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424634 tn?1277857528

TIA (?) Confusion

Not really much of a question, more of a statement of confusion.  I don't get it.

I had an incident 7 months ago where I had a gray curtain come down over the left visual field of my left eye.  I was working at my desk, with my head down, and it came from the upper left hand corner down, almost as a shadow of a person walking into my peripheral vision.  As I looked up it went away.  As it was maybe 5 seconds long, I didn't think much of it at the time, other than that it was weird.  Several days later someone suggested it might have been a TIA and I should get checked out.  Long story short, my primary care PA, didn't think anything of it (I don't think she ever consults with the Dr.); said if it happened again maybe I should see an opthalmologist.  My cardiologist seemed to blow it off as well.  So I thought okay, there's nothing to be concerned about.  And, fortunately, there has been nothing, and I'd forgotten all about it until today, when I saw the cardiologist and he asked if I'd seen an opthalmologist (how many months after the fact).  I had, for my own peace of mind.  The opthalmologist said everything looked fine, it could have been nothing, or maybe an ocular migraine.  If it isn't happening, what is there to find, how can he know?  I told the cardio dude this, and he asked if I had the opthalmologist provide a report to my primary, if I had it in writing.  No.  Now, he wants it, is interested in it.  Says he'll see me in a year, get him a report from the opthalmologist.  I don't get it.  Either it's something or it's nothing, and he seems to be covering both bases.  He wants a report, but doesn't feel the need to see me for a year.  How do I read this scenario?  My inclination is to let this go.  I've been fine all this time.  Stress is less in my life.  Chest pains stopped 6 months ago (most likely from the stress, whole nuther story).  My BP is fine.  (From what I can tell, I really don't need the cardiologist anyway.)  I'm fine, and better when I'm focused on living my life and not on the possibility of health problems.  Eat healthy, exercise (which I need to get back to), and get plenty of rest (which I probably don't do).    

Can anyone else make any sense out of this?
3 Responses
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557119 tn?1225275813
Can you tell me a little about vestibular migraine and how it is diagnosed? Thanks.
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424634 tn?1277857528
Thank you for replying and for agreeing with my inclination to let it go.  I will, of course, keep a watch on it.  Enjoy your day!
Helpful - 0
Avatar universal
Hi,

Thanks for writing in.
It could probably have been a minor stroke or an attack of ocular migraine. Have you undergone MRI of brain?
I would suggest you to let this go as confusing as it may sound and make sure you make the required lifestyle changes as in eating healthy, exercise and rest.
If you keep all your stroke risk factors under control there is little chance you will get it again. However since it could be migraine also just keep a watch on it, if it recurs get a complete neurological exam done. Take care!
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