Brief Answer:
And your question is?

Detailed Answer:
Good afternoon. I've read your introductory comments but I do not find a particular question that I can key in on as a NEUROLOGIST from XXXXXXX OHIO...not that far from where you live apparently as I see from the map.....We are particularly around the corner of the LAKE so to speak! LOL.

I understand that that recently you were sitting speaking to your sister and you recall your head turning sideways but then, you "blacked out." You recall awakening to the presence taking care of you in your house and then, were taken to the hospital. You had tests performed, were admitted overnight, and returned home. You have been ordered not to drive for 6 months. You were seen by a cardiologist and are having a heart monitor.

A NON-neurology physician believes you suffered a seizure but not a GRAND MAL type. Your appointment with neurology in several weeks.

What I can tell you is what I would do for you as a neurologist if you were to visit me and that is to get a much more solid history from your daughter and sister exactly how things evolved while you were speaking. This could help us determine right from the outset the CHANCE that this was a cardiac, cardiovascular, cerebrovascular, or epileptic issue. I would order copies of the lab and other diagnostic studies that may have been performed on you in the hospital such as blood, urine, imaging studies of the head, EEG's, EKG's, blood pressures, and then, of course, how well you did while in the hospital. In other words, did you seem confused, disoriented, or otherwise, "out of it" until the next day that you were discharged. Or did you pretty quickly regain your wherewithal from the outset when picked up by EMT's/paramedics and taken to the hospital.

I would ask to see the medication list and especially what they placed you on for the next few weeks before seeing the neurologist. I would order the medical reports to see what type of SEIZURE the doctor felt you had if not GRAND MAL.

Possible types would be COMPLEX PARTIAL, NONEPILEPTIFORM or DISSOCIATIVE, and then, there is something referred to as a VASOVAGAL event where people may pass out and even have shaking movements or convulsive looking movements but not really be initiated or originated from the brain.

I would then, make a decision as to what sort of additional NEUROLOGICAL TESTING needed to be done in terms of imaging studies of the brain, additional EEG's and types of EEG's, and possible more blood work, autonomic function testing, etc.

I would retain the driving restriction for the time being until the workup was complete and then, decide whether or not it would acceptable to remove the restriction or leave it intact.

Finally, I would instruct you and your daughter in how an EPILEPSY DIARY should be kept and what to look for that could signal the presence or onset of another event and to have you bring that document in to our next appointment for review and analysis.

If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating? Again, many thanks for submitting your inquiry and please let me know how things turn out.

Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 28 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.

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