How to Navigate Pediatric Neurology Consultations for Your Child?
How can an 11-year-old child be referred to a neurology department? Dear Dr. Lin, My child has been experiencing issues with blurry vision and dizziness, so we visited an ophthalmologist. The ophthalmologist indicated that there may be swelling, lesions, or pressure in my child&...
Dr. Lin Zijing Reply:
The division of specialties at Chang Gung Memorial Hospital is quite complex, and patients can be referred to the Pediatric Neurology Department, also known as Child Neurology.[Read More] How to Navigate Pediatric Neurology Consultations for Your Child?
Unexplained Dizziness, Chills, and Nausea: What to Know
Unexplained dizziness, chills, and nausea? I apologize for the inconvenience, but I would like to ask about recent symptoms of unexplained dizziness, chills, and nausea without vomiting. I went to the emergency room because I wasn't sure which department to consult. However,...
Dr. Ye Boshou Reply:
Dizziness, chills, and nausea are symptoms that resemble a cold. Dizziness can refer to either lightheadedness or true vertigo. If it is true vertigo, it may be related to issues with the inner ear or cerebellum. If accompanied by double vision or ataxia, a neurological examinati...[Read More] Unexplained Dizziness, Chills, and Nausea: What to Know
Should We Consult a Neurologist for Mom's Dizziness and Pain?
Could you please provide more details or specify your question? I would like to ask, my mother has recently reported a feeling of heaviness in her head, along with episodes of intermittent dizziness that occur at no specific time. In the past two nights, she has experienced gener...
Dr. Zeng Kongyan Reply:
Dear Xiao Zhou, In the situation described, if the symptoms have recently occurred, it is likely that there is an issue with the inner ear balance. Common symptoms include dizziness and vomiting, which may worsen with changes in posture. Possible causes could be vestibular neuri...[Read More] Should We Consult a Neurologist for Mom's Dizziness and Pain?
Understanding Left Occipital Neuralgia: When to Seek Medical Attention
Painful spasms in the left occipital region? I have recently experienced nerve pain in the left posterior part of my head, which I have never had before. The pain lasts about three to four seconds each time, with variable intervals between episodes. It also hurts when I apply pre...
Dr. Lin Zijing Reply:
Pain that occurs from the back of the neck to the occipital region can feel like a tight band constricting the head, with dull pain radiating from the back of the neck to the back of the head, pulsating or throbbing pain, or a sensation of pressure as if the head is covered by a ...[Read More] Understanding Left Occipital Neuralgia: When to Seek Medical Attention
Understanding Nighttime Headaches and Sleep Disturbances: A Neurology Perspective
Waking up with a headache? Hello Dr. Lin, I have a few symptoms I would like to consult with you, listed as follows: 1. Insomnia: For a long time, I have had trouble sleeping, often experiencing insomnia, and I tend to wake up easily during the night, feeling in a state of ha...
Dr. Lin Zijing Reply:
Dangerous headaches have the following symptoms: 1. Headaches that worsen over time, accompanied by nausea, blurred vision, focal neurological deficits, seizures, or headaches that occur with coughing or straining: this may indicate a brain tumor. 2. A splitting, explosive headac...[Read More] Understanding Nighttime Headaches and Sleep Disturbances: A Neurology Perspective
Understanding Dizziness: Causes, Symptoms, and Treatment Options
Dizziness On April 28th and 29th, I experienced vomiting upon waking up in the morning, along with dizziness and a darkening of my vision. I also had cold sweats. On April 30th, I visited a family medicine clinic, but the doctor was unsure of the cause of my symptoms. He prescrib...
Dr. Gao Chunde Reply:
Symptoms of vestibular nerve disorders include dizziness, tinnitus, or hearing impairment. During episodes, patients may experience significant discomfort, nausea, and cold sweats. Viral infections causing inflammation may take about one to two weeks to fully resolve. It is impor...[Read More] Understanding Dizziness: Causes, Symptoms, and Treatment Options
Managing Anxiety and Balance Disorders After Brain Injury
Anxiety. Disruption of balance in the brain? Hello Dr. Lin: I am 36 years old and had a serious car accident when I was 17. At that time, I suffered a severe concussion, and I lost vision in my right eye due to a severed optic nerve. Recently, over the past 1-2 months, I have bee...
Dr. Lin Zijing Reply:
Your symptoms are quite diverse, and generally, such a condition is not associated with neurological disorders. There is a term commonly used: "neurasthenia," which is also referred to as "autonomic nervous system dysfunction," and it may resemble your symptom...[Read More] Managing Anxiety and Balance Disorders After Brain Injury
Understanding Severe Forgetfulness: Symptoms, Causes, and Next Steps
Severe forgetfulness Dear Vice Dean, I have some symptoms I would like to consult with you about. Over a decade ago, I experienced several episodes while walking where I suddenly lost all consciousness. During these episodes, I had no memory of what happened, and my vision was c...
Dr. Zeng Kongyan Reply:
Hello Juju, Regarding the situation mentioned in your letter, complex epilepsy is a possible cause. However, since no abnormalities were found in the examinations conducted over a decade ago, I recommend that you visit a large hospital's neurology department for a re-evalua...[Read More] Understanding Severe Forgetfulness: Symptoms, Causes, and Next Steps
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 Eye Muscle Twitches: Causes and Health Implications
Orbital muscle twitching Hello Dr. Lin, I have a question I would like to ask you. Recently, I have been experiencing slight and regular twitching in the muscles of my right eye, specifically in the lower eyelid area, both in the morning and in the afternoon. Does this have any...
Dr. Lin Zijing Reply:
Individuals with the following conditions are more likely to experience eyelid muscle twitching: 1. Irregular lifestyle: such as staying up late or insomnia. 2. Medication use or dietary imbalances: such as alcohol consumption or high-caffeine foods. 3. Conditions caused by disea...[Read More] Understanding Eye Muscle Twitches: Causes and Health Implications
What to Do If You Accidentally Drink Alcohol After a Concussion
If someone accidentally consumes alcohol after a concussion, it may exacerbate symptoms such as dizziness, confusion, and impaired cognitive function. Alcohol can interfere with the brain's healing process and may increase the risk of complications. It is advisable to avoid ...
Dr. Lin Zijing Reply:
A concussion refers to a temporary and immediate disruption of brain function due to external force impacting the head. Symptoms may include confusion or loss of consciousness, visual disturbances, or balance issues. There may also be persistent headaches, dizziness, and memory i...[Read More] What to Do If You Accidentally Drink Alcohol After a Concussion
Are These Symptoms Signs of a Stroke or Something Else?
Is this a sign of a stroke? Hello, doctor. This evening while taking the MRT, I experienced difficulty breathing and dizziness due to overcrowding and poor air circulation. Additionally, with the weather changing, I had a runny nose and some nasal congestion on the right side. Af...
Dr. Ye Boshou Reply:
Hello: This is not a stroke phenomenon; it may be due to poor air circulation, leading to autonomic nervous system dysregulation. Please pay attention to air circulation and try to relax. If it occurs again, it is advisable to seek medical consultation, and a brainwave examinatio...[Read More] Are These Symptoms Signs of a Stroke or Something Else?
Understanding High Prolactin Levels and Headaches: What You Need to Know
excuse me? Hello, Doctor. A month ago, I noticed that I could express breast milk just by applying pressure to my chest. I visited an obstetrician who tested my prolactin levels and said they were too high, but did not specify the exact values. He mentioned that I would need to t...
Dr. Lin Zijing Reply:
Prolactin is secreted by the pituitary gland. Normally, during pregnancy and the postpartum breastfeeding period, prolactin levels rise. However, if prolactin levels are abnormally elevated during non-pregnant and non-breastfeeding periods, it can lead to anovulation and result i...[Read More] Understanding High Prolactin Levels and Headaches: What You Need to Know
Understanding Olfactory Issues: Causes and Concerns in Neurology
Olfactory issues Hello: In the past two weeks, I have been experiencing a persistent acidic odor in my sense of smell, but I do not have any other symptoms, nor do I have allergies or a cold. After washing my hair, I should be able to smell the shampoo, but I cannot. I am concern...
Dr. Ye Boshou Reply:
Hello: There has not been any significant progress in the examination of olfaction, but a neurological assessment is still necessary to determine if there are issues with other cranial nerves (such as vision, etc.). Please follow up at the neurology outpatient clinic.[Read More] Understanding Olfactory Issues: Causes and Concerns in Neurology
Understanding 'Shunao': Relief for Neurological Symptoms and Safety Concerns
Shu Nao Hello doctor, I have some symptoms including headaches, dizziness, a feeling of pressure in my head, dry mouth, stiff neck and shoulders, sudden increases in blood pressure for no apparent reason, occasional blurred vision, and numbness or weakness in my limbs. I have see...
Dr. Lin Zijing Reply:
Shunao is a selective calcium channel blocker that is effective in preventing migraines and can also be used to treat peripheral vascular diseases, particularly obstructive peripheral vascular disease. Additionally, it may provide partial improvement for symptoms caused by Menier...[Read More] Understanding 'Shunao': Relief for Neurological Symptoms and Safety Concerns
Recognizing Warning Signs of a Mini-Stroke: What You Need to Know
I have symptoms of a transient ischemic attack (TIA)? Recently, I have not been feeling well. I noticed that you mentioned the symptoms of a transient ischemic attack (TIA): sudden speech difficulties, blurred vision, transient localized numbness or weakness in limbs, dizziness, ...
Dr. Lin Zijing Reply:
A transient ischemic attack (TIA) is caused by a sudden blockage or rupture of small blood vessels, resulting in the following symptoms that occur abruptly (one moment the individual is fine, and the next moment symptoms are evident): 1. Numbness or weakness in the face, arm, or ...[Read More] Recognizing Warning Signs of a Mini-Stroke: What You Need to Know
Understanding Dizziness: Diabetes Symptoms and Stroke Risks
Dizziness What are the symptoms of diabetes, doctor? Can it lead to slightly elevated blood pressure? I previously had a health check and did not find any signs of diabetes. Could it be that not eating fruit for a long time is causing my dizziness? Or is it possible that it could...
Dr. Lin Zijing Reply:
The early stages of diabetes are asymptomatic, and by the time symptoms such as increased thirst, excessive urination, and increased appetite appear, the condition is already at a moderate to advanced stage. Diabetes does not have a direct relationship with hypertension; however,...[Read More] Understanding Dizziness: Diabetes Symptoms and Stroke Risks
Persistent Dizziness and Blurred Vision: Possible Causes and Solutions
Dizziness, lightheadedness, and blurred vision? Doctor, I have been experiencing dizziness for over a year since I first felt faint. I have undergone various tests at different hospitals, including an MRI, all of which came back normal. My dizziness fluctuates, and I often experi...
Dr. Lin Zijing Reply:
There are many causes of dizziness, but it is usually necessary to rule out structural issues in the brain, functional disorders, and other problems outside the brain, such as anemia, infections, electrolyte imbalances, medications, lack of sleep, and various forms of stress. Aft...[Read More] Persistent Dizziness and Blurred Vision: Possible Causes and Solutions
Understanding Myasthenia Gravis: Treatment Options and Blood Washing Explained
Myasthenia Gravis My family member (male, 27 years old) recently had difficulty opening one of his eyelids and was diagnosed at the hospital with a condition called "myasthenia gravis." Initially, the hospital prescribed medication, and his condition gradually improved....
Dr. Zeng Kongyan Reply:
Dear Ms./Mr. An, Myasthenia gravis is caused by a problem in the body's autoimmune system, where acetylcholine antibodies, which should not be present in the body, occupy the binding sites at the neuromuscular junction, leading to a sensation of muscle weakness. There are m...[Read More] Understanding Myasthenia Gravis: Treatment Options and Blood Washing Explained
Understanding the Effects of High Blood Sugar on Neurological Health
High blood sugar can lead to several conditions, including: 1. Increased thirst and frequent urination (polyuria). 2. Fatigue and weakness. 3. Blurred vision. 4. Headaches. 5. Dry mouth and skin. 6. Unexplained weight loss. 7. Slow healing Hello, Doctor Gao: My father is a diabe...
Dr. Gao Chunde Reply:
Metabolic encephalopathy can occur if blood sugar levels are high or if there is renal dysfunction. Patients may present with altered orientation, memory issues, cognitive changes, and temporary neurological deficits, which can be severe enough to lead to coma. However, as long a...[Read More] Understanding the Effects of High Blood Sugar on Neurological Health