Understanding the Differences Between Brain MRI and Head MRI: A Comprehensive Guide
The difference between a brain MRI and a head MRI lies primarily in the focus of the imaging. A brain MRI specifically targets the brain tissue, providing detailed images of the brain's structure, including the cerebral cortex, cerebellum, and The first time I sought medical...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned "dizziness, vertigo, unilateral tinnitus, and wanting to check for Alzheimer's atrophy, whether there is a stroke, acoustic neuroma, or brain tumor; what kind of imaging should be done for a comprehensive evaluation?" These issues can gen...[Read More] Understanding the Differences Between Brain MRI and Head MRI: A Comprehensive Guide
Understanding Left Hand Numbness and Pulsatile Tinnitus: A Medical Inquiry
Numbness in the left palm, with no sensation when touched? I often wake up around 2:30 to 3:30 AM, and I have experienced numbness in my left hand 3 to 4 times. Today, I noticed that my left palm has no sensation, and even when I press my fingers hard, there is no feeling. Before...
Dr. Cai Zongzhang Reply:
Hello, Hsin-Yi: The symptoms mentioned may be caused by nerve compression in the hand during sleep. If the symptoms persist and do not improve, it is recommended to visit a neurologist for further evaluation of the underlying causes.[Read More] Understanding Left Hand Numbness and Pulsatile Tinnitus: A Medical Inquiry
Post-Surgery Complications of Brain Tumor: Understanding Discrepancies in Symptoms and Tests
Postoperative complications of brain tumors? Hello Dr. Jiang, I underwent brain tumor resection surgery last June, and I have been experiencing persistent postoperative complications such as tinnitus, diplopia, and facial numbness. However, a nerve conduction study conducted at a...
Dr. Jiang Junyi Reply:
Dear Mr. Zolt, You mentioned that "the nerve conduction study of the face is 'normal'," which is reasonable. This is because nerve conduction studies assess peripheral nerves. The tinnitus, diplopia, and facial paralysis you are experiencing following your br...[Read More] Post-Surgery Complications of Brain Tumor: Understanding Discrepancies in Symptoms and Tests
Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Consulting various hospitals and clinics has been ineffective? In recent months, I have been feeling unwell and have visited multiple hospitals for medical advice, but the answers I received were inconclusive. My X-rays showed no issues, and my heart and lungs were in good condit...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "seeking treatment at various hospitals and clinics has been ineffective" due to your atypical symptoms. It may be necessary to first consider cervical myofascial inflammation and electrolyte issues. However, the "olfactory hallucinations ...[Read More] Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Consulting various hospitals and clinics has been ineffective? In recent months, I have been feeling unwell and have visited multiple hospitals seeking medical attention, but the answers I received were inconclusive. X-rays showed no issues, and my heart and lungs were in good co...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "seeking treatment at various hospitals and clinics has been ineffective" because your symptoms are atypical. It may be necessary to first consider cervical myofascial inflammation and electrolyte issues. The recommended principle for seeking m...[Read More] Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Understanding Visual Disturbances After Traumatic Experiences in Teens
After seeing or thinking about bloody and nauseating images, the visual field becomes narrowed? Hello Doctor, my son is 19 years old. Since he was about 11, he has experienced episodes where his vision narrows after seeing graphic images (such as corpses or dissection scenes), bu...
Dr. Hong Weibin Reply:
Hello: 1. I have not heard of cases where visual field narrowing occurs intermittently. 2. Most issues related to the brain or eyes that cause changes in the visual field tend to be persistent. 3. It is unlikely that if a fall causes injury to the brain or eyes, nerve damage woul...[Read More] Understanding Visual Disturbances After Traumatic Experiences in Teens
Understanding Long-Term Dizziness and Occasional Hand Tremors
Chronic dizziness with occasional hand tremors? Hello Doctor, I am currently abroad, so it's a bit inconvenient for me to seek medical attention. I would like your help in assessing how serious my condition is and how I might improve it. I have been experiencing sudden episo...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may be due to vestibular dysfunction in the inner ear causing dizziness, such as Meniere's disease. It is advisable to schedule an appointment for examination. There is a type of shaking known as enhanced physiologic tremor, which can be ...[Read More] Understanding Long-Term Dizziness and Occasional Hand Tremors
Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Right ear pain? Doctor: I wake up at night with numbness in my left hand, which feels like an electric shock type of numbness, or just numbness. I also feel a sense of emptiness and swelling at the top of my head. I woke up at 1:20 AM, with blood pressure readings of 94/58/73 on ...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Does autonomic nervous system dysfunction cause hand numbness that is not due to pressure points?" If it is due to hyperventilation leading to decreased carbon dioxide levels in the blood, resulting in an increased pH, this condition is m...[Read More] Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Post-Surgery Tinnitus: Understanding Symptoms and Next Steps
Tinnitus after brain surgery? Two years ago, a family member experienced a subarachnoid hemorrhage and underwent surgery. Subsequently, due to hydrocephalus, they had a ventriculoperitoneal shunt placed. There was damage to the language area, and it took nearly a year for their s...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the tinnitus is not constant; it appears about 2 hours after getting up and is accompanied by a feeling of fullness, sometimes in one ear and sometimes in both. However, the condition improves when lying down or bending forward." Your symptoms...[Read More] Post-Surgery Tinnitus: Understanding Symptoms and Next Steps
Seeking Medical Guidance for Involuntary Movement Disorders
Please advise on the medical approach for involuntary movements? Hello Doctor, my mother is 69 years old and has been experiencing involuntary movements in her left leg since around July of last year. Initially, she would only have a few shakes during specific times in the evenin...
Dr. Jiang Junyi Reply:
Hello: You mentioned "significant weight loss and muscle fat reduction (about 52 kg last July, now approximately 46 kg), which have been ongoing issues that have not truly improved despite intermittent consultations." The decrease in mobility has led to a vicious cycle ...[Read More] Seeking Medical Guidance for Involuntary Movement Disorders
Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Long-term liver function abnormalities and bronchial sensitivity have recently led to increased ear ringing and worsening headaches? Hello, Doctor. Here is a summary of my pre-existing conditions and the issues that have arisen this past week. I have been a carrier of hepatitis B...
Dr. Jiang Junyi Reply:
Dear Miss Chiu, You mentioned that "the frequency of the popping sound in my left ear has decreased, but there are sudden sharp pains on the right side of my head, which are not the usual occasional dull aches. The pain is severe enough to furrow my brow and make my express...[Read More] Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Understanding Pulsatile Tinnitus: Symptoms and Next Steps for Relief
Pulsatile tinnitus in the right ear every night? I experience daily headaches, and at night, my feet feel numb up to my calves. My elbows and hands also go numb twice. At night, I feel something strange with my heart. When I measured my blood pressure, it was 96/52 with a heart r...
Dr. Jiang Junyi Reply:
Dear Miss Lin, You mentioned that you are experiencing "numbness in the soles of your feet extending to your calves, and numbness from your elbows to your palms." It is advisable to consult a neurologist to rule out peripheral nerve issues. Regarding your symptoms of...[Read More] Understanding Pulsatile Tinnitus: Symptoms and Next Steps for Relief
Understanding Facial and Limb Numbness: Possible Causes and Solutions
Numbness in the face and extremities? Recently, I have been experiencing frequent episodes of dizziness, tinnitus, and palpitations, which have made me very anxious. I constantly worry about whether I might be ill, and it has even affected my daily life, leading to emotional inst...
Dr. Jiang Junyi Reply:
Dear Miss Chi, Regarding your mention of "early symptoms of multiple sclerosis," your symptoms do not align with this issue, as they do not present as lesions in a single area of the nervous system. Multiple sclerosis is caused by inflammation in the central nervous sy...[Read More] Understanding Facial and Limb Numbness: Possible Causes and Solutions
Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options
Pulsatile tinnitus I experience pulsatile tinnitus in my right ear every night. I had an EEG done, which showed no issues, and the medication prescribed has not improved my condition. My hearing is fine. I am scheduled for an MRI on the 24th, but due to the peak of the pandemic a...
Dr. Jiang Junyi Reply:
Dear Miss Lin, You asked, "Can a metal dental implant undergo MRI?" The imaging from an MRI may be affected by metal, potentially causing artifacts. However, the physician will interpret the results based on the available data. You also mentioned, "Straining durin...[Read More] Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options
Can Neck Tension Cause Tinnitus? Exploring Neurological Connections
Can neck tension cause tinnitus? Hello doctor, since mid-December last year (2021/12), I have been experiencing persistent tinnitus in my right ear, along with occasional difficulty opening my mouth. After visiting both a clinic and a major hospital, I underwent a hearing test, w...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "your right ear is constantly ringing, and occasionally you have difficulty opening your mouth," which may indicate temporomandibular joint disorder (TMJ). The symptoms that may occur include: 1. Difficulty and pain when opening the mo...[Read More] Can Neck Tension Cause Tinnitus? Exploring Neurological Connections
Understanding Pulsatile Tinnitus: Causes and When to Seek Help
Tinnitus? Hello, Doctor. I would like to inquire about a recent issue where I hear a whooshing sound in my left ear that matches the rhythm of my heartbeat. This occurs only in my left ear and is almost always heard before or after showering, lasting for about an hour or more. Co...
Dr. Jiang Junyi Reply:
Hello, Ms. Tsai: You mentioned that "only the left ear, and it synchronizes exactly with the heartbeat, almost always heard before or after showering," which suggests paroxysmal pulsatile tinnitus. This may be primarily due to Eustachian tube dysfunction. The Eustachia...[Read More] Understanding Pulsatile Tinnitus: Causes and When to Seek Help
Understanding Visual Disturbances Before Fainting: A Neurological Perspective
Visuals and sensations experienced before fainting? Before going to school, I felt completely normal, but suddenly at school, I started to feel unwell during the flag-raising ceremony. I initially thought it was just a mild stomachache and tried to endure it. However, after about...
Dr. Jiang Junyi Reply:
Dear Mr. Mo Wei, You mentioned, "But they said it shouldn't be completely black, right? I said no, so I'm confused. Was the scene I saw before fainting really completely black? How is it different from what I saw? Additionally, I really feel that a person is just ...[Read More] Understanding Visual Disturbances Before Fainting: A Neurological Perspective
Understanding Unilateral Tinnitus: Is It Related to Autonomic Nervous System Disorders?
Unilateral tinnitus and pulsatile tinnitus? Hello, doctor. Two years ago, I experienced dizziness and a heavy head, which led me to consult a neurologist. At that time, I was prescribed nerve repair agents and B vitamins, and after a while, I felt better. I attributed my symptoms...
Dr. Jiang Junyi Reply:
Mr. Pei, you mentioned: "However, the tinnitus in my left ear has worsened significantly, accompanied by mild headaches, and my left ear also feels uncomfortable when exposed to loud sounds." Unilateral tinnitus symptoms do not typically resemble those of autonomic nerv...[Read More] Understanding Unilateral Tinnitus: Is It Related to Autonomic Nervous System Disorders?
Understanding Unilateral Pupil Dilation and Its Possible Connections
Unilateral pupil dilation? Hello, doctor. Two years ago, while I was abroad, I suspect that I sustained a blunt force injury to the back of my head. At that time, my right pupil did not respond to light and remained dilated. Since I was unaware of the cause, I did not seek medica...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: You mentioned that "the right pupil had no light reflex and remained dilated. At that time, I didn't know the cause and didn't see a doctor. After about a month, the right pupil returned to normal, but afterwards, there was occasionally a small amou...[Read More] Understanding Unilateral Pupil Dilation and Its Possible Connections
Understanding Post-Anesthesia Dizziness: Causes and Concerns
Questions about dizziness for my mother? Mother underwent general anesthesia for a bladder endoscopy and resection surgery from February 23 to February 25. After the anesthesia, she experienced mild headache for one night, which resolved the next morning upon discharge. However, ...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "lacunar infarct at the left lentiform nucleus," which refers to a small infarct in the left lentiform nucleus. This may be related to motor function. However, it is still necessary to assess the relevant neurological functions. Regarding...[Read More] Understanding Post-Anesthesia Dizziness: Causes and Concerns