Understanding Isaac's Syndrome: Managing Muscle Spasms and Mobility Issues
Involuntary muscle twitching? Since July of last year, I have been experiencing involuntary muscle twitching in my legs, and now it has become difficult for me to move; even standing and walking are problematic. I have been to the hospital for examinations, and they diagnosed me ...
Dr. Hong Weibin Reply:
Hello: It is recommended that you discuss the disability assessment with your primary physician. Typically, to confirm whether it is amyotrophic lateral sclerosis (ALS), an electromyography (EMG) test will be conducted. You may want to discuss this with your physician.[Read More] Understanding Isaac's Syndrome: Managing Muscle Spasms and Mobility Issues
Understanding Right-Sided Headaches: Causes and Management Tips
Right-sided migraine? Hello, doctor. I am a first-year junior high school student. I have had a problem for a while where I feel that when my heart beats too fast (especially when I am more excited), it seems like the pressure in my head increases (this is purely my speculation),...
Dr. Jiang Junyi Reply:
Dear Ms. Shiau, You mentioned experiencing "transient headaches, which require me to gradually adjust my breathing for improvement... and I tend to overthink... I really want to improve this aspect and how to fall asleep quickly." If the headache symptoms are causing y...[Read More] Understanding Right-Sided Headaches: Causes and Management Tips
Managing Persistent Facial and Head Numbness: Expert Insights
Numbness and swelling in the head and face? I have been experiencing numbness and swelling in my head and face every day for over ten years. Last year, I went to Fu Jen Catholic University Hospital for a facial nerve examination, and the results were normal. The doctor prescribed...
Dr. Jiang Junyi Reply:
Hello Mr. Cool Dragon 999, You mentioned experiencing daily numbness and swelling in your head and face. This could potentially indicate a vascular headache, such as a migraine. The clinical diagnosis relies on your medical history, including any triggers and alleviating factors...[Read More] Managing Persistent Facial and Head Numbness: Expert Insights
Post-COVID Neurological Symptoms: Understanding Balance and Coordination Issues
The center of gravity feels concentrated in the back of the body? Around the middle of the month, I tested positive for COVID-19. On the fourth day, I suddenly experienced stiffness in my neck in the morning. After sleeping until noon, it improved, but I felt like my entire cente...
Dr. Jiang Junyi Reply:
Hello Ms. E: You mentioned feeling soreness in your neck and back... and you're unsure if it's due to lingering effects of COVID-19. Typically, the recovery time from COVID-19 is longer than that of the flu. Some colleagues around you have experienced symptoms such as f...[Read More] Post-COVID Neurological Symptoms: Understanding Balance and Coordination Issues
Understanding Upper Abdominal Pain: Neurological Insights and Treatment
Stomach right upper abdomen In the past few days, I have been experiencing pain that feels similar to shortness of breath, with an itchy and constricted throat. It is also difficult to swallow when eating. During the painful episodes, I have severe headaches that feel like they a...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Upper Abdominal Pain: Neurological Insights and Treatment
Understanding Muscle Concerns: Insights on Neurological Symptoms
Regarding one's own condition? Hello doctor, I recently noticed a depression on my left thigh that isn't present on the right side. I remember this depression has been there since my middle school years (about 10 years ago). For the past year, I've been worried tha...
Dr. Hong Weibin Reply:
Hello: If you have already undergone relevant examinations and have been diagnosed by a neurologist as normal, there is no need to worry too much.[Read More] Understanding Muscle Concerns: Insights on Neurological Symptoms
Understanding Autonomic Neuropathy: Diagnosis and Testing Options
Dizziness and blurred vision? Hello, Doctor; I am the husband who previously inquired with you. The doctor mentioned that my symptoms are suggestive of autonomic neuropathy. I would like to ask further how to diagnose organic autonomic nerve disorders. I returned to the neurology...
Dr. Cai Zongzhang Reply:
Hello: Arrange for blood tests and autonomic nerve conduction studies.[Read More] Understanding Autonomic Neuropathy: Diagnosis and Testing Options
Understanding Dizziness and Nerve Issues: When to Seek Medical Attention
Dizziness and issues related to the lumbar and cervical spine? Recently, I experienced dizziness followed by numbness in my left limbs. I visited a clinic, and they suggested that the numbness in my legs was due to issues with cervical and lumbar disc herniation. However, the num...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "Can X-rays alone reveal any issues with the spine and cervical spine?" This seems insufficient to explain the symptoms of dizziness. There are many factors that need clarification. The causes of dizziness are numerous; if your dizziness is r...[Read More] Understanding Dizziness and Nerve Issues: When to Seek Medical Attention
Headaches After a Childhood Injury: What You Need to Know
I hit my temple when I was a child, and since then, I've been experiencing headaches? At the beginning of seventh grade, I tripped over my shoelaces and fell, hitting my temple. Since then, I've noticed that I occasionally have headaches, specifically in the area where ...
Dr. Jiang Junyi Reply:
Dear Ms. Xing, You mentioned that "the temples sometimes hurt..." If the issue is related to trauma, the body typically heals within 2 to 4 weeks. Your symptoms may suggest a vascular headache, specifically a migraine. This type of headache can last from 4 to 72 hours....[Read More] Headaches After a Childhood Injury: What You Need to Know
Breathing and Thinking: Understanding Cognitive Disruption in Neurology
Breathing and thinking cannot occur simultaneously? I have recently been experiencing issues where I often forget to breathe while thinking or talking to others. Sometimes I realize I need to breathe halfway through my thoughts, which interrupts my thinking process. To ensure I b...
Dr. Jiang Junyi Reply:
Hello Mr. MJ: You mentioned, "When I woke up that morning, my mind was blank, and I felt a dullness in my head, almost like a sensation of hypoxia?" Your symptoms may warrant consideration of certain medications that can cause memory difficulties, such as antihistamines...[Read More] Breathing and Thinking: Understanding Cognitive Disruption in Neurology
Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options
Pulsatile tinnitus I experience pulsatile tinnitus in my right ear every night. I had an EEG done, which showed no issues, and the medication prescribed has not improved my condition. My hearing is fine. I am scheduled for an MRI on the 24th, but due to the peak of the pandemic a...
Dr. Jiang Junyi Reply:
Dear Miss Lin, You asked, "Can a metal dental implant undergo MRI?" The imaging from an MRI may be affected by metal, potentially causing artifacts. However, the physician will interpret the results based on the available data. You also mentioned, "Straining durin...[Read More] Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options
Severe Abdominal Pain Leading to Fainting: When to Seek Medical Help?
Abdominal pain leading to fainting? Sudden severe abdominal pain, accompanied by blurred vision, complete darkness, and a feeling of weakness leading to fainting, followed by waking up in a cold sweat and persistent nausea, could indicate a serious medical condition. Although you...
Dr. Jiang Junyi Reply:
Dear Miss Tzu-Yan, You mentioned experiencing symptoms such as "pain, blurred vision, complete darkness in front of me, feeling weak and collapsing to the ground, and waking up a few seconds later." Your symptoms may suggest reflex syncope. This can occur due to intens...[Read More] Severe Abdominal Pain Leading to Fainting: When to Seek Medical Help?
Understanding Left Foot Weakness: A Comprehensive Neurological Evaluation
Weakness in the left foot? The current situation is as follows: Since November 2021, there has been poor walking posture. In January 2022, weakness was noted in the left foot, with an inability to press down or lift up. Additionally, there have been frequent involuntary muscle tw...
Dr. Jiang Junyi Reply:
Hello Mr. Gao: You mentioned that in January 2022, you noticed weakness in pressing down and lifting up your left foot, as well as involuntary muscle twitching in the left foot. It seems that similar examinations are being conducted, and the lumbar MRI has been repeated. This is ...[Read More] Understanding Left Foot Weakness: A Comprehensive Neurological Evaluation
Why Do My Fingers Tingle After Intense Soccer Matches?
Numbness in the hands after intense exercise? Hello doctor, I usually play soccer regularly. Generally, I don't have any issues, but if I play more intensely on a given day (for example, during a match), my fingers on both hands start to feel numb after the activity and this...
Dr. Jiang Junyi Reply:
Dear Mr. George, You mentioned that "after a day of intense kicking (such as during a match), my fingers on both hands start to feel numb." I would like to know if your numbness has a band-like distribution. We need to rule out the possibility of cervical nerve compres...[Read More] Why Do My Fingers Tingle After Intense Soccer Matches?
Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention
Dorsalis pedis artery pulse is prominent? In the past two weeks, I have noticed a significant pulsation in the arteries on the dorsum of my right foot. There is no numbness in my foot, and I haven't been standing or walking for long periods. Most of the time, I can feel the ...
Dr. Jiang Junyi Reply:
Dear Miss BB, You mentioned that "the artery on the dorsum of your right foot is noticeably pulsating." Have you compared the pulsations of the dorsalis pedis arteries on both sides? Generally, we should not be able to feel the pulsation of blood vessels; however, if t...[Read More] Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention
Understanding Sudden Body Jerks Before Sleep: What Could It Be?
What is this problem? When I am about to fall asleep while lying in bed, my lower back suddenly jerks (I'm not sure if "jerk" is the right term). The movement is somewhat similar to kicking my legs out and then pulling them back in while sitting, with more force du...
Dr. Jiang Junyi Reply:
Dear Miss Chi Li, You mentioned that "when I am about to fall asleep while lying in bed, my lower back suddenly jerks (I'm not sure if 'jerk' is the right term), and the movement is somewhat like kicking my legs out and then pulling them back in, with more fo...[Read More] Understanding Sudden Body Jerks Before Sleep: What Could It Be?
Why Lying Down Worsens Your Headache: Understanding Neurological Pain
Headache worsens when lying down? Hello: I have a condition where there is a mild herniation at the C4-C5 cervical vertebrae, and I am undergoing rehabilitation. Previously, I experienced pain in multiple areas (only once), and a neurologist diagnosed it as fibromyalgia. However,...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned that "I have been experiencing headaches every day for the past two months." Your symptoms may suggest chronic migraine. If you have migraine on more than 15 days in a month, with varying severity, it can easily be confused with tension-typ...[Read More] Why Lying Down Worsens Your Headache: Understanding Neurological Pain
Understanding the Connection Between Meningitis and Fever Symptoms
The correlation between meningitis and fever? Last week, I suddenly had a fever of 38 degrees Celsius. I took antipyretics, but they were ineffective. However, I continued taking them for 5 days, and my body temperature gradually decreased to around 36.5 degrees Celsius. I would ...
Dr. Jiang Junyi Reply:
Dear Mr. Jan, You mentioned the analysis of cerebrospinal fluid (CSF), which is primarily used for patients with meningitis. Common symptoms include fever, headache, photophobia, chills, tachycardia, neck stiffness, fatigue, drowsiness, and agitation. In the case of encephalitis...[Read More] Understanding the Connection Between Meningitis and Fever Symptoms
Understanding Post-Nuchal Muscle Pain and Its Recovery Timeline
Suboccipital muscles Hello, Dr. Jiang. I apologize for bothering you with another question. I have been experiencing discomfort in the muscles at the back of my neck (the area around the occipital nerve) due to acute inflammation during my rehabilitation period. It has been nearl...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You asked, "Can an MRI detect inflammation of muscles or nerves?" Typically, muscle inflammation can be observed after the administration of contrast agents. Without contrast, it is usually only identifiable in more severe cases where there is infiltration...[Read More] Understanding Post-Nuchal Muscle Pain and Its Recovery Timeline
Understanding Retrograde Amnesia in Bipolar Disorder Patients
Retrograde amnesia Hello, doctor. I am a psychiatric patient diagnosed with bipolar disorder. My symptoms have been ongoing for two months and are becoming increasingly severe. At first, when I woke up, I would think I was still in the days two or three days prior. Now, when I wa...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to discuss the above symptoms with a psychiatrist to determine if they are related to the medication.[Read More] Understanding Retrograde Amnesia in Bipolar Disorder Patients