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Tingling in the Face

  • Ondrej Dolezal

摘要

A 65-year-old woman was walking in the street when she experienced the onset of tingling sensations on the left side of her face, which she described as a pins and needles feeling. She also felt dizzy. Upon returning home, her symptoms resolved within 1 h. Two days later, she experienced the same symptoms again, but this time she also felt that her left side of the face was being pulled outwards. She compared this sensation to the feeling she had after receiving local anesthesia at the dentist. Additionally, she had difficulty properly sensing the application of lipstick. A day later, she noticed abnormal sensations and tingling in her left hand when holding objects. Due to these symptoms, she was admitted to the Accident and Emergency (A&E) Department at the hospital. However, by the time of admission, the positive sensory symptoms had subsided. The patient had a history of monthly migraines with visual aura, characterized by kaleidoscope-like and fortification-like patterns. Upon further questioning, she revealed experiencing very similar symptoms in her right-sided extremities approximately 6 months ago.