[57F] Experiencing sudden visual loss, nausea, and neurological symptoms

Patient Description

A 57-year-old female reports sudden episodes of loss of sight in one eye that have occurred three times over the past 8 days, with vision usually returning within an hour but sometimes remaining blurry. She also experiences double vision in both eyes, nausea, and dizziness. Additionally, she has been experiencing pins and needles numbness on the side of her face for about 4 months, frequent headaches, and confusion, but no slurred speech. She has a history of asthma since age 20 and is allergic to penicillin. The only medication she is currently taking is Topamax.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are several possibilities:

  • Multiple Sclerosis (MS): This is a chronic disease that affects the central nervous system, particularly the brain and spinal cord. Symptoms can include numbness or weakness in one or more limbs, double vision or loss of vision, tingling or pain in parts of your body, and fatigue. The exact cause of MS is unknown, but it's considered an autoimmune disease where the body's immune system attacks its own tissues.

    • Treatment for MS can include medications to manage symptoms and physical therapy to help with mobility and strength.
  • Transient Ischemic Attack (TIA) or Stroke: These are serious conditions where blood flow to part of your brain is blocked or reduced, often by a blood clot. Symptoms can include sudden numbness or weakness in the face or limbs, often on one side of the body, confusion, trouble speaking, dizziness or loss of balance, and sudden severe headache. Your risk of TIA or stroke is increased by certain factors such as high blood pressure, smoking, diabetes, high cholesterol, and heart disease.

    • Treatment for TIA or stroke can include medications to prevent blood clots and to treat high blood pressure and high cholesterol, as well as surgery or a balloon procedure (angioplasty) to open narrowed or blocked blood vessels.
  • Migraine: This is a type of headache that can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities.

    • Treatment for migraines can include medications to help relieve symptoms and prevent future attacks, as well as lifestyle changes to help manage triggers.

What you can do

Given the seriousness of some of these conditions, it's important that you seek medical attention immediately. While waiting for medical help, try to stay calm and rest in a comfortable position. If you're feeling nauseous, try to stay still and avoid any strong smells.

What you should look out for

If you experience any of the following symptoms, seek emergency medical care immediately:

  • Sudden severe headache with no known cause
  • Sudden trouble walking, dizziness, loss of balance or coordination
  • Sudden trouble seeing in one or both eyes
  • Sudden confusion or trouble understanding speech
  • Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a doctor. Always seek the advice of a healthcare professional for any health concerns.

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People Also Ask


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

Common symptoms of Multiple Sclerosis (MS) include numbness or weakness in one or more limbs, double vision or loss of vision, tingling or pain in parts of the body, fatigue, and problems with coordination and balance.


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 blood flow to a part of the brain is temporarily blocked. Unlike a stroke, the symptoms of a TIA are temporary and usually resolve within 24 hours without causing permanent damage.


What are the typical symptoms of a migraine?

Typical symptoms of a migraine include severe throbbing pain or a pulsing sensation, usually on one side of the head, accompanied by nausea, vomiting, and extreme sensitivity to light and sound.


How can one manage the risk factors for a stroke?

Managing risk factors for a stroke includes controlling high blood pressure, quitting smoking, managing diabetes, maintaining a healthy cholesterol level, eating a balanced diet, exercising regularly, and limiting alcohol consumption.


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