[18F] Experiencing migraines, dizziness, and transient loss of vision post-fainting episode

Patient Description

An 18-year-old female reports a concerning episode of fainting accompanied by whole-body shaking and drooling, observed by another individual. Since this episode, she has been experiencing persistent migraines rated at an 8/10 for pain, characterized by a squeezing sensation in the back of her head. These migraines are exacerbated by standing and are somewhat alleviated by lying down or sleeping. Additionally, she describes episodes of dizziness and blurred vision, with her vision going completely black at times, especially upon standing. This has been occurring more frequently since the fainting episode. She also reports numbness in her arms and legs when in a stationary position for extended periods. The patient has a medical history of ADHD, anxiety, depression, and eczema, and is currently on Dupixent for her eczema. No known allergies to medications have been reported. The onset of these symptoms has significantly impacted her daily functioning.

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Arora's Assessment

What might be happening

Based on the information you provided, here are some possibilities:

  • Migraine: This is a type of headache characterized by severe pain, often on one side of the head, and can be accompanied by other symptoms such as visual disturbances and nausea. The tightness you described in the back of your head and the severity of your headache could be indicative of a migraine. However, migraines typically do not cause fainting or shaking.

  • Orthostatic Hypotension: This is a form of low blood pressure that happens when you stand up from sitting or lying down, and it could explain your dizziness and blacking out. However, it does not typically cause headaches or shaking.

  • Seizure: This is a sudden, uncontrolled electrical disturbance in the brain. It can cause changes in your behavior, movements or feelings, and levels of consciousness. The shaking you experienced when you fainted could be indicative of a seizure. However, seizures are usually followed by a period of confusion, which you did not mention.

  • Panic Attack: This is a sudden episode of intense fear that triggers severe physical reactions when there is no real danger or apparent cause. It can cause symptoms such as shaking, shortness of breath, and numbness or tingling sensations in the extremities. However, it does not typically cause headaches or blurred vision.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

Given the severity and range of your symptoms, it's important to seek medical attention as soon as possible. Here are some steps you can take:

  1. Go to the emergency department: Given the severity of your symptoms, it's important to be evaluated by a healthcare professional as soon as possible. If you're unable to get to the hospital on your own, don't hesitate to call an ambulance.

  2. Keep track of your symptoms: Write down when each symptom occurs, how long it lasts, and any potential triggers. This information can be helpful for your healthcare provider in determining a diagnosis.

  3. Stay hydrated and rest: Until you're able to see a doctor, try to stay hydrated and get plenty of rest. This can help manage your symptoms and prevent them from worsening.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Severe headache or headache that is worsening
  • Sudden or severe abdominal pain
  • Difficulty breathing or shortness of breath
  • Chest pain or discomfort
  • Sudden confusion or difficulty speaking
  • Seizures or loss of consciousness
  • Sudden or severe weakness or numbness, especially on one side of the body

Remember, I am an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

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8 mo ago


People Also Ask


What could cause fainting and shaking episodes in young adults?

Fainting and shaking episodes in young adults can be caused by several factors, including seizures, orthostatic hypotension, or even severe anxiety or panic attacks. It's important to consult a healthcare professional for a proper diagnosis.


How can migraines be related to dizziness and blurred vision?

Migraines can sometimes be associated with symptoms like dizziness and blurred vision due to changes in blood flow and nerve signaling in the brain. These symptoms can be exacerbated by changes in posture, such as standing up quickly.


What is orthostatic hypotension and how does it affect the body?

Orthostatic hypotension is a condition where blood pressure drops significantly when standing up from a sitting or lying position, leading to dizziness, lightheadedness, and sometimes fainting. It occurs because the body fails to adjust blood pressure quickly enough to maintain adequate blood flow to the brain.


Can anxiety or panic attacks cause physical symptoms like numbness and shaking?

Yes, anxiety or panic attacks can cause physical symptoms such as numbness, tingling, shaking, and even fainting. These symptoms are due to the body's 'fight or flight' response, which can cause hyperventilation and changes in blood flow.


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1 Comments


lexi#4038

8 mo ago

this sound like a seizure and the symptoms afterwards sound like a serious problem with bloodflow to your head. I would 100% go to an emergency room at this point. If it is a seizure they can diagnose by monitoring ur brain wave s and then there are very effective safe meds to take one is called keppra to prevent future seizures. my brother is on it and he stopped having seizures and now he can drive again cause before he was at risk of crashing if he had a seizure in the car

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