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Tingling, numbness on cheek and tongue in left side. No visual changes. Help?

tingling , numbness on left side of lower cheek and just left side of tongue . Slighly numb on entire left side of face, mostly lower cheek and tongue. Sometimes when I talk, it feels like my face went to sleep. For about 2 weeks, becoming more consistant. No visual changes, you would never know looking at me. healthy 41 year old female.
Asked On : Fri, 10 Aug 2012
Answers:  2 Views:  1786
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Neurologist 's  Response
The tingling and numbness in the distribution that you are describing is suggestive of involvement of trigeminal nerve. There wont be any change in external appearance unless there is weakness of jaw muscles which too are served by trigeminal nerve. The involvement can be due to various causes. MRI scan of the head with a focus on trigeminal nerve would be required to establish cause. There are medications which can relieve you of tingling. You need to consult a neurologist for further evaluation.
Good luck.
Answered: Sat, 11 Aug 2012
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Internal Medicine Specialist Dr. Prasad Akole's  Response
Dear friend, welcome to HCM.
looks like sensory affection in the distribution of facial and hypoglossal nerves.
do you get eye size difference? is angle of mouth deviating abnormally?
is swallowing difficult?
voice change?headaches?
if any of these are consistent, pl. see your doctor or better a neurologist. such symptoms may occur with brain lesion affecting thsese nerve origins/ course in the skull. they will check in details , and if really find 7 and 8-9th nerve affection, will order an MRI brain.
get evaluated and do not worry.
take care and keep me posted on your progress.
Good luck !
Answered: Sat, 11 Aug 2012
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