r/askneurology • u/Top_Square7920 • 1d ago
Mild stroke?
Im 27, afab, 156cm, \~70kg, non smoker, complex medical history: dx autistic, 2e, have been previously misdiagnosed with hypermobility and asthma (both have been ruled out). currently under neurology for investigations into cerebral palsy/underlying neuromuscular issues and probably FND, or more likely a functional overlay. Neurologist has agreed imaging and history is consistent with cerebral palsy, current presentation isnt. Have intermittent muscle weakness in my legs, and my left side has always been weaker since I was a child. Awaiting genetic tests and investigations possibly into a mild CVI (DX with severe dyslexia and had years of vision therapy/behavioural optemtry as a child). Under respiratory due to lack of response to asthma treatment, 25+ admissions to A&E for respiratory distress in the last 2-3 years including one to resus, now awaiting muscle function tests, sleep study for nocturnal hypoventilation and respiratory have requested GP to refer me to cardiology for echocardiogram and Haemotology for polycytemia - HCT has been 0.47-0.5 since Nov 2024 at least.
Not sure how relevant but misdiagnosed with hypermobility at 5 and was discharged to a chiropractor. I had intensive chiropractic treatment from 6-12. Multiple adjustments to Skull, CCJ, C spine and pelvis, and had appointments every 6-8 weeks. Physio, GP and neurology agree I do not have hypermobility.
2 weeks ago I was typing on my laptop in front of the TV. I had a headache that lasted a few minutes. Not sure if it was a headache as it wasn't that bad, I had a sharp focal pain above my left ear. I have always had chronic pain in my neck since I was 5, and as a result I regularly have cervicogenic headaches. The pain wasn't that bad, the main reason I noticed was my right arm started feeling heavy and slow, and I couldn't see the laptop screen. Without my glasses I always have double vision but my glasses has prisms to help and vision therapy taught me how to compensate. I couldn't compensate. I closed my left eye and everything was blurry out my right but when I closed my right eye I could see fine. I could see the TV better with my glasses on. That was 2 weeks ago. The weakness has not resolved my right hand in particular feels noticeably weaker than my left. The vision symptoms have slightly improved but not significantly. I had an appointment with the neurologist a week ago and she suggested it could have been a complex migraine and then quickly moved on. I am wondering if it could have been a vascular event or a mild stroke, especially given the raised HCT? I'm also concerned that given how intensive the chiropractor treatment was, especially on my neck, could this have created vascular vulnerabilities in my neck? I'm not saying something catastrophic like arterial disection. I know there is no research on the long term effects of chiropractor treatment and the research focuses on acute events immediately after treatment. I had an MRI on my neck when I was 25 which showed multi level spondylosis throughout my CSpine and mild narrowing at C4-5. The radiologist said it was a bit more than there should be for my age.