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BI Went Out Of State To Visit My Family. Stayed

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Posted on Sun, 16 Dec 2018
Question: BI went out of state to visit my family. Stayed with my sister and her husband. I arrived on a Thursday afternoon and was completely fine that day and Friday afternoon when I had lunch with a close friend. Later that night my sister’s husband, who has a medical marijuana card for no apparent reason, offered me a “gummy bear.” I ate half of it and almost immediately fell asleep. The next day I experienced cognitive problems—cognitive slowing and dull. I’ve never experienced that before. That night I had dinner with my family and it was very difficult to even talk sensibly with anyone. The next afternoon I also met my family for lunch as I was scheduled to fly back to NC emwhere I live, and the cognitive problems were even worse. I could understand the conversations, but couldn’t participate, could barely even read the menu at the restaurant. I was worried, because the service was so slow that I wouldn’t make my flight. When my father and I got up from the table, I had a grand mal seizure. I apparently fell on a table, causing a laceration on my forehead which required stitches!at the hospital. When I arrived at the hospital in an ambulance, I remembered nothing about this. And apparently when I got to the emergency room a little later, I had another seizure. Again, I have no memory of it. I was admitted to the hospital and was kept for three days. They did an MRI and other tests on my brain and found nothing abnormal. I was exposed to sleep deprivation the night before this happened, and also 24/7 exposure to all the TVs at my sister’s house (including in my bedroom), which I am so not used to. In my home we only have a TV on if there is something specific we want to watch. The neurologist at the hospital prescribed Lamictal, which I’ve been taking as prescribed. I’ve been diagnosed with a seizure disorder, although at 59, I’ve never had a seizure or had any of the cognitive problems I experienced there. I’m an outpatient psychotherapist in private practice. I would very much appreciate a second opinion before I make an appointment with the neurologist to whom I’ve been referred. By the way, I’m feeling just fine now.
doctor
Answered by Dr. Dr. Antoneta Zotaj (2 hours later)
Brief Answer:
Several possible causes considered and explanations given

Detailed Answer:
Hello,

The history with the marijuana and possible ingestion of it might explain the confusion and possible seizures, on the other hand, other causes should be considered as well.

Whenever a patient has seizures the first thing we try to rule out is a brain mass or hemorrhage and this is what the doctors have ruled out in your case with the MRI and the brain checks. MRI is very important in these cases and you have already had it, some other tests the doctors do are EEG and in some cases lumbar puncture to rule out possible infections as well (indicated in specific cases, the examining doctor decides if it is needed or not).

There are other causes of the seizures as well, especially at your age.
It is important to have some blood checks as well and a good heart examination to make sure all is well with these as well.
- Blood tests that might be good to do are: CBC, ERS, electrolytes, TSH, liver function tests, creatinine, glucose, lipids etc
- A heart check would be done with an ECG and heart ultrasound and I would say an ultrasound of the neck arteries can be considered to rule out narrowing. Just to make sure there are no small thrombi blocking arteries here and there in the brain and cause transient ischemic brain attacks which may be in some cases warning signs for more important conditions.

If all of these tests come out normal and you are improving then very likely there is nothing to worry and you need to follow up with your doctor as recommended to make sure all is well.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Antoneta Zotaj
General & Family Physician
Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Dr. Antoneta Zotaj

General & Family Physician

Practicing since :2004

Answered : 4435 Questions

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BI Went Out Of State To Visit My Family. Stayed

Brief Answer: Several possible causes considered and explanations given Detailed Answer: Hello, The history with the marijuana and possible ingestion of it might explain the confusion and possible seizures, on the other hand, other causes should be considered as well. Whenever a patient has seizures the first thing we try to rule out is a brain mass or hemorrhage and this is what the doctors have ruled out in your case with the MRI and the brain checks. MRI is very important in these cases and you have already had it, some other tests the doctors do are EEG and in some cases lumbar puncture to rule out possible infections as well (indicated in specific cases, the examining doctor decides if it is needed or not). There are other causes of the seizures as well, especially at your age. It is important to have some blood checks as well and a good heart examination to make sure all is well with these as well. - Blood tests that might be good to do are: CBC, ERS, electrolytes, TSH, liver function tests, creatinine, glucose, lipids etc - A heart check would be done with an ECG and heart ultrasound and I would say an ultrasound of the neck arteries can be considered to rule out narrowing. Just to make sure there are no small thrombi blocking arteries here and there in the brain and cause transient ischemic brain attacks which may be in some cases warning signs for more important conditions. If all of these tests come out normal and you are improving then very likely there is nothing to worry and you need to follow up with your doctor as recommended to make sure all is well. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Antoneta Zotaj General & Family Physician