292349?1201481643
Joanna Fong, MD  
Female
Cleveland, OH

Specialties: Stroke/NICU, Multiple Sclerosis, sleep, EEG

Interests: Neurology
Cleveland Clinic
Cleveland, OH
My Posts
Option for cervical facet syndrome Tension headache
Feb 06, 2008 in the Neurology Expert Forum - 21
Hi KimSb, From the description of your symptoms, you have chronic daily headache tension type. Chronic daily headache can be caused by many different diseases. Most commonly, neck pain/neck strain can trigger tension headache; in your case, the "cervical facet syndrome". I do not know the nature of your cervical facet syndrome. However, there...
Neck aches and migraines
Jan 21, 2008 in the Neurology Expert Forum - 3
Hi AZKobushi, You likely have Chronic daily headache. Neck pain is a common trigger and source of headache. You can see help from a neurologist (headache specialist). Typically, the treatment involves: -physical therapy (neck) and occupational therapy -muscle relaxant to be taken at night (can cause drowsiness) -maintenance therapy for the headache...
Sleeping Cheek
Jan 21, 2008 in the Neurology Expert Forum - 1
Hi Dian999, Numbness of cheeks can be caused by many things, including stress. For example, anxiety attacks can sometimes trigger facial numbness. Other diseases may cause numbness of cheeks: -stroke or transient ischemic attack (although less likely if BOTH of your cheeks are involved.) -trigeminal neuralgia (if pain is involved) -nerve entrapment ...
Myelopthy and Seizure
Jan 21, 2008 in the Neurology Expert Forum - 3
Hi SamScott, It is unusual that seizure causes myelopathy. Seizures typically originate from the brain. Myelopathy is problem with your spinal cord. In your case, it is the neck part of the spinal cord. Cervical spondylotic myelopathy is the most common cause of myelopathy (spinal cord dysfunction) in adults over 55 years, causing progressive disab...
Frontal Head Injury - Learning
Jan 21, 2008 in the Neurology Expert Forum - 2
Hi MDR55, Any child with learning disability or developmental delays should be evaluated formally by a pediatrician or pediatric neurologist. Hematoma after head trauma can be significant, depends on the extend and size of the bleed. I would encourage you to seek medical attention as soon as possible so interventions can be placed earlier. Diagnostic te...
Pick's Help
Dec 23, 2007 in the Neurology Expert Forum - 1
Hi Dan285, Pick disease usually presents with progressive dementia, personality change, speech disturbance, inattentiveness, hallucination, in addition to parkinsonism (tremor, gait problem, slow movements). Neuroimaging studies such as MRI brain or CT brain can show atrophy of frontotemporal region. Cleveland Clinic neurology department has many ex...
Head Pressure or headache that won't go away PLEASE ANSWER DOC
Dec 23, 2007 in the Neurology Expert Forum - 11
Hi soho, I am glad that you had an extensive workup, including neuroimagings (MRI). For chronic headache, we need to rule out all the serious diseases that can cause chronic headache. Examples are tumor, vascular malformation (need MRA), vasculitis (MRA and CTA are noninvasive, but gold standard is still angiography), hydrocephalus (extra fluid in brain)...
Feet Burning and Tingling
Dec 23, 2007 in the Neurology Expert Forum - 1
Hi Steve12544, Your symptoms of burning and tingling sensation in the balls of your feet are most likely from peripheral neuropathy. Peripheral neuropathy is rather common. It is nerve damage to nerves in your feet. Most common causes of peripheral neuropathy are: 1) Diabetes 2) Thyroid disease (Hyperthyroidism or hypothyroidism) 3) Nutritiona...
brain cyst
Dec 23, 2007 in the Neurology Expert Forum - 1
Hi pre55, Brain cysts are mostly benign. It depends on its size and location, brain cysts can be symptomatic or asymptomatic. It's difficult to say whether or not his headache is related to the brain cyst. It's best for him to go seek medical attention from a neurosurgeon. If the brain cyst is the cause of his severe headache, surgical interv...
Epilepsy, maybe?
Dec 23, 2007 in the Neurology Expert Forum - 4
Hi indigo39, Your episodic spells of dizziness, nausea, vertigo (spinning) can be due to several things. I will list the most common: 1) Yes, seizure is possible, especially if your symptoms are associated with decreased level of consciousness, jerking (clonic) or stiffening (tonic) of your limbs/body. However, they can also occur without the typical...