Neurological Symptoms: Numbness and Dizziness Explained - Neurology

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Dizziness and a feeling of pressure in the back of the head?


Hello, Doctor! I would like to ask about an incident that occurred on the night of April 8th.
I was lying in bed watching TV and used my left pinky finger to scratch my face when suddenly my left pinky became weak and unresponsive.
I then felt a strange sensation, which I can't quite describe—whether it was numbness or a tingling sensation, but it traveled from my pinky up to the back of my head.
Fortunately, it returned to normal quickly! After that, I noticed that I was having difficulty concentrating, and my speech and hearing felt sluggish and dull.
For the following few days, I continued to feel a sense of dizziness and pressure in the back of my head.
Doctor, what could be wrong with me? Thank you for your help.

Huli, 30~39 year old female. Ask Date: 2016/04/16

Dr. Jiang Junyi reply Neurology


Hello, based on your description, your symptoms seem to resemble sensory abnormalities in the distribution area of the eighth cervical nerve root caused by nerve compression, along with shoulder and neck pain.
The common causes are often due to overwork or poor posture leading to inflammation of the shoulder and back muscles, or cervical radiculopathy.
Some of the nerves that emerge from the cervical spine innervate the muscles of the shoulders and back, so when there is significant degeneration of the cervical spine resulting in cervical nerve root compression, it can lead to shoulder and back pain.
In severe cases, it may even cause symptoms such as numbness and weakness in the upper limbs.

In daily life, it is important to pay attention to head and neck posture to avoid foraminal stenosis.
When working, avoid excessive forward bending or backward arching, and do not tilt your neck while performing tasks.
During activities such as writing, reading, or working, do not maintain a low head position for too long; it is best to take breaks every half hour to allow your neck to move, preventing excessive strain on the cervical spine.
If you experience increased pain or symptoms like hand numbness when moving your neck in different directions, it is advisable to consult a neurologist or a rehabilitation physician for examination and discussion.
Wishing you good health and peace.

Reply Date: 2016/04/16

More Info


It sounds like you're experiencing a series of concerning neurological symptoms, including numbness in your left pinky finger, a strange sensation that traveled up your arm, and subsequent feelings of dizziness and difficulty concentrating. These symptoms can be quite alarming, and it's understandable that you're seeking clarity on what might be happening.

Firstly, the sudden onset of numbness and weakness in your left pinky finger, followed by a sensation that felt like an electrical shock, could indicate a transient neurological event. This might be related to nerve compression or irritation, possibly due to a position you were in while lying down or even a temporary issue with blood flow. Conditions such as ulnar nerve entrapment can lead to similar symptoms, particularly if the nerve is compressed at the elbow or wrist.
The sensation traveling from your pinky to the back of your head is particularly interesting. This could suggest that the issue is not localized to the hand but might involve pathways in the nervous system that connect different areas of the body. The brain and spinal cord communicate through a complex network of nerves, and disturbances in this communication can lead to sensations that feel unusual or disconcerting.

Your subsequent feelings of dizziness and difficulty concentrating could be related to several factors. One possibility is that the initial neurological event caused some temporary disruption in your brain's normal functioning, leading to feelings of fogginess or confusion. Additionally, anxiety about the initial symptoms can exacerbate feelings of dizziness and difficulty concentrating, creating a cycle of worry that can further impact your mental clarity.

It's also worth considering that these symptoms could be related to a migraine aura, which can sometimes present with neurological symptoms such as numbness or tingling, followed by headaches or dizziness. However, this would typically be accompanied by a headache, which you haven't mentioned.

Given that your symptoms have persisted for several days, it would be prudent to consult with a healthcare professional, preferably a neurologist, who can perform a thorough evaluation. This may include a physical examination, neurological assessment, and possibly imaging studies such as an MRI or CT scan to rule out any structural issues in the brain or spine.

In the meantime, it may be helpful to keep a symptom diary, noting when the symptoms occur, their duration, and any potential triggers. This information can be invaluable for your healthcare provider in determining the underlying cause of your symptoms.

Lastly, while waiting for your appointment, try to manage any anxiety you may be feeling. Stress can exacerbate neurological symptoms, so engaging in relaxation techniques such as deep breathing, meditation, or gentle exercise may help alleviate some of your discomfort.

In summary, while your symptoms could be indicative of a variety of conditions, a thorough evaluation by a healthcare professional is essential to determine the exact cause and appropriate treatment. Don't hesitate to seek help, as early intervention can often lead to better outcomes.

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