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[DigitalFusion04]

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I recently saw a guy in the ER that was complaining of a "electric shock" sensation intermittently x3 that went from the front of his forhead over the top of his head to the occiput. he was also complaining of random episodes that felt like "hot water flowing through his veins" in his chest that only lasted a few seconds and came on randomly. He was 35 y/o in good health with no pmhx, no significant fmhx. in any case all the tests for cardiac came back normal and ERMD called it stress.

In any case, it seems like there are a lot of weird symptoms that can present for stress and I'm wondering if there is any kind of book out there or resource of any kind that covers these kind of weird symptoms. Does anyone know of anything?

 

[neurologist]

Not aware of any single "Textbook of Weird Symptoms" or anything like that. Most comprehensive neuro and psych textbooks have chapters on conversion and other psychogenic disorders that might be helpful.

BTW, the guy's headaches sound pretty good for occipital neuralgia. The "hot water through the veins," well, that just sounds like craziness.

 

[BrainBuff]

Not aware of any single "Textbook of Weird Symptoms" or anything like that. Most comprehensive neuro and psych textbooks have chapters on conversion and other psychogenic disorders that might be helpful.

BTW, the guy's headaches sound pretty good for occipital neuralgia. The "hot water through the veins," well, that just sounds like craziness.

Sorry, but that headache does not sound like occipital neuralgia. In occipital neuralgia the pain begins in the occipital region (not the other way around) and may radiate temporally or frontally. It may also be perceived retro orbitally.

Some patients complaint of unusual electric like sensations over the scalp and that may just be the case you mention. With a good history, you will get to the diagnosis - Very Psychosomatic in nature.