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Neurological symptoms on n off
I am a 26-year-old male having recurrent episodes of neurological-type symptoms:
• right-sided heaviness/“weakness” feeling (hand and foot more noticeable)
• dizziness/light-headedness
• mild head pressure
There is no objective weakness — I can lift my arm and leg, walk normally, walk on heels/toes, grip objects, and do fine finger movements. Strength and coordination appear normal, but the right side feels achy/heavy.
These episodes do not start suddenly like a stroke and usually last for several hours.
History:
• 2024: similar episode → CT brain normal
• March 2025: severe episode → MRI brain normal
• Symptom-free for months, now symptoms have returned since yesterday
Plz guide why this happens
Answers (17)
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Consult with neurologist
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Tab flexon Mr two times a day after food for five to seven days.
Cap nervz one at night after dinner for 3 weeks.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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Tia symptoms...consult neurologist
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better to consult neurologist
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Based on your description and history, this pattern is very unlikely to be a stroke, brain tumor, MS, or any structural brain disease.
Why this is reassuring:
• CT brain and MRI brain are normal (done during symptomatic periods)
• There is no objective weakness (power, coordination, gait all intact)
• Symptoms are gradual in onset, last hours, and then resolve
• You were symptom-free for months, which strongly argues against progressive neurological disease
The most likely explanations are functional and reversible conditions, such as:
1. Functional Neurological Symptoms (FND / somatic neurological symptoms)
• Real symptoms, but no structural brain damage
• Common in young adults
• Often triggered by stress, health anxiety, or heightened body awareness
• Causes heaviness, side-specific sensations, dizziness, head pressure
2. Migraine variant (acephalgic or vestibular migraine)
• Can cause unilateral heaviness, dizziness, head pressure without severe headache
• MRI remains normal
3. Anxiety-related neuro-sensory symptoms
• Anxiety can selectively amplify sensations on one side of the body
• Causes “weak but not weak” feeling, light-headedness, head pressure
Less likely (but sometimes contributory):
• Cervical muscle tension/posture issues
• Sleep deprivation
• Excess caffeine or screen time
Importantly, stroke-like diseases do not behave this way.
Next Steps
1. No emergency imaging is needed again unless new red-flag symptoms appear.
2. Consult a neurologist (if not already) for:
• Reassurance
• Diagnosis of functional neurological symptoms or migraine variant
3. Address triggers:
• Stress and health anxiety management (very important)
• Regular sleep
4. If anxiety is significant:
• Short-term treatment or CBT can dramatically reduce symptoms
Urgent evaluation is needed ONLY if:
• True weakness develops (dropping objects, dragging leg)
• Slurred speech, facial droop
• Loss of consciousness
• Seizures
(You are NOT describing these)
Health Tips
• Stop repeated self-testing of strength (this reinforces symptoms)
• Avoid Googling neurological diseases
• Gentle exercise and walking help “reset” sensory pathways
• Maintain hydration and regular meals
• Limit caffeine and screen exposure
• Grounding techniques during episodes (slow breathing, body scanning)
What you are experiencing is real but not dangerous. With normal CT and MRI, this is not brain damage, stroke, or a progressive neurological disease. These symptoms are common, reversible, and manageable, especially once the fear around them is reduced.
If you’d like, I can help you:
• Differentiate functional symptoms vs true neurological disease
• Create a clear action plan for future episodes so you don’t panic when they occur
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History points towards vascular problem as neurological fine
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Kindly consult with neurologist personally
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Could be transient ischemic attacks, please consult a neurophysician physically
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Need some more details kindly consult
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These episodes can be due to a variety of reasons including but not limited to conditions like TIAs but can prove to be severe if neglected.
Next Steps
I would highly suggest that you take a thorough approach to comprehensively rule out neurological and cerebrovascular causes.
Health Tips
If the episodes persist for a longer duration and/or are more severe in nature, please contact your nearest emergency ward or casualty ward hospital.
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This can be due to FND (functional neurological deficit),or may be fight or flight response causes low limb blood supply .you need to evaluate properly.please feel free to connect me on practo for further management and evaluation.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Few more details needed for further evaluation. Kindly consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Check hb
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Consult Neurologists
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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