Understanding Visual Disturbances and Leg Weakness: A Neurological Perspective
Visual abnormalities and weakness or numbness in the calves? Hello Doctor, since June, I have been experiencing unclear vision on the edges of my left eye. After an ophthalmological examination, a visual field defect was found, raising concerns about a possible neurological issue...
Dr. Jiang Junyi Reply:
Dear Miss Abo, You mentioned that "the edges of things appear unclear in my left eye." The report seems unable to explain this condition, but it does mention "suspect hypoplasia of the right vertebral artery." I wonder if you have any risk factors for cerebro...[Read More] Understanding Visual Disturbances and Leg Weakness: A Neurological Perspective
Understanding Left Jaw Pain: When to See a Neurologist or Dentist
Sharp pain in the left lower jaw and cheek? Hello Doctor: For the past two days, I've been experiencing intermittent sharp pain on the left side of my cheek, feeling like someone is poking me with a needle or giving me an electric shock, which is quite uncomfortable. The pai...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned that "the pain extends from the jaw up to the temples, around the eyes, and the scalp, and down to the chin, occurring several times a minute or suddenly once every few hours. The pain intensifies during activities such as eating, yawning, turn...[Read More] Understanding Left Jaw Pain: When to See a Neurologist or Dentist
Which Specialist Should I See for My Neurological Symptoms?
Could you please tell me which symptoms you are experiencing so I can recommend the appropriate specialty and tests for a detailed examination? Three months ago, while at work, I felt a tightness in my chest, so I stretched my arms out. However, the condition did not improve, and...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it may be advisable to first consult a cardiologist for a basic evaluation related to syncope.[Read More] Which Specialist Should I See for My Neurological Symptoms?
Investigating Post-AZ Vaccine Neurological Issues: A Case of Myasthenia Gravis
Development of myasthenia gravis after receiving the AZ vaccine? Hello Doctor: After receiving my first dose of the AZ vaccine in mid to late July 2021, I noticed that I frequently fell from late July to early August. I initially thought it was due to not exercising for a long ti...
Dr. Hong Weibin Reply:
Hello: Currently, similar case reports can be found in the PubMed search engine of the National Library of Medicine at the National Institutes of Health in the United States.[Read More] Investigating Post-AZ Vaccine Neurological Issues: A Case of Myasthenia Gravis
Understanding Sensory Disturbances in Schizophrenia and Migraine Auras
Feeling troubled? I am a patient with schizophrenia, but sometimes I often feel a sense of foreignness or sometimes I dislike thinking of sweating as bleeding. Additionally, I would like to ask what a prodromal migraine is; I would like to understand it better.
Dr. Jiang Junyi Reply:
Hello: You mentioned "What is aura migraine?" The symptoms of aura migraine include visual disturbances such as seeing bright lights resembling stars and lightning, as well as blurred or distorted vision. These are all precursors to a migraine. A few minutes after the a...[Read More] Understanding Sensory Disturbances in Schizophrenia and Migraine Auras
Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Suspected cerebrospinal fluid leak? Hello Doctor: I have been experiencing very severe headaches intermittently since childhood. Sometimes they occur due to excessive exertion or fatigue, while at other times the cause is unclear. The symptoms are generally very painful whether I...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the location of the headache changes with different positions, and if I eat on one side, I feel nauseous (if not, I don't feel anything special).... I suspect it might be a cerebrospinal fluid leak." Your symptoms may need to be co...[Read More] Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Hello, doctor. I would like to ask about some unusual phenomena related to tinnitus? Hello Dr. Jiang, I have been experiencing unilateral tinnitus with a buzzing sound in my left ear for about two weeks. I have already undergone hearing and tympanometry tests at other large hosp...
Dr. Jiang Junyi Reply:
Hello HJK: You mentioned that "when chewing food or yawning, the tinnitus becomes louder..." This could potentially be related to issues with the nerves or muscles around the ear. One possible cause is related to the Eustachian tube, as yawning and chewing help to equal...[Read More] Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Understanding Recovery from Hemorrhagic Stroke: What to Expect
Minor stroke with cerebral hemorrhage? Hello, doctor. My father was diagnosed with a hemorrhagic stroke due to hypertension on October 9th of this year. The blood clot is 25cc, and the doctor mentioned waiting for the clot to be reabsorbed, which should take about three months. C...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao, You mentioned that "currently, the left side is numb, vision is blurred, I can take care of myself, and my speech is normal. I would like to ask if the symptoms will gradually improve after the blood clot is absorbed?" The possible site of bleeding is i...[Read More] Understanding Recovery from Hemorrhagic Stroke: What to Expect
Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Neck pain Hello, doctor! A year ago, I have been experiencing a heavy sensation in the back of my neck and occiput, along with fatigue. Sometimes, I also feel pain and swelling in my jaw, as well as partial numbness in my face. My left ear feels stuffy, and I have tinnitus, which...
Dr. Jiang Junyi Reply:
Hello Mr. Kuan, You mentioned that your left hand experiences numbness, tingling, soreness, and weakness, and that the rehabilitation clinic indicated it might be due to nerve compression. I'm curious about the specific area where you feel the numbness and tingling. Based o...[Read More] Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Should You See a Doctor for Sudden Blurry Vision and Dizziness?
I would like to confirm whether I need to see a doctor? Sometimes I experience sudden blurred vision that lasts for about 15 to 30 minutes before recovering, followed by dizziness and nausea. This occurs even outside of physiological conditions. During the period of blurred visio...
Dr. Cai Zongzhang Reply:
Hello: The above symptoms are suspected to be related to cerebrovascular disease, and it is recommended to visit a neurology outpatient clinic for examination.[Read More] Should You See a Doctor for Sudden Blurry Vision and Dizziness?
Understanding Long-Term Dizziness: Possible Signs of Cerebellar Dysfunction
Persistent sensation of shaking? Hello, Dr. Jiang. Last July, I went to the ENT department to check for ear stones, but no results were found. At that time, the ENT specialist asked me to perform the following tests related to cerebellar function and body movement. The public can...
Dr. Jiang Junyi Reply:
Dear Mr. Awei, You mentioned your concern about "signs of cerebellar atrophy." In fact, cerebellar atrophy is not primarily characterized by dizziness. The main symptoms of patients with spinocerebellar ataxia typically include: 1. Tremors, slowed movements, and decrea...[Read More] Understanding Long-Term Dizziness: Possible Signs of Cerebellar Dysfunction
Could Eye Issues and Muscle Twitches Indicate a Brain Tumor?
Brain issues I often experience twitching in my body or limbs lately. I am a heavy user of computers and smartphones, and sometimes my eyes feel blank while looking at the screen. Recently, I also feel that my vision has slightly declined. Could these two issues be symptoms of a ...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned that "the body or limbs often twitch," which may initially suggest symptoms of neuroinflammation. Some metabolic disorders, such as hyperthyroidism and electrolyte imbalances, can also present with similar symptoms. As for brain tumors, the s...[Read More] Could Eye Issues and Muscle Twitches Indicate a Brain Tumor?
Concerns About Neurology Medications: Risks, Dependency, and Diagnosis Clarity
Medications..? Due to discomfort in my head and poor sleep quality, my previous doctors prescribed medications such as Lyrica, Mirtazapine, and Zolpidem, claiming they could help with sleep. I have a few questions for the physician: 1. Will these medications alter my brain or p...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao-Chih, You mentioned, "Do these medications change the brain and personality, causing any irreversible conditions?" The medications you referred to, including Fuquan, Muxing, and Lianduomian, are all classified as benzodiazepines, which are Schedule IV c...[Read More] Concerns About Neurology Medications: Risks, Dependency, and Diagnosis Clarity
Understanding TIA: Insights from Carotid Ultrasound Results
TIA - Carotid Ultrasound Examination Issues Hello Dr. Hong, I would like to ask the following questions: Q1: Have the results and conditions from the two ultrasound examinations worsened? (1) 2021/9/14 (2) 2022/8/16 Q2-1: If I consume too much salt, I experience dizziness. Is ...
Dr. Hong Weibin Reply:
Hello: 1. The results from the two carotid ultrasounds show that both the peak systolic velocity (PSV) and end diastolic velocity (EDV) as well as the flow are normal. 2. Consuming too much salt can lead to dehydration, and when the body is dehydrated, it can cause brain fog and ...[Read More] Understanding TIA: Insights from Carotid Ultrasound Results
Understanding TIA: Insights from Carotid Ultrasound Results
TIA - Carotid Ultrasound Examination Issues Hello Dr. Hong, I would like to ask the following questions: Q1: Have the results and conditions from the two ultrasound examinations worsened? (1) September 14, 2021 (2) August 16, 2022 Q2-1: If I consume too much salt, I feel dizzy...
Dr. Hong Weibin Reply:
Hello: 1. The results from two carotid ultrasounds show that both the peak systolic velocity (PSV) and end diastolic velocity (EDV) as well as the flow are normal. 2. Consuming too much salt can lead to dehydration, and when the body is in a dehydrated state, it can cause brain f...[Read More] Understanding TIA: Insights from Carotid Ultrasound Results
Understanding Chronic Headaches and Neck Pain: Possible Causes and Solutions
Headache and neck pain? Hello, doctor. Since I hit the back of my head on a stone step corner in sixth grade, I have been experiencing persistent headaches. I have been to a large hospital for examinations, but they all said there was no problem. After that, I often find myself e...
Dr. Cai Zongzhang Reply:
Hello, the symptoms mentioned may be related to cervical spine disorders or hypotension. It is recommended to visit a neurology clinic for an examination to determine the underlying cause.[Read More] Understanding Chronic Headaches and Neck Pain: Possible Causes and Solutions
Understanding the Connection Between Chronic Migraines and Eye Twitching
Chronic migraines and eyelid twitching issues? Hello, Doctor! I was previously diagnosed with aura migraines at a small clinic, and it has been nine years since my first episode, occurring approximately every four months. Before an attack, I experience photophobia, blurred vision...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "the upper right eyelid keeps twitching, occurring every few minutes, and has been happening for four to five days." Your symptoms are more indicative of migraine-related symptoms. You also noted experiencing some visual disturbances wh...[Read More] Understanding the Connection Between Chronic Migraines and Eye Twitching
Understanding Fainting from Abdominal Pain: Causes and Concerns
Severe abdominal pain leading to fainting? Hello Doctor, I experienced my first episode of severe abdominal pain leading to fainting when I was 21 years old. Now at 23, this has happened five times, approximately every 8-9 months. Before fainting, I only feel intense abdominal pa...
Dr. Jiang Junyi Reply:
Dear Ms. Wenwen, You mentioned experiencing "abdominal pain to the point of fainting." Your symptoms may suggest a consideration of syncope, particularly reflex syncope. The causes experienced by your mother and uncle may differ from yours. The more common causes of re...[Read More] Understanding Fainting from Abdominal Pain: Causes and Concerns
Right Eye Focusing Issues and Partial Eyelid Droop: Possible Causes
Inability of the right eye to focus and the eyelid being partially open? Hello, for the past week, I have been unable to focus with my right eye. After seeing an ophthalmologist, both eyes showed no abnormalities, and my vision is normal at 1.0. The ophthalmologist suggested that...
Dr. Jiang Junyi Reply:
Dear Mr. Jack, You mentioned that "your right eye has been unable to focus for the past week." You have a history of hypertension, and I wonder if you also have metabolic syndrome (issues such as increased waist circumference, elevated fasting blood glucose, or abnorma...[Read More] Right Eye Focusing Issues and Partial Eyelid Droop: Possible Causes
Understanding Unexplained Headaches: When to Seek Further Medical Evaluation
A few days ago, I experienced an unexplained headache right before going to bed at midnight? As mentioned in the title, there is a sensation similar to pressure building up, but it is not very painful. The episodes occur briefly and then reappear after a few seconds. For the past...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "during the neurology clinic appointment, the doctor inquired and performed some physical examinations (reflexes, vision, pupil size, etc.) and then stated that the likelihood of brain lesions is low, and it seems more like a headache cause...[Read More] Understanding Unexplained Headaches: When to Seek Further Medical Evaluation