Unilateral Numbness and Headaches: When to Seek Medical Help

Unilateral limb numbness and headache?

Hello Dr.
Wu, on March 18th around 5 PM, I suddenly experienced numbness in my right calf extending to the sole of my foot, which lasted until about 9 PM.
After taking a hot shower, it slightly improved.
At 10 PM, I then felt numbness in my right arm extending to the outer side of my palm, with some tingling on the outer side of my palm.
On March 19th, the situation gradually eased, but I suddenly felt very fatigued.
On March 20th, upon waking up, I felt tightness in my head, with significant pressure between my eyebrows, and my neck and shoulders were also tense.
(A few weeks ago, I had issues with pain when swallowing on the right side of my throat.
I saw a doctor who said it was likely acute pharyngitis, but it only lasted one to two days.
I'm not sure if this is related.) Doctor, could you please tell me what this might be? Do I need to seek medical attention immediately? I am currently taking hormone medication - Diane.

H, 20~29 year old female. Ask Date: 2023/03/20

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 resolved, it is advisable to visit a neurology outpatient clinic as soon as possible; however, if the symptoms reappear or do not subside, it is essential to seek emergency medical care 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 if there is no urgent need, it is recommended to discontinue the medication and discuss with the physician whether to resume it after obtaining the detailed examination results.

Reply Date: 2023/03/20

More Info

It sounds like you are experiencing a concerning combination of symptoms, including unilateral numbness in your leg and arm, as well as headaches and neck tension. These symptoms can be indicative of several underlying conditions, and it is important to approach them with caution.

Unilateral numbness, particularly when it occurs suddenly, can be a sign of neurological issues. The fact that you experienced numbness in your right leg and then in your right arm raises the possibility of a transient ischemic attack (TIA) or even a stroke, especially if these symptoms are accompanied by weakness, difficulty speaking, or changes in vision. While TIAs often resolve quickly, they are serious warning signs that should not be ignored.

Additionally, the tightness in your head and the pressure between your eyebrows could suggest tension headaches or migraines, which can be exacerbated by stress, fatigue, or muscle tension in the neck and shoulders. The history of throat pain and inflammation could also be related, as infections or inflammation can sometimes lead to referred pain or discomfort in the head and neck area.

Given that you are also taking hormonal medication (Diane), it is essential to consider that hormonal changes can influence your body's response to stress and may contribute to headaches or other symptoms. Hormonal fluctuations can sometimes lead to increased tension or migraines, particularly in women.

Here are some recommendations based on your symptoms:
1. Seek Medical Attention: Given the sudden onset of unilateral numbness and the combination of symptoms, it is crucial to seek medical attention as soon as possible. A healthcare professional can perform a thorough evaluation, including neurological assessments and possibly imaging studies (like a CT or MRI) to rule out serious conditions such as a stroke or other neurological disorders.

2. Monitor Symptoms: Keep a detailed record of your symptoms, including when they occur, their duration, and any associated factors (like stress, fatigue, or changes in medication). This information can be valuable for your healthcare provider.

3. Manage Stress and Tension: Since you mentioned feeling very fatigued and experiencing tightness in your neck and shoulders, consider incorporating stress management techniques such as deep breathing exercises, yoga, or gentle stretching. Regular physical activity can also help alleviate tension and improve overall well-being.

4. Stay Hydrated and Nourished: Ensure you are drinking enough water and eating a balanced diet. Dehydration and poor nutrition can exacerbate headaches and fatigue.

5. Follow Up on Throat Issues: If you continue to experience throat pain or discomfort, it may be worth revisiting your healthcare provider to ensure there are no lingering infections or complications.

In conclusion, while some of your symptoms may be related to tension or hormonal changes, the presence of unilateral numbness and the sudden nature of these symptoms warrant immediate medical evaluation. It is always better to err on the side of caution when it comes to neurological symptoms. Please prioritize your health and seek medical attention promptly.

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