Understanding Hand Tremors: Genetic Factors and Health Concerns
My hands are shaking? Hello Dr. Chen, I am 19 years old this year. Since I was young, I have experienced slight involuntary shaking in my hands. This year, my dad, who is 60, also has significant tremors in his hands. Could the reason for my hand tremors be genetic, or is there s...
Dr. Gao Chunde Reply:
First, it is important to determine the type of condition that is causing your father's hand tremors, including when they began and whether they are accompanied by other symptoms. We need to ascertain if it is essential tremor, which can occur in younger individuals, or if i...[Read More] Understanding Hand Tremors: Genetic Factors and Health Concerns
Understanding Head Tremors: Causes, Symptoms, and When to Seek Help
Head twitching Hello, I would like to ask about my condition. Previously, I experienced head jerking, and my skull has a concave shape. I had an examination before, and the doctor said that this is due to calcification in my head and that it is not a major issue. I was prescribed...
Dr. Huang Yongquan Reply:
Hello: If you have already undergone examinations as you described and have experienced improvement while taking medication, I recommend that you continue to take your medication regularly and follow up on your treatment. If you have any other issues, please visit the outpatient ...[Read More] Understanding Head Tremors: Causes, Symptoms, and When to Seek Help
Understanding Eyelid Tremors: Causes and Concerns in Neurology
Regarding the eyelids? Doctor Yeh, when I close my eyes, my eyelids twitch, but they don't twitch when my eyes are open. What could be the problem? Thank you.
Dr. Ye Boshou Reply:
Hello: It is likely eyelid muscle twitching, which is related to stress.[Read More] Understanding Eyelid Tremors: Causes and Concerns in Neurology
Understanding Tremors, Muscle Stiffness, and Unexplained Fever: A Guide
Tremors in the hands and feet: some questions? 1. I feel stiffness on both sides of my face, particularly around the area near my ears, but not in my cheeks. I don't know why it feels stiff; I've never experienced this before. 2. I have been having unexplained fevers....
Dr. Ye Boshou Reply:
Hello: Please first conduct a neurological examination; it may not necessarily be tetanus.[Read More] Understanding Tremors, Muscle Stiffness, and Unexplained Fever: A Guide
Understanding Early Symptoms of Parkinson's Disease: A Guide for Families
Early-stage Parkinson's disease Hello Doctor, my father is 68 years old and started experiencing involuntary tremors in his hands and chin about a year ago. The tremors in his hands vary in intensity; sometimes they stop when he picks something up. Could this be a symptom of...
Dr. Lin Zijing Reply:
Parkinson's disease has three main symptoms: 1. resting tremor (tremor disappears during movement), 2. bradykinesia (slowness of movement), and 3. rigidity. In the early stages of Parkinson's disease (primary), symptoms often begin with unilateral resting tremor, usuall...[Read More] Understanding Early Symptoms of Parkinson's Disease: A Guide for Families
Understanding Gastrointestinal Disorders: A Neurological Perspective
Gastrointestinal dysregulation Hello, Doctor. After binge eating in 2008, I experienced stomach bloating in the afternoon, loss of appetite, and underwent gastroscopy which showed no issues. I tried traditional Chinese medicine for treatment but saw no improvement. In 2009, I had...
Dr. Gao Chunde Reply:
The condition commonly referred to as autonomic nervous system dysfunction primarily indicates an imbalance between the sympathetic and parasympathetic nervous systems, particularly when the sympathetic nervous system is overactive. Symptoms may include palpitations, diarrhea, tr...[Read More] Understanding Gastrointestinal Disorders: A Neurological Perspective
Understanding Neurological Symptoms: Seeking the Right Specialist for Diagnosis
Symptom inquiry? Hello Dr. Lin: Recently, I have been experiencing many symptoms and have seen numerous doctors in various hospitals without finding the cause. Could you please help explain my symptoms? 1. I have sharp pain in the left back of my head accompanied by muscle spasms...
Dr. Lin Zijing Reply:
Your symptoms are quite broad and nonspecific, which may indicate the presence of two to three concurrent conditions or a transient episodic illness. Here are some analyses based on your symptoms: 1. Headache: The stabbing pain and spasms in the back of your head may be due to n...[Read More] Understanding Neurological Symptoms: Seeking the Right Specialist for Diagnosis
Unexplained Dizziness: Navigating Neurological Concerns and Next Steps
Dizziness of unknown origin? Hello Doctor, I have been experiencing continuous dizziness for a week (at times, it feels like there is a force pushing my eyeballs outward), slight imbalance while walking, and decreased dexterity in my hands. Occasionally, I have tremors, nausea, a...
Dr. Lin Zijing Reply:
The causes of dizziness can be broadly categorized into the following: 1. Vestibular disorders: Such as motion sickness, viral infections, abnormal displacement of otoliths, and Meniere's disease. 2. Visual disorders: For instance, wearing glasses with an incorrect prescrip...[Read More] Unexplained Dizziness: Navigating Neurological Concerns and Next Steps
Understanding Parkinson's Disease: Chip Implantation for Treatment and Costs
Parkinson's disease The implantation of a chip for the treatment of Parkinson's disease is typically done through a surgical procedure known as deep brain stimulation (DBS). During this procedure, electrodes are implanted in specific areas of the brain that control move...
Dr. Lin Zijing Reply:
Parkinson's disease chip implantation surgery is a type of minimally invasive stereotactic neurosurgery. The procedure involves a small incision with minimal bleeding, and it can be performed under local anesthesia, making it particularly suitable for elderly patients with f...[Read More] Understanding Parkinson's Disease: Chip Implantation for Treatment and Costs
Medication Concerns in Parkinson's Disease: Symptoms and Stroke Risks
Medication Issues in Parkinson's Disease My father has hypertension and experiences tremors. A physician in Hsinchu, Dr. Chou Ping-Chen, prescribed Parkinson's medication for him. He has been taking it for nearly two weeks and has experienced drowsiness and dizziness. H...
Dr. Gao Chunde Reply:
The diagnosis of a stroke is not determined by unstable blood pressure or dizziness symptoms, but rather by the presence of neurological deficits assessed through a professional physician's interview and neurological examination. As for imaging studies, magnetic resonance an...[Read More] Medication Concerns in Parkinson's Disease: Symptoms and Stroke Risks
Understanding Toe Tremors in Comatose Patients: What You Need to Know
Toe twitching Hello Doctor, my mother previously underwent a tracheostomy due to tracheal stenosis. On October 27, she was hospitalized for emergency treatment due to tracheal spasms, but due to a delay in the ambulance, it took over an hour for her to arrive at the hospital, by ...
Dr. Gao Chunde Reply:
The patient has been in a coma for a month, and the chances of regaining consciousness are likely lower, but not entirely absent. There may be spontaneous twitching in the toes and legs, which could be related to muscle spasms and abnormal electrical discharges in the brain. If t...[Read More] Understanding Toe Tremors in Comatose Patients: What You Need to Know
Managing Persistent Tension: Insights on Neurological and Psychiatric Treatments
Uncontrollable tension in the mind - continue? Thank you, Dr. Lin, for your response. However, the medications I am currently taking are quite similar to what you mentioned. The medications are as follows: Rivotril 0.5mg, one tablet three times a day; Lorazepam 1mg, two tablets a...
Dr. Lin Zijing Reply:
I wonder if you have ever used Selective Serotonin Reuptake Inhibitors (SSRIs). These medications are the first-line treatment for anxiety disorders, obsessive-compulsive disorder, and panic disorder, and they can also enhance the effects of sleep aids. Personally, I believe that...[Read More] Managing Persistent Tension: Insights on Neurological and Psychiatric Treatments
Understanding Involuntary Muscle Tension and Tremors in the Head
Involuntary tension in the mind? I often experience involuntary muscle tension, pulling, and twitching in my head and neck, which persists throughout the day and includes involuntary twitching of my ears. As a result, I am unable to sleep without relying on sleeping pills. This p...
Dr. Lin Zijing Reply:
Involuntary twitching may originate from the nerves themselves or the muscles. Pathologies of peripheral nerves or increased nerve sensitivity can lead to spontaneous discharges, resulting in muscle contractions. Additionally, inadequate blood circulation or calcium deficiency in...[Read More] Understanding Involuntary Muscle Tension and Tremors in the Head
Understanding Involuntary Body Tremors: Causes and Solutions
I experience involuntary shaking throughout my body? In the past, it would happen occasionally while I was studying, but as I got older, the frequency increased. I consulted a neurologist who said there was no problem and that I was just too anxious. However, it has gotten to the...
Dr. Lin Zijing Reply:
Involuntary shaking is usually associated with tremors or seizures. If the shaking occurs throughout the body while consciousness is preserved, it is less likely to be a seizure. The causes of tremors can be categorized into four types: physiological tremors, psychological tremor...[Read More] Understanding Involuntary Body Tremors: Causes and Solutions
Understanding Nerve Conduction Velocity Tests for Upper and Lower Limbs
"Measurement of Motor Nerve Conduction Velocity in Upper and Lower Extremities" examination? Dear Dr. Lin, Thank you for your detailed explanation regarding the electromyography (EMG) and nerve injury during my last visit. I went to the neurology department for an EMG ...
Dr. Lin Zijing Reply:
According to what you described, your muscle twitching may be simple localized fasciculations, which are not a disease and will improve on their own. However, since this phenomenon can also be an early symptom of some motor neuron diseases, it is important to monitor its progress...[Read More] Understanding Nerve Conduction Velocity Tests for Upper and Lower Limbs
Understanding Electromyography: Insights on Nerve Damage and Concerns
Electromyography (EMG) Hello Dr. Lin: I went to the neurology department for an electromyography (EMG) test due to slight tremors in my right thumb and mild muscle twitching in my right upper arm. The report ruled out the possibility of cervical degeneration and indicated signs o...
Dr. Lin Zijing Reply:
Hello, in the clinical diagnosis of neurological diseases, electromyography (EMG) plays an important role in helping to localize lesions in the peripheral nervous system, including motor neurons, nerve roots, peripheral nerves, neuromuscular junctions, and muscle lesions. You hav...[Read More] Understanding Electromyography: Insights on Nerve Damage and Concerns
Understanding the Connection Between Epilepsy and Autonomic Nervous System Disorders
Sleep disorders I currently have been diagnosed with intermittent epilepsy at the Chiayi Christian Hospital's neurology department, but another doctor mentioned that it could be autonomic nervous system dysfunction. Are these two conditions related? Thank you for clarifying!
Dr. Zeng Kongyan Reply:
Epilepsy is caused by abnormal electrical discharges in the brain, and the decision to use long-term antiepileptic medication depends on the frequency of seizures and the underlying causes. Autonomic nervous system dysregulation occurs due to excessive activation of the autonomic...[Read More] Understanding the Connection Between Epilepsy and Autonomic Nervous System Disorders
Understanding Uncontrollable Hand Tremors: Is It Parkinson's Disease?
Parkinson's disease Hello, I am a 31-year-old female. Recently, I have experienced involuntary slight tremors in my right thumb for a few seconds. Sometimes, there are also involuntary muscle twitches along the upper arm of my right arm for a few seconds. These two symptoms ...
Dr. Zeng Kongyan Reply:
Based on the symptoms presented, it is possible that there is involuntary muscle twitching, which is mostly physiological (i.e., non-pathological) and occurs infrequently. Of course, some early cases of Parkinson's disease, writer's cramp, or motor neuron diseases may e...[Read More] Understanding Uncontrollable Hand Tremors: Is It Parkinson's Disease?
Understanding Chest Tightness and Tinnitus: When to Seek Neurology Care
Chest tightness and tinnitus? Hello Doctor, in recent years I have often felt chest tightness and difficulty breathing. Sometimes my hands tremble, and my heart races. Additionally, I have poor mental health, dizziness, and occasionally walk off balance. I also experience tinnitu...
Dr. Lin Zijing Reply:
Your symptoms encompass various aspects including respiration, heart rate, sleep, tremors, dizziness, tinnitus, and premature graying of hair. First, it is essential to consider whether these symptoms are caused by autonomic nervous system dysfunction or endocrine disorders. Seco...[Read More] Understanding Chest Tightness and Tinnitus: When to Seek Neurology Care
Managing Dual Antiepileptic Medications: Dosage, Differences, and Side Effects
Simultaneous use of two antiepileptic drugs? Hello Dr. Lin, My brother was originally taking the antiepileptic medication Depakene, three times a day at a total of three pills. However, he still occasionally experiences absence seizures and has episodes of generalized tonic-clon...
Dr. Lin Zijing Reply:
Antiepileptic drugs are intended to prevent the occurrence of seizures, as seizures are caused by abnormal electrical discharges in the brain, which can lead to brain damage, inflammation, atrophy, and even life-threatening situations during severe episodes. Doctors regularly mon...[Read More] Managing Dual Antiepileptic Medications: Dosage, Differences, and Side Effects