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TIA vs seizure
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TIA vs seizure

Hi- I am 22 years old, and back in June I had an episode that my doctor calls an alteration of awareness. I felt disconnected, dizzy, had a headache, loss of coordination, and weakness (all over). I also had trouble putting words together to answer questions- it took me 30-60 sec to answer simple one word questions.I went to the ER and was given IV fluid, and sent home. I slept for several hours and was fine. I had an array of tests (over 2 weeks that followed)including an MRI, CT (head), and two EEG's. The EEG's were both abnormal, showing slow transients and sharp waves, but no spike-wave pattern. I also have neuro-cardigenic syncope, but take atenolol for this. My doctor witnessed the "event" and did not think it looked like a faint. I saw a neuro, and he was perplexed .I wonder if I didn't have a TIA. I don't think anyone considered this. How likely was it that this was a TIA vs a seizure? I am afraid that something is going to happen again, and that it could be worse. What is the liklihood of this happening again?
Thanks so much
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It would be unusual, but not impossible that it could have been a TIA. When young people have strokes it is typically due to an abnormality of the clotting system, an inflammatory disorder, clood vessel disorder, or a abnormality in the heart. Given that the doctors found sharp waves on your EEG it is more likely that this event was a seizure. Sharp waves are abnormal electrical dischrges that indicate the predisposition for seizures. I am unable to predict when and if this may happen again. What I would recommend is seeing an epilepsy doctor at an academic center, we have a great department if you are in the area, who can help sort out this problem. Good luck
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