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I Was Wondering If Anyone Might Know What This Is?:

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Posted on Thu, 20 Feb 2020
Question: I was wondering if anyone might know what this is?:

I had a very strange experience this morning, I was standing and counseling my client through an anxiety attack when suddenly I had the oddest sensation. It felt like a painless empty-feeling pressure on the left side of my head inside my skull. My best analogy for it is that it was like someone has started at the center of my head and inflated a balloon on the left side until it reached my ear. I pretty much lost my hearing for while this was happening as already have hearing problems on my right side and my (usually normal left side) sounded like I'd dunked my head underwater and started swimming away from my client. I felt extremely light headed and voluntarily blinked and bit hoping it would go away before feeling so unsteady I shut my eyes. (The light headedness felt like back in my high school days when I played waterpolo and someone dunked my head underwater before I could get a breath and held me there a minute too long not to feel weird when I came up.)

I the pressure at first seemed to totally subside after a minute or 2. The vision issue was gone along with the pressure and I could hear (what I initially thought) was normal again.

My co-worker sat me down in a chair and 15 minutes later I felt mostly okay, save the light headedness and a heaviness and pain in my right leg that later subsided. It was at this point I also noticed my hearing actually wasn't back to normal yet when some of the pressure in my ear came down gradually increase small waves and I could hear more.

At about 30-45 minutes later I had minor pressure in my ear but it was improving, still felt light headed (but somewhat less so), and was left feeling largely fine except for a sensation of pins and needles in the left side of my face (more noticable and bilaterally in my lips and in my hands (particularly in my fingers). I often have neuropathy due to an autoimmune disease and a (still undiagnosed but likely) neurological issue. While that neuropathy is triggered by many inane things (like sneezing, holding something too long or too heavy, temp, etc) it's perherpial and does not involve my face.

I saw a doctor (not mine as she was unavailable but another in a nearby associated practice where they had my records) and my neuro exam while note entirely normal was largely unchanged from the past year as far as she could surmise from my explanations and previous notes. I was slightly less stable when standing with my eyes closed and I could not feel her touch the left side of my face as much as my right, but everything else showed no changes. She did not notice any signs of left facial weakness but I previously had documented right facial weakness that she had not seen, so she said all she knew I that there wasn't a major change to indicate a stroke. We were also able to rule out any anxiety attack as my anxiety is under control enough it's essentially resolved and I wasn't anxious and did not have the physiological signs I always get during an anxiety attack.

She did not know what it was but asked me to see my doctor tommorow. In case my doctor is equally at a loss as she was, it would be nice to have some idea what might have happened.

My basic info:
I'm 30 yo Native American/Caucasian mix male (actually female to male transgender but I transitioned fully a long time ago and had "all the surgeries"and have been on a stable dose of testosterone the last 15 years). My BMI is 31 but I was very fit despite my weight up until a few months ago when my job responsibilities changed and I spent less time working out and more at work. I have an diagnosed rare rhuematic autoimmune disease that is uncommon enough to be identifying (hence not listing it here) but these symptoms are completely different and not that. Autoimmune disease, cancers, and heart conditions/stroke run in my family and if you believe those tests that come along with the ancestry ones, I have more than my fair share of mutations in that area but aside from the autoimmune disease and some still undiagnosed neuro stuff I've been very much fine in those areas. I had a CBC 1.5 months ago and it was normal as well as a normal CT head scan in January of 2019. My neurologist finds my exams clear and consistently very off in certain ways but not in a way that she recognizes as a specific pathology. I'm vegetarian and take vitamin B-complex and D most days. I take buproprion for seasonal dystmia and sometime take clonazepam if I have tremor or spasms that get in my way but overall don't take much medication, preferring to manage chronic issues through learning to tolerate them.

I'm wondering if there's anyone who might have any idea what happened? I didn't know what a stroke would feel like and was worried about that, hence seeing the doctor, but with that out of the way it's just bizarre and I'm really curious. It's annoying but not painful so I'm not that worried about it but also I have other seemingly unrelated stuff going on so being able to rule it out as a one off thing (if possible) would be helpful.

I see my doctor tommorow at the urging of today's doctor but lately she's been at a loss about a few symptoms (mainly neuro). She's a very good doctor but her field of depth outside GP stuff is rheumatology... so likely not this and I suspect given the other doctor's amount of shrugging at the incident today she might not know, either. Her general approach is to ask around, so we'd both appreciate any input.

Thanks!
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Follow up: Dr. AJEET SINGH (0 minute later)
I was wondering if anyone might know what this is?:

I had a very strange experience this morning, I was standing and counseling my client through an anxiety attack when suddenly I had the oddest sensation. It felt like a painless empty-feeling pressure on the left side of my head inside my skull. My best analogy for it is that it was like someone has started at the center of my head and inflated a balloon on the left side until it reached my ear. I pretty much lost my hearing for while this was happening as already have hearing problems on my right side and my (usually normal left side) sounded like I'd dunked my head underwater and started swimming away from my client. I felt extremely light headed and voluntarily blinked and bit hoping it would go away before feeling so unsteady I shut my eyes. (The light headedness felt like back in my high school days when I played waterpolo and someone dunked my head underwater before I could get a breath and held me there a minute too long not to feel weird when I came up.)

I the pressure at first seemed to totally subside after a minute or 2. The vision issue was gone along with the pressure and I could hear (what I initially thought) was normal again.

My co-worker sat me down in a chair and 15 minutes later I felt mostly okay, save the light headedness and a heaviness and pain in my right leg that later subsided. It was at this point I also noticed my hearing actually wasn't back to normal yet when some of the pressure in my ear came down gradually increase small waves and I could hear more.

At about 30-45 minutes later I had minor pressure in my ear but it was improving, still felt light headed (but somewhat less so), and was left feeling largely fine except for a sensation of pins and needles in the left side of my face (more noticable and bilaterally in my lips and in my hands (particularly in my fingers). I often have neuropathy due to an autoimmune disease and a (still undiagnosed but likely) neurological issue. While that neuropathy is triggered by many inane things (like sneezing, holding something too long or too heavy, temp, etc) it's perherpial and does not involve my face.

I saw a doctor (not mine as she was unavailable but another in a nearby associated practice where they had my records) and my neuro exam while note entirely normal was largely unchanged from the past year as far as she could surmise from my explanations and previous notes. I was slightly less stable when standing with my eyes closed and I could not feel her touch the left side of my face as much as my right, but everything else showed no changes. She did not notice any signs of left facial weakness but I previously had documented right facial weakness that she had not seen, so she said all she knew I that there wasn't a major change to indicate a stroke. We were also able to rule out any anxiety attack as my anxiety is under control enough it's essentially resolved and I wasn't anxious and did not have the physiological signs I always get during an anxiety attack.

She did not know what it was but asked me to see my doctor tommorow. In case my doctor is equally at a loss as she was, it would be nice to have some idea what might have happened.

My basic info:
I'm 30 yo Native American/Caucasian mix male (actually female to male transgender but I transitioned fully a long time ago and had "all the surgeries"and have been on a stable dose of testosterone the last 15 years). My BMI is 31 but I was very fit despite my weight up until a few months ago when my job responsibilities changed and I spent less time working out and more at work. I have an diagnosed rare rhuematic autoimmune disease that is uncommon enough to be identifying (hence not listing it here) but these symptoms are completely different and not that. Autoimmune disease, cancers, and heart conditions/stroke run in my family and if you believe those tests that come along with the ancestry ones, I have more than my fair share of mutations in that area but aside from the autoimmune disease and some still undiagnosed neuro stuff I've been very much fine in those areas. I had a CBC 1.5 months ago and it was normal as well as a normal CT head scan in January of 2019. My neurologist finds my exams clear and consistently very off in certain ways but not in a way that she recognizes as a specific pathology. I'm vegetarian and take vitamin B-complex and D most days. I take buproprion for seasonal dystmia and sometime take clonazepam if I have tremor or spasms that get in my way but overall don't take much medication, preferring to manage chronic issues through learning to tolerate them.

I'm wondering if there's anyone who might have any idea what happened? I didn't know what a stroke would feel like and was worried about that, hence seeing the doctor, but with that out of the way it's just bizarre and I'm really curious. It's annoying but not painful so I'm not that worried about it but also I have other seemingly unrelated stuff going on so being able to rule it out as a one off thing (if possible) would be helpful.

I see my doctor tommorow at the urging of today's doctor but lately she's been at a loss about a few symptoms (mainly neuro). She's a very good doctor but her field of depth outside GP stuff is rheumatology... so likely not this and I suspect given the other doctor's amount of shrugging at the incident today she might not know, either. Her general approach is to ask around, so we'd both appreciate any input.

Thanks!
doctor
Answered by Dr. AJEET SINGH (2 hours later)
Brief Answer:
?NEURALGIA

Detailed Answer:
Hi....
Welcome to "Ask a Doctor" service.
I have gone through your query and here is my opinion.

As per your symptoms,it seems a neuralgia to me.

Neuralgic symptoms usually range from pressure,shooting pain,stabbing feeling,tingling,numbness,twitching,cramping to muscle weakness.

The most important point in favour of this is the presence of autoimmune peripheral neuropathy in you.

Neuralgia may be due to pressure from blood vessels or other brain structures,nerve injury,herpes,hypo vitaminosis B12, multiple sclerosis,intracranial tumors,inflammatory conditions,infections( such as HIV, Lyme disease and syphilis),Porphyria (a kind of blood disorder),trauma ,chemical irritation,diabetes etc.

You need a complete neurological examination and reflex tests.

Investigations like Serum B12,Serum calcium,Serum Parathyroid levels,Serum calcium,Thyroid profile,Blood sugar levels,HBA1C,EEG,ECG,Nerve conduction studies and (above all) a Brain MRI are strongly indicated.

Visit your neurologist for further evaluation and treatment (according to cause identified).

Stay healthy and stay blessed.
Best Regards.




Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. AJEET SINGH (0 minute later)
Brief Answer:
?NEURALGIA

Detailed Answer:
Hi....
Welcome to "Ask a Doctor" service.
I have gone through your query and here is my opinion.

As per your symptoms,it seems a neuralgia to me.

Neuralgic symptoms usually range from pressure,shooting pain,stabbing feeling,tingling,numbness,twitching,cramping to muscle weakness.

The most important point in favour of this is the presence of autoimmune peripheral neuropathy in you.

Neuralgia may be due to pressure from blood vessels or other brain structures,nerve injury,herpes,hypo vitaminosis B12, multiple sclerosis,intracranial tumors,inflammatory conditions,infections( such as HIV, Lyme disease and syphilis),Porphyria (a kind of blood disorder),trauma ,chemical irritation,diabetes etc.

You need a complete neurological examination and reflex tests.

Investigations like Serum B12,Serum calcium,Serum Parathyroid levels,Serum calcium,Thyroid profile,Blood sugar levels,HBA1C,EEG,ECG,Nerve conduction studies and (above all) a Brain MRI are strongly indicated.

Visit your neurologist for further evaluation and treatment (according to cause identified).

Stay healthy and stay blessed.
Best Regards.




Above answer was peer-reviewed by : Dr. Kampana
doctor
default
Follow up: Dr. AJEET SINGH (19 hours later)
The initial symptom felt like it was a balloon being blown up inside the left hemesphere of my skull.
The most troubling thing was not the leftover prepheral neuropathy but the sensation in my head, light-headedness, and the fact new neuro symptoms happened after it.

I've recently already had all those things *except* the EEG, ECG, and nerve conduction studies. They were normal. I'd seen my neurologist the day before and she did not feel there was any immediately pressing issue.

I saw my doctor and she could not identify what it was but was troubling and I should be concerned. She is looking for a new neurologist for me and does not believe the primary issue was normal even with my autoimmune disease.
default
Follow up: Dr. AJEET SINGH (0 minute later)
The initial symptom felt like it was a balloon being blown up inside the left hemesphere of my skull.
The most troubling thing was not the leftover prepheral neuropathy but the sensation in my head, light-headedness, and the fact new neuro symptoms happened after it.

I've recently already had all those things *except* the EEG, ECG, and nerve conduction studies. They were normal. I'd seen my neurologist the day before and she did not feel there was any immediately pressing issue.

I saw my doctor and she could not identify what it was but was troubling and I should be concerned. She is looking for a new neurologist for me and does not believe the primary issue was normal even with my autoimmune disease.
doctor
Answered by Dr. AJEET SINGH (2 hours later)
Brief Answer:
? NEURALGIA

Detailed Answer:
Welcome back..

I also feel that these kind of symptoms can not be labelled as "normal" and should be evaluated completely to rule out any organic pathology.

Kindly share your investigation reports specially vitamin B12,calcium ,D3 titres,Parathyroid profile and Thyroid profiles.

Have you procured a MRI scan of brain ?

Waiting for your revert.
Regards.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. AJEET SINGH (0 minute later)
Brief Answer:
? NEURALGIA

Detailed Answer:
Welcome back..

I also feel that these kind of symptoms can not be labelled as "normal" and should be evaluated completely to rule out any organic pathology.

Kindly share your investigation reports specially vitamin B12,calcium ,D3 titres,Parathyroid profile and Thyroid profiles.

Have you procured a MRI scan of brain ?

Waiting for your revert.
Regards.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
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Dr. AJEET SINGH

General & Family Physician

Practicing since :1994

Answered : 2151 Questions

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I Was Wondering If Anyone Might Know What This Is?:

I was wondering if anyone might know what this is?: I had a very strange experience this morning, I was standing and counseling my client through an anxiety attack when suddenly I had the oddest sensation. It felt like a painless empty-feeling pressure on the left side of my head inside my skull. My best analogy for it is that it was like someone has started at the center of my head and inflated a balloon on the left side until it reached my ear. I pretty much lost my hearing for while this was happening as already have hearing problems on my right side and my (usually normal left side) sounded like I'd dunked my head underwater and started swimming away from my client. I felt extremely light headed and voluntarily blinked and bit hoping it would go away before feeling so unsteady I shut my eyes. (The light headedness felt like back in my high school days when I played waterpolo and someone dunked my head underwater before I could get a breath and held me there a minute too long not to feel weird when I came up.) I the pressure at first seemed to totally subside after a minute or 2. The vision issue was gone along with the pressure and I could hear (what I initially thought) was normal again. My co-worker sat me down in a chair and 15 minutes later I felt mostly okay, save the light headedness and a heaviness and pain in my right leg that later subsided. It was at this point I also noticed my hearing actually wasn't back to normal yet when some of the pressure in my ear came down gradually increase small waves and I could hear more. At about 30-45 minutes later I had minor pressure in my ear but it was improving, still felt light headed (but somewhat less so), and was left feeling largely fine except for a sensation of pins and needles in the left side of my face (more noticable and bilaterally in my lips and in my hands (particularly in my fingers). I often have neuropathy due to an autoimmune disease and a (still undiagnosed but likely) neurological issue. While that neuropathy is triggered by many inane things (like sneezing, holding something too long or too heavy, temp, etc) it's perherpial and does not involve my face. I saw a doctor (not mine as she was unavailable but another in a nearby associated practice where they had my records) and my neuro exam while note entirely normal was largely unchanged from the past year as far as she could surmise from my explanations and previous notes. I was slightly less stable when standing with my eyes closed and I could not feel her touch the left side of my face as much as my right, but everything else showed no changes. She did not notice any signs of left facial weakness but I previously had documented right facial weakness that she had not seen, so she said all she knew I that there wasn't a major change to indicate a stroke. We were also able to rule out any anxiety attack as my anxiety is under control enough it's essentially resolved and I wasn't anxious and did not have the physiological signs I always get during an anxiety attack. She did not know what it was but asked me to see my doctor tommorow. In case my doctor is equally at a loss as she was, it would be nice to have some idea what might have happened. My basic info: I'm 30 yo Native American/Caucasian mix male (actually female to male transgender but I transitioned fully a long time ago and had "all the surgeries"and have been on a stable dose of testosterone the last 15 years). My BMI is 31 but I was very fit despite my weight up until a few months ago when my job responsibilities changed and I spent less time working out and more at work. I have an diagnosed rare rhuematic autoimmune disease that is uncommon enough to be identifying (hence not listing it here) but these symptoms are completely different and not that. Autoimmune disease, cancers, and heart conditions/stroke run in my family and if you believe those tests that come along with the ancestry ones, I have more than my fair share of mutations in that area but aside from the autoimmune disease and some still undiagnosed neuro stuff I've been very much fine in those areas. I had a CBC 1.5 months ago and it was normal as well as a normal CT head scan in January of 2019. My neurologist finds my exams clear and consistently very off in certain ways but not in a way that she recognizes as a specific pathology. I'm vegetarian and take vitamin B-complex and D most days. I take buproprion for seasonal dystmia and sometime take clonazepam if I have tremor or spasms that get in my way but overall don't take much medication, preferring to manage chronic issues through learning to tolerate them. I'm wondering if there's anyone who might have any idea what happened? I didn't know what a stroke would feel like and was worried about that, hence seeing the doctor, but with that out of the way it's just bizarre and I'm really curious. It's annoying but not painful so I'm not that worried about it but also I have other seemingly unrelated stuff going on so being able to rule it out as a one off thing (if possible) would be helpful. I see my doctor tommorow at the urging of today's doctor but lately she's been at a loss about a few symptoms (mainly neuro). She's a very good doctor but her field of depth outside GP stuff is rheumatology... so likely not this and I suspect given the other doctor's amount of shrugging at the incident today she might not know, either. Her general approach is to ask around, so we'd both appreciate any input. Thanks!