Thursday, February 16, 2012

Thursday, October 01, 2009 Sel asks

Q: Face, left arm numb stiffness in neck, 4 weeks later suffering painful headaches and earache?

Hello, I'm a 38 year old female. I was out with my husband with a mild headache when I started to feel nauseous, my bottom lip and right eye started to burn; it felt like I'd rubbed hot sauce on my lip and eye.

Them my lip went numb then the whole right side of my face and my left arm went completely numb in seconds. I felt very dizzy & hot. I had to lay down in the car. I had no other pain; the burning went and I was left with a numb feeling in my face and left arm and a slight stiffness in the right side of my neck.

I couldn't speak, I couldn't use my arm as they felt paralyzed & I couldn't think.  I couldn't close my mouth or right eye. Then about 6 minutes later the numbness was gone and I was just feeling hot & nauseous.

 

We went to the hospital & after 3 hours in the waiting room a nurse came & took my temperature & pulse and said everything looked good. Then 2 hours later a Doctor came and asked me a few questions sent me off for a CT Scan said there were no problems, I was fine and said I could go home.

 

That was 4 weeks ago.

 

Now the last 2 weeks I've been suffering from earaches (both ears) terrible headaches; sometimes in the front of my head, sometimes on one side or both, but I always have a aching pain in the back of my head which can go from dull to extremely painful. Coughing, moving my head even slightly can be very, very painful. I've always had headaches sometimes very painful, but nothing like this. I take over the counter "Advil for Migraines" as they are the pills I can buy in store that help with the pain but even they don't seem to work or work for only an hour or two at most. I have seen a Neurologist to see if I had Migraines a few years ago and was told I suffer from cluster headaches and was prescribed "Beta Blockers" which did help, but cost to much for the number of headaches I get.

 

A friend who is a Nurse at another hospital said the 1st incident, I had a month ago may have been a TIA attack and that I should seek help elsewhere.

 

Please can I ask you opinion on this matter? I feel silly after my last visit to the hospital as they said everything was fine and wonder if you've ever come across this sort of thing before.

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Answers (1)

HI Sel: I'm not a neurologist:  but your symptoms seem like they could very well be Migraine/cluster headaches.  Beta blockers come in generic form and at Walmart are $7.00 a month. 

 

Yes, a TIA is a possibility.  A neurologist would be the one to see for this. 

 

I would recommend recontacting your doctor.  Perhaps you need other medications for the migraine/cluster headaches.  A CT scan of the head already didn't show much.  A carotid doppler could be helpful to rule out blockages of Carotid arteries.

 

Best to seek further evaluation by your doctor.

 

Dr. Kirk Laman

www.drlaman.com

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