Understanding Jaw Tremors Linked to Neck Artery Pulsations
Recently discovered? Hello Doctor: Recently, I have noticed that when I open my mouth and move it side to side, the carotid artery in my neck pulsates continuously, causing my mouth to tremble as well.
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for examination.[Read More] Understanding Jaw Tremors Linked to Neck Artery Pulsations
Understanding Hand Tremors: Is Your Right Hand's Shake a Sign of Parkinson's?
Experiencing hand tremors while using chopsticks with the right hand? Hello doctor, I have a question. When I use chopsticks with my right hand, it shakes a bit (only the right hand). It's not to the extent that I can't eat, but it feels shaky. In Parkinson's disea...
Dr. Hong Weibin Reply:
Hello: There are many causes of tremors. In addition to Parkinson's disease, there are essential tremor, physiological tremor, tremors induced by substances or medications, and tremors due to cerebellar lesions. Since tremors are classified as movement disorders, it is best ...[Read More] Understanding Hand Tremors: Is Your Right Hand's Shake a Sign of Parkinson's?
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 Facial Twitching: Stress and Neurological Concerns
Facial twitching at the corners of the mouth may be related to stress issues? I personally have polycystic ovary syndrome (related to stress, obesity, and hormones). I have experienced sudden involuntary body tremors for a long time without paying much attention to them since the...
Dr. Jiang Junyi Reply:
Hello, based on your description, the causes of facial muscle twitching can include not only muscle and nerve issues but also some metabolic disorders such as thyroid dysfunction and sleep disorders. It is recommended that you consult a neurologist to discuss examination and trea...[Read More] Understanding Facial Twitching: Stress and Neurological Concerns
Understanding Lewy Body Dementia: Symptoms and Diagnostic Imaging
Symptoms of Lewy Body Dementia 1. There are multiple articles available online, each describing slightly different symptoms. What are the correct symptoms of Lewy Body Dementia? 2. What imaging studies are currently available to diagnose Lewy Body Dementia? Thank you, doctor, f...
Dr. Hong Weibin Reply:
Hello: 1. Dementia with Lewy Bodies (DLB) must first meet the criteria for dementia, defined as a decline in daily functioning due to cognitive impairment. Other possible symptoms include significant daily fluctuations in the patient's consciousness, bradykinesia and unste...[Read More] Understanding Lewy Body Dementia: Symptoms and Diagnostic Imaging
Understanding Post-Trauma Symptoms: When to Worry After a Head Injury
The right occipital region was struck? 1. How long after a head injury can the possibility of delayed bleeding be ruled out? 2. The area of impact is slightly pink but disappeared after applying ice; there is some pain, but it is not significant (the pain is mainly in the right...
Dr. Jiang Junyi Reply:
Hello: If you are concerned, it is advisable to consult a neurologist to discuss examinations. 2. The area that was hit is slightly pink, but it disappeared after applying ice. There is some pain, but it is not significant (the pain is mainly in the right posterior part of the he...[Read More] Understanding Post-Trauma Symptoms: When to Worry After a Head Injury
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 PET/CT Scans for Neurological Symptoms and Dementia
Whole-body PET/CT scan? I have a history of type 2 diabetes for 8 years, depression for 20 years, and insomnia without deep sleep. I have a history of smoking. My grandmother passed away from dementia. My symptoms include generalized weakness, weakness in all four limbs, unsteady...
Dr. Jiang Junyi Reply:
Hello: It is recommended to start with a medical history and cognitive function assessment related to dementia. Currently, there is no need to perform a PET/CT scan. PET/CT involves radiation exposure and is typically used for tumor monitoring. If you wish to pay out of pocket fo...[Read More] Understanding PET/CT Scans for Neurological Symptoms and Dementia
Understanding the Symptoms of Lewy Body Dementia: A Comprehensive Guide
Symptoms of Lewy Body Dementia There are multiple articles online, each describing slightly different symptoms. What are the symptoms of Lewy Body Dementia? Thank you for your response, doctor.
Dr. Jiang Junyi Reply:
Hello: I suggest you start with Professor Wu Rui-mei's article. http://www.pdcenterntuh.org.tw/UpLoad/F122015012716204432.pdf An excerpt from it: Diffuse Lewy Body Dementia (DLBD) is characterized by dementia symptoms similar to Alzheimer's disease, combined with motor ...[Read More] Understanding the Symptoms of Lewy Body Dementia: A Comprehensive Guide
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
Understanding PET Scans for Dementia Diagnosis: A Patient's Guide
Dementia Self-Paid PET Scan I have a history of type 2 diabetes for 8 years and have been taking tricyclic antidepressants (TCA) and Lyrica for depression for 15 years, but I still experience insomnia and do not achieve deep sleep. I have a history of smoking. My grandmother pass...
Dr. Hong Weibin Reply:
Hello: 1. There are many types of PET scans, and typically, the PET/CT scans performed at health check-up centers are used to detect suspected tumors throughout the body, not to assess for dementia. 2. You need to check if the hospital offers PET scans for dementia. Currently, th...[Read More] Understanding PET Scans for Dementia Diagnosis: A Patient's Guide
Understanding Muscle Tremors Near the Heart: Causes and Concerns
Chest muscle tremors? Hello Doctor, recently I have been experiencing involuntary rapid muscle twitching on the left side near my heart (similar to the vibration of a phone when someone is calling). When I touch it, I cannot feel the muscle twitching, and there is no pain in my h...
Dr. Cai Zongzhang Reply:
Hello: The above symptoms are indicative of neurological dysfunction, and it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Muscle Tremors Near the Heart: Causes 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?
Which Imaging Test is Best for Dementia Diagnosis: 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. Jiang Junyi Reply:
Hello, here are the answers to your questions. Question 1: I visited a neurologist, but they only agreed to arrange a brain CT scan. The MRI doctor said I would have to pay out of pocket. Why is that? Answer: The conditions for insurance coverage for an MRI typically require t...[Read More] Which Imaging Test is Best for Dementia Diagnosis: CT, MRI, or PET?
Understanding Nighttime Hand Muscle Tremors: Causes and Solutions
Hand muscle tremors? Hello doctor, since mid-August, I have been experiencing involuntary muscle tremors in my arms while sleeping at night. It feels similar to the slight muscle tremors that occur when one stretches while yawning. The first time it happened, the frequency and in...
Dr. Jiang Junyi Reply:
Hello, based on your description, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors: These do not occur under normal circumstances and only manifest in sp...[Read More] Understanding Nighttime Hand Muscle Tremors: Causes and Solutions
Managing Fast Heartbeat and Medication Concerns in Neurology
Rapid heartbeat and medication issues? Hello, doctor. Currently, I am experiencing dizziness, occasional headaches, and a rapid heartbeat, along with early symptoms of tremors that have become more pronounced recently. I am concerned about potential health issues and sought medic...
Dr. Jiang Junyi Reply:
Hello, based on your description, tachycardia is considered a response to sympathetic nervous system activation. Stress and tension can both lead to an increased heart rate. Propranolol works by reducing sympathetic nervous system activity. Our autonomic nervous system is regulat...[Read More] Managing Fast Heartbeat and Medication Concerns in Neurology
Understanding Chronic Dizziness: Causes and Solutions for Relief
Dizziness with an unknown cause? Hello, doctor. I have been struggling with dizziness for a long time and would like your help in finding the cause. The first time I experienced dizziness was about 10 years ago while studying abroad. During these episodes, the world would spin ar...
Dr. Jiang Junyi Reply:
Based on your description, it is important to first consider Meniere's disease, as patients may experience recurrent episodes of vertigo accompanied by tinnitus or hearing loss. During these episodes, resting and using antihistamine anti-vertigo medications along with anxiol...[Read More] Understanding Chronic Dizziness: Causes and Solutions for Relief
Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?
The body experiences slight tremors when at rest? Hello, I have recently been experiencing slight body tremors while sitting still, a strong heartbeat, dizziness, and headaches. Additionally, I have always felt weakness in my hands (which has become more noticeable due to bruisin...
Dr. Hong Weibin Reply:
Hello: These symptoms may be related to dysfunction of the sympathetic and parasympathetic nervous systems (commonly referred to as the autonomic nervous system). You may want to consult with a neurologist or a psychiatrist nearby.[Read More] Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?
Understanding Hand Tremors: When to Seek Medical Advice
Consulting a doctor about issues such as tremors? Hello Doctor, about 4-5 years ago, my family noticed that sometimes when I eat with chopsticks or pick up things, my fingers would tremble, especially when I am nervous, which is more pronounced. After a year or two, they finally ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider physiological tremors. In the early stages of Parkinson's disease, low-frequency tremors occur primarily at rest. The causes of tremors can be categorized into four types: physiological tremors, psychological ...[Read More] Understanding Hand Tremors: When to Seek Medical Advice