[28F] Experiencing frequent episodes of body freezing and vibrating sensations

Patient Description

A 28-year-old female reports experiencing repeated episodes characterized by a vibrating sensation, body freezing except for the hands, blurry and darkening vision, muffled hearing, a loud buzzing sound, and difficulty thinking. These episodes have increased in frequency over the past six months, now occurring multiple times a day and lasting 30 seconds to a minute each. Triggers include deep breathing, holding breath, standing up, exercising, stress, and upset feelings. During the episodes, the patient experiences nausea, chills, muscle twitching, and a change in hearing. There is also a pressure and tingling sensation across the head and face, numbness or heaviness in the chest, and difficulty speaking. The patient feels heaviness in the limbs during these episodes. There is no history of recent head injuries or changes in medication. The patient rarely consumes alcohol and uses marijuana for anxiety and depression. There is a family history of neurological conditions, specifically in the patient's younger sister. The patient is undergoing evaluation for IBS and has had high spinal fluid levels in the past. No known allergies, but pain medications cause nausea.

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Arora's Assessment

What might be happening

Your symptoms could be related to several possible conditions:

  1. Seizure Activity: The episodes of freezing, inability to move, and changes in vision and hearing might suggest a type of seizure. Seizures can cause temporary changes in movement, sensation, and consciousness. An evaluation by a neurologist, including an EEG, might be necessary.

  2. Syncope or Near-Syncope: The episodes triggered by standing up or stress could be related to blood flow issues, causing fainting or near-fainting spells. This can lead to symptoms like dizziness, blurred vision, and confusion.

  3. Anxiety or Panic Attacks: The stress-related triggers and symptoms like chest heaviness and difficulty thinking could be related to anxiety or panic attacks, which can cause physical symptoms like those you described.

What you can do

Seizure Activity:

  • It's important to see a healthcare provider as soon as possible for a thorough evaluation. They may recommend tests like an EEG or MRI.
  • Keep a journal of your episodes using MDandMe to track triggers, frequency, and duration.

Syncope or Near-Syncope:

  • Stay hydrated and avoid sudden changes in posture.
  • Discuss these symptoms with your doctor to rule out cardiovascular causes.

Anxiety or Panic Attacks:

  • Practice relaxation techniques such as deep breathing or meditation.
  • Consider speaking with a mental health professional for support.

What you should look out for

Seek immediate medical attention if you experience:

  • Loss of consciousness
  • Severe headache or confusion
  • Persistent numbness or weakness in your limbs

Remember, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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3 mo ago

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People Also Ask

What are the common symptoms of seizure activity?

Common symptoms of seizure activity include sudden changes in behavior, movements, or sensations, such as convulsions, staring spells, temporary confusion, and loss of consciousness. Some people may experience auras, which are warning signs like unusual smells or feelings before a seizure.

How can syncope or near-syncope be managed or prevented?

To manage or prevent syncope or near-syncope, it's important to stay hydrated, avoid standing up too quickly, and ensure adequate salt intake if advised by a doctor. Wearing compression stockings and avoiding triggers like prolonged standing or hot environments can also help. It's crucial to discuss these symptoms with a healthcare provider to rule out underlying conditions.

What are the typical signs of an anxiety or panic attack?

Typical signs of an anxiety or panic attack include rapid heartbeat, sweating, trembling, shortness of breath, feelings of impending doom, and chest pain. These episodes can be intense but usually peak within minutes. Relaxation techniques and therapy can help manage these symptoms.

How can I differentiate between a seizure and a panic attack?

Differentiating between a seizure and a panic attack can be challenging, as both can involve intense physical symptoms. Seizures often involve a loss of consciousness or awareness and involuntary movements, while panic attacks are characterized by intense fear and anxiety without loss of consciousness. A healthcare provider can help determine the cause through medical evaluation and tests like an EEG.

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