Neurology Reports
NEUROLOGY REPORT #1
This patient has been experiencing numbness and tingling in the left median nerve distribution. History and physical examination, EMG, and nerve conduction studies were consistent with left carpal tunnel syndrome. Decision was made to perform left median nerve decompression at the wrist to treat the patient’s symptoms and to prevent complications from median nerve compression.
NEUROLOGY REPORT #2
HISTORY OF PRESENT ILLNESS
The patient is a 49-year-old right-handed woman who on Wednesday, last week, had 2 episodes of altered functioning within a 5- to 10-minute period. She states that she was walking down a flight of stairs, and she knew she was at the bottom, but she took another step as if she had 1 more step to distend. She said she felt that she knew that there was not another step, but she took it anyway and felt somewhat confused as to why she had done it. Within the next 5 to 10 minutes, she was shopping at a grocery store, looking at a jar of pickles, wondering why she was looking at that. She turned to the left, and she felt as if her whole left side was shaking, her vision was slightly blurred. The episode lasted only a few seconds. She became very anxious and nervous and again she felt somewhat confused. She took her blood sugar and it was 55. She has had lower blood sugars without reaction, and her typical hypoglycemic reaction is diaphoresis and weakness. She had no accompanying or following headache. She has not had any subsequent symptoms. She had no associated symptoms. She did not lose consciousness, or have any weakness or paresthesias.
She had a carotid duplex ultrasound which was normal. A cerebral MRI was reviewed today. She has a few nonspecific T2 hyperintensities in the white matter in the left temporal lobe. She has nothing in the right hemisphere.
ALLERGIES
None.
MEDICATIONS
Glyburide 2.5 mg once daily, metformin 1000 mg twice daily, Avandia 8 mg daily, atenolol 25 mg daily, Lipitor 20 mg daily,
This patient has been experiencing numbness and tingling in the left median nerve distribution. History and physical examination, EMG, and nerve conduction studies were consistent with left carpal tunnel syndrome. Decision was made to perform left median nerve decompression at the wrist to treat the patient’s symptoms and to prevent complications from median nerve compression.
NEUROLOGY REPORT #2
HISTORY OF PRESENT ILLNESS
The patient is a 49-year-old right-handed woman who on Wednesday, last week, had 2 episodes of altered functioning within a 5- to 10-minute period. She states that she was walking down a flight of stairs, and she knew she was at the bottom, but she took another step as if she had 1 more step to distend. She said she felt that she knew that there was not another step, but she took it anyway and felt somewhat confused as to why she had done it. Within the next 5 to 10 minutes, she was shopping at a grocery store, looking at a jar of pickles, wondering why she was looking at that. She turned to the left, and she felt as if her whole left side was shaking, her vision was slightly blurred. The episode lasted only a few seconds. She became very anxious and nervous and again she felt somewhat confused. She took her blood sugar and it was 55. She has had lower blood sugars without reaction, and her typical hypoglycemic reaction is diaphoresis and weakness. She had no accompanying or following headache. She has not had any subsequent symptoms. She had no associated symptoms. She did not lose consciousness, or have any weakness or paresthesias.
She had a carotid duplex ultrasound which was normal. A cerebral MRI was reviewed today. She has a few nonspecific T2 hyperintensities in the white matter in the left temporal lobe. She has nothing in the right hemisphere.
ALLERGIES
None.
MEDICATIONS
Glyburide 2.5 mg once daily, metformin 1000 mg twice daily, Avandia 8 mg daily, atenolol 25 mg daily, Lipitor 20 mg daily,