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A 37-year-old female asked:

Double vision/numb right side of face. ct & blood at er were normal, dxd as migraine. right arm tingly, extremely dizzy, nauseous. moderate headache around eye/temple same side. it has been ~36 hrs. migraine or see a neuro?

2 doctor answers2 doctors weighed in
Dr. Carol Van der Harst
Physical Medicine and Rehabilitation 37 years experience
Double vision is not typical in migraine, and 36 hours of nausea not responding to your medication needs review. You need assistance to return to medical care, and opthalmologist evaluation may be the next step in diagnosis and treatment. Get going.
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Dr. Bennett Machanic
Neurology 54 years experience
Several areas of concern, such as double vision, persistent right sided focality over 36 hrs., and possibly progressive problems. A CAT scan will miss small aneurysms, new strokes, and arterial dissections. Certainly is not exclusionary for an arteritis or other vascular syndromes. A neurologist may well be imperative here, and you might return to ER if problems are persisting or worsening.
Created for people with ongoing healthcare needs but benefits everyone.

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Last updated Oct 13, 2021

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