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?
Managing Post-Stroke Recovery: Dietary Changes and Work Readiness
Inquiry about Transient Ischemic Attack (TIA) Hello, my family member is 52 years old and recently experienced numbness on the right side of the body, leading to a diagnosis of a minor stroke. They previously had a history of smoking and drinking but have since quit. A magnetic r...
Dr. Jiang Junyi Reply:
Hello: 1. Recently, I experienced numbness on the right side of my body and was diagnosed with a minor stroke. I had a history of smoking and drinking but have quit. I have also scheduled an MRI. After the MRI, it was confirmed that there are no blockages in the brain vessels. ...[Read More] Managing Post-Stroke Recovery: Dietary Changes and Work Readiness
Which Neurology Specialty Should You Choose in Kaohsiung?
Which department should I consult? At Kaohsiung Chang Gung Memorial Hospital, the Department of Neurology is divided into several subspecialties: General Neurology, Neuromuscular Disorders, Cerebrovascular Diseases, and Epilepsy. Doctor, you previously suggested that I see a neur...
Dr. Jiang Junyi Reply:
Hello: You mentioned the issue of body shaking last time, and since the exact cause is unknown, I recommend seeking assistance from a general neurologist. The neuromuscular specialty primarily treats conditions like muscular atrophy and motor neuron diseases. The cerebrovascular ...[Read More] Which Neurology Specialty Should You Choose in Kaohsiung?
Understanding Eye Twitching: Causes, Symptoms, and When to Seek Help
The lower eyelid has been twitching intermittently for a week? For a week, my lower eyelid has been twitching (since Sunday). That morning, I woke up feeling some swelling at the outer corner of my upper eyelid and lower eyelid. I thought it was just normal edema, so I didn'...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest myofascial pain syndrome in the posterior neck muscle group, which can also lead to referred discomfort in the eyes. The key issue lies within the muscles of the posterior neck. The myofascial connection points are located in the forehead area. I&...[Read More] Understanding Eye Twitching: Causes, Symptoms, and When to Seek Help
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
Chronic Hand Numbness and Pain: Which Specialist Should You See?
For years of paralysis and pain, which specialty should I consult? Hello, doctor. I often experience numbness, stiffness, and pain in both my hands, which has been ongoing for several years. The pain tends to be particularly severe in winter, waking me up at night in tears, espec...
Dr. Jiang Junyi Reply:
Hello: Carpal tunnel syndrome occurs when the median nerve is compressed by ligaments as it passes through the wrist, leading to numbness in the hand from the thumb to half of the ring finger. Generally, sensory nerves are affected first, and after some time, motor nerves may als...[Read More] Chronic Hand Numbness and Pain: Which Specialist Should You See?
Understanding Sudden Balance Issues: When to Seek Neurological Help
Sudden loss of balance? A few days ago, I started experiencing poor balance, consistently leaning to the left while walking and driving. Strangely, I also have difficulty counting money; I clearly counted ten bills, but when I counted again, there were two extra bills (this has h...
Dr. Jiang Junyi Reply:
Hello: Based on your description, due to your history of diabetes and other cardiovascular diseases, you belong to a high-risk group for stroke. If you experience sudden neurological deficits such as limb weakness or other neurological dysfunctions, the first consideration should...[Read More] Understanding Sudden Balance Issues: When to Seek Neurological Help
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 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
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
Can Stroke Be Treated? Understanding Care Options and Concerns
Can a stroke be treated? My mother suddenly experienced facial drooping and weakness in her left arm and leg, and was urgently taken to the hospital. The doctor diagnosed her with a stroke and administered three doses of tissue plasminogen activator (tPA) and started an IV drip. ...
Dr. Hong Weibin Reply:
Currently, for the treatment of stroke, if a patient arrives at the hospital within 3 hours of the onset of acute stroke symptoms (calculated from the last time they were normal), thrombolytic therapy can be administered. If the patient arrives within 4 to 6 hours (and in some ca...[Read More] Can Stroke Be Treated? Understanding Care Options and Concerns
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?
Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Increased dizziness, swelling in the left leg, and occasional numbness in both hands, with the left hand being more affected? Hello, doctor. Basically, I'm experiencing dizziness and issues with my left leg (the hot weather affects me significantly; my dizziness worsens and ...
Dr. Jiang Junyi Reply:
Hello: The vascular stenosis you mentioned, if identified through a neck ultrasound, refers to the extracranial vessels, with the vertebral artery typically being more associated with dizziness. Controllable risk factors for stroke include metabolic syndrome, and your overweight ...[Read More] Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Understanding One-Sided Neck Tightness: Is It a Stroke Warning?
Unilateral posterior neck tightness? Hello Doctor: Recently, I have been feeling a tight and painful sensation on the right side of my neck and the back of my head, especially in the afternoon while at work. I have been sitting in front of the computer for long periods for the pa...
Dr. Jiang Junyi Reply:
Hello, if you are experiencing warning signs of a stroke, there are usually localized neurological dysfunctions, such as loss of speech, motor function, or sensation. Since you do not have issues with hypertension, hyperlipidemia, or diabetes, your risk of having a stroke is rela...[Read More] Understanding One-Sided Neck Tightness: Is It a Stroke Warning?
Rehabilitation Strategies for Brainstem Stroke Recovery
Rehabilitation after a brainstem stroke? If a family member is experiencing left-sided numbness due to a hemorrhagic stroke in the brainstem, it is crucial to consult a healthcare professional for a comprehensive evaluation and tailored treatment plan. Rehabilitation methods may ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your family member has experienced a hemorrhagic stroke in the brainstem, and currently has numbness on the left side. Generally, this may indicate that the area responsible for nerve conduction has been affected. Typically, within a short period, usuall...[Read More] Rehabilitation Strategies for Brainstem Stroke Recovery
Can My Mother Fully Recover from Stroke-Related Weakness?
Can one regain their previous health? My mother recently experienced a minor stroke, which left her weak and unable to walk. She was urgently taken to the hospital for treatment and was hospitalized for a period during which she had daily episodes. After some time, she began to r...
Dr. Jiang Junyi Reply:
Hello, 1. I feel that my leg strength and overall physical stamina are not what they used to be. Why is that? The mild stroke you mentioned could lead to weakness in walking. I'm curious if the physician has explained the relevant areas of the brain and the corresponding c...[Read More] Can My Mother Fully Recover from Stroke-Related Weakness?
Understanding Occipital Pain: Causes and When to Seek Help
Occipital pain Hello Doctor: My profession is a software engineer, so I spend long hours sitting in front of the computer writing code. When I focus intently, I can sit for 3 to 4 hours without getting up to move. Recently, I've been experiencing a tight pain on the left sid...
Dr. Jiang Junyi Reply:
Hello, based on your description, it does not seem to be symptoms of a stroke. The more common symptoms of a stroke include unilateral weakness or numbness. The cause of pain in the left posterior neck is more commonly due to cervical myofascial pain: prolonged periods of looking...[Read More] Understanding Occipital Pain: Causes and When to Seek Help
Understanding Carotid Artery Occlusion After a Stroke: Key Concerns
What to do about carotid artery occlusion? My mother recently suffered a stroke, presenting with facial drooping, eye misalignment, drooling, and weakness in her legs. After being sent to the hospital for treatment, she was diagnosed with a cerebrovascular accident. The physician...
Dr. Jiang Junyi Reply:
Based on your description of the symptoms of generalized muscle pain, it is possible that during the magnetic resonance imaging (MRI) examination, patients are typically instructed to remain still to achieve better imaging, which can lead to muscle tension and discomfort. Your mo...[Read More] Understanding Carotid Artery Occlusion After a Stroke: Key Concerns
Understanding Right-Sided Neck and Head Pain: Is It a Stroke Warning?
Tightness in the right posterior part of the head, along with shoulder and neck pain, which is also causing discomfort in the eyes? Hello, doctor. I would like to ask you a question. My husband is 40 years old and works in a physically demanding job. He has a smoking habit and ha...
Dr. Jiang Junyi Reply:
Hello: Your husband is a smoker, which places him in a high-risk group for stroke. If he experiences sudden neurological deficits such as unilateral limb weakness or slurred speech, cerebrovascular disease should be the first consideration. Other causes of limb pain, such as cerv...[Read More] Understanding Right-Sided Neck and Head Pain: Is It a Stroke Warning?