Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Muscle twitching and electromyography-related issues? Hello Doctor, Since around June 2017, I began to notice slight tremors in both of my hands, and when lying flat, I felt a sensation of my body vibrating. In July, I visited a neurologist for the first time, and the doctor ob...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, about 70% of patients with motor neuron disease present with limb weakness, while around 20% exhibit weakness in the bulbar region as their clinical manifestation. In terms of limb involvement, the initial presentation is usually asymmetric hand weaknes...[Read More] Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Understanding Facial Nerve Disorders: Symptoms and Concerns
Facial nerve Hello, I would like to ask if the following symptoms could be related to facial nerve dysfunction. Last night, I felt pain behind my ear, and by around noon today, I noticed that when I smile, the movement on the right side of my face is reduced. I also have a tingli...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patient...[Read More] Understanding Facial Nerve Disorders: Symptoms and Concerns
Understanding Facial Nerve Pain: Causes, Symptoms, and Treatment Options
Facial nerve neuralgia I have already consulted both an otolaryngologist and a dentist, and no abnormalities were found. Currently, I am continuing to take anti-inflammatory pain medication and muscle relaxants prescribed by a neurologist (three times a day). I can close my eyes ...
Dr. Jiang Junyi Reply:
Hello: Your neuropathic pain is likely trigeminal neuralgia, which is more common in women and typically occurs in adults around the age of 50. There are many causes, most commonly due to compression of the trigeminal nerve by vascular structures as it exits the brainstem. Other ...[Read More] Understanding Facial Nerve Pain: Causes, Symptoms, and Treatment Options
Understanding Occipital Pain: Could Throat Issues Be the Cause?
Pain in the right occipital region of the brain? Hello Doctor: A few weeks ago, I had a sore under my tongue and a painful throat, which made it extremely difficult to eat and drink because swallowing was very painful. However, I had to force myself to eat, and during that time, ...
Dr. Jiang Junyi Reply:
Hello: The most common cause of left-sided neck pain is cervical myofascial pain. If a vertebral artery dissection occurs, it can cause severe pain near the posterior neck close to the occipital region due to the vascular dissection. Sometimes, the pain may radiate to the neck, j...[Read More] Understanding Occipital Pain: Could Throat Issues Be the Cause?
Understanding Dizziness: Neurological Concerns and Solutions
Dizziness. Brain issues? Hello. This has been going on for three years. Whenever I make even a slight movement, I feel lightheaded (it takes about 5 to 10 seconds to feel better). I have the urge to stretch my heels and stick out my tongue. I'm not sure if this is how I orig...
Dr. Jiang Junyi Reply:
Hello, based on your description, benign paroxysmal positional vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, leaning back, lying down, getting up, turning over,...[Read More] Understanding Dizziness: Neurological Concerns and Solutions
Understanding Facial Nerve Paralysis: Symptoms, Treatment, and Recovery
Facial nerve paralysis Hello, doctor. I would like to ask about my condition. Today marks the sixth day of my facial nerve disorder. I have been taking steroids for the first three days. Yesterday, I underwent an electromyography (EMG) test. After returning home, I started to mas...
Dr. Jiang Junyi Reply:
1. Facial nerve paralysis is a relatively common condition, with statistics indicating that there are 15 to 40 cases per 100,000 people each year. The progression of this condition is quite rapid in the early stages, typically reaching its peak within two days. Prior to the onset...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Treatment, and Recovery
Understanding Postural Nerve Issues: From Shoulder Pain to Facial Numbness
Numbness in the hand after a medical appointment? Hello, Dr. Jiang. Last month, after changing my pillow, I woke up with soreness in my left trapezius muscle. By the 15th day, the symptoms had significantly improved. On the 16th day, I experienced some numbness from my left upper...
Dr. Jiang Junyi Reply:
Hello: Cervical nerve compression can explain the symptoms you mentioned in your left hand, but it cannot account for the issues with your upper jaw or tongue. It may be necessary to consider lesions in the brainstem or brain. I recommend that you consult a neurologist to discuss...[Read More] Understanding Postural Nerve Issues: From Shoulder Pain to Facial Numbness
Intermittent Sharp Pain in Left Shoulder: Neurological Insights and Concerns
Transient sharp pain in the left shoulder? Over the past six months, I have experienced brief episodes of sharp pain in a fixed location on my left shoulder and neck about 2-3 times a month. The pain feels like a sudden electric shock, with an intensity ranging from 4 to 7 out of...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms seem to resemble nerve root compression in the cervical spine, which can produce symptoms similar to sciatica. Angina pectoris is caused by myocardial ischemia, resulting in a sensation of tightness or pain in the chest. Typical sym...[Read More] Intermittent Sharp Pain in Left Shoulder: Neurological Insights and Concerns
Effectiveness of Steroid Treatment for Facial Nerve Paralysis
Regarding the use of steroids for facial nerve paralysis? Dr. Gao: Hello! My mother has been living in Shanghai, China, and she experienced facial nerve paralysis in early May, with symptoms including lower eyelid drooping and eversion, drooling while eating, pain behind the ear,...
Dr. Gao Chunde Reply:
The use of steroids is effective in reducing inflammation and edema during the early stages of the disease, typically for seven to ten days. After that, rehabilitation and acupuncture are relied upon. Your physician's approach may have specific considerations, and if you hav...[Read More] Effectiveness of Steroid Treatment for Facial Nerve Paralysis
Understanding Facial Nerve Issues: One-Sided Facial Movement Problems
Facial paralysis on one side? The left side of the face does not experience numbness, drooping, tearing, or drooling, but it does not move when smiling or speaking. Could this also be a facial nerve issue? Thank you.
Dr. Jiang Junyi Reply:
Hello, based on your description, facial nerve paralysis can sometimes present with sensations of numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. If the nerve damage is more extensive, patients may notice increased sensitivity...[Read More] Understanding Facial Nerve Issues: One-Sided Facial Movement Problems
Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Facial nerve paralysis Hello, doctor. About a year ago, I experienced facial nerve paralysis on the left side of my face, which recovered well and was almost fully healed. However, two weeks ago, I developed similar symptoms on the right side of my face, with nerve paralysis. Sin...
Dr. Jiang Junyi Reply:
Hello, based on your description, facial nerve paralysis may sometimes present with pain behind the ear, and there may be sensations of numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. If the nerve damage is more extensive, pat...[Read More] Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Persistent Sour Taste on Tongue: Possible Neurological Concerns
A sour taste in the mouth? Hello, doctor: For the past two months, I've been experiencing a sour taste on both sides of my tongue. However, there is no acid reflux. This sensation occurs regardless of whether I have eaten or not, and it is not painful. My sense of taste whil...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest the possibility of gastroesophageal reflux or oral issues. It would be advisable to consult a dentist for an oral examination. Wishing you good health and peace. Best regards, Dr. Tao.[Read More] Persistent Sour Taste on Tongue: Possible Neurological Concerns
Is Sudden Stuttering a Sign of Stroke? Understanding Neurological Symptoms
Is sudden stuttering while speaking a sign of a stroke? I started experiencing some stuttering and unclear speech with muffled sounds about two months ago. Could this be a sign of a stroke? My blood pressure has always been normal, my cholesterol is on the low side, and I consume...
Dr. Yang Shenggong Reply:
Hello Mr. Shaws: Based on your description, your issue is stuttering and unclear speech that has persisted for two months. Our speech production relies on the coordination of the tongue, throat, and lips, and this coordination depends on the cerebellum, brain, and local neuromusc...[Read More] Is Sudden Stuttering a Sign of Stroke? Understanding Neurological Symptoms
Facial Nerve Paralysis: Addressing Hearing Issues and Next Steps
Facial nerve paralysis with impaired hearing? Hello, doctor. I have been experiencing facial nerve paralysis for over a month now. My facial asymmetry has improved, but I still have strange sensations in my ear, difficulty hearing, and I am very sensitive to loud and sharp sounds...
Dr. Jiang Junyi Reply:
Hello, based on your description, 80% of patients with facial nerve paralysis will recover within 4 to 6 weeks, while a small portion may experience very slow recovery, potentially taking over 2 years, and often with incomplete recovery. During the acute phase, treatment includes...[Read More] Facial Nerve Paralysis: Addressing Hearing Issues and Next Steps
Post-Surgery Complications of Schwannoma: Seeking Answers for Lingering Symptoms
Post-surgery for a nerve tumor in the left neck? Hello Doctor, I am a patient who underwent surgery for a schwannoma one month ago. After the surgery, aside from pain at the incision site and left eyelid drooping, I did not experience any discomfort. However, two weeks later, I b...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest neuroinflammation. The location of the pain may indicate trigeminal neuralgia. Generally, for neuritis or injury, medications such as anti-inflammatory pain relievers and vitamin B can help alleviate numbness and pain. R...[Read More] Post-Surgery Complications of Schwannoma: Seeking Answers for Lingering Symptoms
Understanding Tongue Numbness: Causes and Concerns During Sleep
Numbness of the tongue? Hello Doctor: Recently, when I am about to fall asleep, I experience a tingling sensation at the back of my tongue (it feels somewhat like a mild tremor). Sometimes, I also feel this sensation in my esophagus or chest. This only occurs when I am sleeping; ...
Dr. Gao Chunde Reply:
Currently, it seems that there are no related neurological issues that can be identified. However, some patients with gastroesophageal reflux disease have reported similar descriptions. You may want to assess if there are any gastrointestinal abnormalities, and if necessary, refe...[Read More] Understanding Tongue Numbness: Causes and Concerns During Sleep
Understanding Tongue Numbness and Dizziness After Lying Down
Experiencing tongue numbness while lying down? Hello, doctor. After exercising and taking a shower, I often experience dizziness. Recently, when I lie down to sleep, it feels like blood is rushing to my head. I also feel a tightness in my chest, and my nose feels heavy and conges...
Dr. Gao Chunde Reply:
Regarding dizziness and blood flow to the brain, it may be helpful to check blood pressure first. Issues with the nose and tongue, as well as sleep problems, can be evaluated by an otolaryngologist to determine if there are any related issues, particularly with nasopharyngeal all...[Read More] Understanding Tongue Numbness and Dizziness After Lying Down
Understanding Finger Tingling: Causes and Solutions for Nerve Issues
Numbness in the fingertips? Hello Doctor, I would like to ask about some symptoms I've been experiencing since the beginning of the year. I've been feeling tightness in the left side of my neck, discomfort when looking up, and a tingling sensation on one side of my tong...
Dr. Lan Shengxing Reply:
Dear Rabbit, please find time to visit the neurology outpatient clinic for a more detailed examination to rule out some rarer diseases. Wishing you good luck and a Happy New Year![Read More] Understanding Finger Tingling: Causes and Solutions for Nerve Issues
Involuntary Soft Palate Twitching: Causes, Concerns, and Treatment Options
Involuntary twitching of the soft palate? My soft palate and uvula involuntarily twitch continuously, similar to a heartbeat. It only stops when my tongue is pressed against it; if I release my tongue, it twitches even with my mouth closed. This has been ongoing for six months. I...
Dr. Lan Shengxing Reply:
In general, if this condition does not cause any disruption to daily life, it can be left untreated, or treated with clonazepam. However, it is recommended to have regular follow-ups with a neurologist to monitor for any additional neurological symptoms.[Read More] Involuntary Soft Palate Twitching: Causes, Concerns, and Treatment Options
Understanding Facial Nerve Paralysis: Signs of Recovery Explained
Facial nerve paralysis Hello Doctor: On December 16, I experienced twitching in my right lower eyelid and the corner of my mouth. My facial nerve paralysis began on December 17, resulting in an inability to furrow my brow, leakage while drinking, and an inability to close my righ...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many causes of facial nerve paralysis, with Bell's palsy being the most common. The onset of the condition is usually rapid, with the degree of facial nerve paralysis reaching its peak within two days. Prior to the onset, patients ...[Read More] Understanding Facial Nerve Paralysis: Signs of Recovery Explained