Understanding Scalp Lumps: When to See a Neurologist
A growth on the scalp? Hello, Doctor: About a month ago, I developed a lump inside my scalp (not on the surface). It used to be painful when pressed, but now it isn't. When I touch it, the lump can move side to side, but it eventually returns to its original position. I woul...
Dr. Jiang Junyi Reply:
Dear Mr. Louis, You mentioned that there is a growth beneath the scalp (not on the surface), which was painful when pressed previously but is no longer painful and seems to return to its original position. This may warrant consideration of a subcutaneous cyst or a lipoma. Genera...[Read More] Understanding Scalp Lumps: When to See a Neurologist
Understanding Head and Neck Discomfort: Possible Neurological Causes
Feeling unwell? Hello, doctor. For the past couple of days, I've been feeling tightness and heaviness on both sides of my head (near the temples), and sometimes it even hurts. I also feel this sensation above my neck, including when I'm sleeping or walking, and I occasi...
Dr. Jiang Junyi Reply:
Dear Ms. Chiu, You mentioned that the "tightness and heaviness on both sides of your head (near the temples)" may suggest tension-type headache, which is caused by muscle tightness in the head. Common symptoms include a squeezing pain in the forehead and temples, resem...[Read More] Understanding Head and Neck Discomfort: Possible Neurological Causes
Understanding Hand Tremors: Could It Be Cerebellar Atrophy?
Tremors in the hands can be treated with muscle relaxants? Hello doctor, I recently noticed that my fingers seem to tremble when I try to touch things, and the shaking appears to worsen the farther I extend my hand. I visited a hospital a while ago, and the doctor prescribed Chlo...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that "my fingers seem to tremble when touching things... usually the further I stretch my hand, the more it shakes." This symptom resembles physiological tremors, which typically do not occur under normal circumstances but may arise in spe...[Read More] Understanding Hand Tremors: Could It Be Cerebellar Atrophy?
Exploring Treatment Options for Infection-Induced Dystonia
Involuntary muscle tone abnormalities caused by infection? Hello, I would like to ask the doctor. I have dystonia and suspect that it may have been triggered by an infection a month ago. Are there any treatment options specifically targeting the infection as a cause? (Referring t...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned "hypotonia, suspected to be related to an infection one month prior." This is typically due to post-infectious dysfunction of the basal ganglia. Generally, your physician should have already conducted tests for common infectious agents such...[Read More] Exploring Treatment Options for Infection-Induced Dystonia
Essential Tests and Specialist Consultations for Epilepsy Management
In addition to your current evaluation for epilepsy, what other tests or specialist consultations would be beneficial for me? Frequent occurrences of symptoms: dizziness, headaches, chest tightness, unsteady gait, headaches, muscle cramps, fainting, hand tremors, cold extremities...
Dr. Jiang Junyi Reply:
Dear Mr. Q, You mentioned that you are taking a variety of medications: Diphenhydramine, Amantadine, Clonazepam, Fentanyl, H2 antagonists, Colchicine, Depakote, Topiramate, Venlafaxine, Aripiprazole, thyroid preparations, Aniracetam, and Ritalin. You also reported experiencing s...[Read More] Essential Tests and Specialist Consultations for Epilepsy Management
Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Autonomic Nervous System Dysfunction or Multiple Sclerosis? Hello Dr. Jiang, In early September, I experienced brief episodes of numbness and tingling in my limbs, lasting only a few seconds but occurring quite frequently. I consulted a clinic, and they suggested it might be a c...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "temporary numbness and tingling in your limbs, which lasts for a few seconds but occurs quite frequently." These symptoms are more indicative of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels ...[Read More] Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Understanding Parkinson's Disease and Cerebellar Atrophy Symptoms
Parkinson's disease and cerebellar atrophy? Hello doctor, recently I have been experiencing some unsteadiness while walking, but I'm not sure if it's psychological. Additionally, I have a bit of difficulty controlling my left little finger and ring finger. I have t...
Dr. Hong Weibin Reply:
Hello: Typically, Parkinson's disease or cerebellar atrophy tends to occur in middle age. Generally speaking, it is quite rare for these conditions to manifest at the age of 16. If you are still concerned, I recommend seeking assistance from a neurologist, who can conduct a ...[Read More] Understanding Parkinson's Disease and Cerebellar Atrophy Symptoms
Understanding Facial Twitching: Is It Facial Muscle Spasm?
Palpitations Hello Dr. Jiang, a few weeks ago I experienced some facial twitching, and after seeing a doctor, I was told it was inflammation. The twitching has mostly stopped now, but today my lip twitched suddenly. I would like to ask if occasional twitching could be facial musc...
Dr. Jiang Junyi Reply:
Dear Mr. Lin, You mentioned that "occasional twitching could be facial muscle spasms," but it is also important to consider localized nerve inflammation as a cause of muscle twitching. An increase in muscle twitching may warrant consideration of certain metabolic disor...[Read More] Understanding Facial Twitching: Is It Facial Muscle Spasm?
Deviated Uvula and Uneven Pupil Size: When to Seek Medical Advice?
Deviated uvula with unequal pupil size? Although this question may seem a bit strange, I recently noticed that my uvula is leaning to one side. Additionally, under certain lighting conditions, my pupils appear to be of unequal size. After consulting with family members, they also...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "the uvula is deviating to one side," which is primarily controlled by the vagus nerve. You also noted that "under moderate lighting conditions, it is easier to perceive a discrepancy in the size of the pupils, with the right eye respond...[Read More] Deviated Uvula and Uneven Pupil Size: When to Seek Medical Advice?
Understanding Numbness in the Thumb and Back: Causes and Concerns
Mild numbness in the right thumb and slight numbness in the back? Doctor, I started experiencing a slight tingling sensation around my right thumb yesterday (similar to the feeling of a foot falling asleep but not going away, though it's mild and only noticeable when touched...
Dr. Jiang Junyi Reply:
Dear Mr. Fook Chi, You mentioned that "there is a slight tingling sensation around the right thumb... and that you have seen a doctor for shoulder and neck pain, which was diagnosed as a herniated disc at the C6 level." It is important to consider that the C6 nerve roo...[Read More] Understanding Numbness in the Thumb and Back: Causes and Concerns
Understanding Persistent Throat Pain: Is It a Neurological Issue?
Is there a problem with the nervous system? Hello Doctor, I have been experiencing a sensation of a foreign body and sharp pain in my oral and pharyngeal walls, which becomes particularly pronounced when swallowing saliva. There is also sharp pain and a foreign body sensation nea...
Dr. Jiang Junyi Reply:
Dear Miss Lin, Regarding the "medication for post-nasal drip" you mentioned, it may cause discomfort such as dry mouth. Additionally, it is important to consider female hormones and autoimmune issues. Since your symptoms are atypical and you have sought multiple medica...[Read More] Understanding Persistent Throat Pain: Is It a Neurological Issue?
Understanding Long-Term Effects of Childhood Head Injuries on Adult Health
My brother had a backward fall and hit his head when he was one year old, and he is currently 40 years old? Hello, Doctor Jiang. I would like to ask you about my brother. He had a head injury at the age of one when he fell backward, which resulted in immediate loss of consciousne...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned that your brother exhibits "slow learning, delayed responses, insufficient memory, noticeable social difficulties, repetitive confirmation actions, easy nervousness, repetitive speech, and an inability to listen to others. He sometimes becomes e...[Read More] Understanding Long-Term Effects of Childhood Head Injuries on Adult Health
Understanding Facial Nerve Palsy: Diagnosis and Further Brain Examination Options
Facial nerve paralysis examination Hello Dr. Jiang, about a month ago, I woke up one day and found that I could not move the left side of my face. During my visit, the neurologist diagnosed it as possibly viral-induced facial nerve paralysis. I have been taking steroids for a wee...
Dr. Jiang Junyi Reply:
Hello Mr. Kobayashi: You mentioned "facial nerve paralysis," which is a condition affecting the peripheral cranial nerves and typically resolves on its own. 1. If you wish to pursue further brain examinations, what options are available? Are they covered by health insur...[Read More] Understanding Facial Nerve Palsy: Diagnosis and Further Brain Examination Options
Understanding Persistent Dizziness and Heaviness After Vaccination
Feeling of heaviness in the head accompanied by a sensation of dizziness and swaying of the body? Hello, doctor. I am 41 years old. In February 2021, I slipped and fell in the bathroom, hitting the back of my head, which swelled up. At the time, I didn't have any issues and ...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: You mentioned that "about three days after receiving the BNT vaccine, I felt a heaviness in my head, and occasionally I feel dizzy, as if I'm swaying." The issue of dizziness may also be related to factors such as poor inner ear circulation, inadequ...[Read More] Understanding Persistent Dizziness and Heaviness After Vaccination
Understanding Pulsatile Tinnitus: Causes and Consultations for Ear Sounds
Regular sounds in the left ear? Hello Dr. Hong, I need to work on the computer for long periods. Occasionally, I hear a chirping sound in my left ear that syncs with my pulse. I have undergone carotid and intracranial ultrasounds twice (at different hospitals two years apart), ...
Dr. Hong Weibin Reply:
Hello: Generally speaking, if you hear a sound that is synchronized with your pulse and vascular abnormalities have been ruled out, it may indeed be the vascular pulse being transmitted to your ears. The conduction of sound waves relies on a medium, and bones, muscles, and skin a...[Read More] Understanding Pulsatile Tinnitus: Causes and Consultations for Ear Sounds
Managing Autonomic Nervous System Disorders: Medication and Anxiety Solutions
Autonomic nervous system dysfunction Hello, I have been suffering from autonomic nervous system dysregulation for many years. I have been taking 3 mg of Lishuding, increasing from half a pill to one pill every night before bed (I have been taking it for about three years). Howeve...
Dr. Hong Weibin Reply:
Hello: If you have been taking this medication for a long time and it improves your symptoms during the day without causing drowsiness, then it is acceptable to take it in the morning and at noon. When discontinuing this medication after long-term use, it is usually recommended t...[Read More] Managing Autonomic Nervous System Disorders: Medication and Anxiety Solutions
Understanding Autonomic Nervous System Dysregulation Symptoms
Suspected autonomic nervous system dysfunction but uncertain? Hello, Doctor. I apologize for the interruption during your busy schedule. I am at the age of menopause and unable to supplement hormones due to breast-related issues. Recently, I experienced heightened emotions, durin...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an examination to confirm the cause.[Read More] Understanding Autonomic Nervous System Dysregulation Symptoms
Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Suspected autonomic nervous system dysfunction? Hello doctor, I started experiencing intermittent tingling, numbness, and weakness in my limbs at the beginning of September, which lasts for about a few seconds. I have visited many clinics and had blood tests to check my electroly...
Dr. Cai Zongzhang Reply:
Hello, it is recommended to visit the neurology and rheumatology clinics for examination.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Understanding Post-Massage Head Pain: Is It a Sign of Vertebral Artery Dissection?
Headache and dizziness after massage? I went for a massage yesterday and asked the therapist to work on the muscles around the occipital area. However, he applied too much pressure, and now the massage point is painful. Is there a possibility of vertebral artery dissection? Curre...
Dr. Jiang Junyi Reply:
Hello Mr. Yi, You mentioned, "Could the pain at the massage point possibly indicate vertebral artery dissection?" Generally, issues with the vertebral artery occur after severe rotation, and localized pressure is less likely to cause such problems. More than half of p...[Read More] Understanding Post-Massage Head Pain: Is It a Sign of Vertebral Artery Dissection?
Understanding Left-Side Numbness: Causes and When to Seek Help
Numbness in the left hand and left foot? Hello Dr. Jiang, I would like to ask about a condition I've been experiencing recently. For the past few days, when I wake up in the morning, I feel numbness from my left elbow to my fingers, and also from my left ankle to my toes. To...
Dr. Jiang Junyi Reply:
Hello Ms. Liu, You mentioned that "the left elbow to the fingers often feels numb," which may suggest a common condition of ulnar nerve compression. However, you also noted that "even the left side of the face feels numb, and there are involuntary twitching episod...[Read More] Understanding Left-Side Numbness: Causes and When to Seek Help