Understanding Eyelid Movement Linked to Chewing: A Neurological Insight
Occlusion, eyelid movement? I experience involuntary movement of my left eyelid whenever I engage in chewing or biting behavior, while my right eyelid remains unaffected. I am not aware of this occurrence myself; it was brought to my attention by others. A few years ago, I search...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the abnormal movement of your eyelids may be related to the symptoms of blepharospasm. The opening and closing of the eyes are controlled by the coordinated contractions of the orbicularis oculi muscle (innervated by the facial nerve) and the levator pal...[Read More] Understanding Eyelid Movement Linked to Chewing: A Neurological Insight
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 Dizziness and Discomfort: A Neurological Perspective
Dizziness and general discomfort? Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, ex...
Dr. Jiang Junyi Reply:
Hello, based on your description, I wonder if you have been paying attention to the care of your neck, as cervical myofascial pain syndrome may cause symptoms such as pain, discomfort, muscle stiffness, or a heavy sensation, leading to fatigue-like symptoms. Regarding the adjustm...[Read More] Understanding Dizziness and Discomfort: A Neurological Perspective
Understanding Dizziness and Visual Disturbances: When to Seek Help
Dizziness/headache with visual disturbances? Hello Doctor, last weekend I experienced a sudden sharp pain on the left side of my head, and since then I have felt as if a layer of bright glitter has been placed over my vision, which has persisted for about five days. (However, the...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider a migraine with aura. Symptoms include visual disturbances such as seeing stars and lightning-like flashes, as well as blurred or distorted vision, which are all common migraine auras. A few minutes after the aura ...[Read More] Understanding Dizziness and Visual Disturbances: When to Seek Help
Do You Need Further Testing for Headaches? Insights from Neurology
Do headaches require further examination? Hello Doctor, I am 56 years old. In early March of this year, I experienced a severe headache for the first time due to stress. It resolved on its own within 1 to 2 hours without medication. In early May, while traveling abroad, I had thr...
Dr. Hong Weibin Reply:
If your headache triggers are tension and lack of sleep, and your headache improves after taking medication and adjusting your lifestyle, it indicates that you are experiencing a primary headache. Primary headaches include tension-type headaches and migraines, among others, and d...[Read More] Do You Need Further Testing for Headaches? Insights from Neurology
Understanding Muscle Twitches: When to Seek Further Neurological Evaluation
Muscle issues Hello, Doctor: I would like to ask about experiencing intermittent muscle twitching in various locations over the past year. I have seen a neurologist at a medical center three times within this year, but there has been no improvement. The doctor conducted nerve con...
Dr. Jiang Junyi Reply:
Hello: You mentioned the issue of muscle twitching, along with frequent weight training. First, it is important to consider that muscle fatigue may lead to instability in the motor neurons. Additionally, caffeine consumption can stimulate the sympathetic nervous system, causing m...[Read More] Understanding Muscle Twitches: When to Seek Further Neurological Evaluation
Managing Tics: Overcoming Nervous Habits Like Nose Twisting and Eye Blinking
Repeated nose wrinkling and blinking? Since elementary school, I have experienced an uncontrollable urge to twist my nose or blink repeatedly. If I try to resist these actions, I feel uncomfortable. Initially, I also had intrusive thoughts that I found unpleasant and wanted to st...
Dr. Cai Zongzhang Reply:
Hello, based on your description, it is advisable for you to seek assistance from a psychiatrist. The psychological aspects related to nose pinching or blinking should be addressed. In the meantime, I recommend that you try to relax.[Read More] Managing Tics: Overcoming Nervous Habits Like Nose Twisting and Eye Blinking
Understanding Right Brain Mutations: Symptoms and Treatment Options
Congenital benign mutation of the right hemisphere (excessive brainwave activity)? Hello, Doctor: I would like to ask about a specific brain condition I have, where my thoughts are known to others. I watched a Japanese drama about telepathy, which mentioned a benign mutation in t...
Dr. Jiang Junyi Reply:
Hello: You mentioned the possibility of thoughts being known by others, which may involve considering "body language or facial expressions, etc." Without speaking, one can still convey thoughts. Regarding the topic of telepathy, I have limited experience. If thoughts ca...[Read More] Understanding Right Brain Mutations: Symptoms and Treatment Options
Why Standing Up Too Quickly Can Cause Dizziness: A Neurology Perspective
Feeling dizzy when standing up from a seated position? At the end of May, while I was on guard duty, I accidentally stubbed my toe when opening the camp gate. My toe hurt but it wasn't serious, so I returned to my post to continue my duty. Suddenly, I started feeling dizzy, ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the first consideration for the cause of fainting should be the symptoms of syncope. The most common causes are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. ...[Read More] Why Standing Up Too Quickly Can Cause Dizziness: A Neurology Perspective
Understanding Muscle Indentation and Tingling Sensations in the Thigh
Slightly painful muscle indentation? Hello doctor, one day I suddenly noticed a horizontal indentation on my left thigh muscle. It doesn't seem to be a depression between muscle groups, and at first, I didn't think much of it. However, recently I've been feeling a ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned may be due to peripheral nerve compression causing tingling sensations. Possible causes include soft tissue fibromas, among others. If the symptoms are not progressing rapidly, the tingling sensations usually improve with rest. I recommend consul...[Read More] Understanding Muscle Indentation and Tingling Sensations in the Thigh
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
Understanding Chronic Calf Pain and Weakness: Causes and Treatments
Chronic calf pain and weakness? Hello Doctor, I have been experiencing persistent pain and weakness in my calves. Initially, it was occasional, but now it has become more frequent. Each time I experience this pain and weakness, I feel that my calf muscles are very tight, and my t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be related to the accumulation of lactic acid in your calves, causing soreness. You may want to consider your posture as a contributing factor. Additionally, it might be worth considering issues with venous blood flow in the lower extremities, as arte...[Read More] Understanding Chronic Calf Pain and Weakness: Causes and Treatments
Understanding Persistent Muscle Twitches: Causes and Concerns
Muscle twitching for several consecutive days, lasting for a few hours each day? Dear Doctor, My wife suddenly informed me last Saturday night that she was experiencing muscle twitching in her upper arm. After observing the condition for several hours without any relief, we wen...
Dr. Hong Weibin Reply:
There are many causes for muscle twitching, among which electrolyte imbalances, anemia, dehydration, and radiculopathy are common. The diagnosis of benign fasciculation syndrome is typically made after excluding electrolyte imbalances, anemia, and neuromuscular issues. As for amy...[Read More] Understanding Persistent Muscle Twitches: Causes and Concerns
Can Amputation Relieve Pain from Peripheral Neuropathy After Stroke?
Peripheral neuropathy after stroke? My mother is 77 years old and after a minor stroke in September 2016, she began experiencing swelling and numbness in her right foot, which was diagnosed as peripheral neuropathy. Any medications or treatments have only worsened her condition, ...
Dr. Jiang Junyi Reply:
Hello: I would like to know if your mother has a history of hypertension, diabetes, or tumors. There are many potential causes of lower limb pain, such as venous insufficiency, nerve root compression due to herniated discs, peripheral artery disease, and diabetes, among others. B...[Read More] Can Amputation Relieve Pain from Peripheral Neuropathy After Stroke?
Do You Need a Neurology Checkup for Numbness and Weakness?
Do I need to see a neurologist for an examination? Last year, around July and August 2017, I experienced numbness and some weakness on the left side of my hand, foot, waist, and neck. Sometimes, I even felt numbness behind my left ear. At that time, I went to the neurology depart...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may warrant consideration of brain lesions (sudden onset of blurred vision) and spinal cord nerve lesions (abnormal sensations in the left limbs), among others. May I ask what examinations you have undergone at our hospital? Please share your medical history ...[Read More] Do You Need a Neurology Checkup for Numbness and Weakness?
Understanding Balance Issues: Insights on Neurological Symptoms and Management
Frequent feelings of heaviness in the head and lightness in the legs, leading to imbalance during activities? Hello, I often feel unbalanced when I start moving in the morning (I don't feel much when sitting or lying down). For example, if I turn too quickly, I experience a ...
Dr. Jiang Junyi Reply:
Hello: Headaches can be quite bothersome, and if you are experiencing them frequently, you might consider using preventive medications that have low side effects and can be used long-term. Common prodromal symptoms of migraine include visual disturbances, such as seeing bright li...[Read More] Understanding Balance Issues: Insights on Neurological Symptoms and Management
Understanding Persistent Head Pressure and Mild Pain: Causes and Prevention
Dull headache with a feeling of heaviness? I have occasionally experienced a sensation of heaviness in my head and tension-type headaches for about ten years, occurring roughly every one to two months. Last Thursday, I had a headache, which usually improves after a night's s...
Dr. Jiang Junyi Reply:
Hello: Common symptoms of tension-type headaches are usually bilateral, located in the occipital and parietal regions, and sometimes the pain can be widespread. The nature of the pain is dull, aching, with a sensation of pressure or tightness, and it is non-pulsating and stiff. T...[Read More] Understanding Persistent Head Pressure and Mild Pain: Causes and Prevention
Understanding Skin Sensitivity and Pain: Possible Neurological Causes
Pain and shivering upon touch in the upper body, including the chest, abdomen, and back, accompanied by sensations similar to fever and chills? Hello Doctor: I am currently studying abroad, and I am having difficulty accessing medical resources. I hope to receive some help throug...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of neuropathic pain, which is typically caused by damage or disease affecting the somatosensory nervous system. It particularly resembles peripheral nervous system disorders, commonly seen in postherpetic neuralgia, but can also arise from...[Read More] Understanding Skin Sensitivity and Pain: Possible Neurological Causes
Is Walking Considered Rehabilitation After a Stroke?
Is walking also considered rehabilitation? Hello Dr. Hong, my grandfather recently experienced a minor stroke and during his hospital stay, he had several episodes of minor strokes. He is currently unable to walk properly, has a crooked mouth, and drools. After some time, he reco...
Dr. Hong Weibin Reply:
Hello: Ischemic stroke is caused by the occlusion of blood vessels supplying brain tissue, leading to hypoxia and necrosis of normal brain tissue. The acute phase of an ischemic stroke lasts approximately 5-7 days from the onset of symptoms. Risk factors for stroke include age (t...[Read More] Is Walking Considered Rehabilitation After a Stroke?
Struggling to Wake Up: Understanding Morning Fatigue and Its Causes
I can't get up in the morning? I would like to ask why I have trouble getting up in the morning for work. Sometimes I can hear the alarm, but most of the time, the alarm wakes my family up, and they have to come knock on my door while I continue to sleep. Other times, I hear...
Dr. Jiang Junyi Reply:
Hello: Your concerns can be addressed in two parts: 1. Regarding hearing: You can consult an otolaryngologist at a hospital for a hearing test to determine if there is any hearing loss at specific frequencies or damage to the auditory nerve. 2. Regarding sleep: You can visit a sl...[Read More] Struggling to Wake Up: Understanding Morning Fatigue and Its Causes