the morning. However, all symptoms disappear upon getting out of bed. Is this similar to Stiff Person Syndrome, or could it be related...
Dr. Peng Shiwei Reply:
Hello, it is usually related to posture and the mattress. If your symptoms persist and worsen, it is advisable to consult a neurologist. Thank you for your inquiry.[Read More] Could Morning Back and Abdominal Pain Indicate Stiff Person Syndrome?
Intermittent Muscle Twitching in the Left Cheek: Causes and Solutions
Twitching in the left zygomatic bone area? Hello, doctor. For the past couple of days, I've been experiencing intermittent and irregular muscle twitching in the left cheekbone area (without pain). Each twitch lasts about one to two seconds. Sometimes, looking down triggers t...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned that "the muscles in the left cheekbone area intermittently but irregularly twitch... and this symptom may be triggered by looking down." This symptom may need to be considered in the context of cervical nerve inflammation, especially among...[Read More] Intermittent Muscle Twitching in the Left Cheek: Causes and Solutions
Understanding Head Trauma: Concerns About Skull Indentation After Injury
Head trauma Hello Doctor, two years ago at school, a classmate hit me hard on the right side of my head twice with a wooden broom, approximately near the frontal bone, causing the broom to crack. At that moment, I only experienced bleeding and no other discomfort. After returning...
Dr. Jiang Junyi Reply:
Hello Mr. Kg: You mentioned that "there is a dented groove where I was hit, while the other side of the skull does not have this." After researching related information, it seems that this could be a skull base fracture. However, the "skull base fracture" you ...[Read More] Understanding Head Trauma: Concerns About Skull Indentation After Injury
Understanding Muscle Weakness and Twitching: Should You Worry?
Muscle issues Hello doctor, a few weeks ago I experienced weakness in one leg and muscle twitching throughout my body, but everything in my life was normal. Now the twitching has become less frequent, and the feeling of weakness has gradually diminished. Should I be concerned abo...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "unilateral leg weakness and muscle twitching in the body..." This may need to be considered in the context of typical discomfort symptoms associated with lumbar nerve root pathology, which includes pain radiating from the buttocks to the l...[Read More] Understanding Muscle Weakness and Twitching: Should You Worry?
Understanding Inner Thigh Pain: Causes and Treatment Options
Inner thigh pain Hello Doctor, my father does not experience any pain in his legs while sitting, and there are no pain points upon touch or pressure. However, when he stands up and walks, he experiences pain and weakness in the inner side of his left thigh. The pain point is not ...
Dr. Jiang Junyi Reply:
Dear Ms. Shen, You mentioned that your father experiences "no pain points upon touch or pressure, but has pain and weakness in the inner left thigh when standing or walking." This may suggest compression of the lumbar nerve roots, particularly at the second lumbar vert...[Read More] Understanding Inner Thigh Pain: Causes and Treatment Options
Chronic Lower Back Pain After Childbirth: Seeking Solutions and Diagnosis
Lumbar pain I have been experiencing lower back pain for over two years after giving birth. I have undergone traditional rehabilitation and paid for shockwave therapy, but despite continuous rehabilitation, I still wake up at night due to pain. Recently, when pressing on the post...
Dr. Jiang Junyi Reply:
Hello Ms. Siro: You mentioned that "the posterior pelvic region and right hip are very painful," which may still suggest an issue with the lumbar spine structure, such as lumbar spondylolisthesis, among others. In addition to pain relief medications, I recommend strengt...[Read More] Chronic Lower Back Pain After Childbirth: Seeking Solutions and Diagnosis
Understanding Schizophrenia: Symptoms, Diagnosis, and Treatment Options
Schizophrenia Hello, doctor. I have a question. When I read sentences, my mind often feels stuck, and occasionally I automatically add unnecessary words, which leads me to reread. Does this count as a form of thought disorder? What would be the best way to treat it? Thank you.
Dr. Cai Zongzhang Reply:
Hello, Mr. Ke: Based on the symptoms mentioned, it is recommended to first consult a neurologist to check for any tumor-related conditions.[Read More] Understanding Schizophrenia: Symptoms, Diagnosis, and Treatment Options