[44F] Experiencing numbness and severe vertigo

Patient Description

A 44-year-old female presents with 24 hours of constant numbness localized to the lips, under the nose, and the right jaw. Additionally, she reports severe vertigo rated 10/10 in intensity, associated with spinning, vision loss, and episodes of ringing in the ears that block out all other sounds. These symptoms have been present for 2 days. The patient denies any weakness, paralysis, facial drooping, or changes in speech. She also reports extreme fatigue. There is no history of recent head injury or loud noise exposure. The patient has a past medical history of migraines, Epstein-Barr virus (EBV), and fibromyalgia, but the dates of diagnosis for these conditions were not provided. No other medical conditions or medications were reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Migraines: Given your history of migraines, it's possible that your symptoms are related to a complex or atypical migraine. Migraines can sometimes cause neurological symptoms like numbness and vertigo. However, the duration of your symptoms is a bit unusual for a typical migraine.

    • Treatment for migraines often involves medications to stop symptoms and prevent future attacks. Your doctor may recommend different types of medications depending on the severity and frequency of your migraines.

  • Vestibular Neuritis: This is an inflammation of the inner ear usually caused by a viral infection, resulting in vertigo and loss of balance. The ringing in your ears (tinnitus) and vertigo could be indicative of this condition.

    • Treatment usually involves medications to reduce inflammation and manage symptoms, such as steroids and drugs to reduce nausea and vertigo.

  • Meniere's Disease: This is a disorder of the inner ear that can lead to vertigo and tinnitus. It can also cause a feeling of pressure in the ear and hearing loss.

    • Treatment for Meniere's disease may include medications, physical therapy, or surgery in severe cases.

Please note that these are just possibilities and not a definitive diagnosis. You should seek immediate medical attention to get a proper diagnosis and treatment.

What you can do

Given the severity and duration of your symptoms, it's important to seek medical attention as soon as possible. In the meantime, try to rest and stay hydrated. Avoid sudden movements that may worsen your vertigo.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

  • Sudden, severe headache
  • Difficulty speaking or understanding speech
  • Difficulty seeing in one or both eyes
  • Loss of balance or coordination, especially with any of the above symptoms

Remember, I'm an AI and not a doctor. It's crucial to consult with a healthcare professional who can evaluate your symptoms and condition.

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10 mo ago

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People Also Ask

What are the common symptoms of vestibular neuritis?

Vestibular neuritis typically presents with symptoms such as sudden, severe vertigo, dizziness, balance issues, nausea, and sometimes vomiting. It is often caused by a viral infection affecting the inner ear.

How can migraines cause neurological symptoms like numbness and vertigo?

Migraines can sometimes lead to neurological symptoms due to changes in brain activity and blood flow. These changes can cause aura, which may include visual disturbances, numbness, tingling, and vertigo, although these symptoms are more common in complex or atypical migraines.

What is Meniere's disease and how is it treated?

Meniere's disease is a disorder of the inner ear that can cause episodes of vertigo, tinnitus (ringing in the ears), hearing loss, and a feeling of fullness or pressure in the ear. Treatment may involve medications to reduce symptoms, lifestyle changes, and in severe cases, surgery.

When should someone with vertigo and numbness seek immediate medical attention?

Immediate medical attention should be sought if vertigo and numbness are accompanied by symptoms such as a sudden, severe headache, difficulty speaking or understanding speech, vision problems, or loss of balance or coordination, as these could indicate a more serious condition.

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