About 5:30 I was sitting with my mother and she had what seemed to be a little hiccup and her eyes rolled back. I could not rouse her and dialed 911. Her pupils were completely dilated – and she was completely unresponsive. By the time I dialed 911 she roused and asked me who I was calling. I hung up and went through the standard questions - say a sentance - asking her to smile - lift up the left hand, etc etc etc and all was well - then the 911 dispatcher called back asking the nature of the emergency. I described the situation and the dispatcher had the EMTs come out anyway. They came – checked her over – and all was OK. She definately did not want to go to the hospital - had no idea what the fuss was about – and there was nothing to see – so the EMTs left. While they say they cannot diagnose – their call was that it was most likely a Trans Ischemic Attack – (TIA). Sort of a mini mini stroke. Seems more than half of the people who have these never have one again – or have another that is equally `transient'. The other half have a full stroke within a year. The TIAs actually usually can last 20 minutes to 2 hours – Mom's lasted about 30 seconds or so – certainly less than 1 minute. She seems fine now – just a bit weary. She had physical therapy this afternoon at 1:30 – so it could well be the activity and CS massage just loosened something. I'll be staying a bit closer for a while and watching – but trying not to make her feel insecure. I think the fear and `concern' over problems can be just as debilitating as a problem for her.
Knowing her - I gave a single sip of aconite 30(in water) as soon as the EMTs departed, then prepared Arnica 12 in water to consider for use through the evening.
She is quiet, calm and has a sense of fatigue at this moment - the fatigue is of normal level following physical therapy. She also has a very slight sense of nausea which she attributes to the extreme pollen count here at the moment, and occasional sinus drainage. She later admitted she had a slight sense of nausea for about 1/2 hour yesterday afternoon which she also attributed to the pollen, and it was not even enough to tell me about.
Any experience and advice in this situation would be greatly appreciated.
Thank you in advance.
Donna
D C Rona, PhD, ND, DHM
Trans Ischemic Attack?????
-
Gail Allen
- Posts: 105
- Joined: Mon May 08, 2006 10:00 pm
Re: Trans Ischemic Attack?????
Di you check her pulse during the episode? I'm just thinking along the lines of heartblock or an unusual rhythm that would be ineffective at getting any blood to the brain. I think many TIAs leave a residual impact that clears over a few hours or longer.
Gail
________________________________
To: minutus@yahoogroups.com
From: rona@consultant.com
Date: Mon, 22 Mar 2010 23:30:09 +0000
Subject: [Minutus] Trans Ischemic Attack?????
About 5:30 I was sitting with my mother and she had what seemed to be a little hiccup and her eyes rolled back. I could not rouse her and dialed 911. Her pupils were completely dilated – and she was completely unresponsive. By the time I dialed 911 she roused and asked me who I was calling. I hung up and went through the standard questions - say a sentance - asking her to smile - lift up the left hand, etc etc etc and all was well - then the 911 dispatcher called back asking the nature of the emergency. I described the situation and the dispatcher had the EMTs come out anyway. They came – checked her over – and all was OK. She definately did not want to go to the hospital - had no idea what the fuss was about – and there was nothing to see – so the EMTs left. While they say they cannot diagnose – their call was that it was most likely a Trans Ischemic Attack – (TIA). Sort of a mini mini stroke. Seems more than half of the people who have these never have one again – or have another that is equally `transient'. The other half have a full stroke within a year. The TIAs actually usually can last 20 minutes to 2 hours – Mom's lasted about 30 seconds or so – certainly less than 1 minute. She seems fine now – just a bit weary. She had physical therapy this afternoon at 1:30 – so it could well be the activity and CS massage just loosened something. I'll be staying a bit closer for a while and watching – but trying not to make her feel insecure. I think the fear and `concern' over problems can be just as debilitating as a problem for her.
Knowing her - I gave a single sip of aconite 30(in water) as soon as the EMTs departed, then prepared Arnica 12 in water to consider for use through the evening.
She is quiet, calm and has a sense of fatigue at this moment - the fatigue is of normal level following physical therapy. She also has a very slight sense of nausea which she attributes to the extreme pollen count here at the moment, and occasional sinus drainage. She later admitted she had a slight sense of nausea for about 1/2 hour yesterday afternoon which she also attributed to the pollen, and it was not even enough to tell me about.
Any experience and advice in this situation would be greatly appreciated.
Thank you in advance.
Donna
D C Rona, PhD, ND, DHM
________________________________
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Gail
________________________________
To: minutus@yahoogroups.com
From: rona@consultant.com
Date: Mon, 22 Mar 2010 23:30:09 +0000
Subject: [Minutus] Trans Ischemic Attack?????
About 5:30 I was sitting with my mother and she had what seemed to be a little hiccup and her eyes rolled back. I could not rouse her and dialed 911. Her pupils were completely dilated – and she was completely unresponsive. By the time I dialed 911 she roused and asked me who I was calling. I hung up and went through the standard questions - say a sentance - asking her to smile - lift up the left hand, etc etc etc and all was well - then the 911 dispatcher called back asking the nature of the emergency. I described the situation and the dispatcher had the EMTs come out anyway. They came – checked her over – and all was OK. She definately did not want to go to the hospital - had no idea what the fuss was about – and there was nothing to see – so the EMTs left. While they say they cannot diagnose – their call was that it was most likely a Trans Ischemic Attack – (TIA). Sort of a mini mini stroke. Seems more than half of the people who have these never have one again – or have another that is equally `transient'. The other half have a full stroke within a year. The TIAs actually usually can last 20 minutes to 2 hours – Mom's lasted about 30 seconds or so – certainly less than 1 minute. She seems fine now – just a bit weary. She had physical therapy this afternoon at 1:30 – so it could well be the activity and CS massage just loosened something. I'll be staying a bit closer for a while and watching – but trying not to make her feel insecure. I think the fear and `concern' over problems can be just as debilitating as a problem for her.
Knowing her - I gave a single sip of aconite 30(in water) as soon as the EMTs departed, then prepared Arnica 12 in water to consider for use through the evening.
She is quiet, calm and has a sense of fatigue at this moment - the fatigue is of normal level following physical therapy. She also has a very slight sense of nausea which she attributes to the extreme pollen count here at the moment, and occasional sinus drainage. She later admitted she had a slight sense of nausea for about 1/2 hour yesterday afternoon which she also attributed to the pollen, and it was not even enough to tell me about.
Any experience and advice in this situation would be greatly appreciated.
Thank you in advance.
Donna
D C Rona, PhD, ND, DHM
________________________________
Sign up for SEEK Jobmail. Get the latest jobs delivered.
-
muthu kumar
- Posts: 1208
- Joined: Mon May 24, 2004 10:00 pm
Re: Trans Ischemic Attack?????
Donna-
Hiccough with congestion of brain, or epilepsy etc. are mainly Cup.m, Hyos, Cicuta and Ver. I think Cup.m covers eyes rolling back up, hiccough, brain involvement etc. Probably Hyos next. See if there is any evidence toward any of these.
Probably Digitalis - which has dizziness with heart disease - if heart is implicated...
--- In minutus@yahoogroups.com, Gail Allen wrote:
Hiccough with congestion of brain, or epilepsy etc. are mainly Cup.m, Hyos, Cicuta and Ver. I think Cup.m covers eyes rolling back up, hiccough, brain involvement etc. Probably Hyos next. See if there is any evidence toward any of these.
Probably Digitalis - which has dizziness with heart disease - if heart is implicated...
--- In minutus@yahoogroups.com, Gail Allen wrote:
Re: Trans Ischemic Attack?????
I had wondered how TIA would translate to the older rep vocabulary and had not considered ‘congestion of the brain’ since it was so transient. She later said she felt a gas bubble rise (she had a little ginger ale with her lunch) and that burp was most likely what I interpreted as a hiccup. Thank you for your suggestions – I will investigate those remedies.
Gail - Interesting – I did not have time to check the pulse – I had the phone in hand dialing 911 with one hand and checking her breathing with the other while watching her pupils dilate and eyes almost ‘bugged’ and calling her name – only to see it pass in a matter of seconds. Thus far, everything has cleared, however she remains ‘fatigued’ (normal and appropriate level for her following therapy), and in good humor. Even without the therapy – she has responded to aconite with a ‘pleasant weariness’ in the past. At 80 she is currently on no prescription medications, and has no history of heart problems – so that is not something I was ‘looking for’. She has had 2 accidents in the last 2 years with more severe and lasting damage done by rough handling by x-ray techs and hospital staff than was done by the actual accidents. I was able to get her off all pain medications this past December.
Thank you for your prompt and thoughtful replies.
Donna
From: minutus@yahoogroups.com [mailto:minutus@yahoogroups.com] On Behalf Of hahnemannian2002
Sent: Monday, March 22, 2010 8:11 PM
To: minutus@yahoogroups.com
Subject: [Minutus] Re: Trans Ischemic Attack?????
Donna-
Hiccough with congestion of brain, or epilepsy etc. are mainly Cup.m, Hyos, Cicuta and Ver. I think Cup.m covers eyes rolling back up, hiccough, brain involvement etc. Probably Hyos next. See if there is any evidence toward any of these.
Probably Digitalis - which has dizziness with heart disease - if heart is implicated...
--- In minutus@yahoogroups.com , Gail Allen wrote:
Gail - Interesting – I did not have time to check the pulse – I had the phone in hand dialing 911 with one hand and checking her breathing with the other while watching her pupils dilate and eyes almost ‘bugged’ and calling her name – only to see it pass in a matter of seconds. Thus far, everything has cleared, however she remains ‘fatigued’ (normal and appropriate level for her following therapy), and in good humor. Even without the therapy – she has responded to aconite with a ‘pleasant weariness’ in the past. At 80 she is currently on no prescription medications, and has no history of heart problems – so that is not something I was ‘looking for’. She has had 2 accidents in the last 2 years with more severe and lasting damage done by rough handling by x-ray techs and hospital staff than was done by the actual accidents. I was able to get her off all pain medications this past December.
Thank you for your prompt and thoughtful replies.
Donna
From: minutus@yahoogroups.com [mailto:minutus@yahoogroups.com] On Behalf Of hahnemannian2002
Sent: Monday, March 22, 2010 8:11 PM
To: minutus@yahoogroups.com
Subject: [Minutus] Re: Trans Ischemic Attack?????
Donna-
Hiccough with congestion of brain, or epilepsy etc. are mainly Cup.m, Hyos, Cicuta and Ver. I think Cup.m covers eyes rolling back up, hiccough, brain involvement etc. Probably Hyos next. See if there is any evidence toward any of these.
Probably Digitalis - which has dizziness with heart disease - if heart is implicated...
--- In minutus@yahoogroups.com , Gail Allen wrote:
Re: Trans Ischemic Attack?????
great suggestions - there is another rx I found - hiccough/apoplexy -
cajaputum
might be worth asking if there were any strange sensations felt
during this time otherwise take the case and prescribe accordingly if
necessary - individualise as always.
Joy
http://www.joylucashomeopathy.com
http://health.groups.yahoo.com/group/homeopathystudy/
cajaputum
might be worth asking if there were any strange sensations felt
during this time otherwise take the case and prescribe accordingly if
necessary - individualise as always.
Joy
http://www.joylucashomeopathy.com
http://health.groups.yahoo.com/group/homeopathystudy/
-
Gail Allen
- Posts: 105
- Joined: Mon May 08, 2006 10:00 pm
Re: Trans Ischemic Attack?????
Pulse can be very tricky anyway - just renewed my Senior First Aid, and they are now saying to focus on the breathing and don't waste any time on the pulse - if no breathing then assume no pulse and act accordingly.
But if you practice finding her pulse and know how it usually feels when she is well, then it will be easier to assess what's happening if the episode happens again.
Gail
________________________________
To: minutus@yahoogroups.com
From: rona@consultant.com
Date: Mon, 22 Mar 2010 20:36:26 -0400
Subject: RE: [Minutus] Re: Trans Ischemic Attack?????
I had wondered how TIA would translate to the older rep vocabulary and had not considered ‘congestion of the brain’ since it was so transient. She later said she felt a gas bubble rise (she had a little ginger ale with her lunch) and that burp was most likely what I interpreted as a hiccup. Thank you for your suggestions – I will investigate those remedies.
Gail - Interesting – I did not have time to check the pulse – I had the phone in hand dialing 911 with one hand and checking her breathing with the other while watching her pupils dilate and eyes almost ‘bugged’ and calling her name – only to see it pass in a matter of seconds. Thus far, everything has cleared, however she remains ‘fatigued’ (normal and appropriate level for her following therapy), and in good humor. Even without the therapy – she has responded to aconite with a ‘pleasant weariness’ in the past. At 80 she is currently on no prescription medications, and has no history of heart problems – so that is not something I was ‘looking for’. She has had 2 accidents in the last 2 years with more severe and lasting damage done by rough handling by x-ray techs and hospital staff than was done by the actual accidents. I was able to get her off all pain medications this past December.
Thank you for your prompt and thoughtful replies.
Donna
From: minutus@yahoogroups.com [mailto:minutus@yahoogroups.com] On Behalf Of hahnemannian2002
Sent: Monday, March 22, 2010 8:11 PM
To: minutus@yahoogroups.com
Subject: [Minutus] Re: Trans Ischemic Attack?????
Donna-
Hiccough with congestion of brain, or epilepsy etc. are mainly Cup.m, Hyos, Cicuta and Ver. I think Cup.m covers eyes rolling back up, hiccough, brain involvement etc. Probably Hyos next. See if there is any evidence toward any of these.
Probably Digitalis - which has dizziness with heart disease - if heart is implicated...
--- In minutus@yahoogroups.com , Gail Allen wrote:
________________________________
Sign up for SEEK Jobmail. Get the latest jobs delivered.
But if you practice finding her pulse and know how it usually feels when she is well, then it will be easier to assess what's happening if the episode happens again.
Gail
________________________________
To: minutus@yahoogroups.com
From: rona@consultant.com
Date: Mon, 22 Mar 2010 20:36:26 -0400
Subject: RE: [Minutus] Re: Trans Ischemic Attack?????
I had wondered how TIA would translate to the older rep vocabulary and had not considered ‘congestion of the brain’ since it was so transient. She later said she felt a gas bubble rise (she had a little ginger ale with her lunch) and that burp was most likely what I interpreted as a hiccup. Thank you for your suggestions – I will investigate those remedies.
Gail - Interesting – I did not have time to check the pulse – I had the phone in hand dialing 911 with one hand and checking her breathing with the other while watching her pupils dilate and eyes almost ‘bugged’ and calling her name – only to see it pass in a matter of seconds. Thus far, everything has cleared, however she remains ‘fatigued’ (normal and appropriate level for her following therapy), and in good humor. Even without the therapy – she has responded to aconite with a ‘pleasant weariness’ in the past. At 80 she is currently on no prescription medications, and has no history of heart problems – so that is not something I was ‘looking for’. She has had 2 accidents in the last 2 years with more severe and lasting damage done by rough handling by x-ray techs and hospital staff than was done by the actual accidents. I was able to get her off all pain medications this past December.
Thank you for your prompt and thoughtful replies.
Donna
From: minutus@yahoogroups.com [mailto:minutus@yahoogroups.com] On Behalf Of hahnemannian2002
Sent: Monday, March 22, 2010 8:11 PM
To: minutus@yahoogroups.com
Subject: [Minutus] Re: Trans Ischemic Attack?????
Donna-
Hiccough with congestion of brain, or epilepsy etc. are mainly Cup.m, Hyos, Cicuta and Ver. I think Cup.m covers eyes rolling back up, hiccough, brain involvement etc. Probably Hyos next. See if there is any evidence toward any of these.
Probably Digitalis - which has dizziness with heart disease - if heart is implicated...
--- In minutus@yahoogroups.com , Gail Allen wrote:
________________________________
Sign up for SEEK Jobmail. Get the latest jobs delivered.
Re: Trans Ischemic Attack?????
Hi Donna
It sounds like some kind of epilepsy – petit mal, or a focal or partial complex seizure.
I have treated quite a few cases of these over the years, and quite successfully. I had one patient who had up to 40 per day for 30 yrs or so. She is free of them now.
Robyn
It sounds like some kind of epilepsy – petit mal, or a focal or partial complex seizure.
I have treated quite a few cases of these over the years, and quite successfully. I had one patient who had up to 40 per day for 30 yrs or so. She is free of them now.
Robyn
Re: Trans Ischemic Attack?????
Robyn, Thank you – yes indeed the description does seem to fit that of a partial or focal complex seizure. That gives me another direction to research.
I’ve worked with stroke and epilepsy ‘after effects’ in a number of cases. Always there was a remnant of the ‘event’ ongoing in the case – so I was comfortable factoring in the specifics of the event and the ongoing symptoms into the full case evaluation – with excellent results. I would appreciate perspective and input on incorporating (or not incorporating) a single event when there appears to be no symptom picture generated from that event. Just quickly reviewing the top stroke and seizure remedies – they do not fit her overall picture – so outside of ‘during’ an event I would not normally include those remedies in the top ones for the evaluation and selection process. Basically, if I had not witnessed the event, there would be absolutely no evidence at this point that it had occurred.
Thank you all.
Donna
From: minutus@yahoogroups.com [mailto:minutus@yahoogroups.com] On Behalf Of Robyn
Sent: Tuesday, March 23, 2010 10:03 AM
To: minutus@yahoogroups.com
Subject: RE: [Minutus] Re: Trans Ischemic Attack?????
Hi Donna
It sounds like some kind of epilepsy – petit mal, or a focal or partial complex seizure.
I have treated quite a few cases of these over the years, and quite successfully. I had one patient who had up to 40 per day for 30 yrs or so. She is free of them now.
Robyn
I’ve worked with stroke and epilepsy ‘after effects’ in a number of cases. Always there was a remnant of the ‘event’ ongoing in the case – so I was comfortable factoring in the specifics of the event and the ongoing symptoms into the full case evaluation – with excellent results. I would appreciate perspective and input on incorporating (or not incorporating) a single event when there appears to be no symptom picture generated from that event. Just quickly reviewing the top stroke and seizure remedies – they do not fit her overall picture – so outside of ‘during’ an event I would not normally include those remedies in the top ones for the evaluation and selection process. Basically, if I had not witnessed the event, there would be absolutely no evidence at this point that it had occurred.
Thank you all.
Donna
From: minutus@yahoogroups.com [mailto:minutus@yahoogroups.com] On Behalf Of Robyn
Sent: Tuesday, March 23, 2010 10:03 AM
To: minutus@yahoogroups.com
Subject: RE: [Minutus] Re: Trans Ischemic Attack?????
Hi Donna
It sounds like some kind of epilepsy – petit mal, or a focal or partial complex seizure.
I have treated quite a few cases of these over the years, and quite successfully. I had one patient who had up to 40 per day for 30 yrs or so. She is free of them now.
Robyn
Re: Trans Ischemic Attack?????
Hi Donna,
Robyn’s cogent opinion and the EMT guesstimate are not necessarily
mutually exclusive (as you deduced no doubt). If this is an epileptic
phenomenon, change in blood supply may still be involved, though with less
chance of organic result than in TIA or CVA from thrombosis etc:
http://emedicine.medscape.com/article/1183962-overview
Thus (Suggested by H'02)
Head Congestion Brain
is likely true even if this is more epilepsy than involving blood vessel
pathology.
An (unexpected) heart output issue like heart block (conduction) is not an
inconceivable remote cause, but maybe this is a one-time stomach-mediated
event which will lead to a proactive rx.
Her pupillary muscles did in fact go into spasm. Thus
Head Convulsion (spasm)
and
Convulsion as a general search term.
I wonder if something had happened earlier that day which could lend
additional clue to triggering cause (PT-rubbing or massage oil, etc;
someone’s comment causing anxiety (stomach); something she witnessed which
had a somatic and not conscious response).
Some rubric ideas to add:
Stomach hiccough -convulsions before – bell, CIC, cupr, hyos, ran-b, STRAM
Generalities Convulsions indigestion, from (IP, nux-v)
Head hiccough agg -bry
All of the above remedies except IP and bry make it through a cross of the
above three with
Unconsciousness, transient (though this depends on the latter being a
complete rubric)
May be useful:
Eyes, dilatation pupils convulsions during
Eyes, insensibility pupils convulsions during
Eyes movement rolling convulsions during - atro-pur, cocc
Speculative:
Eyes, dilatation pupils convulsions before? ARG-N, BUFO
Generalities, rubbing agg? (massage in PT earlier in day?)
Generalities, 5-6PM or collection of aggravation times in late afternoon
(though one instance makes it shaky premise)
Mind, Cheerful, convulsions after? (small rubric )
Best regards to you,
Andy
http://emedicine.medscape.com/article/1183962-overview
--
Robyn, Thank you - yes indeed the description does seem to fit that of a
Robyn’s cogent opinion and the EMT guesstimate are not necessarily
mutually exclusive (as you deduced no doubt). If this is an epileptic
phenomenon, change in blood supply may still be involved, though with less
chance of organic result than in TIA or CVA from thrombosis etc:
http://emedicine.medscape.com/article/1183962-overview
Thus (Suggested by H'02)
Head Congestion Brain
is likely true even if this is more epilepsy than involving blood vessel
pathology.
An (unexpected) heart output issue like heart block (conduction) is not an
inconceivable remote cause, but maybe this is a one-time stomach-mediated
event which will lead to a proactive rx.
Her pupillary muscles did in fact go into spasm. Thus
Head Convulsion (spasm)
and
Convulsion as a general search term.
I wonder if something had happened earlier that day which could lend
additional clue to triggering cause (PT-rubbing or massage oil, etc;
someone’s comment causing anxiety (stomach); something she witnessed which
had a somatic and not conscious response).
Some rubric ideas to add:
Stomach hiccough -convulsions before – bell, CIC, cupr, hyos, ran-b, STRAM
Generalities Convulsions indigestion, from (IP, nux-v)
Head hiccough agg -bry
All of the above remedies except IP and bry make it through a cross of the
above three with
Unconsciousness, transient (though this depends on the latter being a
complete rubric)
May be useful:
Eyes, dilatation pupils convulsions during
Eyes, insensibility pupils convulsions during
Eyes movement rolling convulsions during - atro-pur, cocc
Speculative:
Eyes, dilatation pupils convulsions before? ARG-N, BUFO
Generalities, rubbing agg? (massage in PT earlier in day?)
Generalities, 5-6PM or collection of aggravation times in late afternoon
(though one instance makes it shaky premise)
Mind, Cheerful, convulsions after? (small rubric )
Best regards to you,
Andy
http://emedicine.medscape.com/article/1183962-overview
--
Robyn, Thank you - yes indeed the description does seem to fit that of a
Re: Trans Ischemic Attack?????
Thank you all for such great input.
I am still struggling with some of the older vocabulary such as ‘head congestion brain’ which does not specify/differentiate duration – i.e. a ‘transient event’ vs a ‘state’.
Certainly any vocabulary that indicates ‘spasm’ is easier to interpret as short term – but again – to be placed in our rep was it observed in an individual as multiple ‘spasm’ events?
For example – we would most likely never rep a single hiccup (traditional diaphragm spasm event) in a case, where we would certain rep repeated or extended duration or cyclic hiccup events, or if there were symptoms produced by these events that lingered – leaving their ‘mark’ or ‘impact’ on the individual.
Thus far(24 +hours) , she remains well – no sign or symptom produced by the event and no repeat.
Again, thank you.
Donna
From: minutus@yahoogroups.com [mailto:minutus@yahoogroups.com] On Behalf Of andyh@mcn.org
Sent: Tuesday, March 23, 2010 7:00 PM
To: minutus@yahoogroups.com
Subject: RE: [Minutus] Re: Trans Ischemic Attack?????
Hi Donna,
Robyn’s cogent opinion and the EMT guesstimate are not necessarily
mutually exclusive (as you deduced no doubt). If this is an epileptic
phenomenon, change in blood supply may still be involved, though with less
chance of organic result than in TIA or CVA from thrombosis etc:
http://emedicine.medscape.com/article/1183962-overview
Thus (Suggested by H'02)
Head Congestion Brain
is likely true even if this is more epilepsy than involving blood vessel
pathology.
An (unexpected) heart output issue like heart block (conduction) is not an
inconceivable remote cause, but maybe this is a one-time stomach-mediated
event which will lead to a proactive rx.
Her pupillary muscles did in fact go into spasm. Thus
Head Convulsion (spasm)
and
Convulsion as a general search term.
I wonder if something had happened earlier that day which could lend
additional clue to triggering cause (PT-rubbing or massage oil, etc;
someone’s comment causing anxiety (stomach); something she witnessed which
had a somatic and not conscious response).
Some rubric ideas to add:
Stomach hiccough -convulsions before – bell, CIC, cupr, hyos, ran-b, STRAM
Generalities Convulsions indigestion, from (IP, nux-v)
Head hiccough agg -bry
All of the above remedies except IP and bry make it through a cross of the
above three with
Unconsciousness, transient (though this depends on the latter being a
complete rubric)
May be useful:
Eyes, dilatation pupils convulsions during
Eyes, insensibility pupils convulsions during
Eyes movement rolling convulsions during - atro-pur, cocc
Speculative:
Eyes, dilatation pupils convulsions before? ARG-N, BUFO
Generalities, rubbing agg? (massage in PT earlier in day?)
Generalities, 5-6PM or collection of aggravation times in late afternoon
(though one instance makes it shaky premise)
Mind, Cheerful, convulsions after? (small rubric )
Best regards to you,
Andy
http://emedicine.medscape.com/article/1183962-overview
--
Robyn, Thank you - yes indeed the description does seem to fit that of a
I am still struggling with some of the older vocabulary such as ‘head congestion brain’ which does not specify/differentiate duration – i.e. a ‘transient event’ vs a ‘state’.
Certainly any vocabulary that indicates ‘spasm’ is easier to interpret as short term – but again – to be placed in our rep was it observed in an individual as multiple ‘spasm’ events?
For example – we would most likely never rep a single hiccup (traditional diaphragm spasm event) in a case, where we would certain rep repeated or extended duration or cyclic hiccup events, or if there were symptoms produced by these events that lingered – leaving their ‘mark’ or ‘impact’ on the individual.
Thus far(24 +hours) , she remains well – no sign or symptom produced by the event and no repeat.
Again, thank you.
Donna
From: minutus@yahoogroups.com [mailto:minutus@yahoogroups.com] On Behalf Of andyh@mcn.org
Sent: Tuesday, March 23, 2010 7:00 PM
To: minutus@yahoogroups.com
Subject: RE: [Minutus] Re: Trans Ischemic Attack?????
Hi Donna,
Robyn’s cogent opinion and the EMT guesstimate are not necessarily
mutually exclusive (as you deduced no doubt). If this is an epileptic
phenomenon, change in blood supply may still be involved, though with less
chance of organic result than in TIA or CVA from thrombosis etc:
http://emedicine.medscape.com/article/1183962-overview
Thus (Suggested by H'02)
Head Congestion Brain
is likely true even if this is more epilepsy than involving blood vessel
pathology.
An (unexpected) heart output issue like heart block (conduction) is not an
inconceivable remote cause, but maybe this is a one-time stomach-mediated
event which will lead to a proactive rx.
Her pupillary muscles did in fact go into spasm. Thus
Head Convulsion (spasm)
and
Convulsion as a general search term.
I wonder if something had happened earlier that day which could lend
additional clue to triggering cause (PT-rubbing or massage oil, etc;
someone’s comment causing anxiety (stomach); something she witnessed which
had a somatic and not conscious response).
Some rubric ideas to add:
Stomach hiccough -convulsions before – bell, CIC, cupr, hyos, ran-b, STRAM
Generalities Convulsions indigestion, from (IP, nux-v)
Head hiccough agg -bry
All of the above remedies except IP and bry make it through a cross of the
above three with
Unconsciousness, transient (though this depends on the latter being a
complete rubric)
May be useful:
Eyes, dilatation pupils convulsions during
Eyes, insensibility pupils convulsions during
Eyes movement rolling convulsions during - atro-pur, cocc
Speculative:
Eyes, dilatation pupils convulsions before? ARG-N, BUFO
Generalities, rubbing agg? (massage in PT earlier in day?)
Generalities, 5-6PM or collection of aggravation times in late afternoon
(though one instance makes it shaky premise)
Mind, Cheerful, convulsions after? (small rubric )
Best regards to you,
Andy
http://emedicine.medscape.com/article/1183962-overview
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Robyn, Thank you - yes indeed the description does seem to fit that of a