[33F] Experiencing right eye floaters, right hand numbness, and sinus pressure

Patient Description

A 33-year-old female is experiencing multiple symptoms including new floaters in the right eye, tingling numbness in the right hand that began suddenly four weeks ago, and moderate sinus pressure on the right side of the head. The patient reports dizziness but denies any weakness or difficulty moving the right hand or arm, as well as any changes in coordination, speech, or facial drooping. There is no history of cardiovascular issues, recent infections, illnesses, or travel. The patient recently started taking Zoloft 50mg daily, with no noted changes in symptoms since beginning the medication. There are no known allergies or family history of neurological conditions.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—right eye floaters, right hand numbness, and right-side head sinus pressure—there are a few possibilities to consider:

  1. Transient Ischemic Attack (TIA) or Stroke: Although you haven't experienced weakness or facial drooping, the sudden onset of numbness and dizziness could suggest a TIA or stroke. These are serious conditions that require immediate medical attention. A TIA is often called a "mini-stroke" and can be a warning sign of a future stroke.

  2. Migraine with Aura: Sometimes, migraines can cause neurological symptoms like numbness or visual disturbances (such as floaters). However, you mentioned not having headaches, which are typically associated with migraines.

  3. Sinus-Related Issues: The sinus pressure you feel could be related to sinusitis, which can sometimes cause dizziness and pressure in the head. However, it typically wouldn't cause numbness in the hand.

  4. Nerve Compression or Neuropathy: The numbness in your hand could be due to nerve compression, such as carpal tunnel syndrome, but this wouldn't explain the eye floaters or sinus pressure.

Given the potential seriousness of a TIA or stroke, it's crucial to seek medical evaluation immediately. A healthcare professional can perform the necessary tests, such as imaging studies, to determine the cause of your symptoms.

What you can do

  1. Seek Immediate Medical Attention: Due to the possibility of a TIA or stroke, it's important to get evaluated by a healthcare professional as soon as possible. If your symptoms worsen or you experience new symptoms like weakness or difficulty speaking, call 911 or have someone take you to the emergency room immediately.

  2. Monitor Your Symptoms: Keep track of any changes or new symptoms, and share this information with your healthcare provider. This can help them make a more accurate diagnosis.

  3. Avoid Driving: Given your dizziness, it's best to avoid driving until you've been evaluated by a healthcare professional.

  4. Follow Up with Your Doctor: After receiving initial care, follow up with your primary care physician or a specialist to discuss your symptoms and any necessary further testing or treatment.

Remember, while I can provide information based on your symptoms, it's essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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2 mo ago

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People Also Ask


What are eye floaters and should I be concerned about them?

Eye floaters are small shapes that float across your vision. They are usually harmless and common as people age, but a sudden increase in floaters, especially if accompanied by flashes of light or vision loss, should be evaluated by an eye specialist.


Can sinus pressure cause dizziness and numbness in the hand?

Sinus pressure can cause dizziness due to the congestion affecting the inner ear, which helps control balance. However, it typically does not cause numbness in the hand. Numbness might be related to other issues such as nerve compression.


What is a Transient Ischemic Attack (TIA) and how is it different from a stroke?

A Transient Ischemic Attack (TIA) is often called a 'mini-stroke' and occurs when there is a temporary blockage of blood flow to the brain. Unlike a stroke, a TIA does not cause permanent damage, but it is a warning sign of a potential future stroke and requires immediate medical attention.


Could starting Zoloft be related to my symptoms of dizziness and numbness?

Zoloft, an antidepressant, can cause side effects such as dizziness, but it is less likely to cause numbness in the hand. If you suspect your symptoms are related to the medication, discuss this with your healthcare provider.


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