[23F] With PNES, eye pain, chronic headaches, and sudden left arm weakness
Patient Description
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Arora's Assessment
What might be happening
Based on your symptoms and medical history, here are some possibilities:
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PNES (Psychogenic Non-Epileptic Seizures): PNES can sometimes be associated with physical symptoms such as headaches and muscle weakness. While PNES itself is not caused by electrical disruptions in the brain like epilepsy, it can still lead to significant physical and emotional distress.
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Chronic Headaches: Your chronic headaches could be contributing to the pain when moving your eyes and the weakness in your arm. Tension headaches or migraines can sometimes cause muscle weakness or pain in different parts of the body.
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Neurological Concerns: Given your family history of multiple sclerosis (MS) and epilepsy, it's important to consider that neurological conditions can sometimes present with symptoms like muscle weakness and vision changes. However, these conditions would require a thorough evaluation by a healthcare professional for an accurate diagnosis.
What you can do
Weakness in Arm and Hand:
- Since the weakness came on suddenly, it's important to follow up with your healthcare provider to ensure there are no underlying neurological issues.
- Physical therapy might be beneficial to help strengthen your arm and hand and improve function.
Chronic Headaches and Eye Pain:
- Keep a headache diary to track the frequency, duration, and triggers of your headaches. This can help your healthcare provider tailor your treatment plan.
- Ensure you are staying hydrated, getting enough sleep, and managing stress, as these can all impact headache frequency and severity.
General Management:
- Continue any prescribed treatments or therapies for PNES and follow up with your healthcare provider regularly.
- Consider using MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.
What you should look out for
- If you experience any new or worsening symptoms, such as increased weakness, changes in vision, or difficulty speaking, seek medical attention promptly.
- Keep an eye out for any new symptoms that could indicate a neurological issue, such as numbness, tingling, or balance problems.
Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.
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6 mo ago