Do You Need a Neurology Checkup for Numbness and Weakness?

Q: Do You Need a Neurology Checkup for Numbness and Weakness?

Hello： Your symptoms may warrant consideration of brain lesions (sudden onset of blurred vision) and spinal cord nerve lesions (abnormal sensations in the left limbs), among others. <br>May I ask what examinations you have undergone at our hospital? Please share your medical hist

Do I need to see a neurologist for an examination?

Last year, around July and August 2017, I experienced numbness and some weakness on the left side of my hand, foot, waist, and neck.
Sometimes, I even felt numbness behind my left ear.
At that time, I went to the neurology department at Taoyuan Hospital for an examination, and the results indicated low blood pressure and high blood lipids.
In February 2018, I felt something unusual in my left eye, and the ophthalmologist at a Taoyuan clinic advised me to let my eyes rest more.
One day in mid-March, I suddenly experienced blurred vision in my left eye, and the eye doctor in Hualien also mentioned that it was due to muscle tension in the eye and needed to relax.
After that, I felt somewhat dizzy, thinking it was just spring fatigue and didn't pay much attention to it.
Today, on March 18th in the evening, I suddenly felt numbness again in my left hand, foot, waist, and neck, along with intermittent pain and blurriness in my left eye.
I would like to ask if this could be a precursor to a stroke and if I need to go to a major hospital's neurology department for further examination.
Thank you, doctor.

Wang, 20~29 year old female. Ask Date: 2018/03/18

Dr. Jiang Junyi reply Neurology

Hello: Your symptoms may warrant consideration of brain lesions (sudden onset of blurred vision) and spinal cord nerve lesions (abnormal sensations in the left limbs), among others.
May I ask what examinations you have undergone at our hospital? Please share your medical history again with the neurologist, as you are already exhibiting neurological symptoms.
My recommendation is to return to our hospital (Taoyuan Hospital) for an evaluation, as you already have basic information from your previous visit, which can serve as a foundation for further investigation.
Regarding the risk of a stroke, given your age and if you are not using contraceptive medications, the likelihood of experiencing a stroke is generally low.
I suggest you consult with a neurologist for discussion and treatment.
Wishing you good health, peace, and happiness.

Concerned for you,
Taoyuan Hospital Neurology Department

Reply Date: 2018/03/18

More Info

Based on your symptoms and medical history, it is essential to take your concerns seriously. The combination of numbness and weakness on one side of your body, particularly if it is recurrent, warrants a thorough evaluation by a neurologist. Here’s why:
1. Symptoms of Concern: The symptoms you describe—numbness and weakness in the left side of your body, along with visual disturbances—can be indicative of several neurological conditions, including transient ischemic attacks (TIAs) or strokes. TIAs, often referred to as "mini-strokes," can present with similar symptoms but typically resolve within 24 hours. However, they are significant warning signs of potential future strokes.

2. Need for Neurological Evaluation: Given your history of numbness and weakness, along with the recent episodes of visual disturbances and dizziness, it is crucial to seek a comprehensive neurological evaluation. A neurologist can perform a detailed clinical assessment, which may include a physical examination, neurological tests, and imaging studies such as an MRI or CT scan of the brain. These tests can help identify any structural abnormalities, vascular issues, or other neurological conditions that may be contributing to your symptoms.

3. Risk Factors: You mentioned having low blood pressure and high cholesterol levels. Both of these factors can increase your risk for cardiovascular events, including strokes. It is essential to manage these conditions through lifestyle changes and possibly medication, as advised by your healthcare provider.

4. Other Possible Conditions: While stroke is a significant concern, other conditions could also explain your symptoms, such as multiple sclerosis, peripheral neuropathy, or even anxiety-related disorders. A neurologist will be able to differentiate between these possibilities based on your symptoms and test results.

5. Immediate Action: If you experience sudden onset of weakness, numbness, or changes in vision, especially if they occur on one side of your body, you should seek emergency medical attention immediately. Time is critical in managing potential strokes, and early intervention can significantly improve outcomes.

6. Follow-Up Care: If your symptoms are less acute but still concerning, schedule an appointment with a neurologist as soon as possible. They may recommend additional tests, such as blood tests, electroencephalograms (EEGs), or lumbar punctures, depending on your clinical presentation.

7. Lifestyle Modifications: In the meantime, consider adopting a heart-healthy lifestyle. This includes a balanced diet low in saturated fats and high in fruits, vegetables, and whole grains, regular physical activity (as tolerated), maintaining a healthy weight, and managing stress. These changes can help improve your overall health and reduce the risk of cardiovascular events.

In conclusion, your symptoms are concerning and should not be ignored. A thorough evaluation by a neurologist is necessary to rule out serious conditions and to ensure appropriate management of your health. Please prioritize seeking medical attention to address your symptoms and concerns effectively.

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