Parkinson's disease, Neurology FAQ - Page 3

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Differentiating Drug-Induced Parkinsonism from Primary Parkinson's Disease

Differentiating between drug-induced Parkinsonism and primary Parkinson's disease? Hello, Doctor. I apologize for bothering you. My father has been experiencing tremors at the corners of his mouth since February of this year. He has consulted several neurologists and undergo...


Dr. Jiang Junyi Reply:
Hello, You mentioned the occurrence of drug-induced parkinsonism, which we frequently observe in clinical practice. It's not only Flunarizine; other medications can also have similar side effects. It is advisable to consolidate medications within the same hospital. 1. Fl...

[Read More] Differentiating Drug-Induced Parkinsonism from Primary Parkinson's Disease


Understanding Hand Tremors: Causes and When to Seek Medical Advice

Finger tremors Hello Doctor: In recent months, I have occasionally woken up at night due to numbness in my hands (90% of the time it's my left hand, sometimes the entire palm, and other times just the ring and little fingers). The common factor is that I notice my hand is po...


Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest ulnar nerve pathology, commonly caused by poor posture leading to compression. The sensory distribution of the ulnar nerve includes the little finger, half of the ring finger, and the corresponding area of the palm. Common symptoms include numbnes...

[Read More] Understanding Hand Tremors: Causes and When to Seek Medical Advice


Managing Post-Trauma Headaches After a Car Accident: Seeking Alternatives to Medication

Inquiry about headaches following a car accident-related brain injury? A family member suffered a brain injury from a car accident and has been in a coma for about two weeks. They have been monitored with MRI scans for two years, and the brain condition has stabilized, so no furt...


Dr. Cai Zongzhang Reply:
Hello Wen! Based on the symptoms mentioned, it is likely that you are experiencing post-traumatic chronic neuropathic pain in the head. It is recommended that you visit a neurology clinic for treatment.

[Read More] Managing Post-Trauma Headaches After a Car Accident: Seeking Alternatives to Medication


Understanding Muscle Twitches: Concerns and Neurological Insights

Regarding muscle issues? Hello Doctor, I have recently been experiencing muscle twitching. The twitching occurs in specific areas after significant movements; for example, after sneezing, the muscles around my ribs twitch a few times. The twitching is more noticeable when I lie d...


Dr. Hong Weibin Reply:
Hello: There are many potential causes for muscle twitching. In addition to muscle fasciculation, there are muscle myokymia, muscle spasm, muscle myoclonus, and others that are difficult to translate. The causes are quite diverse, but the most common ones include stress, electrol...

[Read More] Understanding Muscle Twitches: Concerns and Neurological Insights


Understanding ALS: Coping with Muscle Twitches and Anxiety

About Amyotrophic Lateral Sclerosis (ALS) I consulted a doctor regarding my muscle twitching, and he said it is unlikely to be Parkinson's disease. He prescribed medication and ordered blood tests to check my ion levels. I have a follow-up appointment on April 30 to review t...


Dr. Jiang Junyi Reply:
Hello: It is recommended that you engage in stretching exercises and strength training. Avoid the intake of tobacco, alcohol, and coffee to reduce muscle tremors. It is advisable to consult a neurologist (peripheral nerve specialist) to discuss examinations and treatment. Wishing...

[Read More] Understanding ALS: Coping with Muscle Twitches and Anxiety


Understanding Muscle Tremors: Symptoms, Concerns, and Next Steps

About muscle twitching? Hello Doctor, I have recently noticed a lack of sensation in a specific area at the back of my throat, which made me worried enough to see a doctor. The doctor reviewed my previous reports, tested my reflexes with a hammer, conducted a consultation, and ha...


Dr. Jiang Junyi Reply:
Hello: You are concerned about Parkinson's disease, which typically does not occur in your age group unless there are familial genetic factors involved. Instead, you should consider drug-induced extrapyramidal syndrome, which occurs when the body's motor system is disru...

[Read More] Understanding Muscle Tremors: Symptoms, Concerns, and Next Steps


Understanding Eye Twitching and Facial Muscle Spasms: Causes and Solutions

Eyelid twitching and facial muscle spasms? I have been experiencing eyelid twitching in my right eye for about two weeks. After a week of twitching, I visited an ophthalmologist who reassured me that the twitching would eventually resolve and advised me not to worry. A few days l...


Dr. Jiang Junyi Reply:
Hello: The majority of causes of eyelid spasms are unknown, with females being affected approximately three times more than males. Common causes include dry eye syndrome, high levels of stress, eye inflammation, light sensitivity, consumption of caffeine and tobacco, dysfunction ...

[Read More] Understanding Eye Twitching and Facial Muscle Spasms: Causes and Solutions


Understanding Hand Tremors in Seniors: When to Seek Medical Advice

Elderly individuals may experience hand tremors recently? Hello Doctor: My mother is currently 65 years old and runs a small eatery with my father, who has not yet retired. Recently, when I returned home, I noticed that while she was serving vegetables to customers, one hand was ...


Dr. Jiang Junyi Reply:
Hello, based on your description, it seems that your mother may have a tremor issue. Additionally, early-stage dementia should be considered. The causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathologica...

[Read More] Understanding Hand Tremors in Seniors: When to Seek Medical Advice


Understanding Sleep Talking: Is It a Sign of Parkinson's Disease?

Sleep talking My roommate says that I often scream in my sleep, about once or twice a month, but I am not aware of it. I curse and seem to be arguing with someone. I looked it up online and it said this could be a precursor to Parkinson's disease... what should I do?


Dr. Hong Weibin Reply:
Hello: Talking loudly in your sleep is not a precursor to Parkinson's disease. This phenomenon is known as sleep talking (somniloquy). It is a common occurrence among many people, with up to 66% experiencing it. There may be a slight genetic predisposition. To improve sleep ...

[Read More] Understanding Sleep Talking: Is It a Sign of Parkinson's Disease?


Understanding Involuntary Movements During Sleep: Possible Causes and Concerns

Involuntary movements during sleep? Hello Doctor, my father was recently diagnosed with prostate cancer and was hospitalized. During his hospital stay, he often experienced involuntary movements and shaking of his limbs while sleeping, occasionally talking in his sleep and waving...


Dr. Hong Weibin Reply:
Hello: I would suggest starting the investigation with paraneoplastic syndrome caused by prostate cancer, especially in patients with more severe conditions. Cancer often produces various autoimmune antibodies that may attack normal tissue cells in the body, leading to a range of...

[Read More] Understanding Involuntary Movements During Sleep: Possible Causes and Concerns


Understanding Hand Tremors: Causes, Concerns, and Management Tips

I would like to inquire about the issue of hand tremors? Hello Dr. Jiang, I would like to ask you about my hand tremors. About 4-5 years ago, my family noticed that one of my fingers would shake when I used chopsticks, and it would also tremble slightly when I tried to straighten...


Dr. Jiang Junyi Reply:
Hello: The physician should examine the eyes to rule out Wilson's disease, which is an autosomal recessive genetic disorder. It results in a deficiency of ceruloplasmin, a copper-carrying protein in the plasma, leading to abnormal copper metabolism and excessive copper depos...

[Read More] Understanding Hand Tremors: Causes, Concerns, and Management Tips


Navigating Unclear MRI Results: Seeking Effective Treatment for Stroke Symptoms

Magnetic resonance imaging (MRI) shows no evidence of thrombosis or is inconclusive, making rehabilitation treatment unfeasible? Hello, my mother experienced weakness in her legs, unclear speech, and difficulty swallowing in mid-June, although the symptoms were not very pronounce...


Dr. Cai Zongzhang Reply:
Based on the aforementioned symptoms, there are multiple possible diagnoses for the patient, and further examinations must be arranged. For example: Parkinson's disease, thyroid function, etc. It is recommended to first admit the patient for evaluation in the neurology depar...

[Read More] Navigating Unclear MRI Results: Seeking Effective Treatment for Stroke Symptoms


Understanding Hand Tremors: Causes and When to Seek Medical Help

Tremors in the fingers during exertion? Hello, doctor. When I exert force with my right index finger, it shakes (all five fingers do). When I place my hand on my thigh, it does not shake. When I exert force with my right biceps, I can clearly see the skin on the right side of the...


Dr. Jiang Junyi Reply:
Hello, based on your description, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors: These do not occur under normal circumstances but may arise in specif...

[Read More] Understanding Hand Tremors: Causes and When to Seek Medical Help


Understanding Hand Tremors: Is Your Right Hand's Shake a Sign of Parkinson's?

Experiencing hand tremors while using chopsticks with the right hand? Hello doctor, I have a question. When I use chopsticks with my right hand, it shakes a bit (only the right hand). It's not to the extent that I can't eat, but it feels shaky. In Parkinson's disea...


Dr. Hong Weibin Reply:
Hello: There are many causes of tremors. In addition to Parkinson's disease, there are essential tremor, physiological tremor, tremors induced by substances or medications, and tremors due to cerebellar lesions. Since tremors are classified as movement disorders, it is best ...

[Read More] Understanding Hand Tremors: Is Your Right Hand's Shake a Sign of Parkinson's?


Understanding Lewy Body Dementia: Symptoms and Diagnostic Imaging

Symptoms of Lewy Body Dementia 1. There are multiple articles available online, each describing slightly different symptoms. What are the correct symptoms of Lewy Body Dementia? 2. What imaging studies are currently available to diagnose Lewy Body Dementia? Thank you, doctor, f...


Dr. Hong Weibin Reply:
Hello: 1. Dementia with Lewy Bodies (DLB) must first meet the criteria for dementia, defined as a decline in daily functioning due to cognitive impairment. Other possible symptoms include significant daily fluctuations in the patient's consciousness, bradykinesia and unste...

[Read More] Understanding Lewy Body Dementia: Symptoms and Diagnostic Imaging


Understanding the Symptoms of Lewy Body Dementia: A Comprehensive Guide

Symptoms of Lewy Body Dementia There are multiple articles online, each describing slightly different symptoms. What are the symptoms of Lewy Body Dementia? Thank you for your response, doctor.


Dr. Jiang Junyi Reply:
Hello: I suggest you start with Professor Wu Rui-mei's article. http://www.pdcenterntuh.org.tw/UpLoad/F122015012716204432.pdf An excerpt from it: Diffuse Lewy Body Dementia (DLBD) is characterized by dementia symptoms similar to Alzheimer's disease, combined with motor ...

[Read More] Understanding the Symptoms of Lewy Body Dementia: A Comprehensive Guide


Understanding Parkinson's Disease: Symptoms, Diagnosis, and Concerns

Parkinson's disease Hello Dr. Hong, I am 60 years old and do not have any issues with hypertension, diabetes, or high cholesterol; my overall health condition is fairly good. However, over two years ago, my family noticed that my head would have slight tremors when at rest. ...


Dr. Hong Weibin Reply:
Hello: Common causes of tremors, aside from Parkinson's disease, include essential tremor and physiological tremor, among others. A neurologist needs to conduct a detailed medical history inquiry and monitor the patient over a period of six months to a year to have greater c...

[Read More] Understanding Parkinson's Disease: Symptoms, Diagnosis, and Concerns


Understanding Hand Tremors: When to Seek Medical Advice

Consulting a doctor about issues such as tremors? Hello Doctor, about 4-5 years ago, my family noticed that sometimes when I eat with chopsticks or pick up things, my fingers would tremble, especially when I am nervous, which is more pronounced. After a year or two, they finally ...


Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider physiological tremors. In the early stages of Parkinson's disease, low-frequency tremors occur primarily at rest. The causes of tremors can be categorized into four types: physiological tremors, psychological ...

[Read More] Understanding Hand Tremors: When to Seek Medical Advice


Understanding Lip Tremors: Causes and When to Seek Medical Advice

Trembling of the lower lip? Hello Dr. Jiang, my mother (65 years old) has been experiencing occasional tremors in her lower lip over the past two months, which she is not aware of. She has not had this issue before. In May of this year, she developed urticaria and was on corticos...


Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider essential tremor. If it does not affect your daily life, medication treatment is not required. The causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremo...

[Read More] Understanding Lip Tremors: Causes and When to Seek Medical Advice


Understanding Facial Twitching: Causes and When to Seek Help

Facial spasms Hello, I would like to ask about a twitching sensation on the left side of my cheekbone or just above the corner of my mouth. It occurs a few times a day, about 3 to 4 times, each lasting around 3 seconds. Sometimes there is a slight twitching feeling, but it doesn&...


Dr. Jiang Junyi Reply:
Hello: 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 only the eyelid is affected and other facial muscles are not twitching, it is considered simple eyel...

[Read More] Understanding Facial Twitching: Causes and When to Seek Help


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