Re: Odd Neurological Symptoms

Posted By CCF Neuro MD on September 14, 1997 at 22:52:55:

In Reply to: Odd Neurological Symptoms posted by M. Hinn on September 10, 1997 at 14:35:48:







: Hi,
About four years ago, I started getting a "flash of light" in my right eye
that would gradually take over the majority of my field of vision in
my right eye. I would get these about 3-4 times a year. My eye doctor told
me that they were called "ocular migraines." About a year ago, these flashes
of light began increasing in frequency, occuring at least once a month.
Other, more alarming symtoms (symptoms) have been occuring with them including numbness
in the right side of my face and right arm, confusion, dizziness, weakness, slurred speec,
inability to say words in their correct order, etc. Sometimes the numbness
occurs without the flash of light in my eye. Needless to say, I am scheduled
for a CT scan with and without imaging this Friday and am more than a little concerned. In addition, my
doctor ordered a full blood work up. I am prepared, as much as anyone can be,
for the fact that there may be a tumor present as they are looking for cranial lesions. But for my own knowledge, what
other things could be present that have symptoms similar to this that may
be occuring instead (Thyroid? Hormonal inbalance? Vascular disorder)?
Any advise that you can share will be greatly appreciated!
Thanks in advance!






  


Hello, M,
  The flashing light symptoms are alarming, especially when accompanied by motor and sensory deficits like what you have been experiencing recently.  "Ocular migraine" is a reasonable consideration, but other more structural lesions should be ruled out first.  Depending on patients age, these can represent tumor, stroke, migraine, and seizures.  Each of these has its own clinical characteristics.  For example, tumors tend to cause headache, seizures, and cranial nerve problems; stroke has its risk factors and serious symptoms; and seizure disorders may have EEG abnormalities.  On the other hand, migrainers usually have a history of periodic unilateral headaches beginning at young age.  To be certain that we are dealing with migraine but not the other more serious neurological conditions, you need to be evaluated by a neurologist as you are planing to do.  If traveling to Cleveland is not a big deal to you, we can offer such evaluation at our stroke center which is one of the biggest in the nation.  Please call toll free [phone] ext. 45559 for an appointment.  Good luck.
   This information is provided for general medical educational purpose only.  Please consult your physician for the diagnostic and treatment options of your specific condition.