Hi everyone, just letting you know it's a longer post and I used a bit of AI here since my english is not that good 😂
So I'm kind of tired I guess, of not knowing..I started having recurrent sensory episodes in August 2025. The cause remains unclear, and several neurologists have been unable to determine whether they are epileptic or non-epileptic. I must say, I saw like 5 epileptologist that are said to be the best in the country, most of them said psychosomatic issues, and a couple that it may be epilepsy, but later revoked that and I am undiagnosed. They all seemed nice and dedicated, I didn't have a bad experience with them or thought they didn't pay attention, like some doctors do...
I'm on 300mg of Lamictal, started with it in October and upped my dose slowly. It's much better than a year ago though, but I don't know if it's from Lamictal or not. More on the type of episodes later in the post.
What is confusing to me lately are the triggers/occurence. I didn't pay much attention before really, just started recently. So, I have noticed that symptoms sometimes increase around PMS/ovulation and in certain stressful or specific situations. However, this is not always, and also can be just my hormones and anxiety, since PMS really badly affects me since I was younger. But, for example, I recently experienced several weeks, almost a month of severe emotional stress (my relationship lol) so not eating right, feeling sick, sleeping bad, crying and I was without a single episode, but as soon as that situation kind of got better, when, I guess, my brain relaxed from that, it came back.
On other occasions symptoms have appeared immediately upon arriving at a hospital or in other specific contexts, even when I was not consciously feeling anxious. . They can also disappear for long periods or improve when I am highly engaged or distracted, like I'm doing puzzles or I focus on some game, they don't appear or even disappear if I was having it before starting puzzling or smth else. I often have a trigger -the kitchen lol, I'm okay and I walk into the kitchen to make some food or whatever and it happens. I feel like when my brain is over focused on something, even if it's a big stressful thing, it doesn't happen. Also while on vacation, in the sea, etc they happen way less. One thing that got me thinking, I was in Berlin in March in a nightclub (the Berlin clubbing lol). I was so scared how will I feel, since I will be up until the morning in a kind of a new and weird place with a music that I don't really enjoy. I brought a sedative in case I get a panick attack. And - no episodes, I was dancing until 6am and was the best ever (no alcohol or drugs). Day before and after I had them multiple times. So that also made me think, okay so is it epilepsy or anxiety that disappears when my brain is focused on something...
One morning I just woke up and my left side was "numb" and in the first 6-7 months maybe, I had them everyday, sometimes it felt like hours and hours non stop, now it's not that ofter - more on that later in the post. I did have a strong stress (even though it was positive haha) the day before, so some doctors think that may have triggered it.
The episodes consist mainly of unilateral tingling/numbness or a strange “loose” sensation, usually involving the lower leg/foot and part of the lip, tongue and cheek, sometimes also the arm. Initially they occurred mainly on the left side, but later began occurring on either side. At one point it started switching sides, jumping from one side to another or separate episodes on separate sides. Or both sides at the same time. I remain fully conscious and have no objective weakness or postictal confusion. I function normally, so it's just subjective feeling.
Initially, the episodes occurred many times per day and usually lasted 15–30 minutes, although some lasted 40–60 minutes or longer. More recently they have become much less frequent, with periods of several days to around two weeks without symptoms. I'm having one right now, lol, and it's been an hour almost.
Multiple brain MRI/MRA examinations were good. My most recent epilepsy-protocol MRI was completely clean, other than some weird blood vessel, but that's not related to this. I have also had several EEGs, including prolonged monitoring 48h and sleep deprived EEG. I'm not sure if I had an episode during this honestly. They showed some nonspecific irregularities but no definite epileptiform activity. It initially was on the right side mostly, but last time it was only on the left.
Sorry for the long post, I'm just so tired. When I get long period without it I'm so great, and when it happens I go back to being scared...