I found this to be exceedingly informative--thank you. The reason I tuned in is that I suspect I may have recently had either an infarct or hemorrhagic event based on a cluster of symptoms that showed up at around the same time last year (end of 2023) and that would correspond to a lesion in lateral medulla. I don't have dysphagia, but I do suffer central sleep apneas, blood pressure that became precariously elevated all of a sudden (210+/120+) left side facial numbness, hyperhidrosis (both sleep and gustatory) and several other oddities that all cropped up after I had what I thought was a severe migraine. I'd suffered these headaches for 12 years, but this last one also featured trigeminal pain, dizziness (I fell), vomiting, and a very weird olfactory aura. I am putting all the pieces together for my primary care physician and perhaps he will refer me to a neurologist, or he may just tell me not to worry and ignore me... not sure. Nevertheless, perhaps the weirdest part is that I had had these headaches more or less biweekly for over a decade, and this big one was the last. Nothing for 9 months. Glad, but very strange... I am a scientist with my PhD in neuroscience, which helps with familiarity for terminology, but I am most certainly not a clinician, which can be frustrating :). I am just hoping to learn whether I ought to be put on a blood-thinning protocol etc. because I would really hate for a follow up that was more severe... Anyway, thank you for this and similar. You're a talented lecturer. I appreciate all the hard work you've put in.
I found this to be exceedingly informative--thank you. The reason I tuned in is that I suspect I may have recently had either an infarct or hemorrhagic event based on a cluster of symptoms that showed up at around the same time last year (end of 2023) and that would correspond to a lesion in lateral medulla. I don't have dysphagia, but I do suffer central sleep apneas, blood pressure that became precariously elevated all of a sudden (210+/120+) left side facial numbness, hyperhidrosis (both sleep and gustatory) and several other oddities that all cropped up after I had what I thought was a severe migraine.
I'd suffered these headaches for 12 years, but this last one also featured trigeminal pain, dizziness (I fell), vomiting, and a very weird olfactory aura. I am putting all the pieces together for my primary care physician and perhaps he will refer me to a neurologist, or he may just tell me not to worry and ignore me... not sure. Nevertheless, perhaps the weirdest part is that I had had these headaches more or less biweekly for over a decade, and this big one was the last. Nothing for 9 months. Glad, but very strange...
I am a scientist with my PhD in neuroscience, which helps with familiarity for terminology, but I am most certainly not a clinician, which can be frustrating :). I am just hoping to learn whether I ought to be put on a blood-thinning protocol etc. because I would really hate for a follow up that was more severe... Anyway, thank you for this and similar. You're a talented lecturer. I appreciate all the hard work you've put in.
This was incredibly resourceful! Thank you!
You're very welcome!
Excellent information. Would NMES be appropriate for this population?