Frequent Typing Errors: Possible Neurological Issues - Family Medicine

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I often make typos; even though the phonetic symbols I see are correct, the words I type come out wrong?


Recently, for the past 1 to 2 months, I have been experiencing a frequent issue while typing on my phone.
Although I intend to type the correct Zhuyin symbols in my mind, my fingers often hit the "neighboring" incorrect symbols (for example, I want to type ㄠ but accidentally press the adjacent ㄜ).
This situation did not occur before, but it has become quite severe recently, happening around 10 times a day.
I am concerned that there might be an underlying health issue (I am particularly worried about conditions like cerebellar atrophy or other diseases).
I would like to know if there are any specialties I can consult or tests I can undergo.
Is this situation a sign of any particular disease? Thank you, Dr.
Chen, for your response.

Niming, 20~29 year old female. Ask Date: 2020/09/08

Dr. Chen Bozhang reply Family Medicine


Dear Anonymous Lady,
In your recent letter, you mentioned that you often make typing errors on your phone.
This may not necessarily indicate any pathological reason.
You can start by raising both hands to see if you experience any tremors; pay attention to whether you have difficulty reaching for objects; or if you notice a decline in your balance, among other clear neurological symptoms.
If you do experience any of these symptoms, you should visit a neurology clinic for further evaluation.
If not, there is no need for excessive concern at this time.
Ensure you get adequate sleep and maintain a good mental and emotional state, and try to relax both your body and mind.
Sincerely,
Dr.
Po-Chang Chen
Department of Family Medicine
Keelung Hospital, Ministry of Health and Welfare

Reply Date: 2020/09/08

More Info


Frequent typing errors, especially when they seem to occur suddenly and frequently, can indeed be concerning and may indicate underlying neurological issues. The symptoms you describe—pressing the wrong keys when typing, despite intending to hit the correct ones—could be attributed to several factors, including cognitive processing issues, motor control problems, or even stress and anxiety.

Firstly, it’s important to consider the possibility of a neurological condition. Typing requires a combination of fine motor skills and cognitive processing. If there is a disruption in either of these areas, it could lead to frequent errors. For instance, conditions such as essential tremor, which affects fine motor control, or even early signs of neurodegenerative diseases like Parkinson's disease or multiple sclerosis could manifest as difficulties in coordination and motor control.

Additionally, cognitive factors such as attention and focus play a significant role in typing accuracy. If you are experiencing increased stress or anxiety, it might affect your concentration, leading to more frequent mistakes. Cognitive fatigue can also result from prolonged periods of mental exertion, which may cause lapses in attention and increased typing errors.

Another potential factor to consider is the impact of age on cognitive and motor functions. As we age, it is not uncommon for individuals to experience slight declines in fine motor skills or cognitive processing speed. However, the sudden onset of these issues, as you describe, warrants further investigation.

To address your concerns, it would be advisable to consult with a neurologist. They can perform a comprehensive evaluation, which may include a neurological examination, cognitive testing, and possibly imaging studies such as an MRI or CT scan to rule out any structural abnormalities in the brain. Additionally, they may assess your motor skills and coordination through specific tests.

If the neurologist determines that your symptoms are not indicative of a serious neurological condition, they may suggest other avenues for support. For instance, occupational therapy can help improve fine motor skills and coordination. Cognitive behavioral therapy (CBT) may also be beneficial if anxiety or stress is contributing to your typing errors.

In the meantime, consider keeping a journal of your typing errors, noting when they occur and any accompanying symptoms. This information can be valuable for your healthcare provider in understanding the context of your symptoms.

In summary, while frequent typing errors can be frustrating and concerning, they can stem from various factors, including neurological issues, cognitive processing challenges, or stress. Consulting with a neurologist will provide you with a clearer understanding of your symptoms and the appropriate steps to take for diagnosis and treatment. Remember, early intervention can often lead to better outcomes, so seeking help sooner rather than later is advisable.

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