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What causes right-sided facial numbness, blurred vision and metallic taste in mouth?

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Posted on Fri, 6 May 2016
Question: My husband gets R.side face numbness, very blurred vision and metallic taste in mouth. Been going on for 1 year. has been in hospital for this, at first drs thought he was having TIA's, then maybe seizures.Cat scan showed nothing, cannot have MRI - he has a metal clip in brain. They come whenever, he has had one when driving, very serious situation. Please help.
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Answered by Dr. Erion Spaho (1 hour later)
Brief Answer:
Further examinations needed to achieve a correct diagnosis.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

In my opinion, in order to achieve a correct diagnosis, your husband should be examined further, besides CT scan of the head.

There is need for EEG (electroencephalogram) and full cardiac work up including Holter 24 hours monitoring of blood pressure and heart rhythm.

Blood tests to evaluate kidneys, liver and thyroid function also are needed to understand better your husband's condition.

These issues should be discussed with your husband's primary care Doctor, who can order the needed tests and specialty consulting.

Hope you found the answer helpful.

Let me know if I can assist you further.

Take care.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Erion Spaho (42 minutes later)
He has a pacemaker and defibrillator, whichhis heart is consistently monitored. Has had blood work but no thyroid tests. Has been to neurologist. What are you thinking? He had brain surgery for aneurysm. in 2011 and has a metal clip. Could this have anything to do with that surger?
doctor
Answered by Dr. Erion Spaho (10 hours later)
Brief Answer:
MRI/MRA could give valuable information.

Detailed Answer:
Welcome back.

Metal clips used for closure of aneurysm are mainly made from titanium, so, MRI is not contraindicated, and could give indispensable information about your husband's condition.

Those symptoms may be related to surgery also, but imaging studies are needed to confirm/exclude this possibility.

TIA-s are a possible explanation about these concerns.

Brain blood circulation and vessels could be verified by MRA.

EEG also needed to evaluate/exclude seizures.

Discuss with your husband's treating Doctor about having done MRI/MRA and EEG of brain.

Hope this helps.

Greetings.
Above answer was peer-reviewed by : Dr. Deepak
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Answered by
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Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4294 Questions

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What causes right-sided facial numbness, blurred vision and metallic taste in mouth?

Brief Answer: Further examinations needed to achieve a correct diagnosis. Detailed Answer: Hello and thanks for using HCM. I have read your question and understand your concerns. In my opinion, in order to achieve a correct diagnosis, your husband should be examined further, besides CT scan of the head. There is need for EEG (electroencephalogram) and full cardiac work up including Holter 24 hours monitoring of blood pressure and heart rhythm. Blood tests to evaluate kidneys, liver and thyroid function also are needed to understand better your husband's condition. These issues should be discussed with your husband's primary care Doctor, who can order the needed tests and specialty consulting. Hope you found the answer helpful. Let me know if I can assist you further. Take care.