Neurological Symptoms: When to Seek Help and Tests to Consider

What tests should be done or which specialty should I consult?

Hello Doctor: For the past month or two, I have been experiencing persistent pain in my forehead, sometimes accompanied by tinnitus.
I feel fatigued throughout the day, and my eyes have difficulty focusing on a single point, causing me to blink frequently in an attempt to see more clearly.
Occasionally, my hands suddenly feel weak, and objects I am holding drop unexpectedly.
Today, I struggled to concentrate and accidentally cut my own finger while trying to cut something, which left me feeling very shocked.
I am unsure what is wrong with my body.
What should I do? Thank you for your response! ^^

Xiao Hui, 20~29 year old female. Ask Date: 2013/07/07

Dr. Lan Shengxing reply Neurology

Dear Little Gray, generally speaking, frontal headaches tend to be tension-type headaches, especially when accompanied by feelings of fatigue.
However, when symptoms such as weakness occur, it is advisable to go to the hospital for imaging studies to rule out other intracranial issues.

Reply Date: 2013/07/07

More Info

Hello,
Thank you for reaching out with your concerns regarding the neurological symptoms you have been experiencing. Based on your description, it seems you are facing a combination of troubling symptoms, including persistent forehead pain, tinnitus (ear ringing), fatigue, difficulty focusing your vision, involuntary blinking, sudden hand weakness, and even an alarming incident where you accidentally cut your finger while trying to use scissors. These symptoms can be quite distressing and may indicate an underlying neurological issue that warrants further investigation.

Firstly, it is essential to understand that persistent headaches, especially when accompanied by other neurological symptoms such as tinnitus, visual disturbances, and motor weakness, should not be taken lightly. These could be indicative of various conditions, ranging from tension-type headaches or migraines to more serious issues like neurological disorders or even vascular problems. The sudden weakness in your hands and the incident with the scissors raise additional concerns about your motor control and coordination, which could be linked to neurological dysfunction.

Given the complexity and potential seriousness of your symptoms, I strongly recommend that you seek medical attention as soon as possible. A visit to a neurologist would be appropriate, as they specialize in diagnosing and treating conditions related to the nervous system. During your appointment, the doctor will likely conduct a thorough neurological examination, which may include assessing your reflexes, muscle strength, coordination, and sensory responses.

In addition to a physical examination, the neurologist may recommend several diagnostic tests to better understand your condition. These could include:
1. Magnetic Resonance Imaging (MRI): This imaging test can provide detailed pictures of your brain and spinal cord, helping to identify any structural abnormalities, lesions, or signs of conditions such as multiple sclerosis or tumors.

2. Computed Tomography (CT) Scan: A CT scan can also help visualize the brain and detect any acute issues, such as bleeding or swelling.

3. Electromyography (EMG) and Nerve Conduction Studies: These tests assess the electrical activity of your muscles and the speed of nerve conduction, which can help identify nerve damage or muscle disorders.

4. Blood Tests: A comprehensive metabolic panel and other blood tests can help rule out systemic issues that might be contributing to your symptoms, such as thyroid dysfunction or vitamin deficiencies.

5. Lumbar Puncture (Spinal Tap): In some cases, analyzing the cerebrospinal fluid can provide valuable information about neurological conditions.

It is crucial to communicate all your symptoms clearly to your healthcare provider, including the onset, duration, and any factors that seem to exacerbate or alleviate your symptoms. This information will aid in making an accurate diagnosis.

In the meantime, consider keeping a symptom diary to track when your symptoms occur, their intensity, and any potential triggers. This can be helpful for your doctor in understanding your condition better.

Lastly, while waiting for your appointment, ensure you prioritize self-care. Get adequate rest, stay hydrated, and avoid any activities that could put you at risk, especially if you are experiencing weakness or coordination issues.

In conclusion, your symptoms are concerning and warrant prompt medical evaluation. Seeking help from a neurologist will be a critical step in determining the underlying cause of your symptoms and developing an appropriate treatment plan. Please take care of yourself, and I hope you find the answers and relief you need soon.

Best wishes for your health and well-being.

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