Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Dizziness, headache, and tightness and pain in the shoulder and cervical spine? Hello, doctor. I started experiencing severe headaches, dizziness, neck tightness and pain, and numbness in my hands and feet around July of last year. I initially thought it was due to fatigue or hea...
Dr. Jiang Junyi Reply:
Hello, Miss: In addition to your original issues, we may need to consider vascular headaches, which could be related to your menstrual cycle. Furthermore, since you mentioned a connection to posture, we should consider "intracranial hypotension headache." The primary sy...[Read More] Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Can Holding Back a Sneeze Cause Brain Damage? Understanding the Risks
Feeling a rush of air towards the back of the head when suppressing a sneeze? While lying on the floor reading, I suddenly felt the urge to sneeze. I held my mouth closed during the sneeze, and I felt a force pushing towards the back of my head. Now, about an hour has passed, and...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms should first consider inflammation of the neck muscles. This is related to overuse of the neck. Regarding your concern about cerebrovascular disease, it can sometimes present clinically as "thunderclap headache." Thunderclap headache is genera...[Read More] Can Holding Back a Sneeze Cause Brain Damage? Understanding the Risks
Understanding Hand Tremors: Possible Causes and Treatment Options
Tremor issues? Hello, Doctor! My father is 49 years old and a year ago he noticed that his right hand trembles when at rest, and it has become less agile. He also does not swing his right arm much while walking. He visited a neurologist once, but the mildest Parkinson's medi...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Hui, Your father began experiencing movement disorders at the age of 49, which seems somewhat early, as such conditions typically manifest around the age of 60. It may be necessary to differentiate this from a stroke. A stroke generally occurs acutely and is accom...[Read More] Understanding Hand Tremors: Possible Causes and Treatment Options
Understanding Sudden Numbness and Pain: Is It a Stroke Warning?
Experiencing numbness in the left side of the body, including the arms and legs, while sleeping? I am a person who often stays up late. Last night at 2 AM, I suddenly experienced swelling and pain on the right side of my face, near the cheek close to the ear. Before going to bed,...
Dr. Jiang Junyi Reply:
Hello, ma'am: Have you measured your blood pressure? "Stroke warning signs?" These are usually accompanied by elevated blood pressure. "Facial dysfunction?" Facial nerve paralysis only affects the area of the facial nerve and does not cause symptoms in th...[Read More] Understanding Sudden Numbness and Pain: Is It a Stroke Warning?
Managing Dry Mouth Symptoms While Taking Tofisopam: What to Do?
Experiencing severe dry mouth while taking Tofacitinib (20mg)? Hello Doctor: I have been taking Tofacitinib for almost three months and was supposed to return for a follow-up appointment! However, due to the outbreak of the pandemic, I am hesitant to go to the hospital! Recently,...
Dr. Jiang Junyi Reply:
Dear Ms. Gao, Atorvastatin is indicated for: reducing the risk of myocardial infarction, lowering the risk of stroke, and decreasing the incidence of cardiovascular events in high-risk groups for coronary heart disease. Since you are 50 years old, I would like to know which risk...[Read More] Managing Dry Mouth Symptoms While Taking Tofisopam: What to Do?
Understanding Facial and Scalp Numbness: When to Seek Medical Help
Scalp numbness and facial numbness? Hello Doctor, I have been experiencing tingling in my scalp for the past few days, and now my left face has started to feel numb as well. Occasionally, my left hand also feels numb, but not as much as my face. Due to the pandemic, I haven'...
Dr. Jiang Junyi Reply:
Dear Ms. Ching, Your symptoms are occurring on the same side, affecting both your face and limbs. It is advisable to rule out any structural issues in the brain, starting with cerebrovascular diseases. Generally, individuals with high blood pressure have a higher risk of experie...[Read More] Understanding Facial and Scalp Numbness: When to Seek Medical Help
Understanding Facial and Scalp Numbness: When to Seek Medical Attention
Scalp tingling and facial numbness? Hello Doctor, I have been experiencing tingling sensations on my scalp for the past few days, and then my left face started to feel numb as well. Occasionally, my left hand also feels numb, but not as frequently as my face. Due to the pandemic,...
Dr. Jiang Junyi Reply:
Dear Ms. Ching, Your symptoms are occurring on the same side, affecting both your face and limbs. It is advisable to rule out structural issues in the brain, starting with the exclusion of cerebrovascular diseases. Generally, individuals with high blood pressure have a higher ri...[Read More] Understanding Facial and Scalp Numbness: When to Seek Medical Attention
Could My Mother's Symptoms Indicate Meningitis? Seeking Guidance
Could this be a meningitis infection? I'm not a doctor, but I can provide some information based on your description. Your mother's symptoms, including severe cough, fever, confusion, and weakness, could potentially be related to meningitis, especially given her recent ...
Dr. Jiang Junyi Reply:
Dear Ms. LULU, It is likely not "meningitis." Common symptoms include fever, headache, photophobia, chills, rapid heartbeat, neck stiffness, fatigue, drowsiness, and agitation. This type of headache is caused by inflammation, often accompanied by nausea and vomiting, a...[Read More] Could My Mother's Symptoms Indicate Meningitis? Seeking Guidance
Is It a Stroke? Understanding Neurological Symptoms and Concerns
Could it be a stroke? Or is it another disease? I usually use a ventilator to sleep at night due to my issue with sleep apnea. However, I also have nasal congestion (the left nostril is partially open while the right is completely blocked). When I use the ventilator, I wake up th...
Dr. Cai Zongzhang Reply:
Hello, Lin! It is recommended to visit the neurology outpatient clinic![Read More] Is It a Stroke? Understanding Neurological Symptoms and Concerns
Genetic Links Between Migraine and Stroke Risk: What You Need to Know
Genetic predisposition to migraine and its association with the risk of stroke? Hello, doctor. I have had a predisposition to migraines since I was a child, experiencing them intermittently around the age of six or seven. In addition to unilateral headaches, I also experienced sy...
Dr. Cai Zongzhang Reply:
Clinical cases have confirmed that severe migraine attacks can trigger strokes; however, rare instances suggest that neurologists should monitor these patients. Proper management of migraines can help prevent strokes.[Read More] Genetic Links Between Migraine and Stroke Risk: What You Need to Know
Understanding Dizziness and Imbalance: When to Seek Further Evaluation
Dizziness and a sense of imbalance? Hello Doctor, About two weeks ago, I visited the hospital due to severe dizziness accompanied by a feeling of ear fullness, hearing loss, and tinnitus. The doctor assessed it as either inner ear edema or a vestibular stroke. A week ago, I ret...
Dr. Jiang Junyi Reply:
Hello: If your symptoms raise suspicion of a stroke in the ear, you can discuss with your physician the possibility of undergoing relevant examinations such as brain imaging. It is recommended that you consult with a neurologist or an otolaryngologist for discussion and treatment...[Read More] Understanding Dizziness and Imbalance: When to Seek Further Evaluation
Understanding Pulsatile Tinnitus: Causes and Management Strategies
Regarding pulsatile tinnitus, also known as vascular tinnitus? Hello, Dr. Jiang. 1. I have been experiencing tinnitus (various sounds, primarily a distant roaring noise, usually in the left ear, with a very rare occurrence of a sudden long beep in the right ear that gradually d...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems to be a vascular-related issue, but the instruments can only detect large blood vessels. You have a history of myocardial infarction and some neurological symptoms. It may be necessary to consider obstructive sleep apnea: if you have thi...[Read More] Understanding Pulsatile Tinnitus: Causes and Management Strategies
How Long Can High Blood Sugar Affect Your Health?
How long can persistent high blood sugar affect the body? Hello, Doctor. My grandfather has been taking Berkey for ten years due to shortness of breath while walking. Last month, he had a stroke, and the neurologist prescribed Baoshuantong. After one month of taking Baoshuantong,...
Dr. Jiang Junyi Reply:
Hello: Currently, Aspirin and Plavix are typically used in combination during the first month after a minor stroke. After that, one of the medications will be chosen for continued use. Long-term use of both antiplatelet medications may increase the risk of bleeding, unless used f...[Read More] How Long Can High Blood Sugar Affect Your Health?
Managing Insufficient Medication After a Stroke: Key Considerations
What should I do if the medication dosage is insufficient? On the morning of December 16, Grandpa returned home from exercising. On the bus, he slept the entire way, and when he got home, he was eating breakfast while still dozing off. The family noticed something unusual and tho...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is recommended to seek treatment for cardiovascular disease at a hospital accessible by ambulance within your home area, integrating medical information. Clopidogrel (Plavix) functions similarly to aspirin as a preventive medication for stroke...[Read More] Managing Insufficient Medication After a Stroke: Key Considerations
Understanding Dry Heaving: Is It a Sign of Brain Tumor?
The issue of dry heaving? Hello, doctor. I occasionally experience dry heaving, where I feel like vomiting but do not actually vomit. I have heard that brain tumors can cause vomiting, but they do not present with dry heaving or nausea. Is that correct?
Dr. Hong Weibin Reply:
Hello: Nausea and vomiting are very common symptoms that can be caused by a variety of conditions. These include gastrointestinal issues, neurological problems, medication side effects, liver and kidney diseases, and infections, among others. The most common causes are gastrointe...[Read More] Understanding Dry Heaving: Is It a Sign of Brain Tumor?
Understanding Carotid Artery Stenosis: Symptoms, Risks, and Management
Carotid artery stenosis? Hello Doctor, this month I underwent an MRI due to a pituitary tumor issue, and the report included a finding related to the carotid artery. When I inquired about the report, the doctor mentioned that it was just a narrowing and that the risk of stroke wa...
Dr. Cai Zongzhang Reply:
Hello: If there is only vascular stenosis without any cerebral infarction lesions, it is recommended to manage risk factors such as blood pressure, blood sugar, and lipid levels, and to follow up at a neurology outpatient clinic.[Read More] Understanding Carotid Artery Stenosis: Symptoms, Risks, and Management
Understanding the Link Between Ischemic Stroke and Car Accidents
Ischemic stroke Before the car accident, my mother had stable blood pressure. After the accident, her blood pressure has been consistently high, around 200. She is now hospitalized for treatment of an ischemic stroke. I would like to understand whether the ischemic stroke is rela...
Dr. Hong Weibin Reply:
Hello: Clarifying the causal relationship is not easy because common risk factors for stroke include age, chronic hypertension, diabetes, hyperlipidemia, and smoking. If there was a hemorrhagic stroke immediately after the car accident, it could lead to vascular spasm and result ...[Read More] Understanding the Link Between Ischemic Stroke and Car Accidents
Car Accidents and Stroke: Understanding Risks and Treatment Options
Car accidents and strokes? The mother was involved in a car accident where she sustained a head impact, but there were no external injuries. She was taken to a nearby hospital's emergency department, where a head X-ray was not performed. At the time of the accident, her bloo...
Dr. Hong Weibin Reply:
Hello: It is unclear whether it is a hemorrhagic stroke or an ischemic stroke. A car accident is unlikely to directly cause a stroke, but it could potentially lead to a brain hemorrhage, which may subsequently cause vascular spasms and result in an ischemic stroke. I recommend di...[Read More] Car Accidents and Stroke: Understanding Risks and Treatment Options
Managing Dizziness and Drowsiness After a Stroke: Key Insights
Dizziness and drowsiness after a stroke? Hello Doctor: In July, I experienced paralysis and numbness on my left side. After being taken to the hospital, I was diagnosed with acute cerebral embolism located in a small vessel near the right brainstem. I received intravenous thrombo...
Dr. Hong Weibin Reply:
Hello: After a stroke occurs, even with the administration of thrombolytics, the blockage of blood vessels in the brain usually causes some degree of neurological damage, leading to certain sequelae. You may want to discuss this with your attending physician and evaluate whether ...[Read More] Managing Dizziness and Drowsiness After a Stroke: Key Insights
Navigating Unclear MRI Results: Seeking Effective Treatment for Stroke Symptoms
Magnetic resonance imaging (MRI) shows no evidence of thrombosis or is inconclusive, making rehabilitation treatment unfeasible? Hello, my mother experienced weakness in her legs, unclear speech, and difficulty swallowing in mid-June, although the symptoms were not very pronounce...
Dr. Cai Zongzhang Reply:
Based on the aforementioned symptoms, there are multiple possible diagnoses for the patient, and further examinations must be arranged. For example: Parkinson's disease, thyroid function, etc. It is recommended to first admit the patient for evaluation in the neurology depar...[Read More] Navigating Unclear MRI Results: Seeking Effective Treatment for Stroke Symptoms