MS, Neurology FAQ - Page 36

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Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options

Suspected cerebrospinal fluid leak? Hello Doctor: I have been experiencing very severe headaches intermittently since childhood. Sometimes they occur due to excessive exertion or fatigue, while at other times the cause is unclear. The symptoms are generally very painful whether I...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the location of the headache changes with different positions, and if I eat on one side, I feel nauseous (if not, I don't feel anything special).... I suspect it might be a cerebrospinal fluid leak." Your symptoms may need to be co...

[Read More] Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options


Understanding Sudden Nerve Pain: When to Seek Medical Help

Neuralgia The left side of the body near the clavicle (close to the esophagus) experiences intermittent sharp, stabbing pain that lasts about one to two seconds. This condition has been present for more than two years, initially occurring infrequently but has recently become more...


Dr. Jiang Junyi Reply:
Dear Miss Rongrong, You mentioned experiencing intermittent sharp, stabbing pain near the anterior clavicle (close to the esophagus) that lasts about one to two seconds. Your symptoms may need to rule out cervical nerve root compression. The symptoms of cervical nerve root compr...

[Read More] Understanding Sudden Nerve Pain: When to Seek Medical Help


Understanding Involuntary Muscle Twitches: Causes and Solutions

Involuntary muscle twitching? Hello, doctor! Recently, I have been experiencing occasional muscle twitching and facial spasms. It feels like my face is on the verge of twitching, causing discomfort, particularly around the area near my eye socket close to my nose and the masseter...


Dr. Cai Zongzhang Reply:
Hello, if the above symptoms persist despite adequate rest and sleep, it is recommended to visit a neurology outpatient clinic for evaluation.

[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions


Understanding Pulsatile Tinnitus: When Your Eyes Beat with Your Heart

The eye perceives pulsations that are in sync with the heartbeat? Hello doctor, I have been experiencing a pulsating sensation in my eyes that seems to coincide with my heartbeat since high school. It becomes more pronounced when I lie down or close my eyes. Sometimes my heartbea...


Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is advisable to consult a neurologist. There is a possibility that you may have a carotid-cavernous fistula, so please ask your doctor to conduct an examination.

[Read More] Understanding Pulsatile Tinnitus: When Your Eyes Beat with Your Heart


Persistent Numbness in Thumb and Index Finger After Yoga: What to Know

Numbness in the right thumb and index finger after yoga? Hello Doctor: A few days ago, I practiced yoga as usual, and this particular class focused more on wrist usage. After the class, I felt numbness in my right thumb and index finger. I thought it would go away in a few minute...


Dr. Jiang Junyi Reply:
Dear Ms. Wang, You mentioned experiencing numbness in your right thumb and index finger, which may warrant consideration of typical discomfort symptoms associated with cervical radiculopathy. These symptoms can include pain in the shoulder or arm, as well as numbness, tingling, ...

[Read More] Persistent Numbness in Thumb and Index Finger After Yoga: What to Know


Managing Neuropathy: Concerns About B12 and Vitamin Overdose

Myasthenia Gravis, medication issues? Hello Doctor: I previously experienced lumbar disc protrusion with lower back pain and ankle numbness. The doctor prescribed Methylcobalamin (B12) for nerve maintenance, but it doesn't seem to be effective. Is this considered a high-dose...


Dr. Peng Shiwei Reply:
Hello, in response to your inquiry, I can address it in two parts: 1. Can vitamin B complex be taken in excess? It is true that doctors often prescribe high doses of B12, but vitamins B and C are water-soluble vitamins. If the body takes in excess amounts, they are usually excr...

[Read More] Managing Neuropathy: Concerns About B12 and Vitamin Overdose


Understanding Sleep Disorders: Involuntary Movements During Sleep

Sleep issues Hello, doctor. I would like to ask about a recent experience during sleep where I feel like my hands are moving on their own in a half-awake, half-asleep state. I am unable to control these movements, and sometimes when there are objects nearby, I feel as if I am pic...


Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit a neurologist to investigate the possible causes of the symptoms mentioned above.

[Read More] Understanding Sleep Disorders: Involuntary Movements During Sleep


Managing Parkinson's Disease: Addressing Anxiety and Daily Challenges

Parkinson's disease Dear Dr. Jiang, My mother was diagnosed with Parkinson's disease last August at the age of 66. She has had long-standing insomnia issues and has a naturally introverted and anxious personality. It wasn't until last year that she experienced wea...


Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned, "Heavy metal testing, due to living in the countryside and working in hotel housekeeping for 25 years. If there has indeed been excessive exposure and treatment, would it improve symptoms, and would her mood improve?" For atypical Parkins...

[Read More] Managing Parkinson's Disease: Addressing Anxiety and Daily Challenges


Understanding Unilateral Tinnitus and Ear Pain: Seeking the Right Specialist

Tinnitus in the right ear with three different types, pain in the temple, and pain in the ear slightly higher towards the left? Every night, I experience persistent unilateral tinnitus that has evolved into three types: pulsatile tinnitus synchronized with my heartbeat, a mid-fre...


Dr. Jiang Junyi Reply:
Hello Ms. Lin: You mentioned "unilateral tinnitus, ear pain, pulsatile tinnitus, pain in the temple area, and discomfort in the back of the head that radiates towards the ear, with increased pain when leaning slightly to the left." I recommend that you first stabilize t...

[Read More] Understanding Unilateral Tinnitus and Ear Pain: Seeking the Right Specialist


Managing Nerve Pain and Discomfort in Hands and Feet

Numbness and pain in the hands and feet? Hello Dr. Jiang, I previously underwent rehabilitation treatment for my cervical spine issues, during which the numbness and tingling in my fingers were not as severe. However, after moving, I have had less opportunity to continue rehabil...


Dr. Jiang Junyi Reply:
Dear Ms. Peng, You mentioned that "I must lie down to feel better, and lifting heavy objects or walking exacerbates the numbness and pain in my fingers, which has recently become unbearable." Your symptoms may suggest peripheral nerve compression, and there could also ...

[Read More] Managing Nerve Pain and Discomfort in Hands and Feet


Post-COVID Weakness: Understanding Neurological Symptoms and Recovery

Weakness in the limbs after diagnosis? Dear Dr. Tsai, During my diagnosis on September 2, I experienced weakness in my limbs, which gradually evolved into weakness only when exerting force. I can normally pick up objects, but I have noticed that when performing fine motor tasks,...


Dr. Cai Zongzhang Reply:
Hello, Miss Jian: The symptoms mentioned above may be indicative of a peripheral neuropathy. It is recommended to consult a neurologist for further evaluation.

[Read More] Post-COVID Weakness: Understanding Neurological Symptoms and Recovery


Is Methylcobalamin Safe for Seniors? Risks and Side Effects Explained

Methycobal Hello, Dr. Tsai! My mother is 90 years old and regularly takes medication for heart disease and hypertension, as well as vitamins and fish oil supplements. However, friends and relatives have been giving her additional medications without any reason, and she has been t...


Dr. Cai Zongzhang Reply:
Hello Ms. Wang: Methylcobalamin is a high-dose form of vitamin B12, which is water-soluble and can be purchased and taken without a doctor's prescription. This medication should only be taken in cases of vitamin B12 deficiency to be effective. Please have a doctor evaluate t...

[Read More] Is Methylcobalamin Safe for Seniors? Risks and Side Effects Explained


Which Specialist Should You See for Persistent Dizziness and Pain?

Which specialty should I see? Hello doctor, I would like to ask about my condition: I have been experiencing noticeable dizziness 24 hours a day for the past few days, and since yesterday, I have been feeling a distinct swelling and pain in the back right side of my head. My brea...


Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult both an otolaryngologist and a neurologist for the above symptoms.

[Read More] Which Specialist Should You See for Persistent Dizziness and Pain?


Understanding Neurological Disorders: Symptoms and Concerns Explained

Neurodisorder Hello Doctor, my recent condition is as follows: On the night of November 2nd, I experienced tinnitus and dizziness. On the morning of November 3rd, I woke up with muscle cramps and palpitations, and I began to feel numbness in my tongue. On the night of November 6t...


Dr. Cai Zongzhang Reply:
The above symptoms are related to dysfunction of the right facial nerve. It is recommended to visit a neurology outpatient clinic for examination and treatment.

[Read More] Understanding Neurological Disorders: Symptoms and Concerns Explained


Understanding Heart Palpitations and Chest Pain After Vaccination

Chest pain and palpitations? In the past, I had a habit of exercising. After receiving my second dose of the Moderna vaccine in May of this year, I experienced palpitations (heart rate of 130-140) and had to visit the emergency room several times. However, all cardiac tests came ...


Dr. Peng Shiwei Reply:
Hello, it is indeed possible to experience palpitations after receiving the Moderna vaccine, but they typically do not last for an extended period. If your symptoms persist and other symptoms begin to appear, it is advisable to consult a cardiologist to rule out any heart-related...

[Read More] Understanding Heart Palpitations and Chest Pain After Vaccination


Is Numbness on One Side of the Face and Body a Stroke Warning?

Numbness in one side of the face, hand, and foot? On the sixth day after being diagnosed with Covid-19, I experienced mild numbness on the right arm, below the knee, and from the chin to the neck when my symptoms were almost resolved. My movements and speech are normal, and there...


Dr. Peng Shiwei Reply:
Hello, numbness on one side of the body can indeed be a symptom of a stroke; however, it usually affects a larger area, such as the entire right side of the limbs, or even including the torso and half of the face. Based on the extent of your numbness, the likelihood of a stroke i...

[Read More] Is Numbness on One Side of the Face and Body a Stroke Warning?


Persistent Numbness in Foot and Leg: Seeking Medical Guidance

Numbness in the dorsum of the foot for over four months, and now there is also some numbness in the calf? Hello Doctor, I really don't know what to do now and would like to ask for your opinion. I am currently a senior in college and have recently been exercising, walking br...


Dr. Peng Shiwei Reply:
Hello, based on your symptoms, if they are gradually worsening, I recommend visiting a neurology outpatient clinic at a major hospital. To rule out nerve compression, more advanced imaging studies are necessary, so I suggest you start with regular follow-up for a while.

[Read More] Persistent Numbness in Foot and Leg: Seeking Medical Guidance


Understanding the Differences Between Keppra and Trileptal for Epilepsy Treatment

Differences in medications? Recently, I experienced seizures and other symptoms related to epilepsy, so I went to the hospital where I was prescribed Keppra 500mg to take once in the morning and once at night. During my follow-up appointment today, the doctor prescribed a differe...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that you went to the hospital and were prescribed Keppra 500mg twice daily, and during your follow-up visit, the doctor prescribed another medication, Trileptal 300mg twice daily. Generally, the control of epilepsy is achieved with one medication reachi...

[Read More] Understanding the Differences Between Keppra and Trileptal for Epilepsy Treatment


Understanding Electromyography Results: Insights on Chronic Denervation and Neuropathy

Electromyography Interpretation I'm sorry, doctor. Due to symptoms of a herniated disc in the early stages, I underwent a month of treatment, including various tests such as MRI of the spine, X-rays, and electromyography (EMG). The EMG doctor mentioned that aside from some a...


Dr. Jiang Junyi Reply:
Hello Mr. Shang: You mentioned that the "Needle EMG study showed chronic denervation changes in the right tibialis anterior," which suggests chronic localized peroneal nerve pathology. This is not a typical finding for motor neuron disease. I recommend discussing this w...

[Read More] Understanding Electromyography Results: Insights on Chronic Denervation and Neuropathy


Understanding Complex Head and Neck Pain: Possible Causes and Solutions

Pain in the neck, occipital region, temples, eyebrows, and cheekbones? Hello doctor, last Wednesday I carried two bottles of formula, each weighing 1.6 kg, home by bike. It was noon and the sun was very strong and glaring. After getting home, I started to have a headache. I initi...


Dr. Jiang Junyi Reply:
Hello Ms. A: You mentioned that "when lying down, I feel very uncomfortable from the back of my head to my shoulders, and my head hurts when I lie down. Additionally, my gums around the upper left wisdom tooth have been inflamed recently, and I experience throbbing pain in t...

[Read More] Understanding Complex Head and Neck Pain: Possible Causes and Solutions


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