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- Oct 25, 2004
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Hey Everyone,
I was working in the ER this weekend and we had a patient come in with a strange set of symptoms and I was wondering if some of you neruo experts could elaborate on the subject.😀
The patient came in at night complaining that he was experienceing vibration / buzzing sensations in his occipital region when laying in bed at night trying to sleep. He said that he also had the sensation that his bed was shaking or moving, like someone was pushing their hands into his mattress in a quick repetative mannor that made him feel like he was slightly being "shaken" in bed. I asked him if the vibration / buzzing sensation was auditory at all and he denied that.
The only other history he had was GERD. He had been to a neuro doc 4 months prior to the er visit for a different complaint. He said that when he was at rest, watching tv or on the computer objects like the tv or a picture or the computer screen would move back and forth horizontally only by about 1 cm 3-4 times per second and each episode would last about 10 seconds, or would stop if he looked away and refocused on another object.
The neruo visit was without findings, and the pt had the MRI he had done with him which the doc had said was normal. He said the neuro doc explained the visual sensation as being an aura, without a migrane because the patient never has severe headaches and called it cortical shifting?
Never heard of anything like this, so I was wondering if you could explain the aura with the absance of a migrane and the cortical shifting, as well as what the vibration proprioception symptoms the patient was experience could have been. The MD I was with that night said it was part of falling asleep and a hypnagogia state.
Thanks!
🙂
I was working in the ER this weekend and we had a patient come in with a strange set of symptoms and I was wondering if some of you neruo experts could elaborate on the subject.😀
The patient came in at night complaining that he was experienceing vibration / buzzing sensations in his occipital region when laying in bed at night trying to sleep. He said that he also had the sensation that his bed was shaking or moving, like someone was pushing their hands into his mattress in a quick repetative mannor that made him feel like he was slightly being "shaken" in bed. I asked him if the vibration / buzzing sensation was auditory at all and he denied that.
The only other history he had was GERD. He had been to a neuro doc 4 months prior to the er visit for a different complaint. He said that when he was at rest, watching tv or on the computer objects like the tv or a picture or the computer screen would move back and forth horizontally only by about 1 cm 3-4 times per second and each episode would last about 10 seconds, or would stop if he looked away and refocused on another object.
The neruo visit was without findings, and the pt had the MRI he had done with him which the doc had said was normal. He said the neuro doc explained the visual sensation as being an aura, without a migrane because the patient never has severe headaches and called it cortical shifting?
Never heard of anything like this, so I was wondering if you could explain the aura with the absance of a migrane and the cortical shifting, as well as what the vibration proprioception symptoms the patient was experience could have been. The MD I was with that night said it was part of falling asleep and a hypnagogia state.
Thanks!
🙂
