The Clinical Problem Solvers cover image

The Clinical Problem Solvers

Episode 339: Neurology VMR – left facial numbness for 5 days

Jun 8, 2024
Dr. Aaron Berkowitz, a neurologist, joins the discussion on left facial numbness in a young woman. The hosts explore the differential diagnosis of conditions like multiple sclerosis and trigeminal neuropathy. They discuss the importance of understanding subjective descriptions, conducting a thorough neurological examination, and differentiating between central and peripheral nystagmus patterns. The podcast also covers the use of MRI imaging in identifying lesions and tumors like vestibular schwannoma, as well as treatment options for benign tumors causing facial numbness.
44:10

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • Consider subacute onset for non-vascular causes like Bell's Palsy.
  • Localized mass causing cranial nerve symptoms requires surgical intervention.

Deep dives

Summary of the Patient's Presentation

A 32-year-old female presents with left facial numbness for five days. During the discussion, subacute onset is noted, ruling out an immediate vascular cause. Differential diagnoses include Bell's Palsy triggered by an infection, migraines, and episodes of multiple sclerosis. Consideration is given to trigeminal neuralgia and peripheral neuropathy. Detailed examination reveals lower motor neuron facial palsy, reduced sensation, and left hearing loss.

Get the Snipd
podcast app

Unlock the knowledge in podcasts with the podcast player of the future.
App store bannerPlay store banner

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode

Save any
moment

Hear something you like? Tap your headphones to save it with AI-generated key takeaways

Share
& Export

Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode