Undiagnosed, unsure of everything & new

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phlight

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Hello everyone,

I am a 32 male, now live alone at all times (because I'm scared of myself) and brand new to this.

I am embarrassed because my first thought when reading the posting rules and standards was, "Am I going to your typical TV AA meeting?", then after reading some posts and being extremely emotional because I could relate to so much, I had to walk away, cry a little and then get started writing before forgetting why I'm here again.

I am just getting started with research, know nothing and even when I find something, I forget it and sometimes even forget why I was looking at it. In the last 5 months I have started countless journals, but have managed to lose every single one. I guess writing down what I can remember so many times has helped me remember this much:

First seizure was in July 2008, no seizures again until late October '10.

My first episode lasted approximately 4 hours. I do not remember most of it and really had know clue what going on since I had never experienced this before and was at home alone. I simply woke up with a really bad headache, took some asprin and as soon as I left the kitchen, I collapsed and awoke hours later with carpet burns and bruise like sore spots. I never actually had visible bruises until I started anti-seizure meds. Extreme headache and "tremors" as I refer to them, continued throughout the next day. Leading up to this episode I had a cluster headache and developed a large muscle knot (golf ball size) at the base of my skull on the right hand side of my neck that even hurt touch. I basically ignored this event until later.

It begins again - From October 23, '10 - March 1, '11, I have had 20-30 seizures occurring at approximately 2 month intervals with increasingly longer "episodes" starting with:

October 23 / 24, '11, a 30 minute episode, my second episode ever. It contained 3-4 seizures, around midnight. Just like episode 1, bad headache and knot at base of skull on right side. I visited my regular doctor and was referred to a neurologist. The doctors started me on Valporic Acid. It did not agree with my body. I gained 27 lbs in 3 weeks and was always angry. My doctor immediately changed my meds to generic Dilantin. Even with generic dilantin I have constant stomach pain, joint pain, dizzy spells and a constant dull headache that I have learned to ignore for the most part. I started with 300 mg per day, my weight slowly neared normal.

Then on Christmas ’10. I experienced a 4-6 hour walking and talking episode with frequent collapsing, personality changes and seizing that started just before midnight. Exact number is unknown and my friends had no clue what to do with me or what was happening; but, according to their accounts -
I was seizing every 10-20 minutes. Sometimes only seizing for seconds at a time, some minutes at time. I do not remember anything from this event or how my friends got me home and finally asleep in a restful position. Upon another visit with neuro I was increased to 700 mg of generic Dilatin and my weight climbed again, but much more gradually. Fortunately no constant anger, but I do seem to anger more easily than what I normally would. In addition, wishing I were dead comes with great frequency, even though I have a really great life, if you subtract this stinking seizure issue.

Until my last episode, March 8, '11 during finals at college, I had blacked out or at least not been conscience of the events during the entirety of each event. This last event; however, I was conscience for what I believe was the entire event. It started about a week before, with really bad lock-jaw and a persistent dull headache. Around lunch time the day before finals, my jaw constantly popped loudly and I developed a tear dropping headache every night. As usual hard lines in my vision was blurred with bright gold and empty space, i.e. sky or say air between objects more than 10 feet apart were filled with a lighter bright gold at 15-30 minute intervals throughout the day. I never developed the knot on my neck this time, but certainly had one heck of headache.

I do not remember falling asleep the night before, but I do remember violent tremoring and experiencing tremendous pain all over my body especially in my head, neck, back, hands and feet. All my joints moved abnormally and popped constantly even for me; whose joints have popped daily since a child, getting a well deserved nick name of rice crispy in school. Anyway, I awoke the next morning feeling mostly normal, but far from refreshed and a strong dull headache. I went to work and my headache progressed into a cluster headache around 7PM. I felt the need to vomit many times, but I’m not a person who vomits at least not since the early teen years, so that never happened. Don't know why, I just can't.

During class I began to shake but not tremor until about the same time the headache became extreme and my speech became slurred. During what was supposed to be my finals presentation, I managed to exit the class with my professor and had what I consider my scariest and most painful seizure. I never blacked-out, I remember every freaking detail. The seizures lasted somewhere between 4 to 5 minutes each with me completely unable to control any of my body, defecating on myself. Fortunately a very small amount and if anyone noticed I only received looks of concern.

During the seizures where I was in a fetal position, it hurt like crazy; but, in comparison to the ones where I was folding backwards they were nothing. I had professional help by time the third seizure started, but nothing they did helped and I'm not sure what that was either. I developed a tremendous pain in my lower back that still hurts now, 13 days later. I still have infrequent tremors daily, experience panic often and occasional slurred speech.

On Saturday, yet another new development. For about an hour maybe 2 the right side of my face did not work properly. Not immovable like a stroke, but in appearance yes. My tears were uncontrollable from both eyes and my right eyelid would flick fast, then not at all and repeat. No pain, but still unusual to me.

For now, I guess that’s about it.

Feedback is greatly appreciated, especially the kind that's helps me help the pro's understand what is going on & what I need.

Any professional help I could get outside of what I’m currently getting is desired. I would like a doctor that is not so busy he or she must take calls during my sessions and can reasonably make eye contact while I’m there too. My neuro is in an office building connected to one of local ERs. I guess I see where that could be beneficial; but until I understand what is going on with me, I feel like I need more.

Please help me find some sanity in this.
 
Phlight,

I am so sorry you are going through all of this. Seizures can be extremely scary, and so can the diagnosis process. Here's a like to a description of the different kinds of seizures: http://en.wikipedia.org/wiki/Seizure_types

When researching things, three sites I find very helpful are www.epilepsy.com, www.epilepsyfoundation.org, and www.wikipedia.org.

Your neurologist takes calls during your visit? How long was your first visit? If he or she isn't making eye contact and you are not satisfied with the care that is being given, it might be time for a second opinion. In fact, a second opinion is always a good idea. This next time around you may want to try an epi (seizure specialist).

What tests were run? An MRI? EEG? What were the results?

It's a bit unusual to have seizures that last for hours, especially when that is the norm for you. Seizures that last over 30 minutes can be quite dangerous. It's called status epilepticus. I suspect it's why they have you on a drug like Dilantin right out of the gate - to get them stopped cold.

It's possible you may have more than one thing going on - migraines, seizures, and/or another problem causing the seizures, other than epilepsy. Me - the latest guess by my neurologists is a mix of epileptic seizures and physiological non-epileptic seizures caused by a disease called IIH (fluid pressure that is too high in my brain).

You'll want your docs to run every test under the sun - cardiac, blood tests (for glucose levels, infections, etc.), allergies, brain imaging (for TIAs, among other things), the works. If it turns out to be another cause for the siezures, other than epilepsy, it'll be your lucky day.

Everthing will become clearer over time. It just takes some patience with yourself and with the process. But put on your athletic shoes; the diagnosis process sometimes feels like running a marathon. The tests and dr. appointments are numerous, time consuming, and a bit wearing. But before you know it they will be over and you'll have a better picture of what's going on.

Hang in there.
 
Endless,

Yes, my neuro takes calls during my visits. He has done so on every visit including my first. My first visit with him was about 15 minutes as well as each one since, with the exception of an in office 4 hour EEG, I never saw him on this visit. I will certainly look into finding a seizure specialist. Thank you for the confirmation of my thoughts and additional advice.

So far, I have had 3 EEG's, an MRI with and without contrast, an MRA with contrast as well as 5 or 6 blood tests. My neuro informed me that my phenytoin levels are supposed to be 10-28 (I maybe misquoting) but I can not manage to get mine above 3.2. All other tests have come back without any detected abnormalities.

You said -
"It's a bit unusual to have seizures that last for hours"
Am I understanding you correctly that the seizure is actually occurring during the entire time of what I outlined in my original post?
If so, I was under the wrong impression that the seizure was only occurring when I was on the ground and no longer had any control of myself.
This could mean that I'm having many more seizures than I am reporting.
How do I know?
I ask because I been having what I consider to be tremors daily since my Mar 8 seizure. They occur mostly at night when I first lay down and when I sit for extended periods of time. I frequently stare in space for no reason. I have stared into space all my life but it was always because I was bored or desired an escape from reality before.

Umm... I guess I have multiple things going on because I've had migraines since being a wee lil tike, began having cluster headaches as a teen and enough broken bones to give Humpty Dumpty a run for his money. Not that I break easy, I just play hard and would need a whole new thread to discuss those incidents.

IIH - Some of the signs and symptoms fit, but here's what I know about me:
During some headaches and just after most seizures, it feels as if I have a railroad spike running through my skull at angle. The pain is primarily in the high right center of my right eye socket and extends all the way through to the right central portion of my neck. My next statement sounds ridiculous even to me, but I feel like I can hear and feel fluid moving in the dead center of head rushing along a short path of the pain. I told my Dad the last time he was visiting and experienced my 2nd seizure with me, that the only thing I knew to even compare it to was; imagine someone putting about 3 tablespoons of car battery acid on your brain and it's sloshing around when I move, but if I don't move around then it begins to burn like crazy and affect my vision. I have no clue if that sounds familiar to anyone or not.

I do not know if you had specific cardiac test in mind, but my BP is all over the place since I started taking antiseiz meds. Now that I know what a TIA is, I will certainly be looking into that considering this past weekends stroke like development.

Allergies definitely strick a cord with me and I never even would have thought to relate them to seizures. Up until the age of about 20, I could not even go grocery shopping for myself because my allergies to shellfish were so sever that the mere smell of them would close up my throat and lungs. Touching them was completely out of the question as we found out when I was 8 and I touched freshwater crawdad while walking in the creek beside my house. My foot swelled so large it split at the natural creases or bends in my toes. Oddly, I only experience swelling or trouble breathing now when an open wound touches them or I attempt consuming them. I don't won't to give up because regular fish is soooooo good that shellfish have got to be amazing too. Iodine on the other hand is still an issue. I'll immediately collapse and swell if this is used to clean wounds or draw blood.

Once again, thank you very much for your input Endless. May your troubles be few and your joys numerous.
 
Hi Phlight, welcome to CWE!

I'm so sorry you've been struggling with the symptoms you describe. I agree with Endless that it's worth trying to find the right neurologist or epileptologist to get the help you need.

Is it the case that all your test results have come back negative, including the EEG? Are you still on the Dilantin and is it helping? I ask because the dose you are on -- while not toxic or abnormal --is relatively high (an average dose is 300mg/day). If it's not helping, and not staying in your bloodstream, then it may not be the right treatment option for you. In addition if you are having absence seizures (http://en.wikipedia.org/wiki/Absence_seizure), Dilantin can make them worse. Are you on any other medications? There are some which interact with Dilantin and can affect its absorption.

It might be useful to have a work-up done to look for any nutrient imbalances and allergies. For some people (not all), taking something as a simple as a magnesium supplement can help reduce migraines. If you are suffering from some kind of imbalance it may be contributing to or exacerbating your symptoms. And allergies too can make migraines and seizures worse, or play a role in triggering them. I would suggest that if you know you are allergic to shellfish that you stop eating it (no matter how tasty it is!). Shellfish actually don't contain the health benefits that other kinds of fish do. They may also be a sign that you have other allergies that are worth looking for.

Please feel free to check out the archives and different forums here at CWE. And let us know how you are doing. I hope you find some answers soon.

Best,
Nakamova
 
PHlight, You are right - it sounds like the seizure part is only a portion of the time you are having troubles. The pain in your head - there are a lot of different kinds of headaches. Here are some links that give more info:
http://www.achenet.org/education/patients/typesofheadaches.asp
http://www.headaches.org/educational_modules/completeguide/differenttypes.html
http://migrainesymptoms-guide.com/less-common-types-of-headaches/

I have two neurologists - a seizure specialist (epi), and a neurologist who specializes in headaches. The epi treats my seizures, and the headache neuro treats the IIH. They are in the same clinic so they can work together as a team.

What you have probably isn't IIH - it only hits 1 in 200,000 people. That's compared to 1 in 100 people with seizures, and 6.5 out of 100 people who have chronic headaches. Several neurologists missed my diagnosis before my current neuro found it, just for that reason.

I agree with Nakamova. Your shellfish allergies are serious and could have something to do with what's going on. You may have other allergies, too.
 
Nakamova & Endless,

Thank you both for being so welcoming to me.

Nakamova,
I'm searching for another neurologist & epileptologist now.
Yes, all of my tests have come back negative to date including my EEG.
Yes, I am still on the Dilantin and at first I though it was helping but I am not sure at all anymore.
Before today I was not on any other meds. I'll explain later in this post.

Nakamova & Endless,
As far as the shellfish go...I must have been misleading. I am not actually consuming them, just testing my limits. The closest I have gotten to eating shellfish so far, is touching the meaty portion of one to my tongue. I'm seriously hoping to train my body through very small steps of exposure at a time. I'll make a new attempt every 2-3 years with what I consider to be huge leaps in progress so far. Seafood, especially shellfish happen to be a huge part of my family's diet so if I must completely avoid it, it also means avoiding family events. Maybe not fair on my families part to be unwilling to change their diet at these family events, but it is something I've come to accept.

New medications explanation -
Immediately following my early lunch today just before 11AM, I developed yet another headache. Well I always have one with the seizure meds but there are normally so minor I ignore them. At first, I just had my normal after meal headache, dull, constant and normally goes away after 30-60 minutes and still not bad enough to affect my functioning. By 1PM I had begun to shake slightly, only when I needed to concentrate to write etc. and the headache had grown into a monster. Best explanation I know to offer for this one is a puffy rectangle focusing on the bridge of my nose and upper neck similar to the the pain one experience near day 3 of a broken and hot points on both of my ears and in the middle of head it felt like that rectangle was being inflated in slow waves. I was literally red faced with barely noticeable puffiness in my neck at whatever vertebrae number it is. I was nervous, had trouble thinking which affected my speech only because I couldn't find the next word easily. My nausea had returned and this time I experienced the feeling of a need to use the restroom but that just wasn't happening. In addition, I'm coughing for no reason and when I do, I can only see a deep red for micro seconds.

OT-
Unsure, but I think this event was caused by enormous stress. Unexpected death of my step sister on Sunday. Seizures are greatly affecting my social and work life. Do not hang out with friends hardly at all, mostly out of my own fear. My family lives on the opposite coast. Still have not made contact with 1 of my friends stationed in Japan. I lost my active duty military career on Sunday pending annual medical reviews, max of 5 reviews before I'm completely separated. I was relieved just to know that they allowed me the privilege of reviews. But no pay and loss of most benefits until I'm cleared anyway, so that is very stressful. My civilian career is in danger because it is directly related to my military career complimenting each other and one is not required for the other to exist, but helps tremendously. My civilian career requires I drive which I am no longer able to do. Just praying they are willing to make arrangements to keep me behind the desk 100% of the time instead of a 60/40.

Continuation of new meds-
My regular doctor was out to lunch until 2 and my neuro office said he was no longer seeing patients today; but, I could leave a message for him and they would call me back within the hour. Meanwhile I sit in lala land in the lobby of my regular doctor unable to even sign myself in at 1:30ish. Neuro office calls back offering appt tomorrow at 12:30 and my next door neighbor just agrees to the appt for me. The nurse at my reg doctor finally takes me back, my BP is high, I've gained another 6 lbs and must support myself on wall so I don't fall over. I lie down in patient room and I don't remember my doctor coming in but when I noticed him there he was standing over me, calling my name. I probably should have just called 911 and forgot about seeing my doctors entirely. But since I didn't, I told doc about my day. He notices my right eye constantly tearing and before visit is over both eyes were pouring. I couldn't feel it until the tears were on my neck. Doc prescribes propanolol and butalbital then sends me home saying lets see if this helps and I'll brief your neuro on this for your visit tomorrow.

I've been at home for several hours now, but I can't stop going. My brain is spinning constantly. I feel like I must have something to do. The headache is not gone, it just feels blanketed, with an occasional tearing sensation in a J-shape around my right eye. The all red vision has completely stopped and I feel like I should be coughing with that fuzzy feeling in my lungs but I've stopped coughing too.

Maybe this is just a vent for me. If nothing else, maybe I'll remember to print this out and take to neuro tomorrow.

Going for a short walk around the apt complex now. I'm not angry, I just wanna scream & need to move around some.

Thanks for listening everyone.
 
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