Understanding Post-Concussion Symptoms: What to Do After a Head Injury
Concussion inquiries? Hello Doctor: I was involved in a motorcycle accident four weeks ago as a passenger, wearing a full-face helmet. I have no memory of the accident and when I opened my eyes again, I was already in the hospital. I was unconscious when I was brought to the hosp...
Dr. Jiang Junyi Reply:
Hello: Because you have sustained a severe head injury, common symptoms include the following: – Vomiting two times or more – Age over 65 or under 2 years – Drug or alcohol overdose – Persistent severe diffuse headache – Loss of consciousness for more than 30 minutes after the in...[Read More] Understanding Post-Concussion Symptoms: What to Do After a Head Injury
Understanding Dizziness and Excessive Sleepiness: A Neurological Perspective
During episodes of dizziness, there may be persistent drowsiness? My daughter was recently diagnosed with vertigo, and the doctor advised her to avoid certain foods, such as chocolate, citrus fruits, tomatoes, dairy products, and pizza. She takes medication to manage her vertigo ...
Dr. Hong Weibin Reply:
Hello: Dizziness can be classified based on the lesion as peripheral or central. If the dizziness is more indicative of a central type during episodes, it may affect the brainstem's ability to maintain wakefulness (reticular activating system), causing the patient to feel mo...[Read More] Understanding Dizziness and Excessive Sleepiness: A Neurological Perspective
Understanding Fasciculations: Causes, Concerns, and When to Seek Help
Fasciculation Hello, Doctor: Over the past two months, I have been experiencing intermittent muscle twitching in various parts of my body, sometimes in my arms, calves, thighs, and buttocks. I am very concerned about whether this could indicate any serious illness. During this tw...
Dr. Jiang Junyi Reply:
Hello: The symptoms of amyotrophic lateral sclerosis (ALS) you mentioned, such as fasciculations, are indicative of lower motor neuron (LMN) involvement, which affects motor neurons located in the brainstem and spinal cord. This is typically accompanied by muscle atrophy, often s...[Read More] Understanding Fasciculations: Causes, Concerns, and When to Seek Help
Understanding Numbness in the Right Face, Arm, and Neck: Causes and Concerns
Numbness in the right side of the face, right arm, and back of the neck? Hello Doctor, yesterday while I was sleeping, I suddenly felt a tingling sensation in my right arm. After sitting up, I experienced a warm, swollen feeling in my neck along with tingling. When I lay back dow...
Dr. Jiang Junyi Reply:
Hello: The numbness you are experiencing may be caused by compression of the cervical spinal nerves. Additionally, you mentioned that the symptoms become more pronounced when you bend your neck, which could also be due to inflammation and swelling of the cervical spinal cord. It ...[Read More] Understanding Numbness in the Right Face, Arm, and Neck: Causes and Concerns
Understanding Numbness in Right Face, Arm, and Neck: Possible Causes
There is a tingling sensation in the right side of the face, right arm, and back of the neck? Hello, doctor. Yesterday, while I was sleeping, I suddenly felt a tingling sensation in my right arm. When I sat up, I experienced a warm, swollen feeling in my neck along with tingling....
Dr. Jiang Junyi Reply:
Hello: The numbness you are experiencing may be caused by compression of the cervical spinal nerves. Additionally, you mentioned that the symptoms become more pronounced when you bend your neck, which could also be due to inflammation and swelling of the cervical spinal cord. It ...[Read More] Understanding Numbness in Right Face, Arm, and Neck: Possible Causes
Understanding Occasional Seizures in Long-Term Epilepsy Management
Epileptic seizure Hello Dr. Junyi, I have been taking medication for epilepsy for nearly 6.7 years. It has been relatively well-controlled, but I still experience occasional focal seizures. My medication dosage has been increasing; initially, I was taking one tablet of Lamotrigin...
Dr. Jiang Junyi Reply:
Hello: I am not sure what the cause of your epilepsy is. Typically, epilepsy can be triggered by various specific conditions that affect brain tissue. For example, head injuries that lead to brain tissue damage, injuries at birth or high fever, certain medications or toxic substa...[Read More] Understanding Occasional Seizures in Long-Term Epilepsy Management
Understanding Dizziness and Balance Issues: Causes and Solutions
Dizziness and loss of balance while walking? Hello, Doctor. On Tuesday evening, I started to feel something unusual while walking; I found myself leaning to the right and began to feel a bit dizzy. My hearing seems to be normal without any issues. I thought that resting at night ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest benign paroxysmal positional vertigo (BPPV), which occurs when turning the head, tilting the head back, or getting up from a lying position. The condition is caused by the displacement of otoliths into the posterior semicircular canal. However, th...[Read More] Understanding Dizziness and Balance Issues: Causes and Solutions
Understanding Deep Foot Pain: Causes and Solutions for Your Symptoms
Deep pain in the soles of both feet? Hello, Doctor. I would like to ask you: A few days ago, I started experiencing mild pain in the soles of both feet, which has progressed to localized pain today. The affected area includes the five toes (with the big toe experiencing more stab...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest Tarsal Tunnel Syndrome, as the posterior tibial nerve is compressed while passing through the tarsal tunnel behind the medial malleolus. Common clinical symptoms include numbness, burning sensations, tingling, and other abnormal sensations in the ...[Read More] Understanding Deep Foot Pain: Causes and Solutions for Your Symptoms
Understanding Facial Nerve Issues: Symptoms and When to Seek Help
Facial issues Hello Dr. Jiang, last November, I experienced intermittent twitching in my lower left lip for almost a month. I went to a neurologist for an examination, and tests for trigeminal nerve and thyroid function were normal, with no signs of inflammation. The doctor sugge...
Dr. Jiang Junyi Reply:
Hello: The clinical manifestation of facial nerve paralysis is muscle weakness. If accompanied by other sensory symptoms, one should consider the possibility of trigeminal nerve involvement. The most common cause of trigeminal nerve pathology is compression by vascular structures...[Read More] Understanding Facial Nerve Issues: Symptoms and When to Seek Help
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 Tension and Pain After Self-Inflicted Head Trauma
After hitting both temples, there is tightness in the temples and neck-shoulder area? Hello Dr. Jiang: I recently had an argument with my family and, due to emotional instability, I struck the sides of my head with my fists several times with considerable force. At the moment, I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are very similar to myofascial pain syndrome in the shoulder and neck region. This is because the fascia connects at the temples and the temporal lobes of the brain, and clinically, it often presents as pain at the affected area, di...[Read More] Understanding Tension and Pain After Self-Inflicted Head Trauma
Unexplained Dizziness: Seeking Answers Beyond Medication Relief
Persistent dizziness with no clear cause ~ I can only relieve the symptoms with sedatives each time? Hello Doctor: My dizziness symptoms occur several times a day, characterized by brief episodes of fatigue, lethargy, weakness, and occasional short bouts of dizziness and nausea. ...
Dr. Jiang Junyi Reply:
Hello: You have many symptoms, and my final recommendation is to focus on examinations at the same medical center to gain a deeper understanding. If you are concerned about a previous stroke, you can rule it out by undergoing a self-paid MRI of the brain. Regarding your tendency ...[Read More] Unexplained Dizziness: Seeking Answers Beyond Medication Relief
Understanding Involuntary Muscle Twitches: Causes and Solutions
Regarding involuntary muscle twitching (non-painful, purely twitching)? Hello Doctor, I would like to ask about my current situation. I am preparing for an exam, and I wonder if the stress is the reason for my symptoms. Over the past month, I have been experiencing involuntary mu...
Dr. Jiang Junyi Reply:
Hello: There are many possible causes for muscle spasms in the lower extremities, which may include muscle overuse or nerve compression. However, it is important to first rule out any electrolyte imbalances. I recommend that you visit a neurology or rehabilitation clinic for eval...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Nighttime Anxiety: Headaches, Dizziness, and Sleep Issues
I'm really scared of dying... Please help me? I often have trouble sleeping at night, which has caused my sleep schedule to become reversed. One day, I felt dizzy and experienced tight, painful sensations around my forehead, with my blood pressure reaching as high as 135! I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, you have a history of hypertension, overweight, and other cardiovascular diseases. If you experience sudden neurological deficits such as limb weakness or slurred speech, the first consideration should be cerebrovascular disease. However, the sym...[Read More] Understanding Nighttime Anxiety: Headaches, Dizziness, and Sleep Issues
High Eye Pressure and Headaches: Understanding Neurological Symptoms
Elevated intraocular pressure sensation + headache? Since last week, I have suddenly been experiencing frequent dizziness and headaches. When I close my eyes while sleeping, I feel a slight swelling in my eyes, and there are also some bloodshot areas. Over the past few days, the ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of forehead swelling is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, bu...[Read More] High Eye Pressure and Headaches: Understanding Neurological Symptoms
Understanding Tinnitus: When to Consult a Neurologist for Relief
Tinnitus issues Hello Doctor: Over the past year, I have been hearing a high-pitched ringing or hissing sound in my left ear, especially in quiet environments, which often affects my sleep. I have visited an otolaryngologist three times, and the doctors have stated that there are...
Dr. Jiang Junyi Reply:
Hello: Based on your description, if you are experiencing frequent tinnitus, it may be necessary to consider potential issues with the cochlea in the inner ear and the auditory nerve. This is commonly seen in individuals who work in noisy environments for extended periods, use me...[Read More] Understanding Tinnitus: When to Consult a Neurologist for Relief
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
First Seizure: Understanding Recurrence Risks and Follow-Up Care
Will a first seizure lead to recurrence? Doctor, a few days ago, I suddenly experienced a seizure with convulsions in my limbs, foaming at the mouth, and collapsed. After being taken to the hospital, the doctor determined it was likely epilepsy, but brain scans, chest X-rays, and...
Dr. Jiang Junyi Reply:
Hello: If you have only experienced one seizure, it may not yet be diagnosed as epilepsy. Epilepsy is a neurological disorder characterized by a tendency to have sudden seizures (epileptic seizures). Seizures occur due to a sudden and temporary disruption of normal electrical act...[Read More] First Seizure: Understanding Recurrence Risks and Follow-Up Care
Managing Excessive Sleepiness After Stroke: Tips for Recovery
Post-stroke sequelae Hello Doctor, my grandmother is 74 years old and experienced an ischemic stroke a month ago. Since the stroke, she has been frequently drowsy and often keeps her eyes closed during the day (though she can open them). After speaking a little, she falls asleep ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider central sleep apnea caused by conditions such as stroke, trauma, or other issues affecting the brain, which prevent it from sending respiratory signals, leading to sleep apnea. Additionally, some sedatives or muscl...[Read More] Managing Excessive Sleepiness After Stroke: Tips for Recovery
Understanding Persistent Tinnitus: Causes and When to Seek Help
Suspected persistent tinnitus? Hello Doctor: Recently, I have been frequently cleaning my ears, and I suspect that I may have caused some inflammation in the ear canal. I suddenly started experiencing a persistent sharp, electric-like sound in one ear, but my hearing in both ears...
Dr. Jiang Junyi Reply:
Hello: Tinnitus can be attributed to issues originating from the ear or related to the brain. Common causes include external auditory canal inflammation, foreign body obstruction, and earwax buildup, which can all lead to tinnitus. Even dental extractions and temporomandibular jo...[Read More] Understanding Persistent Tinnitus: Causes and When to Seek Help