Family History Of Heart Disease. Have Vasovagal Syncope. Now Have Chest Pain, Dizziness, Weakness, Nausea, Quivering Leg. What To Do?
Thank you for posting your query.
I can understand your concern, as a proper diagnosis has not been reached and the current treatments have not really helped you get better.
Regarding your symptoms, they are suggestive of posterior circulation ischemia (lack of blood flow to certain parts of brain such as brainstem and cerebellum). These parts of brain are supplied by vertebrobasilar system. The cause of lack of blood flow to brain is probably related to poor pumping of blood by the heart, which is turn is probably related to heart rate and blood pressure abnormalities.
The medication that is likely to help you most is amiodarone. You should see a cardiac electrophysiologist for the correct medications.
In addition, I would also start you on an antiplatelet agent such as aspirin or clopidogrel to prevent major brain stroke.
I hope it helps. Please get back if you have any more queries.
Best wishes,
Dr XXXX (Neurology) XXXXXXX Consultant Neurologist
MRI along with MR angiogram of brain is generally done to diagnose posterior circulation ischemia. The chances of picking up problems are higher when a diffusion weighted MRI is done in the early periods after the symptoms develop.
Best wishes,
Dr XXXX MD DM (Neurology)