Unilateral limb numbness?
At 5:30 PM, I suddenly experienced numbness in my right calf extending to the sole of my foot.
After soaking it in hot water, it felt somewhat better.
However, by 9:30 PM, I started to feel numbness on the outer side of my right palm and the outer side of my right forearm.
Now, at midnight, I have some numbness on the entire right side.
What could be the possible causes? Should I seek medical attention immediately? If so, should I see a neurologist? Thank you, doctor (I am currently taking Diane).
H, 20~29 year old female. Ask Date: 2023/03/19
Dr. Wu Mukhan reply Neurology
Hello, if there is sudden unilateral numbness or weakness in the limbs, it is important to be cautious about potential cerebrovascular issues (such as a stroke).
If the symptoms have already resolved, it is advisable to visit a neurology outpatient clinic as soon as possible.
However, if the symptoms persist or recur, it is essential to seek emergency medical attention promptly to rule out more serious conditions such as a stroke.
There have indeed been very rare cases of vascular embolism associated with Daliyan, so unless there is an urgent need, it is recommended to discontinue the medication and discuss with the physician whether it can be resumed after the detailed examination results are available.
Reply Date: 2023/03/19
More Info
Sudden numbness or tingling on one side of the body can be concerning and may indicate a variety of medical conditions, some of which require immediate attention. Based on your description, the numbness started in your right leg and then progressed to your right hand and forearm. This pattern of symptoms raises several possibilities that should be considered.
One of the most critical conditions to rule out is a transient ischemic attack (TIA) or stroke. A TIA, often referred to as a "mini-stroke," occurs when there is a temporary decrease in blood flow to the brain. Symptoms can include sudden numbness or weakness, particularly on one side of the body, difficulty speaking, confusion, and changes in vision. The fact that your symptoms have progressed from your leg to your arm suggests that they could be neurological in nature, and it is essential to seek medical attention promptly.
Another possibility is a pinched nerve or cervical radiculopathy, which can occur when a nerve in the neck is compressed, leading to pain, numbness, or weakness that radiates down the arm. Similarly, lumbar radiculopathy can cause symptoms in the leg. However, the sudden onset and progression of your symptoms make a neurological event more likely.
Peripheral neuropathy is another condition that can cause numbness and tingling, but it typically develops gradually rather than suddenly. Conditions such as diabetes, vitamin deficiencies, or exposure to toxins can lead to peripheral neuropathy, but these are less likely to cause the acute symptoms you are experiencing.
Given the potential seriousness of your symptoms, it is advisable to seek immediate medical attention. You should go to the emergency department or contact your healthcare provider right away. When you arrive, inform the medical staff about your symptoms, their progression, and any medications you are currently taking, including "Diane," which is often used for hormonal regulation but may have side effects that could be relevant.
In the emergency setting, doctors may perform a physical examination, neurological assessments, and imaging studies such as a CT scan or MRI to evaluate for any signs of stroke or other neurological issues. Blood tests may also be conducted to check for underlying conditions that could contribute to your symptoms.
In summary, sudden numbness on one side of the body can be a sign of a serious medical condition, and it is crucial to seek help immediately. Do not wait to see if the symptoms improve on their own. Early intervention can significantly affect outcomes, especially in cases of stroke or TIA. Please prioritize your health and seek medical attention as soon as possible.
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