Could Your Symptoms Indicate a Brain Tumor? A Doctor's Insight
Could you please tell me if the following symptoms could possibly be caused by a brain tumor? Hello Doctor, I would like to ask for your advice. Since middle school, I have frequently experienced palpitations, dizziness, a sensation of my body vibrating, and a feeling similar t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with the autonomic nervous system, specifically the sympathetic and parasympathetic nervous systems, where one acts as the accelerator and the other as the brake. The sympathetic nervous system is responsible for stimulating the "gas...[Read More] Could Your Symptoms Indicate a Brain Tumor? A Doctor's Insight
Understanding Nerve Compression: Symptoms of Tingling in Limbs and Face
Numbness in the hands and feet, and even the face is starting to feel numb? Hello, Dr. Jiang. Last month, I suddenly woke up one morning with simultaneous numbness in my left arm and leg. This sensation felt different from just an abnormal sleeping position. Even during the day, ...
Dr. Jiang Junyi Reply:
Hello, you mentioned that the issue of unilateral limb numbness is more indicative of cervical nerve root compression. As for the tingling sensations around the mouth and in the limbs, it may be necessary to consider hyperventilation syndrome. The typical symptoms include chest t...[Read More] Understanding Nerve Compression: Symptoms of Tingling in Limbs and Face
Headaches and Diarrhea in Diabetic Patients: What Could It Mean?
Diabetic patients experiencing headaches and diarrhea? Hello, my mother is a diabetes patient. Recently, she has been experiencing intermittent headaches accompanied by diarrhea. I am a bit worried that it might be a stroke, but she does not have any dizziness or nausea. What cou...
Dr. Jiang Junyi Reply:
Based on your description, your mother has hypertension and a history of cardiovascular diseases, which places her in a high-risk group for stroke. If she experiences sudden neurological deficits such as weakness in the limbs, slurred speech, or difficulty swallowing, cerebrovasc...[Read More] Headaches and Diarrhea in Diabetic Patients: What Could It Mean?
Understanding Transient Limb Weakness: Possible Causes and Next Steps
Recently, I have experienced occasional and noticeable weakness in my limbs over the past month? Hello Doctor: For the past month, I have been experiencing intermittent episodes of transient weakness in my limbs. During these episodes, my hands and feet feel light, and I occasion...
Dr. Jiang Junyi Reply:
Hello, your symptoms may suggest hyperventilation. Rapid or deep breathing can lead to excessive expulsion of carbon dioxide, resulting in respiratory alkalosis, which raises blood pH levels and affects the normal electrophysiological processes of the nervous system. Some patient...[Read More] Understanding Transient Limb Weakness: Possible Causes and Next Steps
Understanding Childhood Epilepsy: Causes, Treatment, and Concerns
Pediatric epilepsy Hello Doctor, my child is currently 7 months old. After birth, he was suspected to have a stroke in the right hemisphere due to placental obstruction of cerebral blood vessels, resulting in reduced mobility on the left side of his body. At that time, the doctor...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of epilepsy is brain injury. Certain medications may trigger seizures. Currently, you mentioned that Keppra is a medication with fewer drug interactions. If a new type of seizure occurs, it is important to rule out any new c...[Read More] Understanding Childhood Epilepsy: Causes, Treatment, and Concerns
Understanding Stroke Recurrence: Care and Rehabilitation Insights
Recurrent stroke Hello Dr. Hong, I apologize for asking, but I would like to inquire about my father. He had a stroke last Mid-Autumn Festival, resulting in weakness in his left thumb. Since then, we have been cautious about preventing another stroke and have continued rehabilit...
Dr. Hong Weibin Reply:
Hello: I feel very sorry for your father's situation. A stroke is caused by a blockage in the cerebral blood vessels, which may result from atherosclerosis in the cerebral arteries or thrombosis due to atrial fibrillation. The term "cerebral hypoxia" is somewhat va...[Read More] Understanding Stroke Recurrence: Care and Rehabilitation Insights
Is Your Loved One Experiencing Stroke Symptoms? Key Signs to Watch For
Stroke? Dear Dr. Jiang, Hello! My mother is 68 years old and has a history of high cholesterol and hypertension. Recently, she has been experiencing dizziness and headaches every morning upon waking up. She visited a nearby clinic where her systolic blood pressure was measured a...
Dr. Jiang Junyi Reply:
Based on your description, your mother has a history of hypertension and hyperlipidemia, which places her in a high-risk group for stroke. If she experiences sudden neurological deficits such as weakness in the limbs or slurred speech, cerebrovascular disease should be the primar...[Read More] Is Your Loved One Experiencing Stroke Symptoms? Key Signs to Watch For
Dizziness and Spinning Sensation: Neurological Insights and Solutions
Dizziness and vertigo? In recent weeks, whenever I lie down and move my head, I experience dizziness, as if the room is spinning, and I also feel nauseous. Please provide an explanation, doctor.
Dr. Hong Weibin Reply:
Hello: Dizziness can generally be classified based on the location of the lesion into "peripheral dizziness" and "central dizziness." Peripheral dizziness refers to dysfunction in the structures of the inner ear that manage balance, such as the semicircular ca...[Read More] Dizziness and Spinning Sensation: Neurological Insights and Solutions
Understanding Right-Sided Numbness: Possible Causes and Concerns
Numbness in the right side of the limbs? Hello doctor, I am 19 years old. About three weeks ago, I started feeling something unusual in my right hand, which felt different from my left hand, but it wasn't quite numb. I didn't pay much attention to it at the time, but re...
Dr. Hong Weibin Reply:
Hello: In addition to stroke, the most common cause of numbness in the hands and feet is peripheral nerve compression, such as cervical or lumbosacral radiculopathy, and peripheral nerve entrapment (for example, carpal tunnel syndrome, cubital tunnel syndrome, etc.). Additionally...[Read More] Understanding Right-Sided Numbness: Possible Causes and Concerns
Essential Tests for Stroke and Dementia in Elderly Patients
Examination items for stroke/dementia in the elderly? Hello, my mother is 73 years old. Last month, she had a cold and visited a clinic near our home for medication. The following afternoon, she went out as usual but did not return home for a long time. In the evening, family mem...
Dr. Hong Weibin Reply:
Hello, thank you for your inquiry. Your concern for your mother is truly touching. Based on your description, it seems that your mother is experiencing acute altered mental status (personality changes, slowed movements). Your neurologist is correct; potential causes could include...[Read More] Essential Tests for Stroke and Dementia in Elderly Patients
Understanding Dizziness, Palpitations, and Headaches: A Neurological Perspective
Headache, dizziness, and increased heart rate? Hello Doctor, about a year and a half ago, I had a severe cold, after which I began experiencing symptoms of premature ventricular contractions. I underwent an echocardiogram, which showed normal results, but the arrhythmia has persi...
Dr. Jiang Junyi Reply:
Based on your description: You mentioned symptoms of dizziness, which may need to consider a drop in blood pressure or cerebral vasoconstriction leading to reduced cerebral blood flow, resulting in cerebral hypoxia. Syncope is more likely to occur when a person is standing. Many ...[Read More] Understanding Dizziness, Palpitations, and Headaches: A Neurological Perspective
Understanding Persistent Headaches: When to Seek Medical Help
Persistent headache Recently, I have been experiencing mild headaches that come and go, with noticeable sharp pains at times. The pain becomes more intense during moments of excitement with my girlfriend. This has been ongoing for almost a week. I found some information online su...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the more common causes of headaches are tension-type headaches or migraines. The symptoms of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the...[Read More] Understanding Persistent Headaches: When to Seek Medical Help
Understanding Left Cerebral Vascular Occlusion: Stenting Risks and Costs
Cerebrovascular occlusion Hello Doctor, I would like to inquire about a 77.8% blockage in the left cerebral artery. I have not experienced a stroke so far. In this situation, is it necessary to place a stent? What are the current risks associated with stenting, and is there any d...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is generally believed that intracranial vascular stenosis of 70% or more, along with evidence or symptoms of ischemic stroke, warrants consideration for stenting if medical treatment has proven ineffective. This is because placing an intracran...[Read More] Understanding Left Cerebral Vascular Occlusion: Stenting Risks and Costs
Understanding Ultrasound Results: Implications for Neurological Symptoms
Ultrasound examination results Hello Doctor, I have been experiencing long-term fatigue, intermittent headaches, difficulty thinking, excessive sleepiness, and blurred vision with a slightly darkened field, feeling as if I have heatstroke that just won't improve (and is gett...
Dr. Gao Chunde Reply:
There is significant stenosis in the intracranial vertebral artery blood flow that requires treatment. Initial management can involve medical therapy. If there is improvement, including a reduction in clinical symptoms and follow-up imaging showing improved blood flow, then stent...[Read More] Understanding Ultrasound Results: Implications for Neurological Symptoms
Understanding Stroke Symptoms: What Your Body Might Be Telling You
Stroke Neurological Issues Dear Dr. Hong, I have been experiencing the following symptoms for quite some time: my right eye feels stiff when I move it, there is slight swelling in my right eye, and sometimes it appears red upon waking. I also feel pressure in my right brain, hav...
Dr. Hong Weibin Reply:
Hello, thank you for your inquiry. Based on your condition, I recommend that you seek a consultation with a neurologist in person. You mentioned that your right eye has difficulty moving and sometimes experiences redness and swelling. I wonder if you are experiencing double visio...[Read More] Understanding Stroke Symptoms: What Your Body Might Be Telling You
Is Your Neck Discomfort a Sign of Stroke? Understanding the Symptoms
Is the risk of stroke high? Hello, Dr. Jiang: On October 14th, I felt a pressure in the left side of my neck below the ear, which was uncomfortable. On the morning of October 15th, when I woke up, my vision suddenly went black for about 20 seconds before turning white, and I felt...
Dr. Gao Chunde Reply:
Neck compression can be a sensation or the presence of a palpable mass. If there is an issue with the neck vessels, the most concerning condition is arterial dissection, such as carotid or vertebral artery dissection, which can occur due to external trauma or severe neck twisting...[Read More] Is Your Neck Discomfort a Sign of Stroke? Understanding the Symptoms
Understanding Right-Sided Numbness: Possible Causes and Solutions
Continued inquiry: The right side of the limbs is experiencing numbness? Hello Doctor, I have been experiencing numbness in my right hand and right foot for the past six months. It tends to improve after I get up and move around. However, I do experience pain in my lower back, wh...
Dr. Lan Shengxing Reply:
Experiencing unusual sensations that do not affect daily life or work may not necessarily indicate a condition that requires treatment or intervention. Generally, those who feel concerned about such sensations tend to be more sensitive than the average person, so it is recommende...[Read More] Understanding Right-Sided Numbness: Possible Causes and Solutions
Does Napping During Awake EEG Affect Test Accuracy?
Brainwave issues Hello, doctor! I would like to ask if taking a brief nap during a wakefulness EEG test would affect the accuracy of the measurements. Previously, I had a normal wakefulness EEG due to dizziness, but now the cause of my dizziness has not improved. Could that short...
Dr. Jiang Junyi Reply:
Based on your description, the primary indication for an electroencephalogram (EEG) is epilepsy. Other conditions such as intracranial lesions, stroke, encephalitis, brain tumors, and metabolic brain disorders can currently be assisted in diagnosis through brain imaging. For the ...[Read More] Does Napping During Awake EEG Affect Test Accuracy?
Understanding Headaches, Dizziness, and Vision Issues: When to Seek Help
Headache accompanied by dizziness and difficulty focusing vision? Doctor, I would like to ask about my condition. A few months ago, I experienced severe headaches for the first time, and I had difficulty focusing my vision while using the computer screen. After taking painkillers...
Dr. Gao Chunde Reply:
The symptoms resemble those of a visual aura migraine. The subsequent symptoms are less specific and may not necessarily indicate a problem. For the headache component, it would be advisable to consult a neurologist.[Read More] Understanding Headaches, Dizziness, and Vision Issues: When to Seek Help
Exploring Recovery Possibilities After a Mild Stroke
The possibilities of recovery from a stroke? About three months ago, my father experienced dizziness and discomfort while at work, so he took a leave of absence and drove himself to the hospital. The doctor prescribed medication and sent him home to rest, but on the way back, he ...
Dr. Hong Weibin Reply:
Hello: Ischemic stroke occurs due to the blockage of cerebral blood vessels, preventing the affected brain tissue from receiving adequate blood supply, leading to insufficient oxygen and subsequent cell death. Since brain cells are highly specialized, they are difficult to regene...[Read More] Exploring Recovery Possibilities After a Mild Stroke