Understanding Intracranial Hemorrhage: Symptoms, Risks, and Recovery
Intracranial hemorrhage Hello Doctor, After having two upper molars extracted two years ago, I started feeling unwell. Later, at work, I was struck on the head by a heavy iron pipe that fell from above. 1. I am uncertain if I have hypertension; my company health check-ups hav...
Dr. Jiang Junyi Reply:
Hello Mr. Allen, You mentioned, "If there was a brain hemorrhage that was absorbed by itself, can it be seen on a CT scan? If the skull had previously fractured and healed, can a CT scan show that there was a prior injury?" Typically, in cases of severe brain injury, s...[Read More] Understanding Intracranial Hemorrhage: Symptoms, Risks, and Recovery
Could Tinnitus Be Caused by a Tumor? Understanding Your Symptoms
Can tinnitus be caused by a tumor? Hello doctor, I have been experiencing tinnitus for some time. Initially, I thought it was due to anemia, but I have since treated my anemia, and the tinnitus persists. It usually occurs after maintaining a fixed posture for a while (for example...
Dr. Cai Zongzhang Reply:
Hello, Ms. Tsai: There are various causes of tinnitus, and most patients experience improvement after rest. If the symptoms persist, it is recommended to consult a neurologist for further evaluation.[Read More] Could Tinnitus Be Caused by a Tumor? Understanding Your Symptoms
Sudden Weakness in Both Arms: Causes and Next Steps for Diagnosis
Sudden weakness in both hands? Hello Doctor, my mother was born in 1947 and has recently experienced sudden weakness in both hands (she describes it as a feeling like blood is not flowing to her hands). This has occurred 2 to 3 times in September. She mentioned that there is no s...
Dr. Cai Zongzhang Reply:
Hello, Tong: Based on the description, the weakness in both hands is intermittent and non-persistent. It is important to consider cervical spine pain leading to nerve or spinal cord compression. It is recommended to visit a neurology clinic for examination.[Read More] Sudden Weakness in Both Arms: Causes and Next Steps for Diagnosis
Understanding Parkinson's Disease: Managing Symptoms and Lifestyle Changes
Parkinson's disease Hello Doctor, I would like to ask about my mother's condition. She has been experiencing this for several years. Initially, she only had slight tremors in her hand, but it has progressively worsened to the point where she can no longer care for her r...
Dr. Hong Weibin Reply:
Hello: Parkinson's disease is a type of neurodegenerative disorder. Neurodegenerative disorders imply that the disease will progressively worsen over time. Both pharmacological treatment and non-pharmacological interventions can only slow the progression of the disease; they...[Read More] Understanding Parkinson's Disease: Managing Symptoms and Lifestyle Changes
Understanding Persistent Dizziness: Causes and Next Steps
Chronic dizziness with no identifiable cause? I would like to ask the doctor, I have been experiencing dizziness for almost two years. It mainly occurs when I walk; I do not feel dizzy when sitting or lying down. There is no sensation of spinning, but I feel unsteady and have a s...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You mentioned that "I mainly feel fine when sitting or lying down, but I feel dizzy when walking. There is no sensation of spinning, but I do feel unsteady and a sense of falling, along with a feeling of pressure around my eyes and visual disturbances." T...[Read More] Understanding Persistent Dizziness: Causes and Next Steps
Understanding Saddle Area Sensory Loss: Causes and Concerns
Saddle area sensory loss or numbness? Hello, doctor. A few months ago, I strained my lower back, and since then, I've been experiencing pain in my lower back when sitting. About a month ago, I suddenly noticed a decrease in the urge to urinate and defecate, and my ability to...
Dr. Jiang Junyi Reply:
Hello Mr. Cheng, You mentioned that "lying on my right side for a few minutes causes numbness and loss of sensation in my buttocks, perineum, genitals, and adjacent thigh, with no pain even when pinched, while lying on my left side feels more normal." This may indicate...[Read More] Understanding Saddle Area Sensory Loss: Causes and Concerns
Understanding Restless Legs Syndrome: Symptoms and Causes Explained
Restless Legs Syndrome (RLS) The doctor would like to ask: I have been experiencing a cold for the past two days and visited a doctor who diagnosed it as a bacterial infection. My throat is very red, and I was prescribed antibiotics along with some other medications. However, I h...
Dr. Jiang Junyi Reply:
Hello: You mentioned that you have a severe sore throat due to a bacterial infection, and you were prescribed antibiotics along with some other medications. You also mentioned experiencing generalized itching, difficulty finding a comfortable sleeping position, and sensations of ...[Read More] Understanding Restless Legs Syndrome: Symptoms and Causes Explained
Understanding Sleep Disturbances: Nightmares and Electric Shock Sensations
Suddenly having a nightmare while falling asleep and feeling as if being electrocuted? I often feel a sensation like an electric current passing through my body just as I'm about to fall asleep, and at the same time, I hear a loud buzzing sound that gets increasingly louder,...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "often when I'm about to fall asleep, I feel like there's an electric current passing through my body, and at the same time, I hear a buzzing sound that gets louder and then I wake up in a sweat." Your symptoms may suggest "sleep...[Read More] Understanding Sleep Disturbances: Nightmares and Electric Shock Sensations
Understanding Eye Bleeding: Neurological Causes and Recommended Tests
Eye problems and medical information? Doctor, my father has experienced bleeding in his eyes and has seen a doctor who advised him to take medication first, and if that doesn't work, surgery may be necessary. He has diabetes and has previously undergone laser treatment for c...
Dr. Jiang Junyi Reply:
Hello, Clock Miss: You mentioned, "In addition to eye diseases, could it also be caused by cerebrovascular issues? Are there any recommended tests? Can both the brain and eyes be evaluated?" Regarding the eye bleeding you mentioned, are you referring to subconjunctival ...[Read More] Understanding Eye Bleeding: Neurological Causes and Recommended Tests
Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Tingling sensations in the scalp and face? Hello, doctor. This year I have experienced tingling in my scalp and face, mostly in the upper right side of my scalp and right cheek, with occasional sensations on the left side. I also have experienced tingling and pain in my chest, wh...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned whether there is a greater possibility of stroke or brain tumor issues. I wonder if you have any problems related to hypertension, diabetes, or hyperlipidemia? Generally, the risk factors for cerebral artery embolism include older age, diabetes, hyperte...[Read More] Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Understanding TIA: Insights from Carotid Ultrasound Results
TIA - Carotid Ultrasound Examination Issues Hello Dr. Hong, I would like to ask the following questions: Q1: Have the results and conditions from the two ultrasound examinations worsened? (1) 2021/9/14 (2) 2022/8/16 Q2-1: If I consume too much salt, I experience dizziness. Is ...
Dr. Hong Weibin Reply:
Hello: 1. The results from the two carotid ultrasounds show that both the peak systolic velocity (PSV) and end diastolic velocity (EDV) as well as the flow are normal. 2. Consuming too much salt can lead to dehydration, and when the body is dehydrated, it can cause brain fog and ...[Read More] Understanding TIA: Insights from Carotid Ultrasound Results
Understanding Dementia: Discrepancies in PET and SPECT Imaging Results
Is it dementia? Hello Doctor: I have been experiencing sleep disturbances since November of last year, along with afternoon dizziness and brain fog. Despite consulting various doctors, no cause has been identified. In January of this year, I started taking psychiatric medication,...
Dr. Hong Weibin Reply:
Hello: FDG-PET and ECD-SPECT are both functional imaging tests that provide information about the current metabolic state of the brain. The image quality can vary significantly between different machines, and there may also be differences in interpretation among various physician...[Read More] Understanding Dementia: Discrepancies in PET and SPECT Imaging Results
Understanding Meniere's Disease: Can a Concussion Trigger Symptoms?
Meniere's disease I would like to inquire about a concussion I sustained from a motorcycle accident six months ago, and I am now diagnosed with Meniere's disease. I understand that there are many potential causes for Meniere's disease, but I am curious if the concu...
Dr. Hong Weibin Reply:
Hello: The exact cause of Meniere's disease is currently unclear, but it is believed to be related to an imbalance of endolymphatic fluid in the inner ear (accumulation of endolymph in the inner ear labyrinth). Therefore, any factors that may affect the flow of this fluid co...[Read More] Understanding Meniere's Disease: Can a Concussion Trigger Symptoms?
Understanding TIA: Insights from Carotid Ultrasound Results
TIA - Carotid Ultrasound Examination Issues Hello Dr. Hong, I would like to ask the following questions: Q1: Have the results and conditions from the two ultrasound examinations worsened? (1) September 14, 2021 (2) August 16, 2022 Q2-1: If I consume too much salt, I feel dizzy...
Dr. Hong Weibin Reply:
Hello: 1. The results from two carotid ultrasounds show that both the peak systolic velocity (PSV) and end diastolic velocity (EDV) as well as the flow are normal. 2. Consuming too much salt can lead to dehydration, and when the body is in a dehydrated state, it can cause brain f...[Read More] Understanding TIA: Insights from Carotid Ultrasound Results
Understanding Dizziness: Common Causes and When to Seek Help
Dizziness in the head Hello, doctor. I recently moved to the northern part of the country for university, but I've been experiencing some uncomfortable symptoms in the past few days. Initially, I felt a slight sensation of my head drooping while sitting, but later it also oc...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "when sitting, there is a slight feeling of the head dropping, and later when standing or walking, it occasionally occurs as well..." It may be necessary to first consider Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief epis...[Read More] Understanding Dizziness: Common Causes and When to Seek Help
Understanding and Managing Occipital and Temporal Headaches: Tips for Relief
Occipital and temporal headache? Hello Doctor, I have been experiencing chronic and intermittent migraines, mostly occurring around 4 PM. Usually, taking Panadol or other pain relievers provides relief. However, the day before yesterday, upon waking, I felt a throbbing pain regar...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the pain usually occurs around 4 PM, but it typically alleviates after taking Panadol or other pain relievers... The pain is located around the back of the head and the temples, and I would like to know how to relieve it." Your symptoms ...[Read More] Understanding and Managing Occipital and Temporal Headaches: Tips for Relief
Understanding Sleep Jerks: Causes of Involuntary Body Movements
Involuntary muscle contractions? Experiencing twitching or jerking movements just before falling asleep, accompanied by nasal sounds similar to sneezing, may be indicative of a phenomenon known as hypnic jerks or sleep starts. These involuntary muscle contractions can occur as on...
Dr. Jiang Junyi Reply:
Hello Mr. Shui Wun Ping, You mentioned that "every time you are about to fall asleep, you start to make nasal sounds and have twitching." Your symptoms may suggest the possibility of obstructive sleep apnea (OSA). OSA is the most common type, accounting for about 90% o...[Read More] Understanding Sleep Jerks: Causes of Involuntary Body Movements
Understanding Dizziness: Causes and Concerns in Neurology
Dizziness and lightheadedness, feeling like being on a boat? Hello Dr. Jiang, thank you for clarifying things for the public; you are a great doctor, and I appreciate your hard work! Dr. Jiang, for the past week, I have been experiencing sudden dizziness while standing, similar t...
Dr. Jiang Junyi Reply:
Hello Nick, You mentioned experiencing a sudden dizziness lasting 2-10 seconds after bending down, sometimes feeling a swaying motion. Your symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief episodes of dizziness related to changes in head p...[Read More] Understanding Dizziness: Causes and Concerns in Neurology
Post-Root Canal Pain: Understanding Possible Nerve Issues
New deep pain begins after root canal treatment? Hello Doctor, I just completed a microscopic root canal treatment on my lower left second molar last week. During the procedure, I felt a spot (under the root) that repeatedly became inflamed and painful, but it would alleviate whe...
Dr. Jiang Junyi Reply:
Hello Mr. Zhang, From an epidemiological perspective, the annual incidence of trigeminal neuralgia is approximately 4 to 13 per 100,000 people. It is more common in females than in males and occurs more frequently in adults than in children. The incidence increases with age, com...[Read More] Post-Root Canal Pain: Understanding Possible Nerve Issues
Understanding Dizziness and Numbness: When to Seek Medical Help
Dizziness with occasional numbness? I have been experiencing occasional dizziness since July 28. Previously, I felt tightness in my head or around my temples, and I have had a few instances of facial numbness. Recently, aside from the tightness, I feel like I'm swaying while...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned that "it feels like the whole body is swaying side to side, but when standing, it doesn't sway much. I feel sleepy, and my neck and shoulders are stiff. When I slightly twist, there's a loud cracking sound, and when lying down to sleep...[Read More] Understanding Dizziness and Numbness: When to Seek Medical Help