Should I Get Checked? Neurological Symptoms

Q: Should I Get Checked? Neurological Symptoms

To： Based on the description in March, a diagnosis cannot be made. <br>If symptoms persist, it is advisable to seek medical attention before making a diagnosis.

Should I get checked?

Hello Dr.
Yeh,
In the past six months, I have been experiencing intermittent sharp pain near my temples and a sensation at the back of my head that feels like it has been submerged in water.
I also see intermittent dark spots in front of my eyes, and at times, my steps feel very light.
I am unsure what this condition might be.
Should I seek medical evaluation? Thank you, and best wishes.

San Yue Wu Yu, 20~29 year old female. Ask Date: 2001/03/12

Dr. Ye Boshou reply Neurology

To: Based on the description in March, a diagnosis cannot be made.
If symptoms persist, it is advisable to seek medical attention before making a diagnosis.

Reply Date: 2001/03/12

More Info

Hello! Based on the symptoms you've described, it is indeed advisable to seek further medical evaluation. The symptoms of intermittent pain around the temples, sensations of bubbling or pressure at the back of the head, and visual disturbances such as seeing black spots can be indicative of several neurological issues.
First, let's break down your symptoms. The pain in the temple area could be related to tension-type headaches or migraines, especially if it is episodic and associated with other symptoms. Migraines can often present with aura symptoms, which may include visual disturbances like seeing spots or flashes of light. However, the sensation of your legs feeling "light" could suggest a neurological component that warrants further investigation.

The combination of these symptoms raises a few possibilities. For instance, they could be related to migraine with aura, tension headaches, or even more serious conditions such as intracranial hypertension or other neurological disorders. The fact that you experience these symptoms intermittently and that they are accompanied by visual disturbances is particularly concerning.
Given the complexity of your symptoms, it is essential to consult a healthcare professional, preferably a neurologist. They may recommend a series of diagnostic tests, including:
1. Magnetic Resonance Imaging (MRI): This imaging test can help visualize the brain and detect any abnormalities such as tumors, lesions, or signs of increased intracranial pressure.

2. Computed Tomography (CT) Scan: This is another imaging modality that can be used to rule out any acute issues, such as bleeding or structural abnormalities.

3. Electroencephalogram (EEG): If there are concerns about seizure activity, an EEG can help assess electrical activity in the brain.

4. Blood Tests: These can help rule out metabolic or infectious causes of your symptoms.

5. Neurological Examination: A thorough neurological exam can provide insight into your symptoms and help guide further testing.

It is crucial not to ignore these symptoms, especially since they have persisted for six months. Early diagnosis and intervention can significantly impact the management of any underlying conditions.
In the meantime, keep a detailed diary of your symptoms, noting when they occur, their duration, and any potential triggers. This information can be invaluable for your healthcare provider in determining the best course of action.

In conclusion, I strongly recommend that you seek a consultation with a neurologist to discuss your symptoms and undergo appropriate diagnostic testing. Your health and well-being are paramount, and addressing these symptoms promptly can lead to better outcomes. Take care, and I wish you the best in your journey toward understanding and managing your health.

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