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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Dizziness, Neck Pain And Tingling Numbness In The Face Indicate?

I am experiencing dizziness & somes facial numbness & tingling. I do have issues with ongoing neck & back pain. I do have significant osteoarthritis neck & back. I have some bulging cervical disc & wonder if this could explain my symtoms. Blood pressure & pulse normal. Thank-you.
Fri, 14 Feb 2020
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General Surgeon 's  Response
Hi,

Numbness of the face could be due to involvement of the Trigeminal (Fifth Cranial Nerve) like Trigeminal neuralgia or Temporal arteritis. Another important point is that neuralgias and migraine do not respond to usual painkilers and requires different group of drugs.

This mix of symptoms makes it difficult to pinpoint the cause without detailed history, examination and investigations. It would be better to see a neurologist and an ENT specialist. Blood tests should include a hemogram, ESR, c-reactive protein, liver function tests, homocyteine levels and urine analysis. Detailed investigations such as EEG, 3 Tesla MRI can wait.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Iven Romic Rommstein, General Surgeon
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What Do Dizziness, Neck Pain And Tingling Numbness In The Face Indicate?

Hi, Numbness of the face could be due to involvement of the Trigeminal (Fifth Cranial Nerve) like Trigeminal neuralgia or Temporal arteritis. Another important point is that neuralgias and migraine do not respond to usual painkilers and requires different group of drugs. This mix of symptoms makes it difficult to pinpoint the cause without detailed history, examination and investigations. It would be better to see a neurologist and an ENT specialist. Blood tests should include a hemogram, ESR, c-reactive protein, liver function tests, homocyteine levels and urine analysis. Detailed investigations such as EEG, 3 Tesla MRI can wait. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Iven Romic Rommstein, General Surgeon