Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Postoperative neurological sequelae Hello, Dr. Jiang. I underwent brain tumor resection surgery two years ago, and I have been experiencing facial nerve issues corresponding to CN4 through CN8 (such as diplopia, tinnitus, facial paralysis, headaches, etc.). After undergoing treat...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "diplopia, tinnitus, facial numbness, and headaches," which may warrant consideration of hyperbaric oxygen therapy to improve circulation in the affected areas post-surgery. Additionally, recent repetitive transcranial magnetic stimulation ...[Read More] Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Understanding Ear Issues Post-COVID: Tinnitus and Heartbeat Sounds Explained
Ear problems? Three months ago, I was diagnosed with COVID-19. I experienced loud tinnitus in my left ear, along with a pronounced heartbeat sound when I turned my head to the right. I consulted an otolaryngologist at a major hospital, who listened to the blood flow in my ear and...
Dr. Peng Shiwei Reply:
Hello, based on your description, your symptoms have improved by 80%. What you should do now is to maintain the current state and relax. Engaging in more physical activity is also beneficial. Wishing you a speedy recovery, and thank you for your question.[Read More] Understanding Ear Issues Post-COVID: Tinnitus and Heartbeat Sounds Explained
Understanding Blackouts, Dizziness, and Tinnitus: Neurological Concerns
Flashing black in the eyes, dizziness, tinnitus? For the past three to four months, I have occasionally experienced episodes of my vision going black. Initially, it felt like a cloth was being placed over my eyes from above for a second and then lifted. However, as of yesterday, ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, my first step would be to rule out unilateral carotid artery stenosis causing transient visual disturbances, or cardiac issues such as arrhythmias that could lead to similar symptoms. However, if the carotid ultrasound and cardiac evaluations come b...[Read More] Understanding Blackouts, Dizziness, and Tinnitus: Neurological Concerns
Understanding Pulsatile Tinnitus: Causes and Concerns for Patients
Tinnitus issues? Hello Doctor: I have been experiencing pulsatile high-frequency tinnitus in my left ear for the past three months. The tinnitus is persistent throughout the day, but it usually diminishes briefly after taking a hot shower, only to return shortly afterward. A mont...
Dr. Jiang Junyi Reply:
Hello Mr. Wen: You asked, "Does an acoustic neuroma always result in hearing loss?" The hearing loss associated with acoustic neuroma typically progresses gradually. Subsequently, as the tumor compresses the brainstem, other cranial nerve symptoms and cerebellar signs m...[Read More] Understanding Pulsatile Tinnitus: Causes and Concerns for Patients
Is It a Stroke? Understanding Symptoms and When to Seek Help
Suspected stroke? Hello, doctor. This morning when I got up, I experienced a sudden cramp in my left calf muscle due to the significant temperature changes over the past two days. At that moment, I felt a sensation in my head similar to blood rushing to my brain, followed by dizz...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe the likelihood of a stroke is low (generally, it would present as sudden vision loss, typically affecting one eye). I think it may be presyncope. I recommend that you see a cardiologist or neurologist for further evaluation. Thank you for ...[Read More] Is It a Stroke? Understanding Symptoms and When to Seek Help
Understanding Persistent Dizziness: Causes, Symptoms, and Relief Strategies
I experience dizziness as soon as I open my eyes? Hello, doctor. I'm quite confused about my condition, so I would like to consult you. In the past, I experienced dizziness and nausea occasionally, but since it happened infrequently, I would forget about it after it passed. ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for a neurological function examination.[Read More] Understanding Persistent Dizziness: Causes, Symptoms, and Relief Strategies
Exploring the Connection Between Tinnitus and Neck Muscle Tension
I would like to ask a very peculiar question regarding the relationship between tinnitus and neck muscles? Hello Doctor: About a month ago, I suddenly experienced tinnitus in my left ear. I subsequently underwent hearing tests, tympanometry, and nasopharyngoscopy at two major hos...
Dr. Cai Zongzhang Reply:
Hello MK: Based on the symptoms mentioned, it is recommended to schedule a carotid ultrasound examination with a neurologist.[Read More] Exploring the Connection Between Tinnitus and Neck Muscle Tension
Understanding Pulsatile Tinnitus: When to Seek Further Evaluation
Please ask again? Hello Doctor: A few days ago, I asked about experiencing a pulsating sensation in my ear when turning my head after being diagnosed, but it doesn't happen every time. Sometimes I don't hear it at all. You mentioned it could be an issue with the Eustach...
Dr. Jiang Junyi Reply:
Hello: You mentioned "brain MRI? Can I find this examination at a health check-up center with self-payment?" Typically, MRI is available only at regional hospitals. "Regarding the time to improve allergies, may I ask how many months should I wait before actively se...[Read More] Understanding Pulsatile Tinnitus: When to Seek Further Evaluation
Understanding Pulsatile Tinnitus: When Your Eyes Beat with Your Heart
The eye perceives pulsations that are in sync with the heartbeat? Hello doctor, I have been experiencing a pulsating sensation in my eyes that seems to coincide with my heartbeat since high school. It becomes more pronounced when I lie down or close my eyes. Sometimes my heartbea...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is advisable to consult a neurologist. There is a possibility that you may have a carotid-cavernous fistula, so please ask your doctor to conduct an examination.[Read More] Understanding Pulsatile Tinnitus: When Your Eyes Beat with Your Heart
Understanding Unilateral Tinnitus and Ear Pain: Seeking the Right Specialist
Tinnitus in the right ear with three different types, pain in the temple, and pain in the ear slightly higher towards the left? Every night, I experience persistent unilateral tinnitus that has evolved into three types: pulsatile tinnitus synchronized with my heartbeat, a mid-fre...
Dr. Jiang Junyi Reply:
Hello Ms. Lin: You mentioned "unilateral tinnitus, ear pain, pulsatile tinnitus, pain in the temple area, and discomfort in the back of the head that radiates towards the ear, with increased pain when leaning slightly to the left." I recommend that you first stabilize t...[Read More] Understanding Unilateral Tinnitus and Ear Pain: Seeking the Right Specialist
Understanding Neurological Disorders: Symptoms and Concerns Explained
Neurodisorder Hello Doctor, my recent condition is as follows: On the night of November 2nd, I experienced tinnitus and dizziness. On the morning of November 3rd, I woke up with muscle cramps and palpitations, and I began to feel numbness in my tongue. On the night of November 6t...
Dr. Cai Zongzhang Reply:
The above symptoms are related to dysfunction of the right facial nerve. It is recommended to visit a neurology outpatient clinic for examination and treatment.[Read More] Understanding Neurological Disorders: Symptoms and Concerns Explained
Left Ear Ringing, Dizziness, and Facial Numbness: When to Seek Brain Imaging?
Tinnitus in the left ear, dizziness, and left-sided facial numbness? I usually have symptoms of chronic rhinitis, such as sneezing and post-nasal drip. Recently, I have experienced prolonged tinnitus in my left ear that hasn't improved, and I have also started to feel numbne...
Dr. Peng Shiwei Reply:
Based on your symptoms, it is recommended that you consult a neurologist.[Read More] Left Ear Ringing, Dizziness, and Facial Numbness: When to Seek Brain Imaging?
Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus
Numbness in the hands and face accompanied by tinnitus? Previously, I visited a traditional Chinese medicine practitioner for a stiff neck, and after some time, my shoulder and neck pain improved. However, I suddenly started experiencing numbness in my hands, so I went to a nearb...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "sometimes when I wake up, I find my hands completely numb, and it takes about a few seconds to recover. The rehabilitation doctor said that invasive tests are needed to understand the symptoms." It may be necessary to consider compress...[Read More] Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus
Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia
Autonomic nervous system dysfunction, trigeminal neuralgia? Hello Doctor, my recent condition is as follows: On the night of November 2, I experienced tinnitus and dizziness. On the morning of November 3, I woke up with muscle cramps and palpitations, and I began to feel numbness...
Dr. Cai Zongzhang Reply:
The above symptoms are related to the function of the right facial nerve, and it is recommended to visit a neurology outpatient clinic for treatment.[Read More] Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia
Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Hello, doctor. I would like to ask about some unusual phenomena related to tinnitus? Hello Dr. Jiang, I have been experiencing unilateral tinnitus with a buzzing sound in my left ear for about two weeks. I have already undergone hearing and tympanometry tests at other large hosp...
Dr. Jiang Junyi Reply:
Hello HJK: You mentioned that "when chewing food or yawning, the tinnitus becomes louder..." This could potentially be related to issues with the nerves or muscles around the ear. One possible cause is related to the Eustachian tube, as yawning and chewing help to equal...[Read More] Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Sudden Weakness in the Back of the Head and Limbs: Possible Causes and Next Steps
Sudden weakness in the back of the head and limbs? Hello, doctor. Over the past month, I have experienced two episodes of symptoms similar to what I described in the subject. It feels like I am about to lose my balance, but my consciousness remains clear. Additionally, I have bee...
Dr. Jiang Junyi Reply:
Hello Mr. Shawn, You mentioned that "after the episode, my heart rate rises to about 150, and my blood pressure reaches 139/93, but after resting for about 20 minutes, both return to normal... I'm not sure if there might be an issue with the cerebellum or brainstem, or...[Read More] Sudden Weakness in the Back of the Head and Limbs: Possible Causes and Next Steps
Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Neck pain Hello, doctor! A year ago, I have been experiencing a heavy sensation in the back of my neck and occiput, along with fatigue. Sometimes, I also feel pain and swelling in my jaw, as well as partial numbness in my face. My left ear feels stuffy, and I have tinnitus, which...
Dr. Jiang Junyi Reply:
Hello Mr. Kuan, You mentioned that your left hand experiences numbness, tingling, soreness, and weakness, and that the rehabilitation clinic indicated it might be due to nerve compression. I'm curious about the specific area where you feel the numbness and tingling. Based o...[Read More] Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Could Tinnitus Be Caused by a Tumor? Understanding Your Symptoms
Can tinnitus be caused by a tumor? Hello doctor, I have been experiencing tinnitus for some time. Initially, I thought it was due to anemia, but I have since treated my anemia, and the tinnitus persists. It usually occurs after maintaining a fixed posture for a while (for example...
Dr. Cai Zongzhang Reply:
Hello, Ms. Tsai: There are various causes of tinnitus, and most patients experience improvement after rest. If the symptoms persist, it is recommended to consult a neurologist for further evaluation.[Read More] Could Tinnitus Be Caused by a Tumor? Understanding Your Symptoms
Understanding Meniere's Disease: Can a Concussion Trigger Symptoms?
Meniere's disease I would like to inquire about a concussion I sustained from a motorcycle accident six months ago, and I am now diagnosed with Meniere's disease. I understand that there are many potential causes for Meniere's disease, but I am curious if the concu...
Dr. Hong Weibin Reply:
Hello: The exact cause of Meniere's disease is currently unclear, but it is believed to be related to an imbalance of endolymphatic fluid in the inner ear (accumulation of endolymph in the inner ear labyrinth). Therefore, any factors that may affect the flow of this fluid co...[Read More] Understanding Meniere's Disease: Can a Concussion Trigger Symptoms?
Understanding Unilateral Tinnitus, Dizziness, and Head Numbness Symptoms
Unilateral tinnitus + dizziness + paresthesia of the head? Hello Doctor, 1. On the evening of August 22, 2022, I began to feel a slight pressure in my left ear, followed by the onset of tinnitus. While walking, I occasionally experienced brief episodes of dizziness (similar to ...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "your left ear started to feel a bit stuffy, followed by the onset of tinnitus, and occasionally experiencing brief episodes of dizziness while walking." May I ask what your blood pressure is? Do you have any issues with hypertension, h...[Read More] Understanding Unilateral Tinnitus, Dizziness, and Head Numbness Symptoms