I received the letter from Dr Hain that the audiologist had mentioned I would receive last night. It's really fairly confusing and I'm not sure I understand 90% of it.
It starts with an "impression"
"Spells with a differential diagnosis of seizures in spite of the fact that the EEG is normal, a vesitbular disturbance such as a vesitbular neuritis or neuralgia or BPPV as suggested by exam, and migraine.
Right at the moment, I would suggest that we go through these possibilities one by one. Although your EEG was normal, EEGs are relatively insensitive to mild seizures, and I started you on Trileptal. If this medication is helpful, you will stop haveing spells.
With respect to the possibility of a vestibular problem, I started you on the exercises for BPPV. With respect to the possibility of migraine, we may eventually attempt migraine prophylaxis medication."
There is other information given regarding the hearing tests that were done. One line I don't quite understand, but will do further research about "A vestibular evoked myogenic potential test was done today and revealed a total amplitude of 1309, which is very high, and only 4.4% weakness."
In reference to the goggle test, "Under video Frenzel's goggles, there is a very slightly right-beating spontaneous nystagmus that is unchanged by hyperventilation. It continues to be seen during head positioning while upright and continues to be seen when the neck is vibrated. On positional testing, there is a slight up beating nystagmus on head left and continued right beating nystagmus on head right."
So I have some research to do. If anyone reading this has any ideas, let me know!
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