Can You Have Myasthenia Gravis Without Obvious Symptoms?
Can myasthenia gravis occur without obvious symptoms? Hello Doctor: Previously, I visited an ophthalmologist due to tightness around my eye muscles and dry eye syndrome. I informed the doctor that after using a medication containing "neostigmine" for about a month, my p...
Dr. Jiang Junyi Reply:
Hello, Miss: The main clinical manifestation of myasthenia gravis is muscle weakness, with weakness of the extraocular muscles that control eye movement being the most common. "Night sweats and palpitations" typically occur when the myasthenia gravis worsens and affects...[Read More] Can You Have Myasthenia Gravis Without Obvious Symptoms?
Understanding Your Brain CT Report: What It Means for Your Health
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 identifiable space-occupying lesions in...
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 CT scan report: there is no evidence of any type of intracrani...[Read More] Understanding Your Brain CT Report: What It Means for Your Health
Is It Panic Attack or Seizure? Understanding Your Symptoms
Could you please clarify if this is considered a panic attack or an epileptic seizure? Hello Dr. Jiang: For the past three days, in addition to my pre-existing muscle twitching, I have been experiencing shortness of breath, panic, generalized weakness, and difficulty concentratin...
Dr. Jiang Junyi Reply:
Dear Mr. Jim Than, You mentioned experiencing "shortness of breath, panic, generalized weakness, and difficulty concentrating." Your symptoms may suggest a panic disorder. Generalized seizures typically result in loss of consciousness. If panic attacks lead to hyperven...[Read More] Is It Panic Attack or Seizure? Understanding Your Symptoms
Is It Panic Attack or Seizure? Understanding Your Symptoms
Could you please clarify if this is considered a panic attack or an epileptic seizure? Hello, Dr. Jiang: For the past three days, in addition to my pre-existing muscle twitching, I have been experiencing difficulty breathing, panic, generalized weakness, and difficulty concentrat...
Dr. Jiang Junyi Reply:
Dear Mr. Jim Than, You mentioned experiencing "shortness of breath, panic, generalized weakness, and difficulty concentrating." Your symptoms may suggest a panic disorder. Generalized seizures typically result in loss of consciousness. Approximately 50% of patients wit...[Read More] Is It Panic Attack or Seizure? Understanding Your Symptoms
Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Numbness in the soles of the feet? Hello, doctor. Three years ago, I was diagnosed with autonomic nervous system dysfunction due to dizziness. After taking medication, my condition improved significantly, and I stopped taking the medication. However, I have experienced intermitte...
Dr. Jiang Junyi Reply:
Dear Ms. Hsuan, You mentioned experiencing dizziness that sometimes occurs with movement. Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of vertigo related to changes in head position, such as bending ov...[Read More] Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Understanding Facial Twitching: When to See a Neurologist
Facial twitching? Doctor, I started experiencing muscle twitching on the left side of my nose bridge while at work yesterday. The twitching is particularly noticeable when my body is relaxed, and it has persisted until now. Should I see a neurologist, or should I observe the symp...
Dr. Jiang Junyi Reply:
Hello Mr. Tian: You mentioned that "the muscle twitching on the left side of the nasal bridge, especially noticeable when the body is relaxed, has persisted until now." Facial movements are controlled by the facial nerve, and during the consultation, the physician will ...[Read More] Understanding Facial Twitching: When to See a Neurologist
Understanding Muscle Twitches: Causes and When to Seek Help
Muscle twitching is common? For the past ten years, I have experienced frequent muscle twitching throughout my body. However, since each episode lasted only a short time, I did not pay much attention to it. Now, this twitching has not ceased over time, and I find it quite distres...
Dr. Jiang Junyi Reply:
Dear Mr. Peter Zhan, You mentioned that "the muscles throughout my body often twitch, but since each twitch does not last long, I haven't paid much attention to it. However, this twitching has not stopped over time." Muscle twitching is primarily related to severa...[Read More] Understanding Muscle Twitches: Causes and When to Seek Help
Managing Post-Trauma Headaches: Causes and Treatment Options
Headaches are common after a car accident? Hello Dr. Jiang! My name is Nick. I had a severe car accident 10 years ago, resulting in a brain hemorrhage and subarachnoid hemorrhage. I was in a coma for about a day before waking up. After my recovery, I started experiencing headache...
Dr. Jiang Junyi Reply:
Hello Mr. Nick, You mentioned experiencing "migraine and tension headaches that often recur for 2 to 3 days, sometimes accompanied by discomfort in the eyes and rapid pulsation of the temporal artery." This may indicate a vascular headache issue, particularly cluster h...[Read More] Managing Post-Trauma Headaches: Causes and Treatment Options
Understanding Occasional Earthquake Sensations: A Neurological Perspective
Occasional sensation of tremors? Hello Doctor, over the past year, I occasionally feel like there is an earthquake, but in reality, there is none. When I am sitting, the sensation is quite pronounced, sudden, and lasts for a short time, but it happens from time to time. Sometimes...
Dr. Peng Shiwei Reply:
Hello, some people experience dizziness that feels like an earthquake. It is advisable to observe whether it occurs more frequently during movement or rotation. If the symptoms are frequent, it is recommended to consult a neurologist. Thank you for your question.[Read More] Understanding Occasional Earthquake Sensations: A Neurological Perspective
Understanding Headaches and Facial Flushing: When to Seek Neurology Help
Headache and facial flushing? I suddenly experienced constipation one time, and after straining, I had a sudden headache. The next day, I was still constipated, and straining caused an even worse headache accompanied by facial flushing and chest pain. After that, every time I str...
Dr. Cai Zongzhang Reply:
Hello, Xiaomi: If the headache symptoms do not improve, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Headaches and Facial Flushing: When to Seek Neurology Help
Understanding Blackouts, Dizziness, and Tinnitus: Neurological Concerns
Flashing black in the eyes, dizziness, tinnitus? For the past three to four months, I have occasionally experienced episodes of my vision going black. Initially, it felt like a cloth was being placed over my eyes from above for a second and then lifted. However, as of yesterday, ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, my first step would be to rule out unilateral carotid artery stenosis causing transient visual disturbances, or cardiac issues such as arrhythmias that could lead to similar symptoms. However, if the carotid ultrasound and cardiac evaluations come b...[Read More] Understanding Blackouts, Dizziness, and Tinnitus: Neurological Concerns
Understanding Asymmetrical Head Shape: Neurological Insights and Concerns
Asymmetry of the brain? I have had this symptom for a long time. I noticed that in photos, the left side of my head appears particularly protruded. I didn't pay much attention to it at first, but now I find it quite unattractive. It feels soft to the touch, and it seems like...
Dr. Cai Zongzhang Reply:
Hello, it is not hydrocephalus; it should be a scalp issue. I recommend seeing a dermatologist.[Read More] Understanding Asymmetrical Head Shape: Neurological Insights and Concerns
Understanding Eyelid Twitching: Causes and Connections to Oral Movements
Eyelid twitching? Hello Doctor: On January 26, 2023, in the afternoon, my left upper eyelid started twitching, and it felt heavy. On the evening of January 27, when I began to eat, the frequency of my jaw clenching coincided with the twitching of my left upper eyelid; every time ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the left upper eyelid is twitching, and it jumps when I bite." Your symptoms may initially suggest simple eyelid twitching. Eyelid movements are controlled by the facial nerve, and if the eyelid is twitching continuously, the doctor will...[Read More] Understanding Eyelid Twitching: Causes and Connections to Oral Movements
Understanding Tooth and Temple Pain: Is It Related to Neck Nerve Compression?
Pain in the upper and lower right teeth, as well as pain in the temples? This afternoon, I suddenly experienced pain in my upper and lower right teeth, which later extended to my right temple. Last year, I visited a neurosurgeon due to neck pain, and an MRI revealed a herniated d...
Dr. Jiang Junyi Reply:
Dear Mr. Ze, You mentioned, "Is the toothache along with the pain in the temples possibly due to cervical nerve compression?" This symptom indeed warrants consideration of high cervical nerve root compression, specifically involving the first to third cervical vertebra...[Read More] Understanding Tooth and Temple Pain: Is It Related to Neck Nerve Compression?
Understanding Eyebrow Movements and Associated Head Pain: When to Seek Help
Frowning and raising eyebrows, with a sharp pain at the back of the head? Hello doctor, since the afternoon of the day before yesterday, I have been experiencing slight twitching pain in the right posterior side of my head whenever I raise or furrow my right eyebrow. The pain was...
Dr. Jiang Junyi Reply:
Dear Mr. Hsu, You mentioned, "The first day was quite intense, and today (the third day) is relatively mild. Is this a normal phenomenon, or do I need to seek further medical attention?" Your symptoms resemble those of myofascial inflammation, which typically stabilize...[Read More] Understanding Eyebrow Movements and Associated Head Pain: When to Seek Help
Facial Numbness: Neurological Concerns or Food Allergy?
Facial issues Hello Doctor: I would like to ask about experiencing occasional numbness on the left side of my face over the past year. However, my facial expressions remain unaffected, and the numbness gradually improves within 1-2 hours. Recently, I have particularly noticed tha...
Dr. Jiang Junyi Reply:
Dear Ms. Chang, You mentioned that "the special observation is that facial numbness occurs particularly when eating sushi." Your symptoms may suggest a dysfunction of the trigeminal nerve. This condition can sometimes progress to trigeminal neuralgia. Demyelination of ...[Read More] Facial Numbness: Neurological Concerns or Food Allergy?
Understanding Foot Pain and Numbness: Causes and Next Steps
Light pressure on the sole of the foot causes sharp pain? Numbness below the ankle (including toes and soles) is often experienced, with light pressure causing sharp pain and a sensation of poor blood circulation, making walking difficult. There is also numbness in the calves and...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "below the ankle (including toes, soles, etc.) often feels numb... The MRI only indicated that the spine is slightly smaller, and it seems there is no compression on the nerves." Since lumbar MRI is performed while lying down, it cannot tr...[Read More] Understanding Foot Pain and Numbness: Causes and Next Steps
Post-Accident Symptoms: Cramps, Pain, and Dizziness Explained
After the car accident, I experienced spasms, tingling, and cramps in my limbs, along with dizziness? Hello Doctor: I was in a car accident on January 6, where I was lying face down on the ground and my lower body was pinned under a motorcycle. (Before the emergency room, I could...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, You mentioned that you have a "humming" sound in your right ear (similar to a machine), followed by fluid discharge. Your symptoms may suggest ear leakage, potentially caused by a skull base fracture, particularly involving the petrous part of the temporal...[Read More] Post-Accident Symptoms: Cramps, Pain, and Dizziness Explained
Understanding Pulsatile Tinnitus: Causes and Concerns for Patients
Tinnitus issues? Hello Doctor: I have been experiencing pulsatile high-frequency tinnitus in my left ear for the past three months. The tinnitus is persistent throughout the day, but it usually diminishes briefly after taking a hot shower, only to return shortly afterward. A mont...
Dr. Jiang Junyi Reply:
Hello Mr. Wen: You asked, "Does an acoustic neuroma always result in hearing loss?" The hearing loss associated with acoustic neuroma typically progresses gradually. Subsequently, as the tumor compresses the brainstem, other cranial nerve symptoms and cerebellar signs m...[Read More] Understanding Pulsatile Tinnitus: Causes and Concerns for Patients
Understanding Persistent Dizziness and Chest Discomfort: A Patient's Journey
Dizziness issues? Hello, Doctor. I am the person who asked question #191468. Thank you for your advice. I later underwent HRV testing, and the report was normal. However, I have recently felt that my condition has worsened, both physically and mentally. Currently, I feel dizzy wh...
Dr. Jiang Junyi Reply:
Hello Miss Enola: "The HRV test results are normal." Heart Rate Variability (HRV) is actually a dynamic data point. It is recommended to monitor it using wearable devices like the Apple Watch. You mentioned, "I have always wanted to find the cause, but it’s contrad...[Read More] Understanding Persistent Dizziness and Chest Discomfort: A Patient's Journey