Understanding MRI Options for Neurological Symptoms: What You Need to Know
How to check...2 Hello, doctor. Due to insufficient sleep (I have undergone surgery for sleep apnea), I am experiencing symptoms such as pressure and hardness in the upper part of my eyeballs, mental confusion, fatigue, and excessive sleepiness on a daily basis. I have already pa...
Dr. Gao Chunde Reply:
When examining the brain for abnormalities, MRI can already reveal a lot of information. Changes in large blood vessels and small arteries due to ischemia can mostly be observed. However, no single examination can visualize everything with 100% accuracy. Ultimately, whether to fo...[Read More] Understanding MRI Options for Neurological Symptoms: What You Need to Know
Numbness and Pain in the Left Neck: Possible Causes and Treatment Options
Numbness in the left front of the neck extending to the chin? Dear Dr. Lan, I experience a tight and painful sensation in my left neck when I bend my head. Currently, there is also a numbness in the skin from my left neck to the front. What possible conditions could this indicate...
Dr. Lan Shengxing Reply:
Dear Mr. Lin, the symptoms you mentioned may suggest an issue with the cervical nerves. I recommend that you consult a neurologist or a rehabilitation specialist.[Read More] Numbness and Pain in the Left Neck: Possible Causes and Treatment Options
Understanding Dizziness and Neck Pain: When to Seek Medical Help
Dizziness and issues with the neck and shoulders? I'm not very good at describing it, but right now I feel a bit dizzy, though not extremely so. It feels somewhat like having a heavy head and light feet, with a sensation that my head might drop off, almost like being startle...
Dr. Lan Shengxing Reply:
Dear Mr. Pan, many of the symptoms you mentioned are common among neurology patients. I recommend that you directly schedule an appointment with a neurologist, as the conditions you mentioned cannot rule out the possibility of multiple sclerosis.[Read More] Understanding Dizziness and Neck Pain: When to Seek Medical Help
Intermittent Surface Headache from Left Crown to Occiput: Causes and Solutions
Intermittent superficial headache on the left side of the crown extending to the back of the head? Two weeks ago, I had a cold and was coughing. I tried to suppress the cough, but eventually couldn't hold it in, which led to a slight discomfort in my neck, specifically from ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of left-sided 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 al...[Read More] Intermittent Surface Headache from Left Crown to Occiput: Causes and Solutions
Waking Up Dizzy: Understanding Morning Vertigo and Its Causes
Feeling dizzy upon waking up and turning over? Hello, doctor. For the past two or three days, when I wake up and try to turn over to go back to sleep, I feel extremely dizzy and even feel like I might vomit when I close my eyes. What could be the cause of this? It takes me a whil...
Dr. Lan Shengxing Reply:
Dear Alvena, the symptoms you described are more indicative of vertigo caused by BPPV (Benign Paroxysmal Positional Vertigo), especially the brief episodes of dizziness triggered by turning over. It would be more appropriate to consult an otolaryngologist (ENT specialist) for thi...[Read More] Waking Up Dizzy: Understanding Morning Vertigo and Its Causes
Understanding Symptoms: Seeking Advice for Neurological Concerns
Inquire about symptoms and provide recommendations? Hello, I would like to inquire about my condition. I had chickenpox on November 10, 2015, and it is almost resolved now. However, on November 9, I experienced a headache, dizziness, neck stiffness, light sensitivity, and sound s...
Dr. Lan Shengxing Reply:
Dear Zhikai, if you notice any stiffness in the neck, sensitivity to light, or sensitivity to sound, please go to the emergency department immediately for evaluation to rule out a central nervous system infection.[Read More] Understanding Symptoms: Seeking Advice for Neurological Concerns
Understanding Diplopia: Is It Always a Neurological Issue?
Diplopia issues Is double vision always caused by a problem with the cranial nerves, or can stiffness in the neck and shoulders also lead to double vision? I have been experiencing long-term double vision, but I also have stiffness in my neck and shoulders, along with swelling on...
Dr. Gao Chunde Reply:
Diplopia is not necessarily a neurological issue. If covering one eye still results in double vision, then the problem lies with the eye itself. If the double vision resolves, it indicates an issue with the extraocular muscles or cranial nerves. Stiffness in the shoulders and nec...[Read More] Understanding Diplopia: Is It Always a Neurological Issue?
Understanding Numbness in the Neck: Possible Causes and Solutions
Numbness in the skin of the back of the neck! Around middle school, due to frequent computer use, I experienced sharp pain in my right shoulder. Over time, the skin surface on my right shoulder became numb, and every time I visited the doctor, they didn't provide any explana...
Dr. Gao Chunde Reply:
The sensory nerves of the shoulder are likely associated with the cervical vertebrae C3 and C4. It is possible that poor posture has led to a herniated disc compressing the nerves, or it could be a less common symptom resulting from a mononeuritis. A precise diagnosis should be m...[Read More] Understanding Numbness in the Neck: Possible Causes and Solutions
Understanding Dizziness and Neck Pain: When to See a Neurologist
Dizziness and neck and shoulder pain? Frequent dizziness (floating, swaying sensation), feeling sleepy, particularly dizzy when lying on the right side, experiencing dizziness and nausea upon standing up, blurred vision when focusing on objects, and shoulder and neck pain. These ...
Dr. Gao Chunde Reply:
If you experience dizziness and drowsiness, and lying on your right side worsens the dizziness while lying down makes you feel nauseous, this is more indicative of Benign Paroxysmal Positional Vertigo (BPPV), and you should consult an otolaryngologist or a neurologist. However, i...[Read More] Understanding Dizziness and Neck Pain: When to See a Neurologist
Feeling Lost After Neurology Tests: What Should I Do Next?
I'm not sure what to do? Hello Doctor: I visited due to hand numbness and tremors, and the doctor noticed that my left leg also had some weakness. I was asked to be hospitalized for further examination, and I stayed for two weeks during which I underwent MRI scans (of the he...
Dr. Gao Chunde Reply:
Medical centers are the places with the most healthcare resources and serve as the cradle for training specialized physicians. If one medical center cannot make a diagnosis, another may not necessarily be able to either. It is possible that the current medical equipment is unable...[Read More] Feeling Lost After Neurology Tests: What Should I Do Next?
Understanding Seizures in Infants: Signs and Parental Concerns
Unsure if the baby is experiencing a seizure? Hello Dr. Lan: I have a one-year and two-month-old child with epilepsy that is not caused by a fever. He has been on medication for over two months now. On October 29, he fell and hit the back left side of his head, resulting in a cut...
Dr. Lan Shengxing Reply:
Dear Orange Mom, the situation described on 10/30 does indeed resemble a seizure. As for 11/1, it is uncertain; if it differs from previous episodes, please take your baby back to the original physician for further evaluation and treatment.[Read More] Understanding Seizures in Infants: Signs and Parental Concerns
Understanding Neck Pain and Nausea: When to Seek Medical Help
Head and neck pain leading to vomiting? Hello Doctor: In the past, whenever I caught a cold, I would experience tightness and pain in the back of my neck, which radiates to my head, temples, and eyes, causing severe pain. I also experience visual disturbances such as flashing lig...
Dr. Gao Chunde Reply:
These symptoms combined are more indicative of a prodromal migraine, which is a typical migraine. If the episodes meet the criteria for preventive medication treatment, the physician will prescribe long-term preventive medication to gradually reduce the frequency and intensity of...[Read More] Understanding Neck Pain and Nausea: When to Seek Medical Help
Understanding Right Occipital and Neck Pain: Causes and Treatments
Pain in the right posterior part of the head and right neck? Hello Doctor: I previously experienced a stiff neck (on the right side) and applied patches, but I still occasionally feel discomfort. Later, when I turn my head, I start to feel a slight aching sensation in the right o...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of right-sided 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 a...[Read More] Understanding Right Occipital and Neck Pain: Causes and Treatments
Understanding Left-Sided Head Pain: Causes and When to Seek Help
Left-sided headache? Today, I experienced sudden intermittent sharp pain in my left hemisphere. I'm not sure if it's related to the time I got bumped at the children's festival, as I felt dizzy for a moment after the impact, but it improved within a few seconds. I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious localized hematomas, head injuries are mostly mild. However, if the following conditions occur, delayed bleeding should be considered, and you should ...[Read More] Understanding Left-Sided Head Pain: Causes and When to Seek Help
Understanding Neck Muscle Swelling: Causes, Treatments, and Concerns
The muscles in the neck are swollen? 30-year-old female with a history of anxiety disorder (currently on medication) experiences swollen cervical lymph nodes during periods of late nights and low immunity, which typically resolves with adequate sleep. One month ago, she noticed s...
Dr. Gao Chunde Reply:
The nearby tissues could be considered for muscle inflammation, such as issues with the sternocleidomastoid muscle as assessed by an otolaryngologist, or even a portion of the area you later described may involve inflammation of the upper pectoralis major. However, thyroid enlarg...[Read More] Understanding Neck Muscle Swelling: Causes, Treatments, and Concerns
Understanding Tension Headaches: The Role of EEG and MRI in Diagnosis
Electroencephalography (EEG) and Magnetic Resonance Imaging (MRI) Hello, doctor. Previously, I inquired about symptoms such as eye pressure (discomfort when moving the eyeballs), soreness, dull pain in the head, tightness in the neck at the back, and a strong desire to rest with ...
Dr. Gao Chunde Reply:
After ruling out postoperative infection, both sinusitis and tension-type headaches may occur following treatment. Simple tension-type headaches can be managed with oral medications prescribed by a physician, or by adjusting lifestyle habits to reduce stressors, engaging in moder...[Read More] Understanding Tension Headaches: The Role of EEG and MRI in Diagnosis
Understanding Long-Term Left-Sided Facial and Scalp Numbness Symptoms
Long-term numbness on the left side of the face and scalp? A patient with polio has been sitting for long periods. (1) The left side of the face experiences intermittent numbness, particularly in the cheek and scalp, with symptoms persisting for two to three years. The numbness d...
Dr. Gao Chunde Reply:
The sensation in the left forehead and left cheek is associated with the left trigeminal nerve pathway, while the ptosis of the left eye and the weakness in the movement of the left side of the face are related to the left facial nerve pathway. These two issues indicate a lesion ...[Read More] Understanding Long-Term Left-Sided Facial and Scalp Numbness Symptoms
Understanding Neck Pain and Numbness: When to See a Specialist
Stiffness in the shoulders and neck, along with neck swelling? Hello, doctor! Due to frequent computer use during my high school years, I later discovered that the skin on the back of my right shoulder has lost sensation, as if there is a layer of membrane. Additionally, the righ...
Dr. Lan Shengxing Reply:
Dear Roy, the symptoms you described have shown signs of neurological abnormalities. It is recommended that you consult a neurologist or a neurosurgeon. Thank you.[Read More] Understanding Neck Pain and Numbness: When to See a Specialist
Understanding Dizziness When Lying Down: Symptoms and When to Seek Help
I have been experiencing dizziness recently? Hello, doctor. Recently, I've been experiencing dizziness that starts just as I'm lying down to sleep. It occurs at the moment I lie down, and I feel a tight sensation in the middle part of my neck, close to my body, on the r...
Dr. Lan Shengxing Reply:
Dear, the symptoms described by A-Zheng are more similar to Benign Paroxysmal Positional Vertigo (BPPV). It is advisable to visit an otolaryngologist for diagnosis and treatment. Thank you.[Read More] Understanding Dizziness When Lying Down: Symptoms and When to Seek Help
Understanding Persistent Neck and Facial Symptoms: A Neurology Perspective
What is the reason for this? Hello, doctor! For several years now, I have been experiencing stiffness in my shoulders and neck, along with swelling in my neck. I have also noticed symptoms such as frequent fatigue, increased anxiety, and a general feeling of heaviness. Additional...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of your symptoms is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the muscles in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but...[Read More] Understanding Persistent Neck and Facial Symptoms: A Neurology Perspective