car accident

in august 2005, i collapsed at work and was taken to the hospital,  no ct/mri was performed, and it was attributed to exhaustion/dehydration.   i had been experiencing headaches, numbness, etc for about a year before the collapse.  in nov of the same year, i was involved in a single vehicle accident..  no serious injury, slight whiplash, muscle pain.  however, in the weeks that followed i began to experience what could be best described as 'psychotic incidents, paranoia, rage, and exhaustion.   i began consuming alcohol in binge cycles, and found i was breaking away from y family and friends.  in june 2006, i again collapsed at work, however this time remained unconscious for several minutes,and upon awakening was disoriented, could not remember simple facts about myself, and had trouble speaking.  this passed after about an hour, and they performed a ct scan.  it was revealed that they saw 'something' and that evening performed an mri which revealed a left temporal lobe cavernous angioma, somewhere in the area of 1 cm in size.   could blood vessles in the area have begun weakening in the summer, and been affected by the accident,  or, are they just coincidental incidents.   i am on clobazam 10 mg and tegretol 800 mg daily, and have been seizure free since oct of last year.  

[Godofredo MD]

Hi.

The cavernous angioma is unlikely to be related to your car accident as they are often congenital in origin.

Cavernous angiomas generally do not produce significant symptoms in persons affected and most can simply be followed up over time. However, some cavernous angiomas can cause symptoms of seizures, headaches and other neurological deficits, and have a risk of bleeding. When the lesions are significant enough to cause severe symptoms, surgical treatment can be contemplated. The decision for surgery would depend on the location of the lesion and the patient's existing comorbidities. In some cases, however, surgery is not the best option.

You should talk to your neurologist about this.

Good luck.