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Suggest Treatment For Tingling Sensation In The Arms And Face

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Posted on Wed, 7 Sep 2016
Question: Hi,
I was hospitalized for a TIA attack. While I was there I had another. Symptoms were different. First was light headed, tingling numb sensations in my right arm and face, immediate fatigue, slowed response. Second one was flailing arms and shaking torso and double vision and intense cold. MRIs and CTs were normal. I was also diagnosed with advanced and severe degeneration of the cervical spine. After I left the hospital I have had three more attacks very much like the first and second one. The flailing arms and double vision and cold diminished when turned my head to the right while on my back. My question is: am I having systems from two things. Thanks. XXXX YYYY@YYYY
doctor
Answered by Dr. Bruno Mascarenhas (1 hour later)
Brief Answer:
Both are these are TIA I request that you please undergo Cardiac Evaluation

Detailed Answer:
Hi,

Welcome to HealthCareMagic.com I am Dr.J XXXXXXX Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.

You have got two sets of symptoms
1. Light headed, tingling numb sensations in my right arm and face, immediate fatigue, slowed response
2. Flailing arms and shaking torso and double vision and intense cold

Q1
am I having systems from two thing
A1
Both are these are TIA
The First Group of Symptoms are due to Anterior Circulation TIA
The Second Group of Symptoms are due to Posterior Circulation TIA

During TIA, there is a transient loss or reduction of Blood Supply. So, the CT and MRI may be normal

Since you have having symptoms pertaining to both anterior circulation as well as posterior circulation, I request that you please undergo Cardiac Evaluation too

Hope you found the answer helpful.

If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.

Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.

-oOo-

PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.

PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Bruno Mascarenhas (1 hour later)
Would the posterior TIA explain the flailing arms, double vision, and cold?
doctor
Answered by Dr. Bruno Mascarenhas (1 hour later)
Brief Answer:
Posterior Circulation TIA explains the flailing arms, double vision, cold

Detailed Answer:
Dear Sir

Welcome Back

By Posterior Circulation TIA, We mean Ischemia to Areas of Brain Supplied by Vertebral Arteries and Basilar Artery. These arteries supply Brain Stem

Brain Stem has Cortiospinal Tract and other Motor Tracts of Extra Pyramidal System. These Tract are responsible for maintaining power and tone of muscles. So, flailness is due to reduced blood supply to brain stem because of Posterior Circulation TIA

The Various Nuclei controlling Eye Movements are located in Brain Stem. When there is less blood supply, the eyes do not move uniformly and you develop double vision. This is another classic sign of Posterior Circulation TIA

The Symphathetic Flow comes via Brain Stem. Cold happens when there is dysregulation of Symphathetic Flow

So
In Short Posterior Circulation TIA explains the flailing arms, double vision, cold

Hope you found the answer helpful.

If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.

Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.

-oOo-

PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.

PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Bruno Mascarenhas (7 hours later)
Wow! You explained more to me in detailthan my doctors. I would like to keep this session open for the next few days.
doctor
Answered by Dr. Bruno Mascarenhas (8 hours later)
Brief Answer:
You are welcome Sir Please feel free to ask doubts

Detailed Answer:
You are welcome Sir
Please feel free to ask doubts
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Bruno Mascarenhas

Neurologist, Surgical

Practicing since :2000

Answered : 813 Questions

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Suggest Treatment For Tingling Sensation In The Arms And Face

Brief Answer: Both are these are TIA I request that you please undergo Cardiac Evaluation Detailed Answer: Hi, Welcome to HealthCareMagic.com I am Dr.J XXXXXXX Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you. You have got two sets of symptoms 1. Light headed, tingling numb sensations in my right arm and face, immediate fatigue, slowed response 2. Flailing arms and shaking torso and double vision and intense cold Q1 am I having systems from two thing A1 Both are these are TIA The First Group of Symptoms are due to Anterior Circulation TIA The Second Group of Symptoms are due to Posterior Circulation TIA During TIA, there is a transient loss or reduction of Blood Supply. So, the CT and MRI may be normal Since you have having symptoms pertaining to both anterior circulation as well as posterior circulation, I request that you please undergo Cardiac Evaluation too Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care. -oOo- PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback. PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno