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iliketea

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Hi everyone,

I'll start by saying straight away that I have not been diagnosed with epilepsy. The situation, in brief, is that I suffered quite a blow to my head at work in March and since then, I've suffered what I call 'episodes'. I've had lots of strange things and feelings happen, but the height of it all is when I start twitching on one side of my body while still conscious.

My GP is very supportive, and I've seen a neurologist. I've had an EEG but have not yet had an appointment to see the neurologist to discuss it. He started his annual leave just before I had the EEG so he probably won't be around to see the results until September which is when he said he'd be back in work and would want to see me anyway.

I don't know what's going on, other than that the GP and neurologist both suspect partial seizures, but the neurologist said that not everything I've described seems to fit, so he wanted to start with an EEG and go from there.

Whatever it is, it's turned my life upside-down. I have a wife and 1 year old son, and it's taking its toll on us all. I've been signed-off work since the accident as the GP says I cannot do my job safely (electrician) while this is ongoing, not to mention the fact that I don't think I could handle what's happening going on at work and in front of other people.

I'm here because, although it hasn't been diagnosed and I'm not here to speculate or seek diagnosis from others, I wanted to see if other people have any familiarity with other things I'm suffering apart from the twitching episodes. No one's been able to tell me why these things are happening, and if anything, the neurologist seemed to think they were odd and I gather part of the reason why he wasn't convinced I'm suffered partial seizures.

Sometimes it feels as if I'm going mad, because things are happening to me that I've never encountered before and don't have any control over. I'm also starting to become very worried about the future, because although my workplace is still paying me at the moment, that isn't going to happen forever. I've got no one to talk to because the GP doesn't know much about it, and appointments to see the neurologist seem to take forever to come.

If it's acceptable to discuss some of the things I've had happen, on the basis it isn't diagnosed and I'm not seeking 'internet diagnosis', then a pointer to where to post a more detailed account of everything would be appreciated.

Thanks and I look forward to getting to know some of you, and hopefully discovering I'm not mad even if I don't fit textbook definitions of things.
 
Hi iliketea, welcome to CWE!

You are very welcome to post your questions about your symptoms, regardless of whether or not you've been officially diagnosed with epilepsy. CWE members collectively have a wealth of experience, anecdotal advice, empathy and support to offer, and you should feel free to take advantage -- as well as offer your own insights and information.

You can post in The Kitchen forum, or add to this thread here if you'd prefer.

Best,
Nakamova
 
Thank you Nakamova, I suppose it's easier to carry on with this thread. I meant to reply a while ago, but didn't get around to it. Feel free to skip parts if it's too long. The main questions are in the LATELY bit so people can skip easily to it:

BACKGROUND: I suffered a blow to the top of my head from a falling vehicle container box lid made of steel. It was a very hard blow, but didn't knock me unconscious. Straight after, I felt a strange pressure around my nose, kind of like the bridge area was being squeezed, and shortly after I realised that I felt a little disconnected from my surroundings, as though things were slightly surreal. My mind just felt strange overall.

The strange feeling continued that evening, and the following day I awoke still feeling 'odd' so didn't go into work. By early afternoon I was feeling more disorientated and disconnected from things around me, almost like being slightly drunk but not the same, so I telephoned the NHS Direct service here in the UK for advice. They told me to get to A&E at the local hospital. While waiting at A&E something strange happened: I was talking to my wife sat next to me, when my mind went funny, I felt a 'strumming' in my mind like a plucked guitar string vibrating, and my vision went a little odd and I couldn't think. Then it eased off and I said to my wife that I'd just had a strange experience.

Minutes later the doctor finally saw us and I told her about what had just happened. She seemed tired and uninterested, but what got me was that I told the doctor the experience in the waiting room lasted only 3 seconds to me, but my wife said it was at least 30 seconds and she was trying not to panic, and didn't tell me before because she assumed I'd known. Apparently I was just staring at the wall and unresponsive. The doctor gave no remark and when I directly asked about it, she said 'it might happen again' but nothing more. She prescribed me Ibruprofen for any headaches and got rid of me.

Following day I felt ok until late afternoon when I suddenly felt pressure around the bridge of my nose area, a pressure feeling in my head, and detached from reality somewhat but all worse than before. Managed to get an appointment with the GP (family doctor) for that evening, who was so worried by how I was blinking too much and too heavily, and the way I seemed distant and kept going blank when talking to her (my mind just went blank here and there and I couldn't think of what I was saying or was going to say and generally felt slow and not with it) that she told me to go straight to A&E again, and that she'd ring them and insist I have a CT scan.

We had to return home first to drop our then 6-month old off at the mother-in-law's, but while at home, the way I was in the GP's surgery worsened, and all of a sudden my head felt even stranger, the pressure around the bridge of my nose increased and my eyes started producing tears (I don't like calling it crying because there was no emotion behind it) and the right side of my body started twitching like mad, and when I tried to speak to my wife, I kept stuttering and getting caught on sounds, and it felt like there was a blockage between my brain and mouth and I just couldn't get my mouth to say what I was thinking. It scared my wife so much that she called an ambulance, so I ended up at A&E via that.

Back at A&E the doctor said I was probably panicking and my throat constricted making it hard to talk and shaking was panic attack, and said they'd keep me overnight and check my blood pressure all night to see if it showed I had a bleed in the brain. BP was fine all night. In the morning, another doctor came to see me. I told her everything written above, and she said that she was unfamiliar with what I was describing but would get me a CT scan to ensure I didn't have a very slow bleed. CT scan came back clear, so she told me that the brain works in mysterious ways and I might just be suffering odd side-effects to concussion and to go to my GP if things worsened.

MORE RECENTLY: Since then the same things have been happening, with some variations and occasionally new things. I've had episodes of twitching on one side that vary from very mild with maybe only my head jerking slightly to the side and my abdomen twitching and jerking me forward, to my entire body down that one side twitching quite violently. The twitching is only one small part of it, though. I have random episodes of feeling excessively tired, of feeling 'spaced out' and having trouble thinking and concentrating. My memory seems poor, and in the past few months I've had moments of feeling like I'm burning up inside (so hot that I've had to get in front of a fan) suddenly start, and minutes later suddenly stop. Quite often that happens shortly before I twitch a bit.

These things and others I'll mention might happen for a few weeks and then stop for weeks and come back again. Same with the twitching; at one point I thought it was all gone and I was back to normal, because I had weeks of feeling good apart from some short-lived very slight feelings of detachment, giddiness, etc., but then it came back with a vengeance with the worse bout of twitching I'd ever had.

Since that really bad one, I haven't had much time at all feeling 'normal'. I've had lots more twitching, from mild to quite bad, but more than that it's the other stuff I've experienced more often, and sometimes without relief for days: the feeling strange, feeling like my head is pressurised internally, or being squeezed, feeling giddy and my balance being slightly poor here and there, usually when my head starts to feel more odd and congested.

I had a scary moment a few weeks ago where I started to slow down. I've had that before, usually before twitching, but this one was more pronounced. Felt myself slowing down mentally and physically and when I got up to walk outside, I got halfway to the door and then my head felt very strange and I felt really disorientated and giddy, and then I had trouble moving my right leg, and I watched as I tried to move my leg forward and it went really slowly, with the sole of my shoe scuffing the ground, it was the strangest experience. I felt very unstable on my legs (had this before too) as though I was going to fall down (legs feeling weak, shaky and my balance feeling like it's in trouble). I felt so giddy and odd that I grabbed the doorframe and sat down. Shortly after I started twitching all down that side again. Afterwards I felt a bit better, but not as good as I used to feel after twitching; it used to feel like it had 'cleared the air' inside my head, much as a thunderstorm clears the air. Now it doesn't seem to make me feel quite so much better.

LATELY: Last week has been bad. I've had headaches suddenly come on that are really bad, and just as quickly disappear. If I have twitching after hours or days of these headaches, it usually removes the headache completely. The last one started suddenly one evening and during the night I awoke every hour or so, in immense pain, I couldn't move it was so bad. It carried on into the next day. Then I had some mild twitching, and straight afterwards the headache eased off. I still have it now as it keeps seeming to go and then come back, but now it's mild in the background.

Last night I had the extreme pressure on my nose, but nothing more happened, other than feeling a little out of it for a while. Today I've just had a couple of very short-lived odd moments where my mind has gone a bit blank and I've found my movements a little slow and considered, and then within seconds I've felt better again.

Another thing that I have from time to time is the sudden onset of the blackest mood I've ever experienced. A malignant mood is a good way of describing it, put forward by my dad after he experienced 2 days of me in this mood just before the terrible headache set in last week. I can't fight it or control it, but I become moody and not very pleasant, arguing with my wife and not wanting to speak to anyone. Then it just suddenly lifts and I'm left with the guilt of being so horrible and not understanding why. Even in my teenage years I didn't have moods quite so dark. Thankfully they seem rare, only had them about 3 or 4 times since the injury, but it's another odd thing happening.

My appointment for my EEG results is for the 28th of this month. But my wife, worried by how things have slowly been getting worse and more frequent, emailed the neurologist just to see what he thought about things getting worse. His reply has knocked us a bit, and we don't know what to think now. He said that he'll go into things more fully at the appointment, but that my EEG was clear despite the fact that the strobe, on the third flashing fequency, started a very bad episode where my entire right side twitched violently, with my arm and leg bouncing about off the chair I was lying in, and my eyes streaming tears (it's an odd feeling, I feel a pressure build behind my eyes and then it gets closer to my eyes and I feel them squint up against my will and tears start coming out - it's almost like what onions do to you when cutting them).

It was recorded with a video camera too. He said that since the EEG didn't show anything despite what he described as 4-minutes of twitching on the video, he was going to suggest I see the neuropsychologist. The GP had mentioned that if they found no physical cause for what's happening to me, they'd assume it was psychological. I don't know what to think of that.

It'll be the 2nd time I've seen the neurologist when I go to formally hear the results and be told what's next. Anyway, I don't know what to think now. My wife isn't convinced it's psychological, and I just don't know what to think. All I know is it's affected our lives in a big way. I'm not allowed to drive for the timebeing, go up ladders or do much of what I used to. I want answers and for this to stop and go away, but I had my hopes pinned on the EEG showing something so I could finally get right. But it hasn't.

Is it likely all the things I've mentioned are psychological? Can it happen that EEGs are clear but there is a problem, in which case how do doctors ever find out so they can put it right?

I'll do as they say and see the neuropsychologist, but it's worrying me that things are just carrying on and all this takes so much time. It'll be months until I see the neuropsychologist, as it has been to see anyone. In the meantime I've got to hope the company carries on paying me my salary. I'm tired of all of it. I don't understand what's happened to me, and now I'm afraid I'll never know.

More than anything, I just wanted to know if the madness that has become my life, with such a variety of strange feelings, actions and experiences are as crazy as they seem to me, or if other people have had anything similar. The first neurologist looked at me like I was mad when I described the strange feelings in my head, the detachment from my surroundings and how I can suddenly feel like my legs are going to give way, or I'm just going to 'stop being able to stand up'. I can't describe these odd feelings any better, and that doesn't help.

Sorry this post is so long.
 
While it's possible that your symptoms are psychological in origin, it seems unlikely to me given that you had a precipitating head trauma. Unless you have a history of PTSD, a neurological explanation (in my non-medical opinion) just makes more sense.

It's actually not that unusual for EEGs to produce false negatives, and certain kinds of seizures originate too deep in the brain to register. In those situations, neurologists will use the clinical evidence -- i.e. your actual symptoms -- to make the diagnosis, and will treat accordingly. Treatment usually consists of an AED, and if the meds helps control the symptoms, then that tends to confirm the diagnosis.

Is your neurologist an epileptologist (an epilepsy specialist)? If not, is there a way you can see one, or at least get a second opinion? Have you had an MRI/MRA? Those are considered more accurate for determining structural or vascular brain issues. If you are having mini-bleeds, they would be more likely to show up there than on a CT scan.

Best,
Nakamova
 
The neurologist isn't an epileptologist. The GP told me that if the EEG came back showing seizures, then the neurologist may treat me himself or refer me to an epileptologist.

I suppose I can only but ask to be referred to an epileptologist, but I don't think it will happen unless the neurologist believes I am suffering from such a condition. In his email to my wife, he said that the EEG being clear indicated it was psychological in origin, which is what he originally suspected. Like the first neurologist, he suggested that I may have been in fear of my life when I received the blow (presumably they are saying it was very traumatic for me, and this has caused psychological issues) but again like the first one I saw (who was private and paid for by my work company, but I haven't seen since as he recommended we get back into the NHS system for free scans and appointments since we have no insurance and the company weren't going to pay for anything more) he also ignored me when I said that I wasn't in fear for my life at all. In fact, because I've banged my head so much during my life, and at work when working under mobile homes, I was perhaps a little too unconcerned. I only felt angry that the manager knew of the vehcile's fault and didn't get it fixed, and annoyed that I'd probably have a headache for a few hours as a result. I certainly didn't think I was going to die. It happened quickly, I was in the back of the vehicle, then suddenly felt a good blow to the top of my head, stepped to the side quickly to get away, then walked over to my friend rubbing my head, remarking how it'd hit me and then a few expletives about the manager and how he couldn't be bothered to do his job and get things fixed. The first neurologist even said he thought it was probably PTSD and that many people get it after traumatic events like car crashes. I told him again I hadn't been in fear of my life, and I think a car crash is a huge amount more traumatic than a quick bang on the head at work. It didn't leave me shaken or scared, I even carried on working for a bit until I felt a little too odd to continue and sat down for the remaining time till I clocked off.

It feels as though they have preconceived diagnoses and will make it fit no matter what I say, and that makes me feel like giving up. I've come across doctors who tell you how you're feeling rather than listen to what you tell them you're feeling before, and it's pointless trying to get them to listen and acknowledge that whilst you aren't a doctor, you are an intelligent human who knows how you feel and is able to express it without dramatisation or excess.

I didn't know EEGs weren't foolproof, nor that things could happen too deep in the brain to register. The neurologist seems to consider them foolproof though, and this is confirmed by him wanting to refer me to the neuropsychologist straight away now. I haven't had an MRI, and I doubt that the neurologist will request one now. I was led to believe by the GP that a positive EEG would probably make him want to get me an MRI.

I've never heard of continuing mini-bleeds. What would cause something like that to continue to happen, and could it really still happen even 6 months after the injury?

Thanks for getting back to me on here, it does help, especially since I feel alone and unsure what to do. The prospect of this continuing for months or years while they slowly send me from one person to the next worries me. Incidentally, I have no history of PTSD.
 
The neurologist you saw is either ignorant or irresponsible when he says that a clear EEG rules out epilepsy. With many types of epilepsy, you only have unusual electrical activity in your brain when you’re having a seizure. The rest of the time your brain activity is normal. So, if your EEG test doesn’t show any unusual activity, it doesn’t mean you don’t have epilepsy.

There could be a non-epileptic cause for your symtpoms. It's possible that the trauma caused an aneurysm, and some small amount of blood is leaking out of an artery or vein. Symptoms can include loss of perception, loss of balance, and speech problems. If there is bleeding it might cause a TIA (transient ischemic attack) which is like a tiny brief stroke. Symptoms vary for TIAs but can include temporary loss of vision, difficulty speaking, weakness on one side of the body, and numbness or tingling (usually on one side of the body. The symptoms of a TIA usually last no more than a few seconds to a few minutes and most symptoms disappear within an hour. Some people may have a lingering feeling that something odd happened to the body. Dizziness, lack of coordination or poor balance are related symptoms.

Another possible non-epileptic cause for your symptoms is neck trauma -- if you have damage to the disks in your neck they may be compressing a nerve. This can cause tingling/numbness/weakness in your arms and legs, as well as lack of coordination/difficulty walking, and abnormal reflexes/muscle spasms. (There was just another CWE post on this, the condition is called Cervical Spondylosis or Cervical Spondylitis).

Here's hoping the neuropsychologist will be able to dismiss the PTSD angle and send you to a specialist who will do more relevant testing to help figure out what's going on.
 
During the EEG, the strobe they used towards the end did start the right side of my body twitching violently. They started with slow flashes and increased the rate each time. The 3rd time caused it and it was during the period when I was told to close my eyes while the flashing continued. The neurologist, in his email, said that despite the 4-minutes of twitching, the EEG recorded no unusual activity.

It's interesting that you mention TIAs as that is what my wife told the emergency operator when calling an ambulance for me the night of the first attack, which was 2 days after the accident. She said she was scared it was that because she reckons that when the twitching started, the right side of my mouth drooped, and of course the speech problem, which isn't always part of the episodes, was very apparent during that first one, and I couldn't get words out as I kept stammering or I'd get stuck on a sound, like an 's' and just hiss while I tried to stop it and couldn't. It was the following day I was given a CT scan which was clear. My wife has seen someone have a mini-stroke and I think that's what panicked her so much. Since then I've reasoned that maybe my mouth just went funny as my speech was strange and muscles spasming. She still isn't convinced.

I think what is confusing things is that I am suffering symptoms other than the twitching which don't always lead to twitching, and can happen on and off all day. While out today, I found my head felt 'pressurised' again and I felt a little dizzy and spaced-out, but only slightly. It's so hard to explain what one feels, especially when it's unusual. But, no hint of twitching today despite the above. I also find my balance is poor at times and I've almost fallen over or have stumbled.

This last week after the worst 2-day long headache of my life, I developed excruciating leg pains in both legs that felt like growing pains but worse. They suddenly disappeared all of a sudden, then the next day just my right leg was wracked with the pain. Then hours later that stopped and no occurrence since. The variety and randomness of these events, plus the fact they don't always lead to twitching, but sometimes do, has got me extremely confused. I wish to God things weren't as strange as they are, but I don't want to lie and leave things out just to get things sorted out by making the neurologist happy that everything fits a textbook description.

The neck thing is an interesting point, although would it explain the other strange things? Like when my mind has gone into slow-motion mode, and everything I do is slow. I've been observed with my speech becoming really slow, and other times really fast. At those times, it feels like I've got a superbrain and I speed up, I even pester my wife to talk faster because it's just too slow. Those slow down or speed up things haven't happened in over a month. I just don't get it, maybe it's no surprise a neurologist can't either. Probably think I'm crazy.
 
I had a scary moment a few weeks ago where I started to slow down. I've had that before, usually before twitching, but this one was more pronounced. Felt myself slowing down mentally and physically and when I got up to walk outside, I got halfway to the door and then my head felt very strange and I felt really disorientated and giddy, and then I had trouble moving my right leg, and I watched as I tried to move my leg forward and it went really slowly, with the sole of my shoe scuffing the ground, it was the strangest experience. I felt very unstable on my legs (had this before too) as though I was going to fall down (legs feeling weak, shaky and my balance feeling like it's in trouble). I felt so giddy and odd that I grabbed the doorframe and sat down. Shortly after I started twitching all down that side again. Afterwards I felt a bit better, but not as good as I used to feel after twitching; it used to feel like it had 'cleared the air' inside my head, much as a thunderstorm clears the air. Now it doesn't seem to make me feel quite so much better.

This episode in particular seems to imply that something neuromuscular is going on. I hope your neurologist ruled out potentially serious causes such as MS or ALS, and examined you for any spinal injuries (like a herniated disc).
 
There was no mention of MS or ALS. He did some tests with me briefly, such as copying a simple drawing he'd done, moving my finger from tip of my nose to his outstretched finger, walking down a corridor while he watched, etc. I haven't had my spine checked except in A&E where they ran fingers down my spinal column and asked if I had any pain (which I didn't).

Once these brief episodes are over, whatever they involve, I feel normal and everything works fine. What I'm finding lately is that these episodes are more regular, and the feeling headachey or dizzy or just a bit spacey with a feeling of pressure in my head is happening nearly every day, and can last all day in some cases, minutes others, hours at other times. Right now I've got the pressure on the bridge of my nose as though it's being squeezed, and my head's a little achey and my eyes feel heavy (heavy blinking) and a bit achey behind them.

I'm going to start keeping notes of what happens and in what order, in case it helps, instead of just "sometimes I have this, sometimes that", with no idea if they came together, separately, led to something else, etc. Part of the problem is my memory isn't as good as it was, and the other is simply too much has happened and keeps happening to be able to keep track.

Last night I had the feeling of burning up again, inside and out, and had to get in front of a fan. I noted this time that for the 20 minutes preceding this, I was having sharp pains in the left side of my head, and a really painful one right before the heat came on. I've had such pains before but can't remember if the feeling of being very hot came after, hence why I'm now going to keep notes.
 
iliketea, I'm just catching up with this thread, and Nak's excellent advice. There's probably not much more I can offer other than support, because I was in a similar situation nearly 2 years ago.

At that time, I was having tests because of extreme migraine (we didn't know at the time that's what the pain was), but a lot of the symptoms you've described, I also experienced. "Out of body" symptoms, aphasia and dysphasia, others I can't remember - sorry, past my bedtime. I was in screaming agony with apparent sinus pain, falling over, failed my balance test (eyes closed)... My PCP sent me to A&E for immediate assessment at a major hospital as a suspected TIA patient, and they admitted me overnight. My neur obs were normal, but they did a CT anyway, which came back with no sign of TIA. They were ready to write me off.

A week later, I still had the same symptoms, so he pushed them for a full assessment including MRI, bloods; a day in the Stroke Clinic. It was through his advocacy that the MRI was performed, and a couple of worrying problems were found on the MRI (but not TIA). The neuro I saw that day told me I have migraines (okay, now I know), and hormonal issues affecting my brain (something else to work on).

I'll cut the long story there, because that really was the start of a long chain of events, and the point I wanted to make was that in my case, my PCP (GP, in Australia) was my advocate. He pushed for my best interests (and still does).

I'm disappointed to read you haven't had an MRI yet, as that would seem crucial in your circumstances (a contrast MRI, at that), and the attitude of some of the health 'professionals' involved seems very shabby. They need to take a long holiday...
 
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Hi Chel. If I may ask, did they finally discover exactly what was causing your symptoms? Was it in any way related to the worrying problems found with the MRI scan? May I ask what they were?

It's been an unhappy month since I last posted on here. Nothing has changed, it's all happening as before. Twitching down one side, often preceded by very unwell, strange feelings in my head, nausea now too, hot flushes randomly, balance seems poor, memory is terrible, and often get the symptoms without it culminating in twitching.

Since then, I've seen the neurologist with the neuropsychologist sitting in the meeting also. The neurologist said that as the EEG was clear, and because there aren't the exact same precursors to twitching each time, he was ruling out partial seizures, and despite the fact I didn't question him, or do anything but nod to show I understood and was listening, he went into a little rant about how someone would have to be 'crazy or drunk' to say I was having partial seizures, and then proceeded to tell me I was welcome to get a 2nd opinion if I wanted, and then asked me about 4 times if I was going to get a second opinion. I didn't answer as I was trying to absorb everything and thoughts of 2nd opinions were the last thing on my mind. And why would I anyway? I've never said I want it to be physical brain damage, seizures, epilepsy, etc. I just want to know what it is and if and when it can be put right so I can get back to being normal and living again. If it's psychological, so be it. And all the better, because as the neuropsych pointed out, it wouldn't have such big repercussions on driving, working, etc. Although they both pointed out that even if psychological in nature, it was still just as horrible and distressing and real to go through.

Anyway, asked me if I would agree to a neuropsychological assessment and then appointments with the neuropsychologist. I said 'of course!', anything that might get answers and get me right. So, last week, I undertook two hours of testing, with more to follow when I receive the next appointment. Once the tests are over, I was told I'd then speak to the lady carrying out the tests and the neuropsych together, and they'd go over the results and we'd go from there. I pointed out that I'd still not had an MRI, which got him a little hot under the collar, but he said he'd arrange one just to ensure that the physical side had been completely covered. So, awaiting an MRI appointment now.

Last night I also saw a neurologist who is an epilepsy specialist arranged privately by my solicitor. He asked what the other neurologist had said, then said he agreed with him. He said that as I wasn't knocked unconscious, it was impossible for my brain to have suffered even microscopic damage. I do wish I'd asked him if that meant I could bang my head on a wall hard as I could every day, and as long as I wasn't knocked out, I'd forever be alright. But it sounds sarcastic when it isn't meant that way.

I asked him why the strobe light during my EEG seemed to start a twitching episode if I am not suffering any form of epilepsy or seizures. He said that photo-sensitive epilepsy is genetic, and therefore if I were ever found to have that condition, it would be because I was born with it and nothing to do with the accident at work, regardless of it only starting afterwards. After I pushed and pushed for an answer, he finally said that he's seen a wide array of impressive symptoms displayed by people and the cause was psychological. I said I didn't understand why my subconscious would choose to cause twitching down one side of my body which I'd never heard of before, but his answer was the same: that psychological causes can manifest as varied and complex symptoms involving very strange things indeed. I pointed out that flashing lights on that terrible X-Factor television programme caused me to have an episode the other night, but it changed nothing as far as he's concerned. He said he's met many people who claim they have photo-epilepsy, but when tested, he's found no evidence.

Anyway, basically, as I wasn't knocked out, he says I have definitely suffered no brain injury. He said he's seen patients who have had severe head injuries, bleeds in the brain, fractured skulls, etc., and even they are very unlikely to develop epilepsy or suffer seizures, so in my case it's even more unlikely. Impossible, he stated again.

So, 7 months on and still no one seems to know what's going on. I want my life back.
 
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Wouldn't it be great if you could feel 100% confident in what all these "experts" are telling you? And yet I sense an ambivalence on your end -- one that I share.

For one thing, head trauma CAN damage the brain and lead to seizures, even without loss of consciousness. (This is the case with whiplash for instance). And even if the majority of people with head trauma don't develop epilepsy, that doesn't rule out the possibility that some people can and do.

And not all photosensitivity is genetic! What about all those children in Japan who had seizures in reaction to a particular television program with flashing lights! While many kinds of photosensitivity appear to have a genetic basis, not enough is understood about how the genes interact with environment to conclude that every photosensitive reaction is genetic. And no expert can claim so. In addition, photosensitivity is a predisposition, not a predictive trait. In families that do share genetic photosensitivity, not all the siblings develop epilepsy. This suggests that it is a combination of the predisposition with a specific trigger (say, a head injury) that can lead to epilepsy.

At this point it must be frustrating for the doctors to insist that your symptoms, which appeared after a head trauma, have nothing to do with that head trauma. And it must be equally frustrating when they insist that the symptoms are psychological in origin even when you have no obvious psychological complaints. If they are going to conclude that that the twitching is psychologically based due to the absence of EEG evidence, they could just as well conclude the reverse -- that the twitching is neurologically based due to the absence of psychological evidence.

I hope the neuropsych evaluations bring you clarity and relief one way or another. But if they don't, I suggest you do persist and get another opinion.
 
Thanks Nakamova. I will admit, I am ambivalent. I'm worried that there are too many 'impossibles' and yet they also admit that they don't fully understand the brain. I have one doctor telling me that concussion is bruising or very slight damage to the brain, and that you do not need to be knocked out. Then the specialist yesterday telling me that you do have to be knocked out. And the neuropsychologist told me that concussion does not involve any physical damage or effect to the brain, and is psychological in nature.

The only thing I am learning is that consultants and specialists do not agree with each other. I recall reading on a TBI website that head injury and the after-effects is a controversial subject.

The consultant I saw last night was not only specialised in epilepsy, but a Ph.D as well, so I expected him to know his stuff. I didn't know anything about photo-sensitive epilepsy and didn't really know that one would have to have that in order to be affected by flashing lights. I thought (mistakenly, I know) that any form of epilepsy would be triggered by flashing. I knew virtually nothing of the subject prior to this, and still know very little. Never known anyone with epilepsy, so never had any interest in finding anything out about it.

Don't get me wrong, I don't want to find out I have any form of brain damage, however slight, but I just find the psychological aspect hard to comprehend when the first symptom (pressure around bridge of my nose) started right after the bang, and continues to this day, often before twitching episodes, sometimes just when I'm feeling odd.

I gather that after the neuropsych tests are finished, they will be able to tell me if I am below par in any of my cognitive functions, and also give an opinion on whether the trouble is likely physical or psychological. Although I don't know if that distinction is going to try and be made later after sessions with the neuropsychiatrist himself in separate appointments after the testing is finished.

What you write about photo-sensitive epilepsy is interesting. This chap last night said the exact opposite though, saying it was only genetic. He also said that if they do eventually find anything wrong with my brain physically, it will be hard, legally-speaking, to prove the bang on the head at work had anything to do with it, because it is simply impossible to incur brain damage from head trauma that does not cause loss of consciousness. He then went on to explain all the things that protect the brain, in such detail that I was a little lost, then talked of epilepsy and damage from a blow and how the mechanism works, with proteins in cell walls, ion-channels being affected and things that I do not understand. He finished by saying that the brain is so well protected that it is very hard indeed to injure it, and that even severe head trauma, involving loss of consciousness/fractured skulls, etc., does not lead to physical damage in most cases, and that a mild injury like mine, with no loss of consciousness, is simply not capable of damaging such a well protected organ.

The fact that I have trawled Google and found so many people claiming the opposite is, I suppose, not concrete evidence in itself, because they could argue that every single one has a psychological basis, and either doesn't know or won't accept it.

I don't think I will seek another opinion, although if my NHS appointment for a neurology appointment ever comes through (yet more paperwork errors) then I suppose that will count as one. It's just that this is the 3rd neurologist to say it's psychological because it doesn't follow the usual ways in which real seizures/epilepsy works. I am a bit miffed that none of them even let me finish explaining the symptoms before cutting me off, but perhaps they've heard enough to know it just cannot be physical. I don't know.

Just to clarify though, I don't think they are claiming the head injury isn't the cause of what's happening even if it is psychological, but that the blow to my head has had no physical impact on me. The neuropsych said that post-concussion syndrome is one possibility, then said concussion isn't physical. I thought it was, and the doctor in accident & emergency at the hospital said it was. I know the neurologist reckoned that it may have been traumatic for me, and that I thought I was going to die, and that's caused a bad mental reaction leading to all that has happened over 7 months so far. I have said and repeated that I didn't think I was going to die, I wasn't even very worried. But who listens to the patient.
 
Everything I was told by the medical community turned out to not be helpful in my daughters situation. However I used the info to learn more about her episodes, along with many years learning at the University of Google. No expert for sure, but my daughter is now seizure free for 10 months and healthier than ever.

Keep up the battle, and get the very best nutrition for brain and body health in the meantime. This might have just been the tipping point. Finding ways to raise your seizure threshold might be worth looking into.
 
He also said that if they do eventually find anything wrong with my brain physically, it will be hard, legally-speaking, to prove the bang on the head at work had anything to do with it, because it is simply impossible to incur brain damage from head trauma that does not cause loss of consciousness. He then went on to explain all the things that protect the brain, in such detail that I was a little lost,

I'm picking up a couple of points here, and you'll have to pardon my cynicism...

Firstly, your doctor/s could be saving you the trouble of making a case, putting your heart and soul into it, going through court, getting your hopes up, only to be beaten and your soul robbed. I've seen this happen: it's soul-destroying if you're not mentally prepared.

Secondly, if there is any possibility of a psychological component, the legal process could rip you to shreds. What the doctors are doing to you now would be small potatoes by comparison.

Thirdly, I completely disagree with the statement that "it is simply impossible to incur brain damage from head trauma that does not cause loss of consciousness"; forceps delivery (at birth) is a cause of temporal lobe atrophy (brain damage). It does not cause loss of consciousness, yet it does cause brain damage, and does have long-term effects, including epilepsy and forms of dementia.

Lastly, and this is where my cynicism comes in, I wonder if the doctor/s are trying to baffle you with science to intimidate you. I'd get that second opinion. I hate that sort of arrogance.

ETA: BTW, I can't watch X-Factor - I listen to it while I'm at the computer. It has too many flashing blue lights for this photosensitive epileptic!

Best of luck,
 
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Only the last doctor was anything to do with a court case. It is not a question of being ripped to shreds, psychological or not, the company I work for was negligent, involving the health and safety executive calling there twice after the accident and ensuring improvements were made. I won't go into detail, but I and a colleague did all we could to get some faulty equipment repaired. Manager couldn't be bothered, so for 4 months the faults remained until what we feared happened and one of us was hurt - me. I even found a supplier of the new parts, got a pro-forma and took it in, to try to get movement.

Despite this, their own medical assessment of me is that I am not fit to work, they have stopped my wages without warning. This has caused huge damage to the family, regardless of causes. Therefore, I am taking them to court. I was told that psychological or not, the effects are real and traumatic. I would not lose a case against them simply because the accident caused psychological trauma instead of physical, and it would not alter the fact that they ignored basic health and safety directives. You may think all of this revolves around court, but it doesn't. My interest is in getting better. I have only seen one doctor once regarding the court case, every other doctor has been about me and is irrelevant to any case. I shouldn't have mentioend it, as people immediately become suspicious and assume that one is out to get all that one can for nothing. But by God, I'm out to get justice on an immoral company that had no interest in my safety and no interest in my wellbeing after I was signed-off as unfit to work. The stress and worry from all of this has pushed my marriage to the brink, I'm not going to sit back and do nothing while that company carries on treating others the same.

I must re-iterate, I accept it might be psychological, even though I find it hard to grasp. Perhaps a part of my mind was traumatised far more than my conscious mind when the lid fell on my head. I find it hard to believe because it wasn't a big accident with people screaming, blood gushing. It hit my head, I quietly walked away from it holding my head cursing the manager for not fixing the fault, then talked to my colleague for a while, mainly about work and about feeling a little strange. It wasn't scary or anything like that. My main frustration is time. It's taking so long to move, and each time it's more uncertainty from the doctors. I don't say that's their fault, but when unwell, I suppose we all become impatient for someone to make us better. I just want my normal life back. And I want these horrible things to stop.

Regarding what the case assessment doctor said yesterday regarding no injury if you don't lose consciousness, unfortunately I could think of counter-arguments but didn't wish to argue with someone who will simply blind me with his knowledge. He's a Ph.D, I'm not educated to anything like that level, and even if I was, it probably wouldn't be in that area. I know that doesn't mean everything he says is right, but he can back it up with facts and knowledge that I don't possess... So what can one do? I think it's best I continue with the neuropsych and go from there. Eventually I should receive an appointment for an NHS (National Health Service i.e. free) appointment to see a neurologist that way too. Might get told the same as the others, might get further. Neuropsych might have diagnosed the trouble by then anyway, who knows.
 
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