Understanding Right-Sided Top Head Pain: Is It Migraines?
Pain on the right side of the scalp? Hello, doctor. I have been unable to find much information online about pain at the top of my head, so I am reaching out to inquire. Recently, I have noticed that whenever I experience a headache, it is always on the right side of the top of m...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) It is often bilateral, located in the occipital and parietal regions, and sometimes the pain can be widespread. The nature of the pain is dull, aching, wi...[Read More] Understanding Right-Sided Top Head Pain: Is It Migraines?
Understanding Central Respiratory Arrest Due to Medullary Stroke
Central apnea caused by medullary stroke? Dear Doctor, My father was hospitalized earlier this year due to respiratory failure (elevated carbon dioxide levels in the blood) and was advised by the physician to use a ventilator. In August of this year, he was again admitted for th...
Dr. Hong Weibin Reply:
Hello: Medullary strokes can indeed affect the respiratory centers in the body, leading to respiratory suppression during sleep. During sleep, the control of respiratory muscles diminishes, resulting in carbon dioxide accumulation, a condition known as Ondine's curse. It is ...[Read More] Understanding Central Respiratory Arrest Due to Medullary Stroke
Understanding Oral Discomfort: Is It Neurological or Hormonal?
Oral issues Hello Doctor, I have already inquired about the report, and it has come out. The MRI with contrast shows no tumors in the brain, and some blood test issues seem to be minor. However, the doctor suspects it might be an ovarian issue. I told the doctor that I had visite...
Dr. Jiang Junyi Reply:
Hello, regarding the issues you mentioned, I have some suggestions. The endocrinologist suspects ovarian degeneration and advised me to continue medication and observe for six months before returning for blood tests. Now, I would like to ask the doctor if my oral discomfort sympt...[Read More] Understanding Oral Discomfort: Is It Neurological or Hormonal?
Understanding Body Twitches and Sleep Issues: A Neurology Perspective
Body twitching and inability to sleep? Hello, doctor. I apologize for bothering you with a question. My mother (48 years old) has been experiencing some health issues. About a week ago, she started feeling her body twitching while she was conscious before falling asleep. Initiall...
Dr. Cai Zongzhang Reply:
Hello, the twitching you are referring to likely involves involuntary and rhythmic movements of a certain part of our body, most commonly seen as shaking of the hands or limbs. However, it can also occur in other areas such as the head, neck, and extremities. There are many cause...[Read More] Understanding Body Twitches and Sleep Issues: A Neurology Perspective
Understanding Dizziness and Eye Twitching: Neurological Insights
Dizziness, frequent eyelid twitching, and inability to focus the eyes? Hello Doctor: Over the past month, I have been experiencing intermittent dizziness, and at times, I mistakenly think there is an earthquake. Additionally, my left lower eyelid has been twitching intermittently...
Dr. Jiang Junyi Reply:
Hello, based on your description of muscle twitching and pain under the eyelid, it may be necessary to consider the possibility of nerve instability. Eyelid movement is controlled by the facial nerve, and if the eyelid is continuously twitching, the physician will first carefully...[Read More] Understanding Dizziness and Eye Twitching: Neurological Insights
Understanding Facial Nerve Paralysis: Steroid Use and Recovery Insights
Facial nerve paralysis Hello, doctor! My father-in-law has been diagnosed with facial nerve paralysis... but he only took steroids for one day and then stopped. The doctor said that the inflammation of the nerve does not require further steroid treatment and that we should wait f...
Dr. Jiang Junyi Reply:
Hello: Peripheral facial nerve palsy primarily affects the seventh cranial nerve. The clinical symptoms include sensations of numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patients may notice an increased sensitiv...[Read More] Understanding Facial Nerve Paralysis: Steroid Use and Recovery Insights
Understanding Neck and Shoulder Pain: Causes and Solutions
Headache and neck and shoulder pain? Hello, doctor... I often have trouble sleeping and experience a lot of stress, which causes me to toss and turn at night and adopt poor sleeping positions. This has led to frequent shoulder and neck pain. A week ago, I woke up with severe sore...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Sometimes, headaches may extend to t...[Read More] Understanding Neck and Shoulder Pain: Causes and Solutions
Understanding One-Sided Headaches: When to Worry and When to Relax
Headache issues I would like to ask if I should be concerned about experiencing a unilateral headache (on the right side near the temple) that was initially quite painful (about the level of accidentally kicking something with my foot), but it was slightly more painful than usual...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider that the cervical myofascial pain may extend to the head, potentially leading to symptoms such as pain, discomfort, muscle stiffness, or a feeling of heaviness. Symptoms may worsen with changes in weather and can be al...[Read More] Understanding One-Sided Headaches: When to Worry and When to Relax
Understanding Dizziness: Tension in Head and Neck Muscles Explained
Dizziness with tightness in the muscles around the head and behind the ears? I have been experiencing sudden episodes of dizziness that last for a few seconds over the past few days, whether I am sitting or walking. It feels like my head goes numb, my mind goes blank, and I feel ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of tightness in the back of the neck is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscles in the back of the neck, resulting in neck and shoulder pain. Initially, restin...[Read More] Understanding Dizziness: Tension in Head and Neck Muscles Explained
Neck Tension and Headaches: Seeking Relief from Chronic Pain
Neck tightness and pain, headache? Hello Doctor: My neck started feeling tight and stiff, which then led to severe headaches. It has been a week, and the pain is so intense that I can't sleep or work. The clinic prescribed anti-inflammatory and pain relief medication, which ...
Dr. Jiang Junyi Reply:
Based on your description, it may be necessary to consider tension-type headache or cervicogenic headache caused by cervical myofascial inflammation. The more common cause is tension-type headache, which has the following symptoms: (1) It is usually bilateral, located in the occi...[Read More] Neck Tension and Headaches: Seeking Relief from Chronic Pain
Understanding Pulsating Sensations Near the Temple: Causes and Concerns
Throbbing in the temples? Hello, doctor... About two weeks ago, I started experiencing intermittent twitching just above my left temple. When I place my hand on that area, it feels like something is being bitten, similar to the movement in the temple. The twitching occurs every 7...
Dr. Jiang Junyi Reply:
Hello: You mentioned muscle twitching; could you please clarify whether this issue is related to the blood vessels, nerves, or muscles? A: If the twitching is involuntary, it is generally caused by instability in the motor neurons. PS: Two years ago, I had a dead nerve in the upp...[Read More] Understanding Pulsating Sensations Near the Temple: Causes and Concerns
Unexplained Muscle Twitches: Seeking Answers for Neurological Symptoms
Involuntary muscle contractions? Hello Doctor: My muscles involuntarily twitch every day, including my face, and I often feel weakness in my limbs. I have visited two medical centers to see a neuromuscular specialist, but the doctors could not find a cause and suggested it might ...
Dr. Jiang Junyi Reply:
Hello, based on your description of limb weakness and muscle twitching pain, the causes may include not only muscle and nerve issues but also some metabolic disorders such as thyroid dysfunction and sleep disorders, among others. I recommend that you consistently visit the same h...[Read More] Unexplained Muscle Twitches: Seeking Answers for Neurological Symptoms
Understanding Muscle Twitches and Numbness: When to Seek Neurological Help
Involuntary muscle twitching and numbness or pain in the hands? Hello Doctor, I previously experienced some soreness and weakness in my left hand, but the condition improved. However, at the end of February, while riding my motorcycle, I twisted my left thumb quite forcefully whi...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those ...[Read More] Understanding Muscle Twitches and Numbness: When to Seek Neurological Help
Understanding Eye Muscle Twitches: Causes and Solutions for Eyelid Spasms
Eyelid muscle spasms Hello, doctor. Recently, I've been experiencing intermittent twitching in the lower eyelid of my right eye (when I look in the mirror, it moves left and right). This has been ongoing for several days, occurring approximately every few minutes, and it is ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles. If, apart from the eyelid, there is no twitching in other facial muscles, it...[Read More] Understanding Eye Muscle Twitches: Causes and Solutions for Eyelid Spasms
Understanding Muscle Pain and Weakness: A Neurological Perspective
Pain and weakness in the left thumb, right arm, and legs? Hello doctor, I started experiencing soreness in my arms and hands at the beginning of February due to working on assignments and frequently using the computer. At first, it didn't affect my daily life, so I didn'...
Dr. Jiang Junyi Reply:
Hello: Regarding the issue of numbness, the first consideration should be peripheral nerve compression symptoms. As for amyotrophic lateral sclerosis (ALS), it primarily involves motor function. This condition refers to problems with motor neurons, which control muscle movement. ...[Read More] Understanding Muscle Pain and Weakness: A Neurological Perspective
Understanding Occasional Brain Twitches: Causes and Concerns for Teens
Seizures in the brain Hello Dr. Jiang: I am sixteen years old and male. Since I was around eleven or twelve, I have experienced a sensation of twitching or sharp pain in the back left or right side of my head, as if my brain is being tightly squeezed. The frequency is variable; s...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is dull, aching, with a sensati...[Read More] Understanding Occasional Brain Twitches: Causes and Concerns for Teens
Understanding Hand Weakness: When to See a Neurologist
Occasionally experiencing weakness in both hands? Hello doctor, since early February, I have been experiencing occasional mild pain and soreness in the thumbs and the web spaces of both hands. Sometimes, my upper arms also feel weak and fatigued, and I occasionally notice muscle ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the symptoms may need to consider cervical nerve root compression at the sixth level causing paresthesia. As for the symptoms of amyotrophic lateral sclerosis (ALS): the primary manifestation of fasciculations is due to the degeneration of lower motor ne...[Read More] Understanding Hand Weakness: When to See a Neurologist
Understanding Trapezius Muscle Issues and Pulsatile Tinnitus
Trapezius muscle issues and pulsatile tinnitus? Hello Dr. Jiang, Since I changed to a new pillow last September, I experienced a stiff neck that healed after a week. However, about a month later, I began to feel soreness and numbness in my left upper trapezius muscle, with inte...
Dr. Jiang Junyi Reply:
Hello: Regarding your questions, may I ask Dr. Jiang whether I can request a cervical ultrasound examination, or seek help from another specialty? A: Typically, vertebral artery issues are more related to hearing. If you request a carotid artery examination, the attending physici...[Read More] Understanding Trapezius Muscle Issues and Pulsatile Tinnitus
Left Leg Numbness: When to Seek Neurology Care?
Numbness in the left foot and left calf? Hello doctor, three days ago I noticed some mild numbness in my left foot and left calf. I just applied a pain relief patch that day and thought nothing of it, but over the next few days, I occasionally felt the numbness again. Sometimes i...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as ALS, is formally referred to as amyotrophic lateral sclerosis (ALS) or motor neuron disease. It typically does not present with sensory abnormalities; the clinical symptoms include muscle atrophy and abnormal twitchi...[Read More] Left Leg Numbness: When to Seek Neurology Care?
Understanding Benign Paroxysmal Positional Vertigo: Symptoms and Treatment Options
Consult a physician? Hello Doctor: Two weeks ago, when I tried to get up and turn over to sit up, I noticed that the scenery in front of me was spinning. I felt dizzy to the point where I couldn't maintain my balance (at the moment of turning over). That day, I was so dizzy ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that over the past two weeks, you have experienced dizziness frequently when turning your head, bending over, looking down and then up, or getting up from a lying position for a few seconds (especially noticeable when turning to the left, though not every tim...[Read More] Understanding Benign Paroxysmal Positional Vertigo: Symptoms and Treatment Options