[24F] Experiencing facial numbness, dizziness, and weakness

Patient Description

A 24-year-old female reports experiencing daily facial numbness, dizziness, and weakness for the past two years. The numbness occurs around the cheekbones, neck, and eyes, lasting for hours or sometimes all day. The dizziness is exacerbated by activities such as walking up stairs, bending over, standing up, standing for extended periods, and walking. The patient also experiences blurred vision and occasional nausea. There is no family history of neurological conditions, and no recent infections, illnesses, head injuries, or medication changes have been reported. The patient denies any substance use, including alcohol, tobacco, or recreational drugs. The symptoms significantly impact the patient's ability to work and perform daily activities.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

  1. Multiple Sclerosis (MS): This condition involves the immune system attacking the protective covering of nerves, leading to symptoms like facial numbness, dizziness, weakness, and blurred vision. While you mentioned no family history, MS can occur without it. It's important to consider this, especially with the combination of symptoms you're experiencing.

  2. Thyroid Dysfunction: Given your history of hyperthyroidism, fluctuations in your thyroid hormone levels could contribute to symptoms like dizziness, weakness, and vision changes. Ensuring your thyroid levels are well-managed is crucial.

  3. Peripheral Neuropathy: This condition involves damage to the nerves outside the brain and spinal cord, which can cause numbness, tingling, and weakness, often in the hands and feet but potentially affecting the face as well.

  4. Vestibular Disorders: Conditions affecting the inner ear, such as vestibular neuritis or labyrinthitis, can cause dizziness and balance issues, although they typically don't cause facial numbness.

  5. Vitamin Deficiencies: Deficiencies in certain vitamins, like B12, can lead to neurological symptoms, including numbness and weakness.

It's important to consult with a healthcare professional to explore these possibilities further. They can conduct a thorough evaluation and recommend appropriate tests to narrow down the cause of your symptoms.

What you can do

Facial Numbness and Weakness:

  • Schedule an appointment with a healthcare professional to discuss your symptoms in detail. They may recommend tests such as an MRI or blood tests to evaluate for conditions like MS or vitamin deficiencies.
  • Keep a journal of your symptoms, noting when they occur, their duration, and any potential triggers. This information can be helpful for your healthcare provider.

Dizziness and Blurred Vision:

  • Avoid activities that may exacerbate your dizziness, such as bending over or standing for long periods. Sit or lie down if you feel dizzy to prevent falls.
  • Stay hydrated and ensure you're eating regular, balanced meals to maintain your energy levels.
  • Consider using MDandMe to track your symptoms and share this information with your healthcare provider.

What you should look out for

Given the severity of your symptoms and their impact on your daily life, it's important to seek medical attention as soon as possible. Reasons to seek care more urgently include:

  • Sudden worsening of symptoms or new symptoms, such as severe headaches or vision loss.
  • Difficulty speaking, swallowing, or coordinating movements.
  • Fainting or loss of consciousness.

Remember, while I can provide information and guidance, it's essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to ask.

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19 d ago

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People Also Ask


What are the common symptoms of Multiple Sclerosis (MS)?

Common symptoms of Multiple Sclerosis (MS) include fatigue, numbness or tingling, muscle weakness, dizziness, vision problems, and difficulty with coordination and balance. These symptoms can vary widely among individuals.


How can thyroid dysfunction affect my daily life?

Thyroid dysfunction, such as hyperthyroidism or hypothyroidism, can lead to symptoms like fatigue, weight changes, mood swings, and changes in heart rate. It can also cause dizziness, weakness, and vision changes, impacting daily activities.


What are the signs of peripheral neuropathy?

Peripheral neuropathy often presents with symptoms such as numbness, tingling, burning sensations, and weakness, typically in the hands and feet. It can also cause balance issues and muscle cramps.


How do vestibular disorders cause dizziness?

Vestibular disorders affect the inner ear and can lead to symptoms like dizziness, vertigo, balance problems, and nausea. These symptoms occur because the inner ear plays a crucial role in maintaining balance and spatial orientation.


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