Neurological Issues: Walking Imbalance and Cognitive Concerns - Neurology

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Hello doctor, I have recently been experiencing a tendency to lean to one side while walking, and I often find myself rereading text.
I frequently feel dry mouth and have issues with rumination.
These symptoms have persisted for over six months.
Additionally, I am concerned about my head circumference; the normal head size for adult males is 56-57 cm, but mine is only 52 cm.
I am worried about whether this could affect my brain development.

Ki, 10~19 year old female. Ask Date: 2023/10/23

Dr. Peng Shiwei reply Neurology


Hello, based on your inquiry, it is recommended that you make an appointment for a consultation with a physician.
Thank you for your question.

Reply Date: 2023/10/23

More Info


It sounds like you are experiencing a range of concerning neurological symptoms, including walking imbalance, cognitive difficulties such as repetitive reading, dry mouth, and rumination. These symptoms have persisted for over six months, which is significant and warrants further evaluation.

Walking imbalance can be indicative of various underlying neurological issues. It may suggest problems with coordination, balance, or even issues related to the vestibular system, which is responsible for maintaining balance. Conditions such as Parkinson's disease, multiple sclerosis, or even peripheral neuropathy could contribute to these symptoms. It's essential to consult a neurologist who can perform a thorough examination, including a neurological assessment and possibly imaging studies, to determine the cause of your imbalance.

The cognitive concerns you mentioned, particularly the repetitive reading and rumination, may also be linked to anxiety or mood disorders. Rumination, or the tendency to continuously think about the same thoughts, often relates to anxiety and depression. These cognitive patterns can interfere with your ability to concentrate and process information effectively. Cognitive-behavioral therapy (CBT) is one effective treatment for addressing these thought patterns and improving cognitive function.

Regarding your concern about your head circumference, a head circumference of 52 cm is indeed below the average range for adult males, which typically falls between 56-57 cm. However, head size alone does not determine brain function or development. Many factors contribute to cognitive abilities, including genetics, environment, and overall health. If you are concerned about your head size and its potential impact on your brain development, it would be beneficial to discuss this with a healthcare professional. They can evaluate whether there are any underlying issues that need to be addressed.

In summary, your symptoms of walking imbalance, cognitive difficulties, and concerns about head size are significant and should be evaluated by a healthcare professional, preferably a neurologist. They can help determine the underlying causes of your symptoms and recommend appropriate treatments. Additionally, addressing any anxiety or mood-related issues through therapy or medication may also improve your cognitive function and overall well-being. Remember, early intervention is crucial for the best outcomes, so seeking help sooner rather than later is advisable.

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