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Neurology  (Expert Forum)
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Facial numbness / fullness
This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.

Facial numbness / fullness

by CPA, Sep 17, 2002 12:00AM
I am a 26 y.o. white male with a clean medical history and a clean family history of any diseases, etc.  Last October I was at work and had a feeling of being dizzy/lightheaded.  I went to the urgent care right away becuase I had never had that feeling before.  The doctor gave me an EKG and found everything to be normal and said that it was probably nothing serious.  That feeling was on an off again for a couple of months.  That symptom has pretty much gone away now.  However, shortly after that went away I started to get headaches in my forehead and on the top of my head which at times gave me a feeling of loss of equilibrium.  My forehead and cheeks would also feel tingly or numb.  It would generally feel like pressure on the front of my face and head.  This tingling would be indepentent of a headache sometimes. My GP treated me for a sinus infection and sent me to an ENT.  I had an CT scan done of my sinus and found no real problem with my sinuses, but a deviated septum.  The ENT felt that the sinuses were probably not the cause of my problems.  The tingling feeling in my forehead is almost never present first thing in the morning and usually appears after being at work for a while.  It seems that this feeling usually comes on worse on a full stomach but not always.  It seems that the symptoms seem to be worse with stress, but it is hard to tell.  It also lasts anywhere from a couple of minutes to a couple of hours.  I to feel better than before, but it occurs a few times a week.  Any other symptoms to watch for?  Do you have any ideas for me?  Thank you in advance

by CCF-Neuro-M.D.-JT, Sep 19, 2002 12:00AM
COuld be an atypical migraine or tension type headache, which can both occur with stress. Doesn't sound like sinus. Try simple over the counter medications such as tylenol or motrin. If you start developing serious neurological symptoms such as protracted nausea and vomiting, visual changes (although you can get some vision changes with normal migraines), or deficits such as weakness on one side of the body then call your doctor or consider an ER visit if the symptoms are severe. If your symptoms persist and do not resolve with simple over the counter meds yet don't get too much worse, consider a neurological exam just to make sure everything is ok. Also, sometimes caffeine withdrawal can cause similar symptoms. Finallym look over your diet, sleeping pattern, and stress level and see if anything has changed. GOod luck.
Member Comments (5)

by Janinal, Sep 28, 2002 12:00AM
Hi to everybody, who suffers from those strange symptoms, which take quality of life from them, when their doctors have difficulties in making diagnose.

Symptoms aren’t life frightening, very often laboratory test are perfect, but not everyday life.
I have on my desk the book “Migraine: Beating The Odds” - The Doctors’ Guide to Reducing Your Risk.

This book was very helpful for me in my understanding what were going on with my young adult son, myself and couple other people from my social circle.

So I would like to share with you the list of symptoms listed in the appendix to the book, which are the part of questionnaire for the patients.

You probably will find a lot of your symptoms on that list. And remember migraine isn’t only a headache, some migraines even haven’t headache phase.

Eye:                                          
Spots before eyes                            
Blurring
Blindness
Double vision
Sensitivity to light
Redness
Tearing
Puffiness
Droop of eyelid
Burning of eyes

Nose/Throat:
Swelling
Stuffiness
Discharge from nose
Strange taste
Strange odor
Sensitivity to noise
Sensitivity to odors

GI:
Nausea
Vomiting
Loss of appetite
Hunger
Diarrhea
Abdominal cramps
Saliva (increased or decreased)

GU:
Decreased urinary output
Increased urinary output

Scalp/Face:
Pallor
Redness
Cold
Hot
Sweating
Puffiness
Hardness of skin
Tenderness
Vein or artery prominent in scalp
Pain in jaw

Neck:
Stiff
Tender

Mental/Personality:
Poor concentration
Poor memory
Depression
Other mood changes
Fatigue
Anxious
Nervous
Irritable

Cerebral:
Difficulty seeing things on left or right
Paresis-weakness of arm and/or leg
Numbness around the mouth
Slurred speech
Difficulty swallowing
Faintness, lost consciousness
Dizziness (spinning sensation or unbalance)

Autonomic:
Cold hands and/or feet
Sweating of hands, face, other
Swelling of parts of body
Change of pulse or temperature

Talking with the people, and sharing with them my observations I see that there are much more symptoms of migraine than those on the list, because we are very individual.

I hope I was helpful, Janinal

by CPA, Oct 01, 2002 12:00AM
Thanks a lot for the information!

by cannonball, Oct 09, 2002 12:00AM
hello,
i am a 29 year old white male,and im experiencing almost the same symptoms as the post above, i have high blood pressure but have not got medication for it yet,still waiting for my medical to kick in. i started to get my symptoms around january 25th of this year,first off i was using two steroids #1 was a steroid called proviron(mesterolone)an oral tabet very androgenic #2 and i was making my own injectable blend of steroid called finaplix,which you buy in pellet form grind up and mix in a solution to make it into injectable form,"very risky and stupid move"it is also too very androgenic! i am a professional athelete, and in all around great shape and train very hard in my profession, but about 8 days after one of my events i stopped the injectable fina and stayed straight on proviron,i started to feel light headed,dizzy,ears feel up with pressure,head feels up with presure and it seems if i eat thats when the symptoms got worse, also i get a very weird sensation on my left cheek and forehead like it crawling of the skin or a strain type numb feeling, my gland under my left part of my chin would swell but now that has stopped,i would get the same sensation on the top of my left forearm, my balance was off as well, and i would get headaches on the top left side of my head frequently, also shortness of breath and the symptoms would get worse with stress or hard training and i feel very weak after training or lifting weights,at the time i had a great deal of stress and im sure alot of the symptoms were blood pressure adding to it,so i went and got my heart checked,and it said i was fine! and got a cat scan to check for a stroke, i was normal. so i started testing myself got off the steroids all together but still having the same symptoms, then started to pull things from my diet such as read meat, caffiene etc. to see, still same symptoms, and for awhile my pinky finger and one next to it would go numb on both hands especially when i was asleep, but that hasnt happened in awhile. and it seems too when i listen to loud music or turn my head a certain way i get this strange sensation come over my brain almost like if you bite your teeth together real tight and you can hear like a static noise and sometimes my lower jaw goes funny. i have broken my eardrums four times twice on each ear so im not sure if i have a ear problem that does that and when i get stress or high blood pressure it puts pressure on my inner ear and i get most of these symptoms im not sure all i know is that its very irratating. and i sometimes too get that feeling of pressure in my face especially in my nose area,now i dont have all these symptoms constantly, they do come and go but when one goes another one arises so im just curious if anyone has any helpful hints that i seem too have missed here, i live in las vegas were the climate is very dry and bad allergies here also.
here are my blood pressure readings day #1 144 over 77   137 over 72  129 over 63  127 over 67  day #2 141 over 64  140 over 60

any help would be appreciated:)

by sag507, Oct 27, 2002 12:00AM
My father has been in University of Iowa Hospital for 4 weeks now.  He has a lesion at the base of his brain stem.  He started out with numbness of one side of his face then went to the other and feels like a band across his forehead.  It got worse when he started loosing his ability to swallow.  They did not want to give him steroids at first because it would interfere with the diagnosis, however, his condition was so critical...had to be on a ventilator and tube feeding and antibiotics for the phneumonea that devoeloped....they put him on anyway and his condition improved enough to be moved tothe pulminary intensive care unit.  he has had 3 respitory arrests in the last 4 weeks and 6 mri's to monitor the size of the lesion.  I hope that you get help before it gets to your gag reflex because that is what happened to my father and he may never get that back. right now we still don't know why this is happening. We know that the lesion is from the demyelination at that area.  They took him off the steroids when moved to the IPCU and friday went into another arrest and his condition went down hill real fast.  THey had noticed this earlier in the week and started him on steroids again on thursday we didn't think he would last after the last arrest, and later that evening he did an about face. Miracle or steroids, we will take it.
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