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Warning-sign checks

Cranial mononeuropathy III: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency medical assessment for a new or sudden drooping eyelid, abnormal eye position, double vision, or enlarged pupil.

    A serious blood-vessel or brain problem cannot be excluded safely at home.

    Call emergency services if symptoms occur with:

    • A sudden severe headache
    • Neck stiffness, vomiting, or collapse
    • Weakness or numbness on one side
    • Trouble speaking, walking, or staying awake
    • New confusion or a seizure
    • Recent significant head injury
    • Sudden loss of vision

    And for anyone, someone who:

    • has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    People over 50 should seek urgent same-day care for new double vision or eyelid drooping with a new headache, scalp tenderness, jaw pain while chewing, fever, unexplained weight loss, or any loss of vision.

    These may indicate giant cell arteritis.

    After urgent causes have been assessed, attend planned follow-up.

    Contact your healthcare team sooner if symptoms worsen, the pupil becomes larger, new pain develops, another neurological symptom appears, or recovery does not follow the expected pattern.

    And for anyone, someone who:

    • has a new severe headache unlike any they have had before

Every sign above is quoted from the sofidex article on Cranial mononeuropathy III. If you are not sure, err upward — it is always reasonable to be checked.