Stroke, Neurology FAQ - Page 7

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Understanding Dizziness and Eye Twitching: Neurological Concerns Explained

Dizziness and right eye (globe) twitching? I started experiencing dizziness at the beginning of last year, which is not vertigo. I consulted an ENT specialist who diagnosed me with vestibular neuritis. I took medication for three months, but there was not much improvement. Recent...


Dr. Jiang Junyi Reply:
Dear Miss May, You mentioned that your right eye occasionally twitches and wondered if it could be a brain issue or a sign of a stroke. Typically, a stroke is accompanied by other symptoms, and there is often an increase in blood pressure. I would like to know if you have experi...

[Read More] Understanding Dizziness and Eye Twitching: Neurological Concerns Explained


Is Pituitary Tumor Considered a Cerebrovascular Disease?

Pituitary adenomas are not classified as cerebrovascular diseases? Is a pituitary adenoma considered a type of cerebrovascular disease? For individuals who have had this condition and are required to take central nervous system medications, will there be any effects? Thank you!


Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned whether "pituitary tumors fall under cerebrovascular diseases..." Pituitary tumors are most commonly benign adenomas and are not classified as vascular diseases. They account for approximately 5-10% of all symptomatic intracranial tumors. L...

[Read More] Is Pituitary Tumor Considered a Cerebrovascular Disease?


Understanding Pulsatile Tinnitus: Causes and Consultations for Ear Sounds

Regular sounds in the left ear? Hello Dr. Hong, I need to work on the computer for long periods. Occasionally, I hear a chirping sound in my left ear that syncs with my pulse. I have undergone carotid and intracranial ultrasounds twice (at different hospitals two years apart), ...


Dr. Hong Weibin Reply:
Hello: Generally speaking, if you hear a sound that is synchronized with your pulse and vascular abnormalities have been ruled out, it may indeed be the vascular pulse being transmitted to your ears. The conduction of sound waves relies on a medium, and bones, muscles, and skin a...

[Read More] Understanding Pulsatile Tinnitus: Causes and Consultations for Ear Sounds


Understanding Autonomic Nervous System Dysregulation Symptoms

Suspected autonomic nervous system dysfunction but uncertain? Hello, Doctor. I apologize for the interruption during your busy schedule. I am at the age of menopause and unable to supplement hormones due to breast-related issues. Recently, I experienced heightened emotions, durin...


Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an examination to confirm the cause.

[Read More] Understanding Autonomic Nervous System Dysregulation Symptoms


Understanding Left-Side Numbness: Causes and When to Seek Help

Numbness in the left hand and left foot? Hello Dr. Jiang, I would like to ask about a condition I've been experiencing recently. For the past few days, when I wake up in the morning, I feel numbness from my left elbow to my fingers, and also from my left ankle to my toes. To...


Dr. Jiang Junyi Reply:
Hello Ms. Liu, You mentioned that "the left elbow to the fingers often feels numb," which may suggest a common condition of ulnar nerve compression. However, you also noted that "even the left side of the face feels numb, and there are involuntary twitching episod...

[Read More] Understanding Left-Side Numbness: Causes and When to Seek Help


Understanding Intermittent Headaches and Dizziness: When to Seek Help

Intermittent headaches and dizziness? Hello Dr. Jiang, In the past week, I have been experiencing recurrent headaches that are different from my usual migraines caused by staying up late until 2 or 3 AM. Sometimes the pain is unilateral, while other times it affects my entire h...


Dr. Jiang Junyi Reply:
Dear Mr. You, You mentioned that "the night before last, I suddenly experienced blurred vision, dizziness, and a feeling of impending fainting, with my vision becoming increasingly dark. This lasted for about 5 minutes before gradually returning to normal, primarily occurri...

[Read More] Understanding Intermittent Headaches and Dizziness: When to Seek Help


Numbness from Foot to Outer Calf: Possible Causes and Concerns

Numbness from the dorsum of the foot to the lateral side of the calf? Hello, Doctor. I would like to consult you. About six months ago, I noticed a tingling sensation on the outer side of my right calf extending to the dorsum of my right foot (approximately from the middle toe to...


Dr. Cai Zongzhang Reply:
Hello, Hsiao-Ting: The symptoms mentioned above may indicate a peripheral neuropathy. Please visit a neurologist for an examination to determine the underlying cause for appropriate treatment.

[Read More] Numbness from Foot to Outer Calf: Possible Causes and Concerns


Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care

Persistent symptoms one month after receiving the AZ vaccine? Hello, Dr. Jiang: I received the AZ vaccine on September 10, and that night I had a fever of 41.4 degrees Celsius. However, the fever subsided by the morning of the following day. Two weeks later, on September 13, I no...


Dr. Jiang Junyi Reply:
Dear Ms. Chuang, You mentioned that "two weeks after September 13, I found that I seemed unable to express a complete sentence and could only say simple words." It may be necessary to consider the adverse reaction of thrombosis associated with the AZ vaccine, currently...

[Read More] Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care


Understanding Stroke Treatment: Medications and Recovery Strategies

Treatment and Medication Issues for Cerebral Infarction Hello, doctor. Recently, I experienced a stroke and had weakness in my right hand. The condition improved after about a week. I underwent a carotid ultrasound and found that several blood vessels are 40% blocked. What can we...


Dr. Jiang Junyi Reply:
Dear Ms. Huang, The primary medication for the prevention of cerebral infarction is aspirin. You mentioned "Xinhangjian tablets," which are mainly used as an adjunct to antiplatelet therapy. Possible side effects include abdominal pain, diarrhea, indigestion, bloating,...

[Read More] Understanding Stroke Treatment: Medications and Recovery Strategies


Left Arm and Leg Weakness: Seeking Answers for Neurological Issues

Weakness in the left arm and difficulty lifting the left leg, leading to trouble walking? Hello Doctor, As per the title, my mother has been experiencing weakness in her left hand and left leg for over a year. Both her left hand and leg have muscle atrophy, and her condition is...


Dr. Jiang Junyi Reply:
Dear Mr. Tsai, You mentioned that your mother was previously able to walk to the bathroom with the aid of a walker, but now she is unable to walk and can only sit in a wheelchair. I am not sure if the doctor has any recommendations for further examinations. I wonder if your moth...

[Read More] Left Arm and Leg Weakness: Seeking Answers for Neurological Issues


Medication Concerns for Neurology Patients: Dosage and Safety Tips

Medication issues Hello, doctor. I was originally prescribed one Berkey pill a day by my internist, and recently a neurologist also prescribed one Berkey pill. Can I take two pills a day, or should I stick to just one? I have a mild cerebral infarction but my recovery is going we...


Dr. Hong Weibin Reply:
Hello: Take one pill a day. You can confirm with your doctor during your next visit. After a stroke, it is advisable to maintain a light diet and drink plenty of water. If you have hypertension, hyperlipidemia, or diabetes, it is important to manage them well.

[Read More] Medication Concerns for Neurology Patients: Dosage and Safety Tips


Understanding Sudden Weakness in the Right Arm: Causes and Solutions

Weakness in the hands? Waking up in the morning with sudden body aches and dizziness, which later progressed to weakness in the right arm.


Dr. Jiang Junyi Reply:
Dear Miss Yu-Fang, I would like to know if you have any other neurological deficits besides the weakness in your right hand. If you are experiencing sudden weakness in your right side, it is advisable to first rule out cerebrovascular diseases. I am also curious if you have meta...

[Read More] Understanding Sudden Weakness in the Right Arm: Causes and Solutions


Managing UTI Prevention with Cranberry After Stroke Medication

Medication and Cranberry Use After Stroke After my mother had a stroke, she has been taking aspirin and clopidogrel. Recently, she has been experiencing frequent urinary tract infections and has seen a doctor for medication during these episodes. I would like to know if she can t...


Dr. Hong Weibin Reply:
Hello Ms. Yang, 1. Currently, there are no reported drug interactions between cranberry and aspirin (antiplatelet medication) or statins (lipid-lowering medications). Therefore, it is feasible to take them separately. However, when cranberry is taken with other anticoagulants (s...

[Read More] Managing UTI Prevention with Cranberry After Stroke Medication


Understanding Stroke Symptoms: Facial Twitching and Other Concerns

Stroke, facial twitching? Hello Doctor, on September 5th while cleaning the floor during my shower, I experienced a noticeable feeling of cerebral congestion, but it subsided after a while, occurring two or three times. Since I was cleaning a new house, the air quality was poor, ...


Dr. Jiang Junyi Reply:
Hello, Sir: (1) Doctor, could my symptoms be a precursor to a stroke or caused by autonomic nervous system dysfunction? Your symptoms seem more indicative of cervical spine issues. (2) I have intermittent strabismus with a significant angle, which makes it tiring to see thing...

[Read More] Understanding Stroke Symptoms: Facial Twitching and Other Concerns


Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?

Is it related to sleeping posture, cervical spine issues, or vascular problems? Hello, Dr. Jiang. 1. The first issue is a problem that has existed for many years. I often experience numbness in the fingers of both hands while riding a motorcycle. It doesn't always happen i...


Dr. Jiang Junyi Reply:
Hello Mr. Chang, It seems that there are four issues based on your description: 1. Carpal tunnel syndrome may need to be considered. 2. Cubital tunnel syndrome may also need to be considered. 3. Cervical spine degeneration causing nerve root compression may be a possibility. 4...

[Read More] Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?


Can Car Accident-Induced Brain Hemorrhage Lead to Embolic Stroke?

A car accident leading to a stroke? My father was in a car accident (hit by a car) and suffered from bleeding in the brain, six broken ribs, and two broken clavicles. He was in the intensive care unit for about 13 days. The brain bleeding was checked 2.3 days after the accident a...


Dr. Jiang Junyi Reply:
Hello, Miss: It seems that traumatic brain hemorrhage (due to external force) and cerebral infarction (due to vascular obstruction) are two different conditions. If there is arterial wall dissection, it might be explained by external force. I wonder if your father has metabolic...

[Read More] Can Car Accident-Induced Brain Hemorrhage Lead to Embolic Stroke?


Understanding ICH: Recovery Insights for a 65-Year-Old with High Blood Pressure

Intracerebral hemorrhage (ICH) with bleeding on the left side? Hello, my mother is 65 years old and has a history of hypertension. She secretly stopped taking her medication. One night, she reported numbness in her hand, and on the evening of July 30, she was urgently taken to th...


Dr. Jiang Junyi Reply:
Dear Ms. Hanna, 1. I would like to ask, given my mother's condition, is a blood clot larger than 30mm in the left basal ganglia considered severe in the context of cerebral hemorrhage? A: The severity depends not only on the size of the clot but also on its location. If the...

[Read More] Understanding ICH: Recovery Insights for a 65-Year-Old with High Blood Pressure


Signs of Stroke Recurrence: Understanding Fever and Weakness in Patients

Stroke patients have recently experienced fever and weakness? Hello, doctor. My mother has had a stroke for over ten years, resulting in paralysis on her left side. She has also experienced two strokes on her right side. While she can move her right hand, it is weaker and she can...


Dr. Jiang Junyi Reply:
Dear Ms. JOJU, I hope this message finds you well. I would like to inquire about your mother's cerebral blood vessels. If there is already significant stenosis, dehydration caused by fever may lead to insufficient cerebral blood flow, resulting in neurological deficits. Thi...

[Read More] Signs of Stroke Recurrence: Understanding Fever and Weakness in Patients


Understanding Sudden Hand Numbness: Causes and When to Seek Help

Sudden unexplained hand numbness? Hello Dr. Jiang, I would like to briefly describe my physical condition. I am 158 cm tall and weigh 58 kg, with an average build. I have never had any blood pressure issues, but in the past week or two, I have experienced intermittent numbness i...


Dr. Jiang Junyi Reply:
Dear Miss Zhenzhen, Your symptoms may suggest peripheral nerve involvement. Your cardiovascular disease risk is relatively low. It may be worth considering compression of the nerve roots at the seventh cervical or first thoracic vertebrae. If the peripheral neuropathy is due to ...

[Read More] Understanding Sudden Hand Numbness: Causes and When to Seek Help


Understanding Neck Artery Issues: Risks, Symptoms, and Management

Neck issues Hello Doctor, I experienced sudden unilateral tinnitus in April, which led me to consult an otolaryngologist. My hearing test results were normal. Then one day, I suddenly experienced vertigo and sought medical attention again from the otolaryngologist. The doctor exa...


Dr. Jiang Junyi Reply:
Dear Ms. Yang, If you are concerned about vascular aging, it is advisable to have a clear understanding of your condition regarding the three highs (hypertension, hyperglycemia, and hyperlipidemia). For blood pressure measurement: In the population around 50 years old, systoli...

[Read More] Understanding Neck Artery Issues: Risks, Symptoms, and Management


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