Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: June 18, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Differential Diagnosis for Tingling on Both Sides Suggestive of Stroke

Single Most Likely Diagnosis

  • Bilateral Stroke or Cerebrovascular Accident: This is the most direct explanation for tingling on both sides of the body in the context of a stroke. Strokes can cause a variety of sensory symptoms, including tingling, depending on the area of the brain affected.

Other Likely Diagnoses

  • Multiple Sclerosis (MS): MS is an autoimmune disease that affects the brain and spinal cord, leading to a wide range of neurological symptoms, including tingling or numbness in various parts of the body. While not typically described as a stroke, MS can mimic stroke-like symptoms.
  • Migraine with Aura: Some migraines are preceded by an aura, which can include neurological symptoms such as tingling or numbness on one or both sides of the body. Although migraines are not strokes, they can sometimes be confused with them.
  • Transient Ischemic Attack (TIA): Often referred to as a "mini-stroke," TIAs are temporary periods of symptoms similar to those of a stroke. A TIA doesn't cause permanent damage, but it's a warning sign of a future stroke.

Do Not Miss Diagnoses

  • Spinal Cord Infarction: This is a serious condition where the blood supply to the spinal cord is interrupted, leading to damage or destruction of spinal cord tissue. Symptoms can include sudden loss of sensation, including tingling, below the level of the infarction.
  • Subarachnoid Hemorrhage: Bleeding into the space surrounding the brain can cause sudden, severe symptoms, including tingling or numbness, especially if the bleed affects areas responsible for sensory perception.
  • Cervical Spine Injury or Disease: Conditions affecting the cervical spine, such as a herniated disk or spinal stenosis, can compress nerves or the spinal cord, leading to tingling or numbness in the arms or legs.

Rare Diagnoses

  • Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-like Episodes (MELAS): A rare mitochondrial disorder that can cause stroke-like episodes, among other symptoms. These episodes can include tingling or numbness.
  • Susac Syndrome: A rare condition characterized by small vessel vasculopathy that can lead to stroke-like symptoms, including tingling or numbness, due to the involvement of the brain and retina.
  • Central Nervous System Vasculitis: Inflammation of the blood vessels in the brain and spinal cord can lead to a variety of neurological symptoms, including stroke-like symptoms such as tingling or numbness.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.