Is Weakness in Right Hand, Foot, and Eye a Stroke Warning Sign? - Neurology

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Weakness in the hands, feet, and eyes?


Hello: I usually sleep on my right side.
Recently, I have felt weakness in my right hand and foot.
In the past few days, I suddenly noticed that the strength to close my right eye and mouth tightly is weaker than on the left side.
My cholesterol level is around 220, and I usually take medication to lower my cholesterol.
No one in my family has a history of stroke.
Could this be a warning sign of a stroke? Are there any methods or foods that can help improve or manage this condition? Thank you.

Ms. Tsai, 50~59 year old female. Ask Date: 2019/12/20

Dr. Cai Zongzhang reply Neurology


Hello, weakness in the hands and feet may be related to muscle or nerve issues.
You should consider visiting a hospital for relevant examinations.
As for maintenance, it is recommended to maintain a regular routine and a balanced diet.

Reply Date: 2019/12/20

More Info


The symptoms you are describing, including weakness in your right hand, foot, and eye, can indeed be concerning and may warrant further evaluation for potential neurological issues, including the possibility of a stroke. Stroke symptoms often manifest suddenly and can include weakness or numbness on one side of the body, difficulty speaking, vision problems, and severe headaches. The fact that you are experiencing weakness specifically on one side of your body, particularly in your hand, foot, and eye, raises a red flag.

In your case, the weakness in your right side could be indicative of a transient ischemic attack (TIA), often referred to as a "mini-stroke." TIAs can present with similar symptoms to a stroke but typically resolve within a few minutes to hours. However, they are significant warning signs that a stroke may occur in the future. Given your elevated cholesterol levels and the fact that you are already on medication to manage it, it is crucial to monitor your cardiovascular health closely.

While you mentioned that there is no family history of stroke, other risk factors such as high cholesterol, hypertension, diabetes, smoking, and sedentary lifestyle can increase your risk. It is advisable to maintain a healthy lifestyle, which includes a balanced diet rich in fruits, vegetables, whole grains, and lean proteins while minimizing saturated fats, trans fats, and cholesterol. Regular physical activity is also essential; aim for at least 150 minutes of moderate aerobic exercise each week, such as brisk walking, swimming, or cycling.

In addition to lifestyle changes, it is important to manage your cholesterol levels effectively. Regular follow-ups with your healthcare provider to monitor your cholesterol and overall cardiovascular health are essential. They may recommend additional tests, such as blood tests to check for other risk factors, or imaging studies like an MRI or CT scan to evaluate your brain for any signs of stroke or other abnormalities.

If you experience any sudden changes in your symptoms, such as increased weakness, difficulty speaking, or changes in vision, it is crucial to seek immediate medical attention. The acronym FAST can help you remember the warning signs of a stroke:
- Face drooping: Does one side of the face droop or feel numb?
- Arm weakness: Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward?
- Speech difficulty: Is speech slurred or strange? Can the person repeat a simple sentence correctly?
- Time to call emergency services: If you observe any of these signs, call emergency services immediately.

In conclusion, while your symptoms could be related to a variety of factors, including muscle fatigue or nerve compression, the possibility of a stroke or TIA cannot be overlooked. It is essential to consult with a healthcare professional who can perform a thorough evaluation and provide appropriate guidance. Early intervention is key in preventing potential complications associated with strokes.

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