Numbness in hand, 3 fingers, difficulty in holding or grasping things. History of stroke. Suggestions?
Patient: Im a 46yr old male ,history of heart problem, on warfarin 9ml an also taking inhibace plus 5mg+12.5mg, metoprolol succinate 23.75mg, also having inr test my last test result was 2.8 but i have not had one for the past 3mths . my problem is that i have numbness in my left hand but only in the index ,fourth an little fingers, having also had a stroke about 8yrs ago,finding it hard to hold on to or grab hold of things properly Doctor: Hi,  Thank you for posting your query.  Isolated numbness of the hand fingers may be due to a peripheral nerve problem of the hand, usually caused by the mechanical compression of the hand nerve, such as while sleeping.  As of now, it does not look like stroke. However, if the numbness spreads to involve forearm, arm and face, it could suggest a new stroke.  Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist