Understanding Arm Numbness: Causes and What to Do Next
Numbness sensation Hello doctor, yesterday when I woke up, a part of my arm suddenly felt like there was something covering it (it wasn't like that the day before). Compared to other areas, it feels somewhat numb and not as sensitive as before, but the surrounding areas do n...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned are indicative of neurological dysfunction, with the most common cause being local nerve compression during sleep. If the symptoms persist and do not resolve, it is recommended to consult a neurologist.[Read More] Understanding Arm Numbness: Causes and What to Do Next
Understanding Head Injuries: Symptoms, Risks, and Necessary Evaluations
Head injury Hello, Doctor. About four years ago, I was physically abused by a family member who struck me on the head and forcefully pulled my hair. At that time, the injured area swelled, and I experienced headaches and dizziness. However, due to threats from other family member...
Dr. Cai Zongzhang Reply:
Hello: A scalp swelling caused by a head impact does not necessarily indicate intracranial brain injury. If headaches occur more than 10 days a month, it is advisable to visit a neurology clinic.[Read More] Understanding Head Injuries: Symptoms, Risks, and Necessary Evaluations
Understanding Rapid Dementia After Head Injury: Pain's Role Explained
Dementia issues Hello Dr. Wu, At the beginning of this year, my father was involved in a motorcycle accident where he sustained a head injury and was unconscious. A CT scan of the brain was performed in the emergency department, which showed no abnormalities. However, one month...
Dr. Wu Mukhan Reply:
Hello, according to current research, chronic pain or head trauma can indeed lead to long-term cognitive decline (dementia) as a consequence. However, it is challenging to establish a direct causal relationship between dementia and these factors in medical terms, especially since...[Read More] Understanding Rapid Dementia After Head Injury: Pain's Role Explained
Understanding Naegleria fowleri: Risks and Precautions for Rural Residents
Naegleria fowleri meningoencephalitis Hello doctor, today on August 18th, I saw online that Naegleria fowleri might be present in soil. I live in a rural area, and today, while riding my bike past a field, I saw a truck carrying a farming machine with soil on its wheels. At that ...
Dr. Peng Shiwei Reply:
Hello, if you are experiencing headaches, dizziness, difficulty in consciousness, persistent fever, vomiting, or any other symptoms, please seek medical attention at a hospital. Thank you.[Read More] Understanding Naegleria fowleri: Risks and Precautions for Rural Residents
Understanding Suspected Autoimmune Encephalitis: Symptoms, Diagnosis, and Treatment
Is there a diagnosis of autoimmune encephalitis? Hello Doctor, my sister was diagnosed with schizophrenia last September. She has been taking medication at Hospital A for nearly a year, during which she gradually developed mild involuntary hand tremors and head tilting backward. ...
Dr. Peng Shiwei Reply:
Hello, the question you asked is very complex. I am unable to answer it online. I recommend that you take your sister to see a doctor for a consultation in person. Thank you.[Read More] Understanding Suspected Autoimmune Encephalitis: Symptoms, Diagnosis, and Treatment
Understanding Left Leg Pain: When to See a Neurologist
The left leg is experiencing soreness? Hello Doctor, my mother is about 70 years old. She has been experiencing pain starting from the lower left side of her buttock, slightly towards the outside (not directly on the outer side), extending down to just outside the knee pit. When ...
Dr. Cai Zongzhang Reply:
Hello Mr. Yang: Based on the symptoms mentioned, it is suspected that you have lumbar radiculopathy. It is recommended that you visit a neurology outpatient clinic.[Read More] Understanding Left Leg Pain: When to See a Neurologist
Understanding Persistent Head Sensations: Causes and Solutions
It feels like my brain is shaking? Hello Doctor, recently I have been feeling like my head is swaying almost all day long. It feels as if someone is tightly wrapping my head with a string and pulling it back and forth, side to side. It’s very tense, and I constantly feel like my ...
Dr. Cai Zongzhang Reply:
Hello HSN: The symptoms mentioned above are suspected to be caused by vestibular nerve dysfunction leading to balance disorders. It is recommended to continue follow-up treatment at the neurology outpatient clinic. An MRI scan should only be considered if there is no improvement ...[Read More] Understanding Persistent Head Sensations: Causes and Solutions
Post-Exercise Headaches: When to Seek Medical Advice
Headache after exercise? Hello Doctor, sometimes I experience pain in the back of my head, but it only occurs when I shake my head vigorously or engage in intense movements. Pressing on the area does not cause pain. When my head is still, the pain is minimal. It occasionally hurt...
Dr. Cai Zongzhang Reply:
Hello Allen: It is recommended to visit a neurologist to determine the cause of the above symptoms.[Read More] Post-Exercise Headaches: When to Seek Medical Advice
Understanding Left Leg Weakness and Vibrations: Possible Nerve Compression?
Weakness in the left foot and a vibrating sensation in the sole of the foot? Hello Doctor, about a month ago, I started experiencing soreness in both buttocks, with the left side being more painful. Sometimes my left leg feels weak. The rehabilitation doctor arranged for an elect...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: The symptoms mentioned above could be indicative of a neurological disorder. It is recommended that you visit a neurology outpatient clinic.[Read More] Understanding Left Leg Weakness and Vibrations: Possible Nerve Compression?
Understanding Left Eyebrow Pain: When to See a Neurologist
Left brow bone. Pain and swelling at the eyebrow? Hello Dr. Peng, three days ago I suddenly felt a throbbing pain in my left brow bone, my eyelid is swollen, and I also have a headache. When I press on the left brow bone near the temple, I feel localized pain. Which specialty sho...
Dr. Peng Shiwei Reply:
Hello, it seems you have already come for a consultation. Please take the medication as instructed. Thank you.[Read More] Understanding Left Eyebrow Pain: When to See a Neurologist
Can Facial Nerve Paralysis Symptoms Improve After Years?
Facial nerve paralysis Doctor, I had facial nerve paralysis in elementary school, and now at 22 years old, I've noticed that when I blink, it affects the corner of my mouth, which seems like a residual effect. Is there still a chance for improvement?
Dr. Wu Mukhan Reply:
The symptoms you mentioned are sequelae of facial nerve paralysis. Currently, there is no treatment that can completely cure it. Rehabilitation, botulinum toxin injections, or surgical treatment can be considered. It is recommended to visit a hospital's neurology outpatient ...[Read More] Can Facial Nerve Paralysis Symptoms Improve After Years?
Understanding Nerve Conduction Studies: What Your Results Mean
Nerve conduction study Hello doctor, recently I've been experiencing occasional pain in my right hand, so I went for an examination. The doctor arranged for nerve conduction studies of the limbs and cervical spine. The results showed a slight slowing of the right ulnar nerve...
Dr. Wu Mukhan Reply:
Hello, abnormal nerve conduction velocity is most commonly caused by nerve compression or injury, and it usually improves with rest. The symptoms you mentioned do not resemble those of amyotrophic lateral sclerosis (ALS), so there is no need to worry excessively. If the symptoms ...[Read More] Understanding Nerve Conduction Studies: What Your Results Mean
Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues and ALS Concerns
Nerve conduction study Hello Doctor, recently I've been experiencing occasional pain in my right hand, so I went for an examination regarding ulnar nerve compression. The doctor arranged for four nerve conduction studies and a cervical spine examination. The results indicate...
Dr. Peng Shiwei Reply:
Hello, the symptoms of amyotrophic lateral sclerosis (ALS) do not involve damage to only one nerve, and it primarily begins with the degeneration of motor neurons. Sensory nerves are not affected in the early stages. Thank you for your question.[Read More] Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues and ALS Concerns
Understanding ALS Concerns: Do I Need an EMG Test?
Concerns about Amyotrophic Lateral Sclerosis (ALS) Hello Doctor, I recently experienced muscle soreness in my left thigh, so I went to the hospital for a nerve conduction study (F-wave) and a cervical spine examination, but I was not scheduled for an electromyography (EMG) test. ...
Dr. Peng Shiwei Reply:
Hello, the symptoms of amyotrophic lateral sclerosis (ALS) do not involve damage to just one nerve; it primarily affects motor neurons first, while sensory neurons are not impacted in the early stages. Thank you for your question.[Read More] Understanding ALS Concerns: Do I Need an EMG Test?
Managing Trigeminal and Facial Nerve Repair: Expert Insights and Treatment Options
Trigeminal and Facial Nerve Repair Hello, Doctor. I initially experienced hearing loss and headaches, so I consulted an otolaryngologist for a month, which caused me to miss the critical treatment window. Later, I discovered left facial paralysis and was referred to a neurologist...
Dr. Peng Shiwei Reply:
Hello, based on your description, I believe the treatment your physician has provided is appropriate. The residual effects of facial numbness may not always fully resolve. I recommend that you continue with your current treatment and observe for 1-3 months. As for the dizziness, ...[Read More] Managing Trigeminal and Facial Nerve Repair: Expert Insights and Treatment Options
Understanding CIDP: Treatment Options and Managing Symptoms
Polyneuropathy Hello, I have been diagnosed with CIDP. Initially, my doctor thought it was acute, so I underwent plasma exchange. Three weeks after being discharged, I started feeling unwell again, and during my follow-up appointment, the doctor mentioned that it should be CIDP a...
Dr. Peng Shiwei Reply:
Hello, I believe it would be better for you to discuss your concerns with your attending physician. However, according to medical standards, plasma exchange, steroid treatment, and immunoglobulin therapy are all standard treatments for Chronic Inflammatory Demyelinating Polyneuro...[Read More] Understanding CIDP: Treatment Options and Managing Symptoms
Understanding Nerve Pain from Foreign Objects: Risks and Concerns
Numbness and tingling in the hands and feet due to foreign objects? Hello Doctor, I would like to ask you about an issue I experienced a few days ago. My right pinky finger was struck by a foreign object, and I suspect there may be metal shavings in my skin or blood vessels. Sinc...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-An, You mentioned, "Is it possible for metal shavings to get lodged in blood vessels and cause infection? Is there a direct relationship between hand numbness and metal shavings getting stuck in nerves or blood vessels?" Foreign objects that enter the ar...[Read More] Understanding Nerve Pain from Foreign Objects: Risks and Concerns
Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Difficulties with complex medical conditions and stroke issues? Hello, doctor. I would like to consult you regarding the prediction and prevention of strokes in the elderly. My mother is 75 years old and has been managing diabetes for over 20 years without any other chronic or ma...
Dr. Jiang Junyi Reply:
Hello Ms. Water, You mentioned that "after finishing household chores, she suddenly felt a wave of fatigue." This may indicate a potential sleep disorder. I recommend undergoing multiple sleep physiology tests. Regarding your question about whether a stroke requires wa...[Read More] Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
The face or the scalp at the back of the neck feels strange? Hello, doctor. About ten years ago, I had an MRI of my cervical spine that diagnosed a herniated disc at the C3-C4-C5 levels, which was compressing a nerve. At that time, my main symptoms included pain in the left shoul...
Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned that "the fingers on my right hand occasionally feel a bit numb, or my arm suddenly feels a bit cool (not sure if it's numbness)." In addition to cervical nerve root compression, we should also consider the possibility of peripheral ne...[Read More] Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
Can Facial Nerve Issues from Childhood Be Treated in Adulthood?
Facial nerve I had facial nerve paralysis when I was in elementary school, and I underwent electrotherapy for treatment. My parents said it was cured, but now at 22 years old, I notice that when I blink in front of a mirror or on video, the corner of my mouth moves as well. Docto...
Dr. Jiang Junyi Reply:
Dear Mr. John Wick, You mentioned that "the corners of the mouth move when blinking," which may indicate facial nerve damage and the subsequent misinnervation of muscles during nerve regeneration. Additionally, some metabolic disorders, such as hyperthyroidism and elec...[Read More] Can Facial Nerve Issues from Childhood Be Treated in Adulthood?