Neuro Can't Figure it Out

[encarrasco]

For the last two weeks I have been having short-lived "spells" of stabbing electric-like pain to my left temple, left eye pain and heaviness (my eyes also become yellowish or pinkish and glazed over and they sometimes roll or look jumpy), severe dizziness, blurred vision, left arm and leg pain, left arm and leg tingles and numbness, left sided muscle pain especially in the neck, I become slow and can't get my words out, I can't concentrate, my neck feels like jellow, I've almost passed out during some of the spells, and I loose my appetite if I am hungry during the spell and then I get really hungry afterwards. These spells last from 2 seconds to 1 hour at different times of the day and happen multiple times every day. It has progressed over the last month. It began as just quick dizzy spells happening about once or twice a week and it is now daily several times a day. I have been hospitalized with all tests coming back normal - MRI, MRA, Blood, Vein. I had one borderline test on the EEG, but the Neurologists said he considers it normal. It hasn't stopped, what could this possibly be?

[MG (Admin)]

I had one borderline test on the EEG, but the Neurologists said he considers it normal.

Please send the full report.
What meds have been tried and what is the diagnosis of the neurologist?

Is there any time of day / pattern that tells you when the headache will be?

Has the possibility of cluster headaches or related conditions (TAC) been raised?

You should probably use a headache diary to give a good picture of what is going on.

You may want to try our diagnosis program..please let us know the result.

all the best

[encarrasco]

Legend:
activity = (left) unilateral numbness, tingling, pain
spells = (left) unilateral eye pain, eye discoloration, slurred speech, loss of cordination, numbness, tingling, pain, arm pain, leg pain, loss of leg movement, similar to stroke symptoms, go into "Sleepy Mode"

Since my hospitalization I have noticed that with little movement I feel my best. If I sit at my computer all day and just sit here, I have little activity. But if I move around a lot and clean or walk around I start to have "activity." I have light "activity" to heavy "activity" depending on how physical I get. I am getting to know my triggers that cause me to have full-blown "spells." The triggers are direct exposure to the sun/heat for more than 30 minutes, cleaning for more than 30 minutes, of doing too much all day. I can do too many little things in spurts with lots of breaks in between which will cause me to have a spell at the end of the day before I go to bed. I know right before a spell comes because I have a warning sign. My left arm and leg will begin to hurt pretty painfully right before my head will start to go numb and tingle and then my left eye will change colors and become heavy I go into a sleepy state. I'm not asleep, but into that drunk-like feeling as if I'm so sleepy but not asleep and completely aware of my surroundings.

Here are my EEG Report Findings on 06/2008:

background consists of up to 10 hertz alpha range activity with a posterior predominant rhythm. The record is continuous with good variability and reactivity. Occasional phase reversals are seen in the central temporal regions. These appear more prominent on the right but do not occur on the left. No generalized or burst like abnormalities are seen however. Later parts of the recording show generalized delta with vertex waves and k complexes consistent with early sleep. Hyperventilation is not performed. EKG shows a regular rate and rhythm.

IMPRESSION: This is a Borderline EEG. The presence of Sharp Features with phase reversal could suggest underlying epileptiform abnormality. Asymmetric vertex actvity secondary to drowsiness could have similar appearance. Clinical correlation is advised. Extending EEG should be considered.

Here are my EEG Report Finding on 12/2004:

The background consists of 10 hertz, posterior and symmetric activity. Throughout the tracing, there are generalized bursts of poorly formed, three to four hertz, high amplitude sharp and slow wave activity, which are exacerbated during hyperventilation. The patient exhibited otherwise unremarkable responses to photic stimulation, and did not sleep during the tracing. No other focal or paroxysmal activity was appreciated.

IMPRESSION: Abnormal EEG, due to the presence of multiple bursts of generalized, poorly formed sharp and slow wave activity. These findings are consistent with a primarily generalzied epilepsy.

But after the 2004 report, I will later diagnosed with pseudoseizure. Now the doc isn't so sure that's the correct diagnosis.

[encarrasco]

You may want to try our diagnosis program..please let us know the result. all the best

Here are my results:

There are one or more "red flags" present indicating that urgent evaluation to exclude secondary causes of headache is necessary before considering the possibility of a "primary headache"