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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sudden Pain In The Temple And Head, Disorientation, Difficulty In Limb Movements. CT, MRI Reports Normal. Advice?

Hi, i had an episode yesterday while at work. I felt a sharp pain in my head & i felt my left temple & it was sore. I then began to feel disoriented & the people talking to me seemed far away. I would try to speak & could not find the words. Then i could not move/lift my arms or legs. I was taken to ER & test came back normal. I had Cat, MRI , Xray of chest , 3 attempts for spinal were unsuccessful & bloodwork. I am feeling better but very concerned & afraid
Thu, 5 Sep 2013
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Rheumatologist,  's  Response
Hi. I guess you may have had a transient ischemic attack, which means that there was a transient obstruction to blood flow in one of your brain vessels. This condition improves spontaenously, though it may be a sinister sign. It may be a harbinger of a major stroke. So do not ignore it, and please get a cardiac evaluation and doppler of your carotids to make sure there is no source of clots which can migrate to the brain. You may need anti-platelet agents and hypolipidemics for the same. But one should know that such symptoms are usually unilateral, and not bilateral ( which you have not mentioned clearly). If it was bilateral, it is very likely that it was more likely hysterical. Thank you.
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Sudden Pain In The Temple And Head, Disorientation, Difficulty In Limb Movements. CT, MRI Reports Normal. Advice?

Hi. I guess you may have had a transient ischemic attack, which means that there was a transient obstruction to blood flow in one of your brain vessels. This condition improves spontaenously, though it may be a sinister sign. It may be a harbinger of a major stroke. So do not ignore it, and please get a cardiac evaluation and doppler of your carotids to make sure there is no source of clots which can migrate to the brain. You may need anti-platelet agents and hypolipidemics for the same. But one should know that such symptoms are usually unilateral, and not bilateral ( which you have not mentioned clearly). If it was bilateral, it is very likely that it was more likely hysterical. Thank you.