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What Causes Facial Numbness And Vestibular Migraines?
Question: Ive asked this ? before but trying 1 more time to see if i can get more ideas. 32 M. history of some facial numbess and vestibular migraines. Recently I have been having a pins and needles sensation. Mostly legs, and arms. Both sides. Not in toes or fingers. It also happens in other body parts at times . Duration can be days. Been going on and off for about a month. I had a episode of this in XXXXXXX then fine until recently. Ive had something like this in the past also usually when going from cold to hot or when im around oil and some chemicals, but that was a while ago and those episides were shorter. This time it just happens for no reason. It feels like a burning/ pins sensation that kind of crawls around. its not terrible but not great either. Ive noticed ive been getting some chill type feelings with it too. I take verampil for headaches. Only other med i was on recently was amoxicillin for a possible lyme disease, but not likely. I have no loss of strength. Doubt it could be a stroke as its been going on for over a month on and off. Any ideas? Thanks
Brief Answer:
No.Its not Stroke.
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist, here to answer your query.
No.Of course, it can't be stroke. One thing that is characteristic of stroke is abrupt onset of symptoms-not something which has been going on and off for over a month.
Possibilities-
1)Anxiety- can result in such non-specific symptoms commonly.
2)Multiple Sclerosis- One thing that is typical of MS is the onset of symptoms in warm temperature.Since the symptoms have been persisting for long now, a neurological examination and a MRI of Brain may be of help.
3)Metabolic- Though the symptoms are not specific, some metabolic diseases like Thyroid dysfunction and Diabetes can present atypically at sometimes.So, a comprehensive metabolic profile is advisable.
4)Further, Hypertension should be ruled out.
5)Alcoholism- Chronic alcoholism can also cause such symptoms, in case it applies here.
6)Neuropathy-Neuropathy in early stage can manifest intermittent pins and needles.
Hope that helps.If you have any further questions,I shall be glad to have you in follow-up.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
No.Its not Stroke.
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist, here to answer your query.
No.Of course, it can't be stroke. One thing that is characteristic of stroke is abrupt onset of symptoms-not something which has been going on and off for over a month.
Possibilities-
1)Anxiety- can result in such non-specific symptoms commonly.
2)Multiple Sclerosis- One thing that is typical of MS is the onset of symptoms in warm temperature.Since the symptoms have been persisting for long now, a neurological examination and a MRI of Brain may be of help.
3)Metabolic- Though the symptoms are not specific, some metabolic diseases like Thyroid dysfunction and Diabetes can present atypically at sometimes.So, a comprehensive metabolic profile is advisable.
4)Further, Hypertension should be ruled out.
5)Alcoholism- Chronic alcoholism can also cause such symptoms, in case it applies here.
6)Neuropathy-Neuropathy in early stage can manifest intermittent pins and needles.
Hope that helps.If you have any further questions,I shall be glad to have you in follow-up.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Nagamani Ng
I dont drink or do any type of drugs.
Its a pins/needles pickling/itchy feeling. It burns a little sometimes too. Forearms, wrists, legs, knees, thighs, upper arms. Can be everywhere at once or move around. Lasts days at a time at intermintent intensity. Sometimes its a electrical like jolt. NO loss of strength during episode's. I dont think its anxiety. Its not hypervenolation.
At night it can be bad and i am very itchy. If i have sex, sometimes that triggers it and then i am itchy, XXXXXXX pins and needles all over body including scrotum/ anus area.
I feel that its def something neurological.
But what? MS seems unlikely. Yes maybe nuerophay, but caused by what? What are other things that could cause this?
Its a pins/needles pickling/itchy feeling. It burns a little sometimes too. Forearms, wrists, legs, knees, thighs, upper arms. Can be everywhere at once or move around. Lasts days at a time at intermintent intensity. Sometimes its a electrical like jolt. NO loss of strength during episode's. I dont think its anxiety. Its not hypervenolation.
At night it can be bad and i am very itchy. If i have sex, sometimes that triggers it and then i am itchy, XXXXXXX pins and needles all over body including scrotum/ anus area.
I feel that its def something neurological.
But what? MS seems unlikely. Yes maybe nuerophay, but caused by what? What are other things that could cause this?
Brief Answer:
Diabetes/Vitamin B12/Thyroid dysfunction
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
At this point, a neurological examination is likely to provide some diagnostic clues.
Anyway, Nerve conduction studies can be done to rule out neuropathy.
Further, common causes of neuropathy like Diabetes, Vitamin B12 deficiency must be looked for.
Thyroid dysfunction and Hypertension can also cause bizarre symptoms, at times.
Inflammatory markers -Erythrocyte sedimentation rate(ESR), C-reactive protein(CRP) may be done to rule out ongoing inflammation, which can otherwise cause nerve damage at times, as in vasculitis and autoimmune diseases.
Besides, the best next step would be to undergo a physical examination.
Hope that helps.I shall be glad to have you in follow-up with further questions.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Diabetes/Vitamin B12/Thyroid dysfunction
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
At this point, a neurological examination is likely to provide some diagnostic clues.
Anyway, Nerve conduction studies can be done to rule out neuropathy.
Further, common causes of neuropathy like Diabetes, Vitamin B12 deficiency must be looked for.
Thyroid dysfunction and Hypertension can also cause bizarre symptoms, at times.
Inflammatory markers -Erythrocyte sedimentation rate(ESR), C-reactive protein(CRP) may be done to rule out ongoing inflammation, which can otherwise cause nerve damage at times, as in vasculitis and autoimmune diseases.
Besides, the best next step would be to undergo a physical examination.
Hope that helps.I shall be glad to have you in follow-up with further questions.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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