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From: O.Dopheide
Date: 3/14/01
Time: 5:53:16 AM
Remote Name: 24.200.188.78
The following ia an accurate history of what transpired in my case. Future diagnosis and actions will subsequently be postet here.
March Day 1 Woke up with a small headache at rear of head, at end of neck. 6 7AM Got up at normal speed, sat on side of bed, blacked out, fell forward, hit floor got up immediately, completely surprised. The whole process took no longer than 1-2 seconds.
Felt OK after, except a bit dizzy and empty headed, generally a bit blah.
1 PM, had a glass of red wine with lunch and tried to have some sleep. Could not sleep. 4 PM got up and was quite dizzy with a loss of balance. Far worse than at 7AM.
5 PM Arrived at emergency in Lakeshore Hospital. Blood pressure high, (I was in somewhat of a panic). Cardiogram, blood tests, chest x-ray, nitro patch. 8 PM discharge, all tests were OK.
Note: I have never been found to have high blood pressure, bought a machine to test at home. 8:30 PM pressure normal, balance still shaky, took 3.75 mg IMOVANE and went to sleep.
DAY 2 7 7 AM Rise, still balance problem and dizzy. 11 AM blood pressure 132/76 P68 1 PM 140/80 11 PM Going to bed, very dizzy when lying down. Gradual disappearance.
DAY3 8 AM Rise, unsteady on my feet, dizzy when head is moved too quickly, blah, headachy feeling. Pressure 138/78 P68
11 AM to Emergency again. Several pressure measurements were made : lying, standing etc. Proved OK. Sugar test was OK. Dr. Schellenberg examined and does not think that there is any indication of a mini stroke, or blockage. He recommended to slow down motions, particularly when getting up. He did not see any serious cause for concern and believes it was a transient low pressure Vaso vagal reaction. For greater detail of reasons, he recommended a visit to a Neurologist. He gave me a "transfer" to Dr. Mureson, 514 685 4189. Balance and dizziness were much better, but not gone, at this point 3:30 PM discharge. Light supper, slept some on coutch. BALANCE MUCH IMPROVED. COSOP drops 2%/0.5% To bed at 10:15 PM 1 eye drop of XALATAN 0.005% Up at 2 AM, NO BALANCE PROBLEM.
DAY4 9 Wake up 7:30 AM HEAD MOVEMENT CAUSES DIZZINESS. After slowly getting up, BALANCE PROBLEM QUITE NOTICABLE. Pressure 128/78 P 64 Breakfest, coffee (3cups), egg, baguette. Allo purinol 300 mg, COSOPT eye drop. 9:20 AM Balance problem is there, but improved. Head movement does not cause dizziness. Noon, no change Afternoon walk, balance improved, but still there, not dizzy, blah- feeling still there 8 PM Eye drops COSOPT !0 PM Eye drop XALATAN, to bed. Dizzy in the horizontal, closing eyes helps 1:30 AM Washroom, poor balance.
Day 5 10 8 AM up, very poor balance Breakfest, Allo Purinol, eye drops. Noon, still poor balance, slight headachy feeling. 2 PM balance improved , shower seems to be beneficial on neck. Not dizzy with normal head movements. But still the background headachy feeling. Taking a walk seemed beneficial. Headachy feeling increased as afternoon went by and peaked while I was cooking dinner. It seems that mental concentration and the cooking process with all the attendant up, down and sideways motions increases the "headache". 7 PM, dinner and eyedrops. Watched TV until 10 PM, feeling almost normal in all aspects. 2:30 AM washroom, balance normal.
Day 6 11 7 AM up. General improvement, tiny background headache. Noon no change 6 PM general improvement, balance almost back to normal. Background headache is better. Some dizziness with fast head movements remains. 5 AM Washroom, balance fine, latent headache in back of head still there.
Day 7 12 7:00 AM Rise. Balance normal, background headache still there. 6 PM littlechange, it seems that headachy feeling decreases as the day wears on. 5 AM Washroom, normal
13 Day 8 Up at 7 AM, all seems improved. Background of empty head feeling still there, but no real ache. 4 PM Balance OK, back of head still "empty" feeling, as if having a hang over. 14 Day 9 All seems to be back to normal. Slight presence of "dull head".
PS It would be far better to provide a web site on which such observations my be postet in either "Word", or some other text formats, in order not to loose the cohesion of content. O.Dopheide