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Re: Conversion episode !??

Posted by Sara T on May 28, 2000, at 18:47:57

In reply to Re: Conversion episode !??, posted by Joanna on May 28, 2000, at 12:19:06

> My son got dilated pupils from Ritalin but it went away when the drug stopped working. Have you thought about seeing a neurologist? They tend to take these things a bit more seriously. A neurologist could also tell you whether or not your daughter has migraines. I guess what got my attention was her inability to talk. I hope you find your answer.
>
> Joanna

Cynthia-
Joanna has a very good suggestion, see a neurologist. She may have migraines, or she may have had a seizure. But the fact that she could not speak is very troubling, as is the continuation of her symptoms. Below I have copied an excerpt from an article I found in Medscape, under Neurology, on the Differential Diagnosis of Migraines.

Migrainous infarction. Migrainous infarction has previously been termed "complicated migraine."[1] The IHS describes it "as one or more migrainous aura symptoms that are not fully reversible within 7 days and/or are associated with neuroimaging confirmation of ischemic infarction."
Patients who suffer from migraine with aura who smoke and are taking oral contraceptives are at increased risk for stroke.[6-8] These typically young women have a 13.9% (odds ratio) higher relative risk for migrainous infarction compared with community- and hospital-based controls. If other risk factors for stroke such as hypertension, hyperlipidemia, protein C or protein S deficiency, or antiphospholipid antibody syndrome are present, such patients need to be very carefully monitored. They should also be confronted about the need to either stop smoking and/or discontinue oral contraceptive use.

If such patients experience persistent focal weakness, numbness, and/or visual or speech difficulties that last longer than an hour, they should undergo a formal evaluation just as if they've had a stroke or a transient ischemic attack.[9]

Good luck,
Sara T.


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poster:Sara T thread:34845
URL: http://www.dr-bob.org/babble/20000526/msgs/34999.html