Understanding Facial Twitches: When Sneezing Triggers Muscle Spasms
Facial twitching? Hello, doctor: Recently, I have noticed that the muscles near my cheekbone rapidly twitch for about 1-2 seconds when I sneeze, but this does not happen at other times. It only occurs during the act of sneezing. Could this be a sign of facial nerve dysfunction? S...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be more indicative of facial nerve instability, which may be caused by an overreaction of the sympathetic nervous system or the use of stimulants such as caffeine. Your symptoms following a sneeze may also suggest instability of the associated nerves....[Read More] Understanding Facial Twitches: When Sneezing Triggers Muscle Spasms
Understanding Respiratory Issues and Intubation in Stroke Patients in ICU
Inquiries regarding respiratory issues caused by stroke and intubation in the intensive care unit? Hello, my father experienced weakness in his limbs and inability to speak (while conscious) on August 7 and went to the emergency room. After more than nine hours of waiting, he fin...
Dr. Hong Weibin Reply:
If the patient truly does not want to suffer excessively, and the family wishes to alleviate the patient's discomfort after discussion, it is advisable to request the attending physician to consult the hospital's palliative care team. Since September 1, 2009, the follow...[Read More] Understanding Respiratory Issues and Intubation in Stroke Patients in ICU
Understanding Right Hand Pain and Left Hand Numbness: Causes and Treatments
Pain in the right hand and numbness in the left hand? Hello, I would like to ask about my right hand. Initially, I experienced pain in my wrist (extending from my thumb to my wrist), which later spread to my forearm and then to my right shoulder. The pain started about a year ago...
Dr. Jiang Junyi Reply:
Hello: Your symptoms in the right hand resemble those of nerve root compression in the cervical spine. Preventive measures include: 1. Change positions: Change your posture every 15 minutes to allow the neck tissues to rest. Any posture (including normal ones) maintained for a pe...[Read More] Understanding Right Hand Pain and Left Hand Numbness: Causes and Treatments
Head Injury from Diving: Understanding Pain and Muscle Tension
Diving injury resulting in sharp pain in the right occipital region? Hello doctor, two weeks ago I was diving in a pool with a depth of about 1.2 meters and hit my head, specifically on the top right side. The wound has healed, but in the first few days, I experienced sneezing an...
Dr. Cai Zongzhang Reply:
Based on your description, it is highly recommended that you go to the hospital for an examination immediately to accurately assess the impact of the trauma on your brain through imaging. It is advisable for you to follow up with outpatient care for further evaluation and treatme...[Read More] Head Injury from Diving: Understanding Pain and Muscle Tension
Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Numbness and weakness in the left hand and foot? Hello Doctor: For the past two weeks, I have been experiencing numbness in my left hand and foot, particularly in my fingers. Additionally, my left hand has been shaking uncontrollably. The numbness is persistent and spreads quickl...
Dr. Jiang Junyi Reply:
Hello, based on your description, the medication Micobalamin is Vitamin B12, while Baclofen is a muscle relaxant that may cause muscle weakness. A common cause of neck pain is cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle ...[Read More] Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Understanding Heavy Head Sensation: Neurological Insights and Causes
My head feels very heavy? About a month ago, I suddenly experienced a bout of dizziness (the spinning kind), but fortunately, I managed to hold on. Following that, I felt lightheaded, with a heavy head and light legs. It felt like my head was so heavy that I could faint if I beca...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are not very typical, but common causes for such symptoms may include issues related to cervical myofascial pain or sleep disorders. I wonder if you have a problem with being overweight, as men are more prone to obstructive sleep apnea. Obstructive sleep ap...[Read More] Understanding Heavy Head Sensation: Neurological Insights and Causes
Is Ear Pain Normal During Recovery from Facial Nerve Disorder?
Is it common to experience pain in front of and behind the ear during the recovery process from facial nerve dysfunction? Hello Dr. Jiang, one week ago (Monday), I sought medical attention due to symptoms of right-sided muscle weakness and facial drooping. After a CT scan of the ...
Dr. Jiang Junyi Reply:
Hello: You mentioned peripheral facial nerve paralysis, which primarily affects the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patients may notice...[Read More] Is Ear Pain Normal During Recovery from Facial Nerve Disorder?
Chronic Fatigue: Should You Suspect Myasthenia Gravis?
If you are experiencing persistent and intermittent fatigue, should you highly suspect myasthenia gravis? Hello, Doctor: I am a shift worker who primarily does office work. I spend most of my day in front of a computer and do not exercise much, which has led me to develop some li...
Dr. Jiang Junyi Reply:
Hello: Myasthenia gravis is considered a rare disease, with a prevalence of approximately 100-200 per million people in Taiwan, totaling around 2,000-4,000 individuals nationwide. Your symptoms may need to first consider sleep issues, especially since you have metabolic syndrome....[Read More] Chronic Fatigue: Should You Suspect Myasthenia Gravis?
Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues
Right eyelid ptosis and tightness on the right side of the face? Hello, I noticed that my eyes are uneven about a month ago. The right side of my face droops, causing the asymmetry. I thought it was due to fatigue, but even after getting enough sleep, I woke up the next day with ...
Dr. Hong Weibin Reply:
Hello: Based on your description, I suspect the cause may be right-sided facial nerve paralysis. Additionally, it is important to be cautious about the possibility of myasthenia gravis. I recommend that you seek assistance from a neurologist directly.[Read More] Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues
Understanding Hand Weakness and Muscle Twitches: Neurological Insights
Hand issues and muscle tremors? Hello Doctor, I have been experiencing weakness in the grip of my bilateral index and middle fingers for over three months, but it does not significantly affect my daily life. Additionally, I occasionally experience sudden twitching in the thenar m...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned may indicate a problem with cervical nerve root compression, possibly at the C5-C6 level, as there is weakness present on both sides. This is less characteristic of a stroke, which typically presents with unilateral limb symptoms. I recommend tha...[Read More] Understanding Hand Weakness and Muscle Twitches: Neurological Insights
Understanding Persistent Mild Headaches: Causes and Next Steps
Mild headache for 50 consecutive days? Hello Doctor, I have been experiencing mild headaches for the past 50 days. The pain occurs approximately every 5 minutes, lasting for about 1 second each time, and it is almost continuous throughout the day. However, I sleep well at night. ...
Dr. Jiang Junyi Reply:
Hello: 1. The symptoms you described are likely due to muscle-related pain, and you may need to consider myofascial issues. 2. Is it possible to have slight discomfort in the neck and shoulders while experiencing continuous head pain? My understanding is that for head pain to ...[Read More] Understanding Persistent Mild Headaches: Causes and Next Steps
Numbness in the Outer Side of the Left Pinky: Should You See a Doctor?
Loss of sensation on the outer side of the left little finger? Hello, doctor! A week ago, my mom gave me a jade bracelet to celebrate my acceptance into college. After the shopkeeper forced the bracelet onto my wrist, I couldn't take it off at all. I struggled for an entire ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more consistent with ulnar nerve neuropathy (affecting the sensory area near the little finger). When the wrist rests on a hard surface like a table, pressure can lead to ulnar nerve neuropathy. This condition typically causes n...[Read More] Numbness in the Outer Side of the Left Pinky: Should You See a Doctor?
Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle twitching throughout the body? Long-term sitting in the office has caused my legs to feel numb while sitting, and my muscles are twitching continuously throughout my body, especially in my thighs, calves, and face, which twitches quite frequently. Sometimes I a...
Dr. Jiang Junyi Reply:
Hello: There are many potential causes for the symptoms of leg numbness and tingling, such as lumbar nerve compression and electrolyte imbalances, which need to be evaluated. Additionally, the numbness in your hands may suggest hyperventilation syndrome, which can lead to decreas...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Numbness on Half of the Back of My Hand: When to See a Neurologist?
Numbness in half of the back of the hand? I have numbness on the left half of the back of my left hand and half of my little finger, but the palm is not numb, and I do not feel weakness or pain. It has been like this for about a week. Should I see a neurologist for this?
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of ulnar nerve entrapment, particularly affecting the branches on the back of the hand. When the elbow rests on a hard surface, such as a table, or when pressure is applied to the elbow, it can likely lead to ulnar nerve entrapment, especi...[Read More] Numbness on Half of the Back of My Hand: When to See a Neurologist?
Can Loud Headphone Sounds Cause Permanent Brain Damage?
Headache Head-related issues Hello, Doctor Jiang. I would like to ask a question. Yesterday, when I plugged my full-cover headphones into the computer, there was a sudden loud noise in the headphones. This has happened before, but this time it was particularly loud and caused sig...
Dr. Jiang Junyi Reply:
Hello, based on your description, if there is a sudden exposure to loud sounds, the eardrum has a protective mechanism. The muscles connecting the ossicles and the middle ear will reflexively reduce the transmission of sound to protect the inner ear. However, prolonged exposure t...[Read More] Can Loud Headphone Sounds Cause Permanent Brain Damage?
Understanding Hand Tremors: When to Seek Neurological Advice
Tremor issues? Hello Doctor: Recently, I noticed that when I rest my wrist on the table and use my phone with one hand, I experience some shaking in my hand. The frequency is not fast, and the amplitude is not large; it just feels a bit unusual. I'm not sure if this has been...
Dr. Jiang Junyi Reply:
Hello, based on your description, our bodies can experience physiological tremors, primarily due to excessive use of large muscles or an overreaction of the sympathetic nervous system. However, these types of tremors tend to occur at a faster rate. Our autonomic nervous system is...[Read More] Understanding Hand Tremors: When to Seek Neurological Advice
Understanding Recent Headaches and Dizziness: Neurological Insights
Recently, I have been experiencing dizziness, headaches, and a feeling of heaviness? Hello doctor, about two weeks ago I started experiencing sudden, unexplained sharp pains in my head. Sometimes it’s in the left occipital area, sometimes in the right parietal region, and other t...
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. Initially, resting may alleviate the...[Read More] Understanding Recent Headaches and Dizziness: Neurological Insights
Understanding Risks of Hydrocephalus Surgery: A Guide for Families
Inquiry about the risks of hydrocephalus surgery? Hello, doctor! Recently, I have read many articles that only describe symptoms, sequelae, and surgical methods. I am inquiring about the risks during the surgical process. The patient has experienced elevated intracranial pressure...
Dr. Hong Weibin Reply:
1. General anesthesia typically involves the use of intravenous and inhalational anesthetics to block pain. In a normal human body, the brainstem's respiratory center sends signals to the respiratory muscles to facilitate breathing. However, during the administration of anes...[Read More] Understanding Risks of Hydrocephalus Surgery: A Guide for Families
Why Can't I Open My Fingers? Understanding Hand Pain and Treatment Options
Inability to open fingers? I would like to ask about experiencing pain when clenching both fists, and having difficulty opening the ring finger after clenching for about three months. What could this condition be, and should I see a neurologist or a surgeon? Thank you.
Dr. Jiang Junyi Reply:
Hello: You mentioned that you are unable to open your ring finger. If there are no symptoms of numbness or tingling, the first consideration might be trigger finger. Trigger finger, also known as stenosing tenosynovitis, occurs when the tendons in the finger become inflamed, lead...[Read More] Why Can't I Open My Fingers? Understanding Hand Pain and Treatment Options
Understanding Facial Nerve Dysfunction After Cosmetic Procedures
Facial nerve Hello, doctor. Two years ago, I had a cosmetic mole removal procedure done near the inner corner of my eyebrow. About a month later, I noticed a slight drooping of my eyelid, but since it was not very noticeable, I thought I was overreacting and did not see a doctor....
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Typically, the imp...[Read More] Understanding Facial Nerve Dysfunction After Cosmetic Procedures