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What causes sudden numbness in eye with slurred speech? - Online Doctor Chats

Date : 07-Apr-2014
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:I've returned from work today and my Dad has had what was described as an episode.
He's 65, he said his right eye felt numb and thought his speech was slurring. My mother confirmed that she couldn't really see this and he sounded okay. He does say his vision was impaired.
My worry is he could not feel anything down his right side - he described it as feeling paralysed - his body was trying to send him in a different direction. His arm was moving of it's own accord being raised above his head and the pain in his leg seemed to spread to his left leg as well. He does say there was no feel pain.
Let me read your query for few minutes to be able to have a good discussion here.
User:Okay thanks
Doctor:I have gone through it
Doctor:Please ask your question
Doctor:from your descriptions, it does seem like a stroke/TIA in the sensory area of the brain
User:I'm wondering what these symptoms could indicate - he seems fine now - however, I'm rather worried?
Doctor:If he is fine now, then it could indicate a TIA (transient ischemic attack)
User:Okay. Is there anything you'd suggest to do?
Doctor:If he says he lost sensations and had visual impairment, I can only think of the cortical nature (That is the sensory cortex and visual cortex)
Doctor:The best thing to do would be to get an MRI scan done to see if there are any ischemic changes like edema in the XXXXXXX
Doctor:but, TIAs may not leave any trace behind even on MRI on many occasions
Doctor:However, it is best to consult a neurologist
Doctor:get examined, at times, a good clinical examination will find much more information than any MRI can
User:Okay great.. are they likely to reoccur?
Doctor:he will also need a carotid Doppler and a MR angiogram of the brain
Doctor:Yes, they are likely to reoccur
Doctor:and some basic blood tests like cholesterol levels, platelet counts etc.,
Doctor:Please see a neurologist at the earliest
Doctor:is there anything else I can help you with?
User:That's great. I'll get this arranged for him. Thanks for your help.
Doctor:You are most welcome
Doctor:I wish you good health and best of luck
Doctor:have a good day ahead
Doctor:good bye
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