Brief Answer:
How about checking her for orthostatic hypotension

Detailed Answer:
Top of the evening to you though I understand that may be a relative sort of wish given your concern for your mother. Let me first that in my opinion....NOTHING should be taken off the table as a possibility despite some of these tests that "don't show anything".....In other words, without knowing more about the EEG I might say that the EEG should be repeated....If it was just a 1 time standard 20 or 22 minute study then, the sensitivity of picking up a seizure disorder is only 30-40%. So, when I send patients for EEG's (if I'm really thinking seizure disorder) then, I'm sending that patient BACK for a repeat study with some additional parameters...such as PROLONGED 60 min. with sleep deprivation. Or..if episodes are frequent enough I might even consider hospitalizing the patient and doing a 3-5 day video EEG monitoring stay. If on the other hand we listen to your history and note that she only loses awareness for a brief number of seconds before coming back to normal and she has SEIZURE LIKE MOVEMENTS then, she may not have seizures at all...and may be suffering instead from a condition known as CONVULSIVE SYNCOPE. This can be diagnosed easily when patients are fulminantly low in volume and an AMINOFF ORTHOSTATIC BP pressure protocol is applied. If the patient is only mildly low in fluids then, it may be necessary to go to a TILT TABLE TEST to pick up the orthostasis.....

If your mom is on medications that can lower blood pressure...especially if she's on multiple drugs that can lower blood pressure...either by first intention or as a side effect then, you've just identified the most common risk factor in elderly patients who suffer from orthostatic hypotension as well as CONVULSIVE SYNCOPE. If they readjust medications and bring her volumes up if she's at all dehydrated the problems usually resolves itself in a few days.

These are just a few initial thoughts on a little bit of information. All the best to you and your mother!

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Brief Answer:
Best Medical School Listen Anybody can learn: COMMON THINGS ARE COMMON

Detailed Answer:
The corollary to that statement would be......

THINGS THAT HAPPEN....ARE USUALLY COMMON--- So, my first move would be to do the Aminoff Modified Orthostatics. If that is definitely negative....and if revamping her list of medications to eliminate or reduce all UNNECESSARY MEDICATIONS as well as make sure she doesn't have more than 1-2 blood pressure meds then, I might go to a prolonged 60 min. EEG.

Once again, many thanks for your questions and if there are no further questions or comments would you do me the great favor of CLOSING THIS QUERY and be sure to include some feedback on our transaction? If you have any comments or are interested in potentially considering a visit to XXXXXXX OH for a workup feel free to let me know at your convenience and we can work to set that up.

This query has utilized a total of 67 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.

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