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What Causes Left Sided Numbness On The Tongue?

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Posted on Fri, 12 Feb 2016
Question: about 4 months ago I noticed numbness in the left side of my tongue, doctors sent me to the ER--no stroke, I later saw an EENT who said it was a viral attack. But now my tongue remains numb, has lost significant muscle tone, and is affecting my swallowing and speech. Any idea what could be causing this?
doctor
Answered by Dr. Dr. Erion Spaho (49 minutes later)
Brief Answer:
Possible degenerative neurological disorder.

Detailed Answer:
Hello and thanks for using HCM.

I have read your query and understand your concerns.

One side of tongue muscle tone loss and numbness means than one of cranial nerves function is affected.

It is important also to evaluate if the swallowing and speech problems are related to tongue weakness or are part of neurological diseases such multiple sclerosis etc.

Those clinical signs indicate that brainstem function is affected in some way.

It is necessary for you to consult a Neurologist and to be examined clinically and to have appropriate tests ( such as MRI, Evoked Potentials & some others) in order to achieve a correct diagnosis.

If neurological conditions are excluded after the examinations, we can think that it was a viral infection that affected nerves.

Hope you found the answer helpful.

Let me know if I can assist you further.

Greetings.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Erion Spaho (18 hours later)
So if it is just the result of a viral infection, what is the treatment plan? long-term prognosis?
doctor
Answered by Dr. Dr. Erion Spaho (3 hours later)
Brief Answer:
Other conditions need to be excluded first.

Detailed Answer:
Welcome back and thanks for being on follow up.

Nerve disorders affected by viral infection usually don't last that long, the symptoms improve with time.

It is my opinion that first is needed to exclude other causes.

If in the end, only viral etiology results, then the virus should be isolated and antiviral therapy according to the kind of virus is indicated.

Hope this helps.

Best regards.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4492 Questions

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What Causes Left Sided Numbness On The Tongue?

Brief Answer: Possible degenerative neurological disorder. Detailed Answer: Hello and thanks for using HCM. I have read your query and understand your concerns. One side of tongue muscle tone loss and numbness means than one of cranial nerves function is affected. It is important also to evaluate if the swallowing and speech problems are related to tongue weakness or are part of neurological diseases such multiple sclerosis etc. Those clinical signs indicate that brainstem function is affected in some way. It is necessary for you to consult a Neurologist and to be examined clinically and to have appropriate tests ( such as MRI, Evoked Potentials & some others) in order to achieve a correct diagnosis. If neurological conditions are excluded after the examinations, we can think that it was a viral infection that affected nerves. Hope you found the answer helpful. Let me know if I can assist you further. Greetings.