Example of an Abbreviated Timeline

This is an example of a shortened timeline that I helped one of our members with.  In it's proper form it had the dates and months in bold and was indented like an outline.

TIMELINE OF NEUROLOGICAL SYMPTOMS

2002 - Vertigo after childbirth.  Lasted several weeks .


2005 - Age 41 - episode of "aura without headache" (feeling of doom) followed by several hours of myoclonic jerking.  Dx - Complex Migraine.  No headache, first ever migraine episode.  Since has occasional migraine associated with fatigue and stress.


2005 - Separate episode of paresthesia in R foot –> complete numbness which resolved over weeks.


2006 - 24 hour episode of slurred speech and ataxic gait.  No headache.


2007

March - Sudden onset diffuse weakness and fatigue.   Needed stool to sit to dry my hair  after showering.  Work up (??) Normal

Fatigue and weakness continued and slowly worsened


May - Warm weather - legs fatigued and gave out walking to watch my son’s baseball game.    

3 Days later - Acute episode unable to walk.  Weakness began in feet and rose to hips.  Seen in ER.  Suspicion of Tranverse myelitis.  Worst part lasted just over 24 hours.  Associated with numbness that rose to chest level.  Tremor R hand (?essential)


MRIs were normal - impression was possible Conversion Disorder - On my own I sought psychiatric eval and assessment was True Neurologic Dysfunction (and that I needed a new doctor)

Numbness slowly resolved, but shuffling gait persisted for weeks.

August - New Neurologist - Neuro exam abnormal, diffuse pathologic hyperreflexia, and  Positive Babinski, weakness in lower extremities L>R.  Work up PET scan and neuropsych.   Assessment - (??) Chronic Fatigue Syndrome.  Referred to Rheumatologist and had full evaluation.  Dx - CFS with Growth Hormone Deficiency (??)

Rest of 2007 no acute episodes, but ongoing fatigue and intermittent weakness of legs L>R


2008

May - Sudden inability to lift either leg while at work.  Admitted to hospital.  Bells Palsy,  weakness and hyperreflexia in legs.  MRIs head - normal.  LP - mildly elevated protein, no O-Bands.  Hospitalists’ impression - MS.  Neurologist "Hemiplegic Migraine" (tho weakness was a paraparesis.  Treated with IV steroids and was able to walk assisted in approx. 3 days.  Difficulty walking for several weeks.

MRV, MRA - normal


2008

September - Gradual onset of leg weakness, L>R with some numbness.  Worsened over  several days.  Neuro’s impression - looks like MS, but cannot entertain that with negative MRIs and LP.  Agreed that Migraine diagnosis not appropriate.  Treated with oral steroids with some improvement.  Exam LE weakness L>R, LE hyperreflexia, L face drooping.

Blood work for coagulopathy - normal

November - Acute foot drop R ankle, increased weakness in right leg (this is new) Saw colleague of her neurologist - who brought up MS several times.  Due to see my own neurologist in December.

**************************

Extra words have been cut out.  Just basic medical facts offered.  If the doc is interested, he will ask more questions for more info.

I will try to write the description of all this tomorrow.  It is NOT yet a Health Page.

Quix

[ambrosiawind]

thanks quix

[Wobbly]

Hi there, do you think this would be helpful on the Health Pages..??  it looks so good.

wobbly
undx

[doni54]

bump...................