F is for facial numbness

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A year-old Caucasian female presents to the emergency department ED with a complaint of facial numbness that was isolated to her left cheek. She described a tingling sensation in her left cheek that began approximately one hour prior, which she noticed while drinking coffee and having her breakfast. Concerned that she might be having a stroke, she drove herself to the ED for immediate evaluation.

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A stroke is a life-threatening condition that requires immediate medical care. Knowing the signs of a stroke can help save your life or the life of a loved one. The signs of a stroke appear abruptly.

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Numbness is loss, diminished or altered sensation. You may notice that you have less feeling when touching something with your hand or notice the sensation in one leg is different than the other. Numbness of the face, body or extremities arms and legs is one of the most common symptoms of MS.

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Isolated facial numbness often is descriptive of impairment of sensation of the face as a result of dysfunction of the trigeminal system or central trigeminal pathways. Patients may report unilateral or bilateral facial numbness, paresthesia a spontaneous abnormal sensationor dysesthesia an unpleasant abnormal sensation produced by normal stimuli. There may be associated symptoms of altered sensation of the mucous membranes of the nose, mouth, gums, palate, or teeth.

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Numbness is often accompanied by tingling or a pins-and-needles feeling. It may affect patients across cancer types. This partial or complete lack of sensation may develop in one or more body parts, especially the hands, feet, arms or legs.

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Treatment depends on the type of stroke and how quickly a person seeks care. In some cases a clot buster drug can be used. However, for this drug to work best, it needs to be given within a few hours of when symptoms start.

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Numbness refers to the partial or complete loss of sensation. It can be a symptom of nervous system malfunction. People with numbness may be unable to feel light touch, pain, temperature, or vibration or to know where parts of their body are position sense. When people do not know where parts of their body are, they have problems with balance and coordination.

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If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. Patients may use the word numbness to describe an alteration in sensation ie, paresthesia or sensory lossstrength ie, weaknessor coordination ie, clumsiness. Therefore, the approach to the patient presenting with numbness begins with clarifying what the patient means by the word.

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The patient year-old female had a history of breast cancer. Despite conservative restoration and no caries, the dentist completed endodontic treatment. Following treatment, there was no change in symptoms; the case represents metastasis to the jaw.

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