Dear Richard:
I am sorry to hear about what your wife has been going through. The good thing is that all of her tests have been normal, but the question is whether all the tests have been done. When they echo'd the heart, did they conclusively conclude that the myopathy has resolved, no vegetations on any of the valves, and holter monitored the heart to make sure there wasn't an arrhythmia that might come and go. Did they do a complete lipid profile (fasting), homocysteine work-up, and maybe a Leden Factor test? What was her blood pressure in the hospital, before the event and after release from the hospital. I ask these things because the etiology of the two events would be useful to know. One would want to prevent a major stroke and to do so, the etiology of the event needs to be treated. What did the MRI with diffuse sequence show? To have symptoms that last for hours is really a small stroke and likely would be shown by the latter neuroimaging.
You mentioned that symptoms have largely gone away, does this mean that there is some symptoms still present? There are only several things that are abrupt and then resolve and also have a neurological focus. These would be stroke, seizures, tics, and migraine headaches. Without knowing more about the symptoms she had during the event, I can't tell you much. I would seek a second opinion from a stroke doctor concerning the etiology of her events. Two events so close together has an etiology and your wife needs to alter whatever the etiology seems to be.
I hope that you find out what the etiology of her events might be.
Sincerely,
CCF Neuro MD
One other additional fact. The numbness in her right leg has actually be reported earler over several weeks and it may have only been coincidental that it recurred at the time of the other symptoms. I'm wondering about possible disk problems.