Managing Epilepsy: Sleep Requirements for Shift Workers
Epilepsy and Sleep Duration I graduated from university and am looking for a job, but due to my epilepsy, I cannot obtain a driver's license to drive or ride a motorcycle, and I also chose the wrong major in college, which significantly reduces my job options. Therefore, I d...
Dr. Jiang Junyi Reply:
Hello: Stress or shock, alcohol consumption, premenstrual and postmenstrual periods, lack of sleep, excessive hunger, and the use of certain medications (such as cold medications and antipsychotics) can trigger seizures. It is recommended that patients observe and record their se...[Read More] Managing Epilepsy: Sleep Requirements for Shift Workers
Which Imaging Test is Best for Dementia Diagnosis: CT, MRI, or PET?
Which imaging technique is more accurate for diagnosing dementia: CT, MRI, or PET? I have a history of type 2 diabetes for 8 years, depression for 20 years, and insomnia without deep sleep for that duration. I have a history of smoking. My grandmother passed away from dementia. M...
Dr. Jiang Junyi Reply:
Hello, here are the answers to your questions. Question 1: I visited a neurologist, but they only agreed to arrange a brain CT scan. The MRI doctor said I would have to pay out of pocket. Why is that? Answer: The conditions for insurance coverage for an MRI typically require t...[Read More] Which Imaging Test is Best for Dementia Diagnosis: CT, MRI, or PET?
Understanding Nighttime Headaches: Causes and Solutions
Sleep-related headache Hello, doctor. I would like to ask about my father. Since September, he has been experiencing sudden headaches while sleeping, but he feels fine during the day. The headaches only occur at night while he is asleep. My father is a smoker and underwent cardia...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the primary reason for the headache at night is likely due to respiratory issues during sleep, leading to carbon dioxide accumulation, which in turn increases cerebral blood flow and intracranial pressure. Given that your father has risk factors ...[Read More] Understanding Nighttime Headaches: Causes and Solutions
Understanding Tinnitus and Dizziness: Insights from Neurology
Tinnitus, dizziness? Hello Dr. Jiang, the following questions are for a patient (I actually have similar symptoms myself): 1. Tinnitus, dizziness, and a sensation of noise in the head have been intermittent for 30 years (I am 56 years old this year). 2. Recently, after 8 months ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the management of cardiovascular disease primarily involves controlling the three highs (hypertension, hyperlipidemia, and hyperglycemia), which you seem to have achieved. However, you did not mention any sleep issues, so it may be worth consider...[Read More] Understanding Tinnitus and Dizziness: Insights from Neurology
Understanding Sympathetic Nervous System Overactivity and Its Effects
Thank you, Dr. Jiang? Thank you for your suggestions. I will seek medical attention regarding the overactivation of the sympathetic nervous system when I have the time. Recently, I have been experiencing frequent dizziness, a sensation of the ceiling spinning, and nausea while ly...
Dr. Jiang Junyi Reply:
Hello: Recently, I have been experiencing frequent dizziness, a sensation of the ceiling spinning, and nausea when lying in bed. Sometimes, a certain position causes the spinning to persist. Could this be related to the sympathetic nervous system? A: It may be worth considering v...[Read More] Understanding Sympathetic Nervous System Overactivity and Its Effects
Understanding Calf Numbness: Causes and Solutions for Nighttime Discomfort
Calf soreness and numbness? Hello Doctor, recently whenever I lie in bed, my right calf feels numb and achy, regardless of whether it's straight or bent. It's also difficult for me to sleep, but I notice that lying on my left side feels less uncomfortable, while lying o...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "piriformis syndrome." The piriformis muscle is located deep in the buttocks and spans between the spine and the hip joint. When the piriformis muscle becomes inflamed, it can compress the sciatic nerve, leading to symptoms of numbness a...[Read More] Understanding Calf Numbness: Causes and Solutions for Nighttime Discomfort
Understanding Nighttime Hand Muscle Tremors: Causes and Solutions
Hand muscle tremors? Hello doctor, since mid-August, I have been experiencing involuntary muscle tremors in my arms while sleeping at night. It feels similar to the slight muscle tremors that occur when one stretches while yawning. The first time it happened, the frequency and in...
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 and only manifest in sp...[Read More] Understanding Nighttime Hand Muscle Tremors: Causes and Solutions
Understanding Tinnitus: When Head Trauma Causes Buzzing Sounds
Hearing a sound similar to a buzzing or ringing noise in the ears is often referred to as tinnitus? Hello Dr. Jiang, last Friday night while turning in bed, I accidentally hit my head. Since then, whenever I hear loud or high-frequency sounds, I experience a buzzing sound in my e...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems that the function of the ear's tympanic membrane may be affected. Generally, common causes of tinnitus include poor blood circulation in the inner ear or anxiety leading to vasoconstriction and narrowed blood vessels, which can impe...[Read More] Understanding Tinnitus: When Head Trauma Causes Buzzing Sounds
Understanding Tension Headaches: When to Seek Medical Attention
Head pressure and headache? Hello, doctor. In the past few months, I've been experiencing a feeling of pressure and tightness in the back of my head to the top of my head about once or twice a week. Occasionally, there are sharp pains, mostly starting in the afternoon or eve...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the more common causes are tension-type headache or migraine. 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, p...[Read More] Understanding Tension Headaches: When to Seek Medical Attention
Understanding Tension Headaches: When to Seek Medical Attention
Head pressure and headache? Hello Doctor, in the past few months, I've been experiencing a feeling of pressure and tightness in the back of my head to the top of my head about once or twice a week. Occasionally, I have sharp pains, mostly starting in the afternoon or evening...
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 Tension Headaches: When to Seek Medical Attention
Understanding Tension Headaches: When to Seek Medical Advice
Head pressure and headache? Hello Doctor, in the past few months, I have been experiencing a feeling of pressure and tightness in the back of my head to the top of my head about once or twice a week. Occasionally, there is a sharp pain that occurs, mostly starting in the afternoo...
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 Tension Headaches: When to Seek Medical Advice
Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Hello, Dr. Jiang? In April 2019, I received a combined measles vaccine and was taking medication for Helicobacter pylori. After 1-3 days, I experienced severe throat pain, persistent phlegm, general weakness, and fatigue. I consulted an otolaryngologist and underwent a neck ultra...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether you are experiencing overweight issues. It may also be necessary to consider sleep apnea: if you have this condition, it can lead to daytime concentration difficulties and frequent drowsiness. There are generally two types...[Read More] Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Understanding Muscle Twitches: ALS Concerns and Neurological Insights
Amyotrophic Lateral Sclerosis (ALS) muscle twitching? I am Mr. Huang, referring to #159787. I have a few final questions for the doctor. I had an electromyography (EMG) test on August 19, which only involved needle insertions in my left forearm down to my palm and in my left calf...
Dr. Hong Weibin Reply:
Hello: The electromyography (EMG) examination for patients with amyotrophic lateral sclerosis (ALS) may vary in standard procedures from one hospital to another. If you feel that the examination is not thorough enough, you can seek opinions from other physicians. There are many t...[Read More] Understanding Muscle Twitches: ALS Concerns and Neurological Insights
Understanding Muscle Twitches: When to Seek Neurological or Psychological Help
Involuntary muscle twitching? Hello Doctor, I recently asked you about my muscle twitching, which has been occurring for nearly five months. Although it only lasts for two to three seconds at a time and the affected areas vary, primarily in my shoulders, buttocks, and thighs, it ...
Dr. Hong Weibin Reply:
Hello: There are many types of muscle twitching, including muscle fasciculation, muscle myokymia, muscle spasm, and muscle myoclonus, among others (which are difficult to translate into Chinese). The causes are numerous, with the most common being stress, electrolyte imbalances, ...[Read More] Understanding Muscle Twitches: When to Seek Neurological or Psychological Help
Understanding Sleep Disorders: Symptoms of Nighttime Disturbances
Sleep disorders Hello Doctor, my father has been experiencing episodes of shouting in his sleep and waking up startled over the past few months. His eyes open wide, but he does not respond when spoken to. Sometimes, he even cuddles up to family members nearby. The next day, when ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an examination.[Read More] Understanding Sleep Disorders: Symptoms of Nighttime Disturbances
Understanding Chronic Dizziness: Causes and Solutions for Relief
Dizziness with an unknown cause? Hello, doctor. I have been struggling with dizziness for a long time and would like your help in finding the cause. The first time I experienced dizziness was about 10 years ago while studying abroad. During these episodes, the world would spin ar...
Dr. Jiang Junyi Reply:
Based on your description, it is important to first consider Meniere's disease, as patients may experience recurrent episodes of vertigo accompanied by tinnitus or hearing loss. During these episodes, resting and using antihistamine anti-vertigo medications along with anxiol...[Read More] Understanding Chronic Dizziness: Causes and Solutions for Relief
Understanding Muscle Twitches: Could They Indicate ALS Symptoms?
Muscle twitching I have recently been experiencing muscle twitching in various parts of my body, particularly in my arms. The twitching occurs intermittently, and it seems to stop when I change positions. After some research, I found that muscle twitching can also be a symptom of...
Dr. Hong Weibin Reply:
Hello: There are many types of muscle twitching, including muscle fasciculation, muscle myokymia, muscle spasm, and muscle myoclonus, among others (which are difficult to translate into Chinese). The causes are numerous, with the most common being stress, electrolyte imbalances, ...[Read More] Understanding Muscle Twitches: Could They Indicate ALS Symptoms?
Concussions and Epilepsy: Understanding Risks and Treatment Options
Concussion and Epilepsy Six years ago, I lost consciousness for no apparent reason, and a year later, it happened again. After seeking medical attention, the doctor suspected epilepsy. I had no idea what was happening, and both the brain MRI and EEG were normal. The sudden onset ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult with a neurologist in the outpatient clinic.[Read More] Concussions and Epilepsy: Understanding Risks and Treatment Options
Understanding Swallowing Difficulties: A Neurological Perspective
Dysphagia Hello, doctor. I have mitral valve prolapse and have been experiencing palpitations for the past six months (it became particularly uncomfortable on August 7, which led to an echocardiogram diagnosis). Recently, I have been having some difficulty swallowing while eating...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for a detailed examination.[Read More] Understanding Swallowing Difficulties: A Neurological Perspective
Excessive Sleep in Teens: Understanding Prolonged Sleep Duration and Unresponsiveness
Children sleeping for an excessively long duration and being difficult to wake up? A 14-year-old middle school student has been experiencing sudden excessive sleep duration of over 12 hours daily, even reaching 18 hours, since June 9. During this sleep period, the student shows n...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a pediatric neurologist for an examination.[Read More] Excessive Sleep in Teens: Understanding Prolonged Sleep Duration and Unresponsiveness