Brief Answer:
Too little known right now to make a definitive diagnosis

Detailed Answer:
Good evening. My name is Dr. Saghafi and I am an Adult Neurologist in the XXXXXXX Ohio region of the world where we mourn the loss of the CAVS tonight. I don't know if you follow basketball at all or if you might be rooting for Golden State since they are certainly closer to your land than ours....but we will survive.

Just as your sister will survive certainly. Whatever, that episode was it certainly does not sound as if it were a stroke or seizure. I notice you are from the Las Vegas area and your sister was in a parked car eating lunch. Was she in this car with or without air conditioning? What was the outside temperature. Was the car running the entire time and were her windows rolled up or down? One of the first things that strikes me would be, if she were in a car with air conditioning running and windows up, and if the car were on, could she have accumulated fumes inside her car?

When she went back to work she had all these symptoms. However, I'm imagining she got better as the afternoon went on...maybe even rather quickly? Again, could there have been a toxic element of fumes in her car? For her to feel shaky, wobbly, with feelings of autonomic dysfunction (sense of possible bladder incontinence), shaky hands, I believe something dramatic happened in the car but because there was no chest pain, report of pains in the jaw, neck, or left shoulder down arm then, to me the heart is not likely the source of problems. The clue more to me as a neurologist is the DIZZINESS with the feeling of going to PASS OUT. That sounds like the brain is not getting enough oxygen....back to my toxicity theory.

Why not have her look into the exhaust system in her car. See if she can take it to a mechanic and see if there is a way they can check for fumes or carbon monoxide levels in her car while it is running. Or even if not....if she were in a parking lot and if other cars around her may have been running then, could the same could've happened except from the accumulation of fumes from other cars?

I would suggest she not sit in her car anymore until this is ferreted out and see if her symptoms don't completely resolve.

Since she is going to undergo testing let's see what they do. I would definitely recommend she be seen in consultation or referral to a neurologist if not a neuropsychologist who can do batteries of tests specifically looking to detect any hint of Alzheimer's disease...which I agree is a long shot in someone as young as her.

Has she been a lot of stress lately either at home with her family, at work, with the boss, coworkers, is she worried about being let go, etc.

I hope this answer satisfactorily addresses your question. If so, may I ask your favor of a HIGH STAR RATING with written feedback?

Also, if there are no other questions or comments, I'd appreciate it greatly if you would CLOSE THE QUERY on your end so this question can be transacted and archived for further reference by colleagues as necessary.

Please direct more comments and questions to me in the future at:

bit.ly/drdariushsaghafi and I would be honored to answer you and continue this discussion.

All the best.


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