MS, Neurology FAQ - Page 37

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Exploring Neurological Causes of Cold, Numb Feet in Seniors

Foot problems I would like to ask about my mother, who is 65 years old. Since this year, she has been experiencing cold, numb, and tingling sensations in her feet. Her body does not feel cold, but she still needs to wear very thick socks on her feet. She has seen a cardiothoracic...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "numbness with a tingling sensation," which may indicate peripheral neuropathy. Common clinical symptoms include: 1. Pain characterized by burning or electric shock sensations. 2. Symptoms that have a specific dermatomal distribu...

[Read More] Exploring Neurological Causes of Cold, Numb Feet in Seniors


Understanding Right-Sided Numbness: Stroke Warning Signs Explained

Numbness starting from the right leg? Hello: Last night I noticed numbness on the outer side of my right foot, and this afternoon the outer side of my right leg and the outer side of my hand and arm also started to feel numb. Just now, I also felt slight numbness on the right sid...


Dr. Jiang Junyi Reply:
Hello Ms. Huang, You mentioned that "the right side of my face and neck feel slightly numb; could this be a sign of a stroke?" The presence of unilateral neurological symptoms may warrant consideration of lesions along the sensory pathways from the brain to the spinal ...

[Read More] Understanding Right-Sided Numbness: Stroke Warning Signs Explained


Left Ear Ringing, Dizziness, and Facial Numbness: When to Seek Brain Imaging?

Tinnitus in the left ear, dizziness, and left-sided facial numbness? I usually have symptoms of chronic rhinitis, such as sneezing and post-nasal drip. Recently, I have experienced prolonged tinnitus in my left ear that hasn't improved, and I have also started to feel numbne...


Dr. Peng Shiwei Reply:
Based on your symptoms, it is recommended that you consult a neurologist.

[Read More] Left Ear Ringing, Dizziness, and Facial Numbness: When to Seek Brain Imaging?


Understanding Facial and Scalp Numbness: Causes and Next Steps

Regarding facial and scalp numbness (medical examination has been conducted)? Hello, doctor. For the past two months, I have been experiencing intermittent numbness on the right side of my scalp and cheek, and occasionally around my nose. I do not have diabetes, hypertension, or ...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the right side of the scalp and cheek area experiences intermittent numbness, and occasionally there is a tingling sensation near the nose." The MRI report did not reveal any lesions related to the trigeminal nerve. The symptoms should b...

[Read More] Understanding Facial and Scalp Numbness: Causes and Next Steps


Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus

Numbness in the hands and face accompanied by tinnitus? Previously, I visited a traditional Chinese medicine practitioner for a stiff neck, and after some time, my shoulder and neck pain improved. However, I suddenly started experiencing numbness in my hands, so I went to a nearb...


Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "sometimes when I wake up, I find my hands completely numb, and it takes about a few seconds to recover. The rehabilitation doctor said that invasive tests are needed to understand the symptoms." It may be necessary to consider compress...

[Read More] Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus


Understanding Lip Numbness: COVID-19 Symptoms or Stroke Warning?

Numbness of the lips? Hello, doctor. During my COVID-19 diagnosis at the end of August, I experienced lip numbness, which has since become more frequent, often lasting over a day. The numbness is located on the outer edge of my lips. Is this a symptom of COVID-19, or could it be ...


Dr. Jiang Junyi Reply:
Dear Ms. A-Liang, You mentioned that "your lips feel numb, and the frequency of this numbness has increased, often lasting more than a day, with the numbness occurring around the outer edges of the lips." Your symptoms may suggest that hyperventilation could be causing...

[Read More] Understanding Lip Numbness: COVID-19 Symptoms or Stroke Warning?


Understanding Hand Numbness and Memory Lapses in Seniors

Numbness in the hands and brief episodes of mental blankness? Hello, my father is 68 years old and has been experiencing insomnia and numbness in his hands for about six months. Recently, while playing Mahjong with friends at night, he found it difficult to arrange the tiles. He ...


Dr. Jiang Junyi Reply:
Hello: You mentioned that "you found it difficult to arrange the Mahjong tiles... and your father is concerned whether it is dementia." This symptom is indeed indicative of cognitive dysfunction. Clinically, we would inquire about the patient's medical history and ...

[Read More] Understanding Hand Numbness and Memory Lapses in Seniors


Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns

Sometimes, there are goosebumps on the right foot? Why does my right foot sometimes have goosebumps and a tingling sensation? I have also experienced occasional sharp pain in my right chest; could this indicate a nerve issue or a potential stroke? Previously, I never experienced ...


Dr. Jiang Junyi Reply:
Dear Ms. Hui, You mentioned that "sometimes there are goosebumps and a tingling sensation in your right foot." Your symptoms may suggest that the lumbar nerve roots are being compressed. Peripheral nerve issues are typically evaluated using electrophysiological tests t...

[Read More] Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns


Understanding Foot Pain: Neurological Causes and Symptoms Explained

Foot pain issues? Hello Dr. Jiang, I would like to ask if lumbar nerve compression can cause swelling or inflammation in the soles of the feet, along with foot pain after prolonged standing, and symptoms such as tightness and stiffness in the calf muscles. Does slow nerve conduct...


Dr. Jiang Junyi Reply:
Dear Mr. Hsiao: You mentioned that "lumbar nerve compression... slow nerve conduction equals nerve compression." Symptoms of peripheral nerve compression are commonly observed as follows: 1. Pain characterized by burning sensations and tingling. 2. Symptoms have a spec...

[Read More] Understanding Foot Pain: Neurological Causes and Symptoms Explained


Understanding MRI Limitations in Central Nervous System Assessment

Interpretation of Central Nervous System MRI Hello Dr. Jiang, after undergoing brain surgery last year, I developed symptoms related to the trigeminal and facial nerves. During this period, I have undergone blood tests, nerve conduction studies, and magnetic resonance imaging (MR...


Dr. Jiang Junyi Reply:
Dear Mr. Zolt, You mentioned that the tests for trigeminal and facial nerve symptoms, including blood tests, nerve conduction studies, and MRI scans, showed normal results for the first two, but the MRI results indicated that the physician could not accurately assess the conditi...

[Read More] Understanding MRI Limitations in Central Nervous System Assessment


Understanding Polyneuropathy: Steroids vs. Immunoglobulin Treatment

Systemic neuropathy Dear Dr. Jiang, I visited a neurologist yesterday, and the doctor diagnosed me with "multiple neuritis." He prescribed corticosteroids for two weeks. I would like to ask whether it is more effective to receive intravenous immunoglobulin (IVIG) treatm...


Dr. Jiang Junyi Reply:
Hello: You mentioned that "immunoglobulin" is clinically used in acute inflammatory demyelinating polyradiculoneuropathies (AIDP), also known as Guillain-Barré syndrome. The typical clinical symptoms include bilateral symmetric progressive weakness, limb pain, and tingl...

[Read More] Understanding Polyneuropathy: Steroids vs. Immunoglobulin Treatment


Understanding Limb Weakness: Anxiety and Autonomic Nervous System Impact

There is a persistent issue of weakness in the limbs? Hello Doctor, I am a junior in college and I have anxiety disorder. I tend to become very anxious about physical symptoms. I take Diazepam in the morning and evening, and Clonazepam before bed. Recently, for more than two week...


Dr. Jiang Junyi Reply:
Hello, Student Chen: You mentioned that "for more than two weeks, there has been sudden weakness in the limbs and stiffness in the shoulders and neck, with shaking occurring when bending the arms and legs to a point of exertion." It may be necessary to first consider t...

[Read More] Understanding Limb Weakness: Anxiety and Autonomic Nervous System Impact


Understanding Facial Twitching: Risks and Treatment Options

Facial twitching or facial spasms? Is there a danger if the facial muscles are constantly twitching? How should it be treated? A friend told me that continuous facial twitching could harm the brain nerves. Thank you.


Dr. Cai Zongzhang Reply:
There are various possible causes for involuntary facial muscle twitching. If the symptoms persist and do not improve, it is recommended to visit a neurology clinic for evaluation.

[Read More] Understanding Facial Twitching: Risks and Treatment Options


Understanding Facial Tics: Risks and Neurological Implications

Involuntary facial twitching and facial spasms? Involuntary facial twitching of the facial nerve raises concerns about potential life-threatening conditions. Continuous twitching may not directly cause brain damage or lead to the death of brain neurons; however, it can be indicat...


Dr. Cai Zongzhang Reply:
There are various possible causes for involuntary facial muscle twitching. If the symptoms persist and do not improve, it is recommended to consult a neurologist for an evaluation.

[Read More] Understanding Facial Tics: Risks and Neurological Implications


Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia

Autonomic nervous system dysfunction, trigeminal neuralgia? Hello Doctor, my recent condition is as follows: On the night of November 2, I experienced tinnitus and dizziness. On the morning of November 3, I woke up with muscle cramps and palpitations, and I began to feel numbness...


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

[Read More] Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia


Understanding Sleep Disturbances: Hallucinations and Breathing Issues

Hallucinations upon falling asleep, difficulty breathing, and a feeling of pressure? Hello Doctor: I am currently a senior high school student preparing for the university entrance exam, and I often feel a lot of pressure from studying, which leads to feelings of inexplicable sad...


Dr. Hong Weibin Reply:
Hello: Based on your description, it is recommended that you seek assistance from a sleep specialist at a hospital (such as a pediatric psychiatry or neurology department). It is important to consider whether there may be narcolepsy or depression involved. Additionally, your slee...

[Read More] Understanding Sleep Disturbances: Hallucinations and Breathing Issues


Understanding Tremors: Head and Body Shaking Symptoms Explained

Tremors in the head and torso? I have had a problem with hand tremors in the past, occurring both at rest and during movement. However, in the past few months, I have noticed that my head and torso tremble before sleep, and sometimes this occurs right after waking up (I do not ha...


Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is recommended to seek consultation with a neurologist specializing in movement disorders as soon as possible.

[Read More] Understanding Tremors: Head and Body Shaking Symptoms Explained


Understanding CT Scans for Headaches: With or Without Contrast?

Headache CT scan? Hello, doctor. I would like to ask about my recent visit due to headaches. The doctor arranged a CT scan without the use of contrast dye, stating that the contrast would be more effective in detecting tumors. However, based on my symptoms, the doctor believes it...


Dr. Hong Weibin Reply:
Hello: Generally, contrast agents are administered when there is suspicion of tumors, brain inflammation, infections, or similar conditions. After intravenous injection of the contrast agent, patients may experience discomfort, including swelling and warmth. Some individuals may ...

[Read More] Understanding CT Scans for Headaches: With or Without Contrast?


CT Scan for Headaches: To Contrast or Not? Expert Insights

Headache, contrast agent, computed tomography? Hello, Doctor. I went to see a neurologist due to headaches, and they arranged for a CT scan without contrast. I visited two different hospitals; one said I needed contrast (a smaller local hospital), while the other (Chang Gung Memo...


Dr. Peng Shiwei Reply:
Hello, it is not possible to determine if there are vascular issues without the use of contrast agents. However, whether or not to use a contrast agent to assess for vascular problems may still depend on your headache symptoms. If the doctor believes that your headaches are likel...

[Read More] CT Scan for Headaches: To Contrast or Not? Expert Insights


Understanding Finger Weakness: Possible Causes and Concerns

Finger issues Hello Doctor, I experienced a sensation of strain in my right arm after it was compressed the night before. When I wake up, my arm and forearm are bent at a 90-degree angle, and trying to raise it parallel to my shoulder causes soreness. However, after an argument i...


Dr. Peng Shiwei Reply:
Hello, based on your symptoms, there is a higher likelihood of post-traumatic sequelae. However, if your symptoms do not improve with rest, it is advisable to visit a neurology clinic for further evaluation by a physician.

[Read More] Understanding Finger Weakness: Possible Causes and Concerns


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