Understanding Dizziness: Insights from Neck Ultrasound Findings
Unexplained dizziness and neck ultrasound examination? Two months ago, I experienced two episodes of directional dizziness that occurred only when lying on my left side (without double vision, speech difficulties, or nausea). I was diagnosed with benign paroxysmal positional vert...
Dr. Jiang Junyi Reply:
Hello: 1. If dizziness improves over time, can we rule out non-cerebral issues? A: Dizziness related to cerebrovascular diseases may present with other neurological symptoms, such as sensory abnormalities, diplopia (brainstem), or balance issues (cerebellum). However, improvem...[Read More] Understanding Dizziness: Insights from Neck Ultrasound Findings
Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Brain tumor, brain cancer I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and I smoke. My medi...
Dr. Hong Weibin Reply:
1. It is recommended that you directly inquire with the hospital's health examination center for clearer information. The same type of examination can have different modalities, and the purpose and results may vary. 2. Generally, a CT scan or MRI with contrast agent should b...[Read More] Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Brain cancer brain tumor I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and have a smoking hi...
Dr. Jiang Junyi Reply:
Hello: Here is the answer to your question. It is recommended to first undergo a non-contrast MRI to assess the lesions. (Generally, cerebrovascular diseases and brain tumors can be initially differentiated. As for dental issues, after the MRI, we can evaluate whether they signif...[Read More] Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Understanding Dementia Screening: Key Tests and Considerations
Dementia Assessment Items I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and do not sleep wel...
Dr. Jiang Junyi Reply:
Hello: MRI contrast agents typically do not cause common allergic reactions unless there is impaired kidney function. It is recommended to first perform an MRI without contrast to evaluate the lesions. You may consider consulting a neurologist for discussion and examination. Wish...[Read More] Understanding Dementia Screening: Key Tests and Considerations
Understanding Parkinson's Disease: Symptoms, Diagnosis, and Concerns
Parkinson's disease Hello Dr. Hong, I am 60 years old and do not have any issues with hypertension, diabetes, or high cholesterol; my overall health condition is fairly good. However, over two years ago, my family noticed that my head would have slight tremors when at rest. ...
Dr. Hong Weibin Reply:
Hello: Common causes of tremors, aside from Parkinson's disease, include essential tremor and physiological tremor, among others. A neurologist needs to conduct a detailed medical history inquiry and monitor the patient over a period of six months to a year to have greater c...[Read More] Understanding Parkinson's Disease: Symptoms, Diagnosis, and Concerns
Which Imaging Test is Best for Diagnosing Dementia: CT, MRI, or PET?
Which imaging method is more accurate for diagnosing dementia: CT, MRI, or PET? I have a history of type 2 diabetes for 8 years and have been taking medication for depression for 15 years: DOXEPIN 25 mg (2 tablets) and Escitalopram 10 mg (1 tablet). I have had insomnia for 20 yea...
Dr. Cai Zongzhang Reply:
Hello: For memory function disorders, a CT scan is typically arranged, and an MRI is only ordered if there is suspicion of a stroke. PET scans are not helpful for assessing memory function.[Read More] Which Imaging Test is Best for Diagnosing Dementia: CT, MRI, or PET?
Which Imaging Test is Best for Diagnosing Dementia: CT, MRI, or PET?
Which imaging technique is more accurate for diagnosing dementia: CT, MRI, or PET? I have a history of type 2 diabetes for 8 years, depression for 20 years, and insomnia without deep sleep for that duration. I have a history of smoking. My grandmother passed away from dementia. M...
Dr. Hong Weibin Reply:
Hello: 1. If there are issues with a head computed tomography (CT) scan that cannot be resolved, a head magnetic resonance imaging (MRI) may be arranged for further examination. If the CT scan shows no problems, then an MRI may not be necessary. Arranging for examinations must ...[Read More] Which Imaging Test is Best for Diagnosing Dementia: CT, MRI, or PET?
Understanding Nighttime Headaches: Causes and Solutions
Sleep-related headache Hello, doctor. I would like to ask about my father. Since September, he has been experiencing sudden headaches while sleeping, but he feels fine during the day. The headaches only occur at night while he is asleep. My father is a smoker and underwent cardia...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the primary reason for the headache at night is likely due to respiratory issues during sleep, leading to carbon dioxide accumulation, which in turn increases cerebral blood flow and intracranial pressure. Given that your father has risk factors ...[Read More] Understanding Nighttime Headaches: Causes and Solutions
Understanding Tinnitus and Dizziness: Insights from Neurology
Tinnitus, dizziness? Hello Dr. Jiang, the following questions are for a patient (I actually have similar symptoms myself): 1. Tinnitus, dizziness, and a sensation of noise in the head have been intermittent for 30 years (I am 56 years old this year). 2. Recently, after 8 months ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the management of cardiovascular disease primarily involves controlling the three highs (hypertension, hyperlipidemia, and hyperglycemia), which you seem to have achieved. However, you did not mention any sleep issues, so it may be worth consider...[Read More] Understanding Tinnitus and Dizziness: Insights from Neurology
Understanding Post-Epileptic State: Recovery and Rehabilitation Concerns
Loss of self-awareness after seizure control? Hello, Dr. Jiang. My father is 71 years old. During the Dragon Boat Festival, he felt unwell and rushed to the hospital for an emergency visit. The attending physician diagnosed him with a stroke warning and administered an anticoagul...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether your father's epilepsy is caused by cerebrovascular disease or other conditions. The tightness in his right hand and foot may indicate an issue in the left hemisphere of the brain, and there could also be a possibility ...[Read More] Understanding Post-Epileptic State: Recovery and Rehabilitation Concerns
Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Hello, Dr. Jiang? In April 2019, I received a combined measles vaccine and was taking medication for Helicobacter pylori. After 1-3 days, I experienced severe throat pain, persistent phlegm, general weakness, and fatigue. I consulted an otolaryngologist and underwent a neck ultra...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether you are experiencing overweight issues. It may also be necessary to consider sleep apnea: if you have this condition, it can lead to daytime concentration difficulties and frequent drowsiness. There are generally two types...[Read More] Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Understanding Left-Sided Migraine and Anxiety: A Young Adult's Journey
Tension-type headache? Hello, Doctor Jiang. Let me explain my condition. I am 19 years old, and about three days ago, I started experiencing body aches and weakness. By the afternoon, I developed a headache, and in the evening, I had a fever (37.8°C). The next morning, the fever ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of left-sided neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may al...[Read More] Understanding Left-Sided Migraine and Anxiety: A Young Adult's Journey
Understanding Dizziness, Nausea, and Weakness: Possible Neurological Issues
Dizziness, nausea, and weakness or numbness in the limbs? Hello, I started experiencing dizziness upon waking up on June 9th, initially thinking it was due to getting up too quickly. However, the dizziness persisted throughout the day, occurring whether I was standing, sitting, o...
Dr. Jiang Junyi Reply:
Hello, based on your description, I'm not sure if you have issues with sleep apnea. Some symptoms may suggest autonomic nervous system dysfunction. Our autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems; one acts as the accelerator, ...[Read More] Understanding Dizziness, Nausea, and Weakness: Possible Neurological Issues
Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Cervical vascular issues Hello, doctor. A year ago, I underwent cervical traction therapy due to cervical degeneration. However, after just one session of traction, my body began to undergo significant changes. Initially, I experienced dizziness, headaches, rapid heartbeat, insom...
Dr. Jiang Junyi Reply:
Hello, based on your description, if rehabilitation does not yield satisfactory results, an MRI of the cervical spine may be considered. The symptoms you mentioned may be related to cervical disc herniation, which often exacerbates nerve root pain during coughing or sneezing. A d...[Read More] Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Cervical vascular issues Hello, doctor. A year ago, I underwent cervical traction therapy due to cervical degeneration. However, after just one session of traction, my body began to undergo significant changes. Initially, I experienced dizziness, headaches, rapid heartbeat, insom...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you choose a medical center near your home for relevant examinations. This will make it easier to compare changes over time. Additionally, the information will be more comprehensive, and it will be easier for physicians from different specialties to ...[Read More] Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Persistent Dizziness: Understanding Causes and Seeking Solutions
Persistent dizziness, extremely distressing? Hello, I started experiencing dizziness on the morning of June 9th. Initially, I thought it was due to standing up too quickly, but the dizziness persisted throughout the day, regardless of whether I was standing, sitting, or lying dow...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for dizziness. I'm not sure which antihypertensive medication you are taking, but it may help alleviate your discomfort. If it is a beta-blocker, you might need to consider issues related to autonomic nervous ...[Read More] Persistent Dizziness: Understanding Causes and Seeking Solutions
Sudden Numbness and Pain in Left Hand and Foot: Stroke Warning Signs?
Sudden numbness and pain in the left hand and foot? Today, while taking my child out for a meal, I suddenly experienced numbness and pain in the left side of my limbs. The pain is not unbearable, but the numbness has persisted without relief. There are no issues with my facial mu...
Dr. Cai Zongzhang Reply:
Hello: Numbness and pain in the limbs on the same side, aside from a stroke, could be indicative of other conditions. It is recommended to visit a neurology clinic for an examination to determine the underlying issue.[Read More] Sudden Numbness and Pain in Left Hand and Foot: Stroke Warning Signs?
Understanding Upper Body Numbness: Causes and When to Seek Help
Numbness in the upper body? Hello doctor, last night while sitting, I suddenly experienced numbness that radiated from my spine in the back of my chest to my hands and the muscles in my face below my eyes. During the numbness, both my hands and face were able to move freely, but ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are more indicative of hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in "respiratory alkalosis," which can cause systemic reactions and symptoms. Common manifestation...[Read More] Understanding Upper Body Numbness: Causes and When to Seek Help
Managing Dizziness and Nausea After a Stroke: A Caregiver's Concern
The mother had a minor stroke a year ago and has recently been experiencing frequent dizziness and vomiting? Hello Doctor, my mother had a mild stroke a year ago, and her stroke-related symptoms have improved. Her blood pressure and blood sugar levels are being managed with medic...
Dr. Hong Weibin Reply:
Hello: Indeed, dizziness caused by peripheral systems is more challenging to treat, and medication can only be used to manage the condition. It is recommended that you discuss with your physician to choose medications with fewer side effects and take them regularly to reduce the ...[Read More] Managing Dizziness and Nausea After a Stroke: A Caregiver's Concern
Understanding Occipital Pain During Ejaculation: Causes and Solutions
Pain in the back of the head after ejaculation? Hello doctor, for the past few days, I've been experiencing pain at the back of my head when I'm about to ejaculate. The pain lasts for about 5 minutes and has an intensity of around 4. I'm wondering if this could be ...
Dr. Hong Weibin Reply:
Hello: Can you have a neurologist check for cerebrovascular abnormalities? Below is an excerpt from the International Classification of Headache Disorders, 3rd edition (beta) in Chinese for your reference: 6.7.3 Headache attributed to reversible cerebral vasoconstriction syndrom...[Read More] Understanding Occipital Pain During Ejaculation: Causes and Solutions