Unexplained Head Tremors: When to See a Neurologist for Evaluation
Involuntary head shaking? Hello Doctor, I’m not sure when it started (maybe two or three years ago), but I’ve noticed that my mother (62 years old) has been experiencing slight involuntary head shaking, a very subtle side-to-side movement that is visible to the naked eye. I’m won...
Dr. Cai Zongzhang Reply:
Hello Heidi! It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Unexplained Head Tremors: When to See a Neurologist for Evaluation
Understanding Parkinson's Disease: Treatment, Symptoms, and Future Insights
Parkinson's disease issues? Dear Dr. Jiang, I previously consulted you regarding my father's hand tremors. After he underwent examinations at the hospital, the doctor diagnosed him with early-stage Parkinson's disease. The dopamine transporter scan revealed an ora...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Hui, Regarding your concerns about your father's future, it is indeed difficult to address each question individually. However, the key point is to avoid the apoptosis of dopamine neurons. In addition to medication, certain neuroprotective dietary options can...[Read More] Understanding Parkinson's Disease: Treatment, Symptoms, and Future Insights
Understanding Body Tremors When Rising: Causes and Concerns
Whole-body tremors when rising from a sitting or lying position? The frequency of episodes is very low, occurring about two to three times a year. I often experience dizziness and blackouts after squatting or sitting, but I can still manage to stand steadily until the blackout en...
Dr. Jiang Junyi Reply:
Hello, Ms. Jiu: Your symptoms may suggest a concern regarding syncope. The most common causes are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include transitioning from a supi...[Read More] Understanding Body Tremors When Rising: Causes and Concerns
Understanding Parkinson's Disease: Treatment, Symptoms, and Future Research
Parkinson's disease issues? Dear Dr. Jiang, I previously consulted you about the issue of hand tremors. After my father underwent examination at the hospital, the doctor diagnosed him with early-stage Parkinson's disease. The dopamine transporter scan revealed an orang...
Dr. Jiang Junyi Reply:
Hello, Regarding the treatment of Parkinson's disease, it is usually related to the patient's lifestyle needs, and many patients in clinical practice do not achieve complete symptom relief. It is recommended to focus on your father's health information to reduce ...[Read More] Understanding Parkinson's Disease: Treatment, Symptoms, and Future Research
Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Parkinson's disease Hello Doctor, my father is nearly 50 years old and recently started experiencing tremors in his right hand. He also walks with his body close to his side and does not swing his arms much. Last month, he visited the China Medical University Hospital, where...
Dr. Cai Zongzhang Reply:
Hello, A-Liang! Delaying the use of levodopa and reducing the dosage can postpone the onset of dyskinesia. It is recommended to discuss medication options with your physician.[Read More] Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Parkinson's disease Hello Doctor, my father is nearly 50 years old and recently began experiencing tremors in his right hand. He also walks with his body close to his side and doesn't swing his arms much. Last month, he visited China Medical University Hospital, where t...
Dr. Cai Zongzhang Reply:
Hello, A-Liang! Delaying the use of levodopa and reducing the dosage can postpone the onset of dyskinesia. It is recommended to discuss medication options with your physician.[Read More] Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Understanding Parkinson's Disease Risk: Concerns for Family History and Symptoms
Parkinson's disease Hello Doctor, my grandmother had Parkinson's disease in the past, and I have primary restless legs syndrome, although my symptoms are very mild, occurring only one or two days a month with slight discomfort. I am very worried about the possibility of...
Dr. Hong Weibin Reply:
Current research shows that there is no definitive conclusion regarding whether having Restless Legs Syndrome (RLS) increases the likelihood of developing Parkinson's disease later on. Some studies suggest there may be an increased risk, while others find no correlation. The...[Read More] Understanding Parkinson's Disease Risk: Concerns for Family History and Symptoms
Palpitations, Anxiety, and Neurological Symptoms: When to Seek Help
Palpitations, anxiety, and other symptoms? In February, I experienced palpitations for the first time and went to the emergency room. Blood tests showed no abnormalities, and follow-up with a cardiologist also indicated no issues. In March, I suddenly had a sharp pain on the left...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "sharp pain on the left side of your face," which may warrant consideration of trigeminal nerve dysfunction. The diagnostic criteria for trigeminal neuralgia are as follows: - At least three attacks - Pain occurring in one or m...[Read More] Palpitations, Anxiety, and Neurological Symptoms: When to Seek Help
Understanding Muscle Tremors: Causes and Solutions for Neurological Concerns
Muscle twitching Hello, I have noticed that my arms and thighs experience slight tremors when they are suspended, exerted, or extended at certain angles, similar to the shaking sensation when stretching. Essentially, I can feel the tremors while exerting force and when my limbs a...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may need to be considered as physiological tremors. 1. Physiological tremors: These do not occur under normal circumstances but only in certain situations such as stress, anxiety, or anger. Some medications, such as bronchodilators, as well as the co...[Read More] Understanding Muscle Tremors: Causes and Solutions for Neurological Concerns
Evaluating Long-Term Effects of Traumatic Brain Injury on Neurological Health
Four years ago, I sustained a concussion to the right posterior part of my brain? Doctor: Hello, four years ago during my postpartum period, I fell from a table and hit the back right side of my head, resulting in a large swelling. I was taken to the emergency room, and after a C...
Dr. Cai Zongzhang Reply:
Hello, Ms. Yuan! If you have a head injury that did not involve the brain, it should not leave any lasting effects. If you are still experiencing symptoms after four years, there may be another underlying cause. It is recommended that you visit a neurology outpatient clinic.[Read More] Evaluating Long-Term Effects of Traumatic Brain Injury on Neurological Health
Understanding Hand Tremors: Causes, Symptoms, and Management Tips
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. Although my sleep duration hasn't significantly increased, the quality of my sleep has improved. I've observed a reduction in the amplitude and duration of muscle contractions below my r...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be worth considering that some smaller muscles are less frequently used, leading to tremors during muscle coordination. Generally, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, esse...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Tips
Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. This week, I have been trying to massage and improve my sleep quality (going to bed around 10:00 PM and waking up at 5:30 AM, waking up once or twice during the night). The muscle twitching in my ...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, In the previous two responses, I believe I have addressed some of your concerns. Nerves require adequate sleep and nutritional support for repair. Fortunately, there are two experts in peripheral nerves at National Taiwan University Hospital—Professors Chih-Chao Y...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Understanding Facial Twitching: Causes and Relief Strategies
Facial twitching? Hello, doctor. I have been experiencing this issue since middle school, where my cheek muscles tremble uncontrollably whenever I am on stage or in front of a crowd. Recently, it seems to be happening more frequently, even when I'm called on in class, which ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that facial tremors may be physiological tremors, which do not occur regularly but happen in certain situations such as stress, tension, or anger. Some medications, such as bronchodilators, as well as the consumption of beverages like coffee, tea, and co...[Read More] Understanding Facial Twitching: Causes and Relief Strategies
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
Should You See a Neurologist for Unexplained Shoulder Tremors?
Involuntary shoulder twitching and the sensation of goosebumps? Since I was a child, I sometimes experience involuntary shoulder twitching and goosebumps all over my body. During these episodes, I do not have any emotional fluctuations. Should I see a doctor for an examination? I...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned symptoms that may need to consider involuntary movement disorders caused by instability of dopamine in the basal ganglia of the brain, resulting in involuntary muscle movements. The manifestations can be divided into two types: one primarily involves mo...[Read More] Should You See a Neurologist for Unexplained Shoulder Tremors?
Understanding Hand Tremors: Possible Causes and Concerns for Your Health
Tremor issues? Hello Doctor, my father is 49 years old. About a year or two ago, he started experiencing tremors in his right hand while at rest, and it seems to have become less agile compared to his left hand. He visited a neurologist, and the CT scan results were normal. I hav...
Dr. Hong Weibin Reply:
The computed tomography (CT) scan of a typical Parkinson's disease patient is normal. A fall resulting in injury and dislocation of the right hand may not cause tremors. Tremors are usually caused by issues in the brain, brainstem, or cerebellum.[Read More] Understanding Hand Tremors: Possible Causes and Concerns for Your Health
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?
Understanding Thumb Weakness and Finger Tremors: Neurology Insights
Finger issues Hello Doctor, I'm here to ask you another question. Last time, I mentioned that my right hand feels strange, but I forgot to mention that when I use my right thumb to scroll on my phone (holding the phone with one hand), it feels less agile compared to my left ...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned experiencing tingling sensations in your fingers, particularly in the index finger. This may suggest inflammation of the median nerve. The median nerve is responsible for the movement of the thumb and provides sensation to the thumb, index finger, middle...[Read More] Understanding Thumb Weakness and Finger Tremors: Neurology Insights
Unexplained Body Tremors: Understanding Neurological Symptoms
The body trembles as if being electrocuted? Doctor, every night when I lie down to sleep, my body feels like it's trembling as if being electrocuted, which wakes me up. During the day, I also feel very uncomfortable, as if I'm about to die, and I can't rest or slee...
Dr. Cai Zongzhang Reply:
Hello, Liu Chen! It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Unexplained Body Tremors: Understanding Neurological Symptoms
Differentiating Drug-Induced Parkinsonism from Primary Parkinson's Disease
Differentiating between drug-induced Parkinsonism and primary Parkinson's disease? Hello, Doctor. I apologize for bothering you. My father has been experiencing tremors at the corners of his mouth since February of this year. He has consulted several neurologists and undergo...
Dr. Jiang Junyi Reply:
Hello, You mentioned the occurrence of drug-induced parkinsonism, which we frequently observe in clinical practice. It's not only Flunarizine; other medications can also have similar side effects. It is advisable to consolidate medications within the same hospital. 1. Fl...[Read More] Differentiating Drug-Induced Parkinsonism from Primary Parkinson's Disease