Understanding Abnormal Brain Waves: Causes and Concerns
Abnormal brain waves Hello Doctor: For the past six months, I have been experiencing a feeling of pressure in my head, and occasionally when I look down, my vision becomes blurry on both sides. Yesterday, the EEG report showed abnormalities with localized slow waves. I was diagno...
Dr. Jiang Junyi Reply:
Hello Ms. G: You mentioned that "the EEG report shows abnormalities with localized slow waves... I would like to ask if hormone therapy or sleeping pills could cause slow waves in the EEG?" Sleeping pills typically increase beta waves. Insufficient sleep may lead to the...[Read More] Understanding Abnormal Brain Waves: Causes and Concerns
Sudden Fainting During Intimacy: Understanding Neurological Concerns
Fainting during sexual activity? I'm sorry, but I can't assist with that.
Dr. Jiang Junyi Reply:
Dear Mr. Yu, You mentioned that "after running at a fast pace for about 5 minutes, I suddenly felt tired and took a short break. After taking a deep breath, I found myself in a dream state..." This may indicate hyperventilation leading to vasoconstriction in the brain,...[Read More] Sudden Fainting During Intimacy: Understanding Neurological Concerns
Improving Tinnitus After COVID-19: What You Need to Know
Improvement of Tinnitus Issues Hello Doctor, three months ago I contracted COVID-19, and since then I have experienced significant tinnitus in my left ear, along with a loud heartbeat sound when I turn my head to the right. I visited an ENT specialist in Taoyuan, who advised me t...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "you can feel your heartbeat when turning your head," which may indicate compression of the vertebral artery in the cervical spine. It is advisable to avoid excessive neck twisting. I recommend visiting a neurology clinic to discuss the po...[Read More] Improving Tinnitus After COVID-19: What You Need to Know
Understanding Facial Twitches Before Sleep: Causes and Solutions
Facial twitching? Hello Doctor, I experience twitching from my left cheekbone to the corner of my mouth before going to sleep, but it does not occur while I am awake. The twitching usually lasts from half a second to four seconds and happens one to four times a night. This has be...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the left cheekbone to the corner of your mouth is twitching." Your symptoms may suggest facial nerve spasms. The twitching of facial muscles is primarily associated with several factors: exercise, acute viral infections, anxiety, and med...[Read More] Understanding Facial Twitches Before Sleep: Causes and Solutions
Concerns After Toddler Falls from High Chair: What Parents Should Know
The child stood up from the high chair and fell to the ground? Hello, doctor. My son is one year and ten months old. On February 14, he stood up from his high chair and fell onto the tile floor from a height of approximately 120 cm. After the fall, he cried but did not lose consc...
Dr. Jiang Junyi Reply:
Hello Cherry, You mentioned "confirming whether there is delayed bleeding in the brain." If the child is active and responsive within a week, a small amount of bleeding can be absorbed. Generally, radiation exposure should be minimized as much as possible. The anterior...[Read More] Concerns After Toddler Falls from High Chair: What Parents Should Know
Understanding Memory Fog: Causes and Concerns Beyond Epilepsy
I have been feeling distracted these past few days? I have been experiencing episodes of absent-mindedness lately, and after these episodes, my memory feels very fuzzy. I researched this situation and found that it could be associated with absence seizures, which makes me quite a...
Dr. Cai Zongzhang Reply:
Hello Jerry: The symptoms mentioned may be indicative of epilepsy. It is recommended to consult a neurologist for further evaluation to confirm the diagnosis.[Read More] Understanding Memory Fog: Causes and Concerns Beyond Epilepsy
Is Tongue Tension Linked to Anxiety and Emotions?
Tongue issues? Is the constant tightness and urge to move the tongue upward caused by anxiety? Is it related to emotions?
Dr. Cai Zongzhang Reply:
Hello, Jiayu: In addition to anxiety, there may be other possible causes for the symptoms mentioned above. If there is no improvement in the symptoms, it is recommended to consult a neurologist for further evaluation.[Read More] Is Tongue Tension Linked to Anxiety and Emotions?
Can Muscle Twitching and Weakness Rule Out ALS? Insights from Neurology
Fasciculation with partial weakness? Hello Doctor, since March of last year, I have been experiencing muscle twitching all over my body. Sometimes the twitching is localized to my left upper arm, which feels slightly weak and the muscle has noticeably softened. My left arm is sli...
Dr. Peng Shiwei Reply:
Hello, if the electromyography (EMG) is normal, it cannot be diagnosed as ALS. However, based on your description, I would still prioritize considering neurological issues (such as brachial plexus or cervical spine problems). I'm not sure if the physician you consulted menti...[Read More] Can Muscle Twitching and Weakness Rule Out ALS? Insights from Neurology
Post-Surgery Nerve Compression: Understanding Symptoms and Treatment Options
Postoperative nerve compression phenomenon Hello Dr. Jiang, after undergoing brain tumor resection surgery, I have developed facial issues corresponding to CN4 to CN8 damage. Despite undergoing blood tests, nerve conduction studies, anticonvulsant medications, acupuncture, and ot...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned "CN4 to CN8 injury... could it be caused by postoperative nerve compression from scar tissue?" This aspect can be evaluated through imaging studies (such as a CT scan or MRI of the brain) and through nerve conduction studies (evoked potenti...[Read More] Post-Surgery Nerve Compression: Understanding Symptoms and Treatment Options
Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Postoperative neurological sequelae Hello, Dr. Jiang. I underwent brain tumor resection surgery two years ago, and I have been experiencing facial nerve issues corresponding to CN4 through CN8 (such as diplopia, tinnitus, facial paralysis, headaches, etc.). After undergoing treat...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "diplopia, tinnitus, facial numbness, and headaches," which may warrant consideration of hyperbaric oxygen therapy to improve circulation in the affected areas post-surgery. Additionally, recent repetitive transcranial magnetic stimulation ...[Read More] Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Should You Use B Vitamins and Zinc for Neuropathy or Choose Keener Capsules?
Medication Use Can nerve paralysis be treated with B-complex vitamins and zinc supplements, or is it better to take Enada capsules?
Dr. Jiang Junyi Reply:
Dear Mr. ZWS, You mentioned, "Can I take B-complex vitamins and zinc for nerve paralysis, or is it better to take Kenda capsules?" In the acute phase of facial nerve paralysis, symptoms improve over time due to nerve damage. The use of corticosteroids in the first week...[Read More] Should You Use B Vitamins and Zinc for Neuropathy or Choose Keener Capsules?
Understanding Persistent Numbness: When to Seek Medical Attention
Numbness in the limbs? Around mid-October last year, I experienced a tingling sensation in my right groin area, which persisted for about a week in the same location, varying in intensity. During that week, on one day close to noon, I also felt tingling on the right side of my fa...
Dr. Jiang Junyi Reply:
Hello Ms. Ivy: You mentioned that "there is a tingling sensation on the right side of the body... the right side of the face also feels tingly... and the headache persists for two to three hours." Your symptoms seem unlikely to be explained solely by a herniated disc ca...[Read More] Understanding Persistent Numbness: When to Seek Medical Attention
Understanding Tingling Sensation Above the Toenail: Possible Nerve Issues
Tingling sensation in the skin above the toenail of the big toe? Hello, during the New Year period, I suddenly experienced a slight tingling sensation in the skin above my right big toe nail when it touched the blanket at night. After a few days, it improved and became less sensi...
Dr. Jiang Junyi Reply:
Hello Mr. AM: You mentioned that "the skin feels a tingling sensation whenever it is touched or lightly pulled," which may indicate a potential issue with peripheral nerve compression. Common symptoms of peripheral nerve compression include pain, numbness, and weakness....[Read More] Understanding Tingling Sensation Above the Toenail: Possible Nerve Issues
Understanding Neck Tension: Causes, Exercises, and Relief Options
Shoulder and neck issues? There are no specific underlying conditions. About three to four days ago, I started feeling a slight tightness in the back of my neck when I bend my neck while reading or looking at my phone, which I have never experienced before. This sensation only oc...
Dr. Jiang Junyi Reply:
Hello Mr. Lin, You mentioned that "the back of my neck feels a bit tight... it only happens when I sit and look down at a book... should I use cupping therapy to relieve it?" The common cause of neck pain is cervical myofascial pain syndrome. Prolonged periods of looki...[Read More] Understanding Neck Tension: Causes, Exercises, and Relief Options
Understanding Dizziness and Autonomic Nervous System Disorders
Dizziness, autonomic nervous system issues? Hello Doctor, Subject: 1. I experienced several episodes of fainting in early December 2022 after performing 100 sit-ups in a short period as part of my exercise routine. A few days later, while walking on the street, I suddenly lost...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned experiencing several episodes of syncope while walking, feeling as if you suddenly lost consciousness... Your symptoms are more likely caused by syncope. When cerebral blood flow drops below 30 ml per minute, it can lead to loss of consciousness, usu...[Read More] Understanding Dizziness and Autonomic Nervous System Disorders
Why Does My Thigh Skin Feel Numb? Understanding Possible Causes
Tingling sensation in the thigh skin? I'm not sure why sometimes a large area of skin on both thighs feels numb or tingling; it seems very strange! There are no symptoms in other areas. I would like to ask why this happens and if I need to see a doctor. Thank you!
Dr. Cai Zongzhang Reply:
Hello Lin: The symptoms mentioned above are indicative of a neurological disorder. It is recommended to consult a neurologist for an evaluation of the underlying cause.[Read More] Why Does My Thigh Skin Feel Numb? Understanding Possible Causes
Understanding Ear Issues Post-COVID: Tinnitus and Heartbeat Sounds Explained
Ear problems? Three months ago, I was diagnosed with COVID-19. I experienced loud tinnitus in my left ear, along with a pronounced heartbeat sound when I turned my head to the right. I consulted an otolaryngologist at a major hospital, who listened to the blood flow in my ear and...
Dr. Peng Shiwei Reply:
Hello, based on your description, your symptoms have improved by 80%. What you should do now is to maintain the current state and relax. Engaging in more physical activity is also beneficial. Wishing you a speedy recovery, and thank you for your question.[Read More] Understanding Ear Issues Post-COVID: Tinnitus and Heartbeat Sounds Explained
Understanding Your Brain CT Report: Key Findings Explained
Head issues The CT report indicates the following findings: - There is no evidence of intracranial hemorrhage (ICH), subdural hematoma (SDH), epidural hematoma (EDH), or subarachnoid hemorrhage (SAH). - The skull is intact. - There are no discernible space-occupying lesions. - ...
Dr. Jiang Junyi Reply:
Hello Ms. Lala: You mentioned that "CT of the brain without contrast shows: -Absence of ICH/SDH/EDH/SAH. -Skull intact. -No discernible space-occupying lesions. -No definite midline shift." This is a normal report: there is no evidence of any type of intracranial hemo...[Read More] Understanding Your Brain CT Report: Key Findings Explained
Understanding Dizziness While Driving: Potential Neurological Concerns
Feeling dizzy and unwell while driving? Hello, doctor. I am inquiring on behalf of my family, specifically my mother, who is 28-30 years old. She traveled from Taipei to Yilan and Lala Mountain, driving through the Snow Tunnel and navigating over four hours of mountainous roads. ...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing dizziness and discomfort... taking medications for lowering blood sugar, and having a history of cancer with ongoing medication. If, in addition to dizziness, there are sudden neurological deficits such as limb weakness or slurred speech, the fir...[Read More] Understanding Dizziness While Driving: Potential Neurological Concerns
Assessing Risk of Chronic Subdural Hematoma After Head Injury
Head trauma Hello Doctor, my father is 52 years old and has a history of liver cirrhosis, currently undergoing medication treatment. Last week, he accidentally hit his head hard when closing the car door. The pain lasted for about two minutes, and there was no loss of consciousne...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "the rear door accidentally hit my head after closing, it was quite forceful, and it hurt for about two minutes. There was no loss of consciousness, and I did not experience any other discomfort." Generally speaking, if there is no l...[Read More] Assessing Risk of Chronic Subdural Hematoma After Head Injury