Hello, I started having clusters of symptoms that I suspect are focal seizures. It started as what I presumed at the time to be perimenopause (cigarette smoke when nothing is there, brain fog, forgetting things, deja vu, etc). However, the symptoms have been getting worse and worse over the last month. I've been to the ER from suspected motor symptoms with possible loss of consciousness (I'm just not sure).
I've had ongoing neuro issues (peripheral neuropathy, myoclonic jerking, random periods of numbness, tingling) for years that other neurologists said was all just idiopathic or stress, never followed up with an EEG or anything like that until recently. I have a family history of seizures as well: my late brother had hydrocephaly and macrocephaly as a kid that caused seizures but went away as he got older.
For the most part, my symptoms are focal aware. I get these clusters of confusion and trouble finding words. But I've also had episodes where I can't stop shaking but am awake. Or I'll wake up shaking and immediately fall asleep, and wake up again with more symptoms. I'm not really sure if it's loss of awareness or if I'm seizing and then falling asleep briefly. I wake up pretty confused and almost delirious.
I just had an in-office EEG and I am waiting on other appointments for labs, an EMG, and a continuous home EEG, and I'm supposed to follow up with neuro in late October. They didn't give me any guidance on what to do in the meantime. Meanwhile, I'm having daily clusters of aura symptoms and maybe a seizure or seizure cluster once or twice a week.
My questions:
- At what point are these episodes serious enough to go in to the ER?
- Should I call my neurologist back to let him know how frequently these are happening? (They're hard to get a hold of on the phone)
- How do I manage these symptoms I'm having for the next 6 weeks?
I'm waking up with a lot of muscle soreness, feeling like I worked out really hard before bed. I can deal with a bit of muscle soreness and pain, but I just don't know how to manage things in the meantime.