Aa
Diagnosis?
I’ll try to make this as short and concise as I can:
April 7th:
Husband was brought to the ER with a suspected TIA (sudden blurred spotty vision, weakness (bilaterally), slurred speech). They did blood work and a CT scan (which was normal) in the ER and released him with a referral to the Stroke Clinic.
April 8th
I took him back to the ER because he experience sudden (15-30 second) weakness in one hand and had an ongoing feeling of motion / slow vision like he was “on a boat”. That day they did a CT Angio which was normal and the ER doctor released him stating that they would see him in the stroke clinic. In the weeks that followed he has had a multitude of tests (echocardiogram, MRI, blood work, holter, etc) all with normal result.
Symptoms April 7th until April 24th:
Constant feeling that he can only equate to feeling like he is on a rocking boat. Not dizzy and no trouble with balance or any of the neurological exam tests. Eye focus delayed when moving head. Unable to function normally including not being able to drive or work (computer programmer) and also extremely fatigued.
April 25th until now:
Still slightly light headed and mildly has the “on a boat" feeling. Trouble focusing when reading computer screen or moving head. Open spaces with florescent lights seem to make symptoms worse. He is able to function but is still not feeling "normal". Also feels that his vision in his right eye seems worse then before (he wears glasses).
Neurologist said he isn’t sure why he’s having the continued symptoms but that it could have been a TIA or possibly a virus. ENT said he doesn't believe it's his ears etc and his hearing tests were normal.
Thanks.
April 7th:
Husband was brought to the ER with a suspected TIA (sudden blurred spotty vision, weakness (bilaterally), slurred speech). They did blood work and a CT scan (which was normal) in the ER and released him with a referral to the Stroke Clinic.
April 8th
I took him back to the ER because he experience sudden (15-30 second) weakness in one hand and had an ongoing feeling of motion / slow vision like he was “on a boat”. That day they did a CT Angio which was normal and the ER doctor released him stating that they would see him in the stroke clinic. In the weeks that followed he has had a multitude of tests (echocardiogram, MRI, blood work, holter, etc) all with normal result.
Symptoms April 7th until April 24th:
Constant feeling that he can only equate to feeling like he is on a rocking boat. Not dizzy and no trouble with balance or any of the neurological exam tests. Eye focus delayed when moving head. Unable to function normally including not being able to drive or work (computer programmer) and also extremely fatigued.
April 25th until now:
Still slightly light headed and mildly has the “on a boat" feeling. Trouble focusing when reading computer screen or moving head. Open spaces with florescent lights seem to make symptoms worse. He is able to function but is still not feeling "normal". Also feels that his vision in his right eye seems worse then before (he wears glasses).
Neurologist said he isn’t sure why he’s having the continued symptoms but that it could have been a TIA or possibly a virus. ENT said he doesn't believe it's his ears etc and his hearing tests were normal.
Thanks.
The other question is why is he having CT scans, which involve massive doses of radiation, when an MRI and an MRA would provide superior information with no risk at all.
On day one he should have had an angiogram, preferably an MRA, rather than a CT. You mention he had an MRI in the stroke clinic, which is a different animal.
Try having him wear polarized lens glasses, which will help him around the flourescent lights.
On day one he should have had an angiogram, preferably an MRA, rather than a CT. You mention he had an MRI in the stroke clinic, which is a different animal.
Try having him wear polarized lens glasses, which will help him around the flourescent lights.
Thank you so much for your reply, he is going to the doctor this morning so we printed this to bring with us! Much appreciated.
MEDICAL PROFESSIONAL
Hi
Welcome to the MedHelp forum!
If extensive investigations have been done in the field of neurology and ENT, then the focus should be on liver and kidney examination. Encephalopathy or brain involvement due to these can cause neurological symptoms. Compression of upper cervical spinal nerves can be another cause. It can also be due to benign intracranial hypertension with no headaches. Spinal test is both diagnostic and curative. Please discuss these possibilities with his treating doctor. Take care!
Welcome to the MedHelp forum!
If extensive investigations have been done in the field of neurology and ENT, then the focus should be on liver and kidney examination. Encephalopathy or brain involvement due to these can cause neurological symptoms. Compression of upper cervical spinal nerves can be another cause. It can also be due to benign intracranial hypertension with no headaches. Spinal test is both diagnostic and curative. Please discuss these possibilities with his treating doctor. Take care!
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