[44F] Experiencing vision loss and facial symptoms post-seizure

Patient Description

A 44-year-old female experienced sudden loss of vision in her left eye, drooling, and slight facial drooping on the left side following a seizure. The vision loss initially presented as complete blindness in the left eye, which later progressed to blurriness. The drooling and facial drooping were transient, occurring just after the seizure. The patient has a history of seizures, asthma, anemia, diverticulitis, gastritis, and a hiatal hernia. She has undergone several surgeries, including two C-sections, and has hardware in her right ankle and knee. She also has a history of blood clots in her lungs, a gastric sleeve procedure, and suffers from reflux, a corroded esophagus, ulcers in her esophagus and stomach. She is currently taking Ondansetron HCL 4mg, Promethazine 22.5 mg, Ibuprofen 600mg, Sucralfate 1g, Pantoprazole SOD DR 40mg, Ondansetron ODT 8mg, Methocarbamol 500mg, and Pepcid Complete daily. She reports allergies to Pitocin and Chlydomyosin.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, the most concerning possibility is a stroke, specifically an ischemic stroke. This occurs when blood flow to a part of your brain is cut off, often due to a clot. The sudden onset of your symptoms, including vision loss, facial drooping, and drooling, especially following a seizure, are all potential signs of a stroke.

  • Stroke: This is a serious, life-threatening medical condition that occurs when the blood supply to part of the brain is cut off. Your symptoms of sudden vision loss in one eye, facial drooping, and drooling are all potential signs of a stroke.
    • Treatment: A stroke is a medical emergency. If you're experiencing these symptoms, you should seek immediate medical attention. Treatment for a stroke depends on whether it's ischemic (caused by a clot) or hemorrhagic (caused by a bleed). For an ischemic stroke, doctors may administer clot-busting drugs or perform a procedure to remove the clot.

What you can do

Given the severity of your symptoms, it's crucial that you seek immediate medical attention.

  1. Call 911 or your local emergency number right away.
  2. Try to stay calm and still until help arrives.
  3. If you're with someone else, let them know what's happening so they can assist you.

What you should look out for

Keep an eye out for any worsening or new symptoms, such as:

  • Increased weakness or numbness on one side of your body
  • Difficulty speaking or understanding speech
  • Severe headache
  • Difficulty walking or maintaining balance

Remember, a stroke is a medical emergency. The sooner you receive treatment, the better your chances of minimizing damage to your brain.

Please note that while I strive to provide accurate information, I am an artificial intelligence and not a doctor. This advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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7 mo ago

People Also Ask

What are the common symptoms of a stroke?

Common symptoms of a stroke include sudden numbness or weakness in the face, arm, or leg, especially on one side of the body; confusion or trouble speaking or understanding speech; trouble seeing in one or both eyes; difficulty walking, dizziness, or loss of balance or coordination; and a severe headache with no known cause.

How is an ischemic stroke treated?

An ischemic stroke is typically treated with clot-busting drugs like tissue plasminogen activator (tPA) if administered within a few hours of symptom onset. In some cases, doctors may perform a procedure called a thrombectomy to physically remove the clot.

What should I do if I suspect someone is having a stroke?

If you suspect someone is having a stroke, call emergency services immediately. Remember the acronym FAST: Face drooping, Arm weakness, Speech difficulties, and Time to call emergency services. Quick action is crucial to improve outcomes.

Can seizures lead to stroke-like symptoms?

Yes, seizures can sometimes lead to symptoms that mimic a stroke, such as temporary weakness or numbness, vision changes, or facial drooping. However, these symptoms usually resolve quickly after the seizure ends. It's important to seek medical evaluation to determine the cause of these symptoms.

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