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What Causes Vision Abnormalities, Imbalance, Vertigo, Weakness In The Left Limb And Headache?

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Posted on Mon, 18 Sep 2017
Question: I have suddenly developed severe eye strain, producing severe headaches, vision problems. Also weakness in my legs, more so my left leg, instability to stand or walk, extreme vertigo causing e to fall multiple time a day. What is going on or who should I see?

I have Severe eye strain, headaches, blurred and double vision, extreme vertigo. Muscle weakness in legs (more so in left leg), instability to stand or walk causing multiple falls a day.

Currently on: 60 mg. morphine, 3x daily; 800 mg Gabapentin, 4x daily; 40 mg Citalopram, 1x daily; 2 mg tiZNadine, 1x daily.

My allergies are: NASAIDs, penicillin

My medical conditions are: Fibromyalgia, Bi-lateral Restless Leg Syndrome, Reflex Sympathy Dystrophy, mTBI in 2011.
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Answered by Dr. Olsi Taka (19 minutes later)
Brief Answer:
Stroke to be excluded, medication side effects to be considered as well.

Detailed Answer:
I read your question carefully and I understand your concern.

Your symptoms are worrying indeed. Such a combination of vision abnormalities, balance issues, vertigo, weakness of the left limb, headache could be a manifestation of a brain lesion such a stroke, in particular stroke in the posterior areas of the brain. Since you say the symptoms have developed suddenly then it is even more likely so I would suggest even heading at the ER as stroke is an emergency. The best specialist would be a neurologist, but since this can't wait for appointments I suggest consulting in ER first. If they will think stroke likely you will be admitted, otherwise at least possibilities will have been excluded and an appointment can be scheduled with more peace of mind.

Apart from stroke another possibility I would consider would be medication side effects. You take several medications which act on central nervous system at high dosages and can cause balance issues, eye movement abnormalities and headache. So if stroke is excluded then reducing medication dosages may be considered.

I remain at your disposal for other questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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What Causes Vision Abnormalities, Imbalance, Vertigo, Weakness In The Left Limb And Headache?

Brief Answer: Stroke to be excluded, medication side effects to be considered as well. Detailed Answer: I read your question carefully and I understand your concern. Your symptoms are worrying indeed. Such a combination of vision abnormalities, balance issues, vertigo, weakness of the left limb, headache could be a manifestation of a brain lesion such a stroke, in particular stroke in the posterior areas of the brain. Since you say the symptoms have developed suddenly then it is even more likely so I would suggest even heading at the ER as stroke is an emergency. The best specialist would be a neurologist, but since this can't wait for appointments I suggest consulting in ER first. If they will think stroke likely you will be admitted, otherwise at least possibilities will have been excluded and an appointment can be scheduled with more peace of mind. Apart from stroke another possibility I would consider would be medication side effects. You take several medications which act on central nervous system at high dosages and can cause balance issues, eye movement abnormalities and headache. So if stroke is excluded then reducing medication dosages may be considered. I remain at your disposal for other questions.