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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Numbness In Head And Face?

hello my mum woke up 4 days ago, while brushing her teeth she felt a strange feeling in her head like something is pressing on both sides. then she started to vomit and diarhea. and she felt her left side of her head and face numb.a doctor saw her and gave her 3 tablets don t know what it is.anyway the vomiting and diarhea has stopped, but she is complaining of her face and head,still numb especially in the morning.no shoulder or chest pain. can you please tell me what s this? she is 63 years and thin.
Mon, 25 Nov 2019
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Neurologist,  's  Response
Hello,

While there are many reasons that could cause facial numbness such as migraines, the most pressing issue is to rule out a small stroke that could have caused her symptoms.

Although it is rare for a stroke to affect the face so specifically it is necessary to rule it out. Also, although unlikely a tumor in the brain needs to be ruled out.

To do that she should have an MRI of the brain with and without contrast. I would also recommend getting an MR-Angiogram of the head and neck to evaluate the blood vessels in the brain and neck.

If it is not possible for her to have an MRI, then a CT scan of the brain should be performed with and without contrast as well as a CT-Angiogram of the head and neck.

I'm sorry that this may sound alarming but those possibilities need to be ruled out first, before other causes are considered.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Janne Nissinen, Neurologist
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What Causes Numbness In Head And Face?

Hello, While there are many reasons that could cause facial numbness such as migraines, the most pressing issue is to rule out a small stroke that could have caused her symptoms. Although it is rare for a stroke to affect the face so specifically it is necessary to rule it out. Also, although unlikely a tumor in the brain needs to be ruled out. To do that she should have an MRI of the brain with and without contrast. I would also recommend getting an MR-Angiogram of the head and neck to evaluate the blood vessels in the brain and neck. If it is not possible for her to have an MRI, then a CT scan of the brain should be performed with and without contrast as well as a CT-Angiogram of the head and neck. I m sorry that this may sound alarming but those possibilities need to be ruled out first, before other causes are considered. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Janne Nissinen, Neurologist