[46F] Experiencing severe headache, neck stiffness, facial paralysis, and confusion

What might be happening

Based on the information you've provided, possible diagnoses include:

• Meningitis: This is an inflammation of the membranes (meninges) surrounding your brain and spinal cord. The swelling from meningitis typically triggers symptoms such as headache, fever, and a stiff neck. Other symptoms can include confusion, sensitivity to light, and nausea or vomiting.

  • Treatment typically involves hospitalization and antibiotics. In some cases, corticosteroids may be used to reduce inflammation and swelling.

• Lyme Disease: This is an infectious disease caused by the bacterium Borrelia burgdorferi transmitted to humans through the bite of infected black-legged ticks. Early symptoms may include fever, headache, fatigue, and a characteristic skin rash. If left untreated, infection can spread to joints, the heart, and the nervous system, leading to neurological complications like facial palsy and meningitis.

  • Treatment typically involves antibiotics.

• Guillain-Barré Syndrome: This is a rare neurological disorder in which your body's immune system mistakenly attacks your nerves. Initial symptoms can include weakness and tingling in your extremities. These sensations can quickly spread, eventually paralyzing your whole body. Other symptoms can include difficulty with eye muscles and vision, difficulty swallowing, speaking or chewing, and problems with coordination and unstable gait.

  • Treatment typically involves hospitalization. Therapies can lessen the severity of the illness and accelerate the recovery in most patients.

Please note that these are possibilities based on the symptoms you've reported, and not a definitive diagnosis.

What you can do

Given the severity and duration of your symptoms, it's important that you seek medical attention immediately. Please go to the nearest emergency department or call an ambulance if you're unable to transport yourself safely.

What you should look out for

Please monitor your symptoms closely and seek immediate medical attention if:

• Your symptoms worsen or you develop new symptoms
• You experience severe or worsening headache
• You develop a high fever
• You experience seizures
• You have difficulty breathing
• You experience severe weakness or paralysis

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.