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Dr. Andrew Rynne

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Exp 50 years

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What causes rapid heart rate, excessive sweating and breathing difficulty?

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Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 3185 Questions

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Posted on Wed, 8 Mar 2017 in Brain and Spine
Question: hello

dear dr

iam a dentist
so you can explain to me in the way that you like

first

feb.2016

i was going to sleep, then i get up after 30 min, i couldnt sleep. rapid heart rate. little sweat.i was nervous start to walk at home . then i couldnt breath well. i fall down hit the floor with my head. get up after 1 minute.. i went to hospital, i thought it was aheart attack, i did all tests, every thing was normal.

after that i start to do more test
heart stress test
heart echo
all was good

i did then a brain ct scan.. dr said u have. there is little sign of prominant temporal lobe at temporal horn and he asked for mri

i didnt do it that time,
then .. i feel normally

till

october 2016

after 8 months

same thing happened

i got up ,, feeling like am.dying or my soul is going out, fast heart rate, little spasm at my left hand, no chest pain , shaking i called 777 its like 911 in us.
they came and they took me to hospital
they did all test
heart ecg .. normal
bleed tests
normal

no signs for stroke
i went home

next day it happened the same time . 3 am
again called 777 pulse temp suger all normal


i did ear throat test normal
nose test normal

i start to go for a dr he asked for more tests kidney liver etc etc all was normal.

he told me its a panic attack u should control it .

i did

but it happened again but this time i controlled it
i didnt call ambulance but next day there was a headache and i was so tired .

so decided to do the MRI
i did it
few days ago
the result at the attachment
but note that i dont have any signs of seizure

it happened again with me yesterday , the issue is im feeling tired and upset i want to know whats happenening with me

im controlling this , but its hard,

i have no pressure and im not diabetic

thank you

thank you
doctor
Answered by Dr. Erion Spaho 23 minutes later
Brief Answer:
Seizures need to be excluded first.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

In my opinion, two conditions should be considered in your case:

1. Temporal lobe partial seizures

2. Stress and panic disorder.

The former should be addressed with further examinations such normal EEG, sleep study and video EEG.

Symptoms you describe actually may be related to temporal seizures ( partial ) even that there is no limb(s) jerking etc.

If seizures will be excluded after such examinations, panic disorder remains the most likely diagnosis and you should discuss with a Psychologist about such issue.

Hope you found the answer helpful.

Let me know if I can assist you further.

Kind regards.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Erion Spaho 17 minutes later
Thanks dr

I did once normal eeg .. It was normal
But i dis it only once

My question is : is this a pre seizure aura !
I mean this can be upgraded to seizure ?

From the attachment MRI is that normal ?!
About hippocampus is it normal to have this !

I can upload to you the next week the picture of that MRI

Thank you dr for your help

Waiting your answer
doctor
Answered by Dr. Erion Spaho 6 hours later
Brief Answer:
It could be aura.

Detailed Answer:
Welcome back.

Yes, it can be aura that may manifest with symptoms similar to yours.

Hippocampal atrophy is a relatively common finding in MRI imaging studies of the people suffering from temporal lobe seizures, so, it is not a normal finding.

I think video EEG, or EEG performed during these attacks should reveal the true nature of your condition.

Awaiting for images of MRI to be uploaded.

Hope I helped you.

Wishing you good health.
Above answer was peer-reviewed by : Dr. Raju A.T
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