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Blackout with headache and feeling nausea. CAT scan clear. Any suggestion?

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Practicing since : 2005
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my daughter aged 23 had a blackout 3 days ago with stiffness eyes open for about 60seconds she was not with us mind wise for hours after this she also had vomiting she still can not walk far with out having to sit down has a a continuous headache in the front of her head and nausues what do you think it is a cat scan came up all clear
thanks XXXXXXX
Posted Mon, 14 Jan 2013 in Brain and Spine
Answered by Dr. Piyush Ostwal 3 hours later
Thanks for the query.
The blackout with stiffness with altered behaviour for prolonged period following that is suggestive of a seizure/convulsion. Apart from the CT scan she also needs to undergo EEG which assesses the electrical activity of the brain. Apart from establishing the diagnosis of seizure, it is also important to evaluate for the cause of it. If CT scan is normal, I would like to further do MRI scan of the brain.
In most of the situations, 1st episode of seizure doesn't warrant long term medications, however if anything is detected in MRI then long term prophylactic medications are recommended.
The headache, nausea, vomiting and fatigue are likely to be part of recovery from the attack.
Hope that answers your query. if there are more questions, I will be happy to answer.
Good luck.
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