Neurological Symptoms: Causes of Head Pain and Vision Loss at 21 - Neurology

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Hello Doctor: I am 21 years old, and I experience sharp pain in the back of my right head, sometimes the entire back of my head hurts.
I also have dizziness and nausea, and my vision can suddenly go black.
Occasionally, my left hand feels numb, and I suddenly break out in cold sweats, with weakness in my limbs, followed by temporary loss of vision.
What could be the cause of this? Could there be something growing in my brain?

Xiao Fang, 20~29 year old female. Ask Date: 2005/08/07

Dr. Ye Boshou reply Neurology


Is the vision loss unilateral or bilateral? Is the sleep quality good? Please first inquire about the medical history and perform a physical examination in the outpatient clinic before making a judgment.

Reply Date: 2005/08/07

More Info


Hello! Thank you for reaching out with your concerns regarding your neurological symptoms. Based on your description, it sounds like you are experiencing a combination of headaches, visual disturbances, and other neurological symptoms such as dizziness, nausea, and numbness in your left hand. These symptoms can be quite distressing, and it’s important to understand their potential causes.

Firstly, the symptoms you are experiencing could be indicative of several conditions. The right posterior headache, especially if it is described as a throbbing or pulsating pain, could suggest a migraine. Migraines can often be accompanied by visual disturbances known as "aura," which may include temporary vision loss or seeing flashes of light. The nausea and dizziness you mentioned can also be associated with migraine attacks.

However, the sudden onset of visual loss, especially if it is transient, could also suggest other serious conditions such as retinal detachment or a transient ischemic attack (TIA), which is often referred to as a "mini-stroke." TIAs can present with sudden neurological symptoms that resolve quickly, but they are serious and warrant immediate medical attention.

The numbness in your left hand, along with the other symptoms, raises the possibility of neurological issues that may involve nerve compression or even central nervous system disorders. Conditions such as multiple sclerosis (MS) or other demyelinating diseases can present with similar symptoms, including visual disturbances and sensory changes.

Additionally, the cold sweats and weakness you mentioned could be related to anxiety or panic attacks, especially if they occur in conjunction with your other symptoms. Anxiety can manifest physically in many ways, including causing headaches, dizziness, and even feelings of numbness or tingling.

Given your age and the nature of your symptoms, it is crucial to seek a thorough evaluation from a neurologist. They may recommend imaging studies such as an MRI or CT scan to rule out any structural abnormalities in the brain, such as tumors or lesions. Blood tests may also be necessary to check for underlying conditions that could contribute to your symptoms, such as thyroid disorders, vitamin deficiencies, or autoimmune diseases.

In the meantime, here are some steps you can take to manage your symptoms:
1. Keep a Symptom Diary: Document when your symptoms occur, their duration, and any potential triggers. This information can be invaluable for your healthcare provider.

2. Stay Hydrated: Dehydration can exacerbate headaches and dizziness, so ensure you are drinking enough fluids throughout the day.

3. Manage Stress: Engage in relaxation techniques such as deep breathing, meditation, or yoga, which can help alleviate anxiety and reduce headache frequency.

4. Avoid Triggers: If you notice certain foods, activities, or stressors that seem to trigger your headaches or other symptoms, try to avoid them.

5. Seek Immediate Care: If you experience sudden, severe headaches, significant changes in vision, or any other alarming symptoms, do not hesitate to seek emergency medical care.

In conclusion, while there are several potential causes for your symptoms, it is essential to undergo a comprehensive evaluation to determine the underlying issue. Early diagnosis and treatment can significantly improve your quality of life and prevent potential complications. Please prioritize your health and seek medical attention as soon as possible.

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