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Neurology (Expert Forum)
Concentration loss-lesions right temporal lobe-small seizures
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Concentration loss-lesions right temporal lobe-small seizures
by gracelyn, Jan 01, 2007 12:00AM
Trying to find answers, I am in my 50's, it is not meno. memory loss and concentration has progressed over 10 yr period. Now past 2 years have started having seizures, Had 4 MRI's found 2 lesions right temporal lobe. No head injuries.Past-sleep disorder lab--OK,spinal tap OK,CRT ok, memory test do better on visual than remembering. Blood test ok.When 42 prescribed hormones thinking that was it, no it was not. Had 2 espisodes of severe bleeding, doc thought fibrod tumors, No it was not.
Had laproscopic nissan surg, for hyiatla hernia.Had D&C, still had hemmorraging, had hysterectomy 1 ovary left Still having memory loss all this time, prescribed Ritalin, adderall to function, klonopin, xanax to sleep, elavil. get the doc to admit me for test, I could not keep making appts, and remembering to write them down, I had to have it all done at once.
Doc hints bi polar, cannot be correct, do not have highs and lows, cannot believe it just started to happen at 42, doc hints at attent. def, I was an accountant, I did multitasking, no way could I have ADD and keep the jobs I had for at least 11 years at each job, of course I changed jobs for better pay and positions. Doc hints at mini strokes.
I have had cardiograms, wore a machine to push a button when a seizure happens, naturally it don;t happen the month I have the machine, had cartiod artery sonogram. OK
Not a diabetic, been healthy my whole life , I hiked in mtns, I was active.
Still taking Ritalin, Lamictal, Klonopin, and estrogen patch and Elavil for sleep, now taking folic acid, seems to help with confusion
Had laproscopic nissan surg, for hyiatla hernia.Had D&C, still had hemmorraging, had hysterectomy 1 ovary left Still having memory loss all this time, prescribed Ritalin, adderall to function, klonopin, xanax to sleep, elavil. get the doc to admit me for test, I could not keep making appts, and remembering to write them down, I had to have it all done at once.
Doc hints bi polar, cannot be correct, do not have highs and lows, cannot believe it just started to happen at 42, doc hints at attent. def, I was an accountant, I did multitasking, no way could I have ADD and keep the jobs I had for at least 11 years at each job, of course I changed jobs for better pay and positions. Doc hints at mini strokes.
I have had cardiograms, wore a machine to push a button when a seizure happens, naturally it don;t happen the month I have the machine, had cartiod artery sonogram. OK
Not a diabetic, been healthy my whole life , I hiked in mtns, I was active.
Still taking Ritalin, Lamictal, Klonopin, and estrogen patch and Elavil for sleep, now taking folic acid, seems to help with confusion
Doctor's Answer
by CCF-Neuro-M.D.-SH, Jan 24, 2007 12:00AM
First of all, keep in mind that I am unable to diagnose you because I am unable to examine you, this forum is for educational purposes.
The symptoms that you describe are consistent with right temporal lobe dysfunction. Your right temporal lobe (the part of your brain behind the right ear functions in memory (with some help also from the left temporal lobe). Specifically the hippocampus is the structure in the temporal lobe that is involved in making memories. When this structure is damaged then people have trouble with short term memory loss and confusion. The temporal lobes often give rise to seizures when damage occurs in this area. Patients with right temporal lobe lesions in particular can have trouble with psychiatric problems (increased religous tendencies, obsessive behavior, pressured speech and just odd behavior in general). The question I have is what has been done to evaluate the '2 lesions' in your right temporal lobe. Many different things can cause lesions in the temporal lobe including tumors, hippocampal sclerosis, vascular malformation, viral infections (encephalitis), etc. It sounds like you may need a biopsy of the right temporal lobe lesions of the nature of these lesions is unclear. Caution should be taken with ritalin as it can make seizures worse. I hope this has been helpful.
The symptoms that you describe are consistent with right temporal lobe dysfunction. Your right temporal lobe (the part of your brain behind the right ear functions in memory (with some help also from the left temporal lobe). Specifically the hippocampus is the structure in the temporal lobe that is involved in making memories. When this structure is damaged then people have trouble with short term memory loss and confusion. The temporal lobes often give rise to seizures when damage occurs in this area. Patients with right temporal lobe lesions in particular can have trouble with psychiatric problems (increased religous tendencies, obsessive behavior, pressured speech and just odd behavior in general). The question I have is what has been done to evaluate the '2 lesions' in your right temporal lobe. Many different things can cause lesions in the temporal lobe including tumors, hippocampal sclerosis, vascular malformation, viral infections (encephalitis), etc. It sounds like you may need a biopsy of the right temporal lobe lesions of the nature of these lesions is unclear. Caution should be taken with ritalin as it can make seizures worse. I hope this has been helpful.
Best wishes,
suett
and vomit. She laid in bed for days getting dizzy if she moved her head she would become dizzy. Two weeks prior to this episode she had a bad cold and her asthma
flared up. She only takes and occasioal ventilin spray treatment. She is a bit overweight but has normal blood pressure yet cholesterol levels are a bit high- she is a big meat eater. After 12 weeks she slowly returned to normal and last week, one year later while driving on very windy roads for four hours she had an attack again. She fell to the left and was again very dizzy and could not stand. Now the hospital seems to think it is a small stroke although nothing shows up on the CAT scan. On a physical exam the physical therapist found very slight weakness on the left side and her tongue - ever so slightly deviates to the right.
I am uncomfotable with the lack of evidence of stroke and wonder why this occured
while driving on a winding road. Could it be an acoustic neuroma or occlusion of the
carotid arteries. Speech and language are perfectly clear. The reoccurence of the symptoms seem very strange and seem vestibular. Any ideas?
I was tested for Lyme was ok
Doc's have not mentioned anything to do about lesions