Debilitating, intermittent "episodes" of disorientation & brain fog

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I'm going to start off by saying my condition/illness or whatever it may be is a medical mystery to six doctors (physicians, neurologists, psychiatrists) and that I am unemployed and rejecting job offers because my condition limits my abilities and brain function. It is a roadblock in my life and I can't seem to drive around it. I am a healthy and fit 24 y/o male who has been suffering from transient, hard to describe disorientating episodes/spells that I first had the pleasure of experiencing at 18. Since then, the episodes have occurred almost daily but do not last all day long - they are TRIGGERED by certain situations and environments. I can feel the spells gradually, but pretty quickly coming on (they don't occur at the drop of a hat) and I actually have the ability to stop them by laying down in a dark room and literally putting a pillow over my face and just "shutting down" for a couple minutes. Weird, I know. The "spells" last anywhere from 10 minutes to multiple hours, depending on if I get to a dark room with a pillow. I've tried multiple migraine medications and none have even remotely helped.

Triggers:

-Focusing on something for more than a few minutes - even talking to a person! I can't even talk to a freaking family member face-to-face without falling into one of these spells. One minute I'm fine and then there's a total disconnect between what I'm seeing and my cognitive function. Depth perception also throws me off here.

-Similar to focusing...when I'm talking for an extended period of time. It feels like my brain is totally deprived of oxygen and I then fall into one of these disorienting episodes

-Light contrast situations, especially when I'm in a well-lit room when it's dark outside. It's like my brain doesn't "agree" with what i'm seeing and the light situation

Symptoms:

In addition to feeling extremely disoriented, the other symptoms include a general feeling of disconnectedness, brain fog, a headache of pinpoint pain in the back right of my head that occurs during most of the episodes, a massive drop in mood and overall emotion (apathy I guess you could say), a minor lack of memory of anything that occurred during one of these episodes (for example if I read 5-10 pages during one of the spells I wouldn't remember specific details of the read but would remember the general theme and whatnot), and extreme cognition trouble (speaking, writing and even focusing on a person and their eyes). One minute I'm thinking and speaking clearly and the next minute one of these episodes can surface and I start to totally jumble my thoughts, words and sentences and I sound like a complete idiot. At this point in the dizzy spell, I want to just lay in bed and cover a pillow over my face in the dark. When I do that, it's literally like hitting the reset button and the symptoms decrease significantly.

I have had an EEG and and a brain MRI - both normal.

These episodes or spells or whatever they are are affecting my quality of life. I used to be a very happy, energetic and social person and now this issue is somewhat holding me back, though I do go up against it daily in hopes that I can increase my tolerance of the spells, which I can't. Any advice, support or help would be extremely appreciated here.

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  • Posted

    Okay, my wife's getting these now, but they have been preceeded by a bad and worse case of what the doctors term "Granuloma annulare"; which came up very quickly when she started heart medicine. I should say that today she treated the GA with vinegar (topical); so maybe the acetic acid threw off her pH.

    But then, the hypertension immediately followed a miscarriage involving fetal calcification in the second trimester... making us suspect (unconfirmed) CMV.

    Other things that may have triggered the episode may be chocolate...

    So if any of these pop up in parallel with y'all, maybe we'll start to identify something.

  • Posted

    Hi @Pageside. I notice you haven't posted for a while but I hope you see this. I have been experiencing EXACTLY what you describe. I wonder if you have discovered anything in the last months that might have helped or figured this out. I totally get your frustration. It's difficult for me to keep re-hashing my symptoms to friends/doctors only to get a blank look. I had a nurse talk to me after an ER visit about stress. I told him the same thing: When this happens to me, I'm totally fine. I'm not stressed, I'm not thinking about anything in particular - it just comes on like a wave over me. The reason he came out and talked to me in the lobby is because he's in his 30's, perfectly healthy and then he started experiencing all these weird unexplained medical issues so he said he could relate to what I was describing. He said he found meditation very helpful - the only thing that helped him. Someone in this discussion described the 'which came first?' scenario of did the symptoms bring on the panic, or did panic bring on symptoms? I haven't ruled that out but I really don't think that's what it is. The only thing I have noticed a connection with is being overly tired. In most settings - where I can be in control and not surrounded by a lot of people or bright lights - I calm myself down by giving myself permission to feel the way I am. I know what I'm feeling and I do what I need to to take care of myself. If I'm in unfamiliar or crowded situations, that's more difficult. I also notice that I'm exhausted afterwards and want to just fall asleep hard. I tell people it feels like sensory overload and my brain just needs to sleep. My sister had epilepsy before years before she died and she would fall asleep for hours afterwards. So maybe there is some similarity. I've had a CT scan and MRI and neither showed that but maybe it is a form of epilepsy that doesn't show up in tests? I don't know, but the main thing I wanted to get across was that I understand and I am very sorry you are going through this. I definitely can relate to you.

    • Posted

      Please look into KLS- Kleine Levine syndrome.  For most people suffering Through these unexplained episodes it takes many many years to diagnose because so few doctors have ever heard of it. But it’s very real! My daughter was diagnosed a few years back. It is a very rare neurological disorder. The good news is you typically will outgrow these episodes. Again look this up- There is plenty of information online, KLS support groups etc. and doctors that do recognize KLS and can give you answers.
    • Posted

      This is great stuff - thanks for sharing. KLS has a plethora of similarities when placed against my weird neuro episodes. I will definitely look deeper into this.

    • Posted

      Hey there,

      So sorry for the delayed reply, but as I just mentioned in this thread, I haven't necessarily 'given up' on this but I took another long break from trying to troubleshoot it. The amount of time, energy, and most of all $$ it has cost me to try and put a finger on this weird 'illness' had been overwhelming. So, I took a break, because I wasn't getting anywhere. However, as the winter closes in I have realized something: the frequency of the episodes is less during the summer compared to other months. Could be the factors of weather, happiness, travel or something else. Not entirely sure, but I think this added piece of the puzzle will give the next doctor I see a bit more ammo in trying to figure this out.

      "When this happens to me, I'm totally fine. I'm not stressed, I'm not thinking about anything in particular - it just comes on like a wave over me. "

      ^^THIS. My family and doctors I used to visit regularly always pointed to stress, anxiety and possibly depression. However, when I'm in a wonderful mood surrounded by amazing people in a laid back place, I can feel these episodes surfacing and rapidly. Makes absolutely no sense and they're definitely not tied to anxiety because there was no sensation of anxiousness, depression, stress etc. Still completely baffled.

      Any progress on your end? KLS syndrome is something I'm definitely going to look into. There are a lot of similarities to what I'm experience (Thanks user @traci70474)

  • Posted

    I have been experiencing these exact (minus the head pain) symptoms! I feel like Im losing my mind at times.  Ive become withdrawn socially.  This is not me.  I am usually lively and energetic.  I agree that the only way i feel better when an episode comes on is by trying to take a small nap....if i can.

    Are things any better now?  I'd love to hear back with your findings or what you did to get better.

    • Posted

      Hey there,

      So sorry for the delayed reply, but as I just mentioned in this thread, I haven't necessarily 'given up' on this but I took another long break from trying to troubleshoot it. The amount of time, energy, and most of all $$ it has cost me to try and put a finger on this weird 'disorder' had been overwhelming. So, I took a break because I wasn't getting anywhere. However, as the winter closes in I have realized something: the frequency of the episodes is less during the summer compared to other seasons. Could be the factors of weather, happiness, travel or something else. Not entirely sure, but I think this new piece of the puzzle will give the next doctor I see a bit more ammo in trying to figure this out.

      What you described is eerily similar to me! I was always a very lively, energetic, social, "hyper" person but since these episodes started taking hold, I've absolutely changed. I'm not nearly as eager to socialize anymore; don't go out and do the things that I normally loved (because I know that certain environmental conditions are conducive to triggering an episode, so I avoid them, thus coping with this whole thing); and have to lay down and slam a pillow over my head to "hit the reset button." Strongly considering going for inpatient this time around to figure it out once and for all.

      How are you doing? Any updates or progress you can share?

  • Posted

    Hey man, 

    I hope you log in every once and a while and see this. So, I have the same symptoms as you, minus the headaches. The triggers for me sound pretty similar - looking at something for a handful to several minutes causes the brain fog, disorientation, etc. anything from reading a book, using my phone, watching tv, having a conversation with eye contact, driving for more than 10 minutes or so (I can sit shotgun just fine though!) etc. I have also noticed that looking downwards exacerbates the problem (i.e. chopping veggies on a cutting board or something). Even typing this all out is going to be a huge trigger, but hopefully it'll be worth it!

    I have had these symptoms for over 3 years now, started when I was 28 and am 31 now. Male, fit, active lifestyle.. no explanation why lol. 

    I have had all the same tests that you mentioned and more. I am, fortunately, covered by the VA and they have worked really well with me in getting the tests that I want. Unfortunately, thru the brain MRIs, CT/X-Rays of every organ in the body, multiple blood tests, etc. nothing has helped and not much progress has been made. 

    Story time (hopefully adding to the dialogue) - my symptoms started one evening in November 2014 while I was playing Diablo 3 on my PlayStation. After an hour or so of gaming, I started to feel really out of it, and in bad shape. Up until that point in my life, I had been a pretty hardcore gamer (usually playing at least 2-4 hours a day ever since I was 14), playing both console and computer games like WoW, Call of Duty, etc. so basically I was no stranger to video games. I had never had any symptoms like this in the past.

    About 6 months prior to this first episode, I broke my jaw playing softball, but I had an uneventful recovery and haven't had any lingering issues from that. The reason I bring it up is because after I sought help for my new condition, they thought maybe I had CTE or some other form of brain damage from either that jaw breaking experience or from one of the several concussions I've had in life prior to that. But, I have had 2 brain MRI's done and they couldn't detect any abnormalities. My latest brain MRI (about 2 months ago) also included a scan of my inner ear, which is not something that they have tried before.

    I have tried a litany of self tests at home as well. Honestly, one of the only things that has helped is alcohol. Marijuana can help some times as well, but it's hit or miss. Exercise can sometimes also help get rid of the symptoms if I have an episode prior to working out, but again, hit or miss. Sleeping at night usually wipes out the episode, but I have on occasion woken up from a normal night's sleep and still be triggered from the night before. This usually happens if I am bad about managing my symptoms and check Facebook before sleep. 

    I am optimistic! Even after three years. This "mystery illness" has held me back both career wise and personal development wise. I have a great support network, but most days I feel next to useless as I usually struggle to cope with my inability to contribute meaningfully to my family and friends. I have aspirations to go back to school and make something of myself, but I cannot read a book or take online courses. My entertainment in life is down to a few meager things - I have a few close friends that understand my special condition and don't pressure me to go to movies or just hang out and watch tv with them (and I am ETERNALLY grateful for them) but outside of that I basically can listen to podcasts and Audiobooks. I used to be an avid hiker, but watching my footsteps on trails so I don't trip is more than enough to cause a long episode. I quit all of my summer sports in June this year, as even soccer was triggering it (not sure why, maybe just following the ball with my eyes for an hour??)

    So, like I've said to other people, it's not a debilitating, life threatening illness, but it is terrible nonetheless. My neurologist is sending me to "vestibular physical therapy" thinking it might be an inner ear problem (who knows, maybe I broke my jaw a something happened in my ear) pending VA approval, so I'm excited to see if anything pans out for me there. I'll keep you posted.

    I'd be interested in hearing more of your story and comparing notes. I honestly thought I was the only person on earth going through this. Feel free to PM me if you want. 

    • Posted

      Hey man,

      So sorry for the delayed reply, but as I just mentioned in this thread on another reply, I haven't necessarily 'given up' on this but I took another long break from trying to troubleshoot it. The amount of time, energy, and most of all $$ it has cost me to try and put a finger on this weird 'illness' had been overwhelming. So, I took a break, because I wasn't getting anywhere. However, as the winter closes in I have realized something: the frequency of the episodes is less during the summer compared to other months. Could be the factors of weather, happiness, travel or something else. Not entirely sure, but I think this added piece of the puzzle will give the next doctor I see a bit more ammo in trying to figure this out.

      I must say...I am so happy for you that you have a network of friends who are familiar with and accept your condition. They're OK with you living a lifestyle that aligns with this weird condition you (and I) are experiencing. I have only divulged my condition to two close friends and my immediate family, but would love for my entire network to know for so many obvious reasons. It's embarassing though!! Am I right?!

      Your anecdote of looking down while chopping vegetables is so freaking spot when it comes to one of my triggers I almost lost it. If I'm cleaning a pot or pan after making dinner, i'm looking down staring at my hand moving vigorously around the pan with soap, water, sponge etc. and most of the time it throws me off big time, like I'm about to spiral into one of these episodes. So, I have to stop, look up, take a deep breath, and continue on at a slower pace without looking at the pan. SO STRANGE and it happens all of the time.

      I haven't seen much progress at all except for a realization: the frequency of my episodes are lower in the summer compared to other seasons. Be it the weather, happiness, traveling, and/or something else, I'm not sure, but it adds another piece to this complex puzzle that no one can solve.

      How was the inner ear test? Any progress or updates you can share? Going to DM you so we can chat more. I feel like we have a lot in common here.

  • Posted

    Please look into Mind Eye connection, which explains how damage in the brain's visual stimulus processing ability affects energy, focus, etc. Therapy is available with special lens.

    • Posted

      Thanks for this! Much appreciated. I actually went to a place like this in Upstate NY and the entire office is decked out with lenses / filters over all of the light fixtures. I absolutely think that what I'm experiencing has to do with the processing of visual stimuli to cognitive.

  • Edited

    Just to be sure, read about Postural Orthostatic Tachycardia Syndrome and CFS/ME, you can check your pulse to find out if you have POTS and concider CFS/ME as another possibility. Your symptom is common for POTS and CFS/ME and also Post Concussion Syndrome. With these conditions your brain gets easily fatigued due to some level of neuronal damage, inflammation, autoimmune reaction or metabolic problems.

    Study also occipital neuralgia, this is not a typical symptom, but I know a patient whose brain gets fatigued due to the tiresome firing of the compressed occipital nerve, it is bothering the vestibular system, causing strange vertigo and derealization.

    • Posted

      Thanks for this! Occipital neuralgia has some symptoms that definitely align with mine and will look into it. Thanks for the input

  • Edited

    I used to have memory issues and mood swings until I stopped eating grains and all processed fake food. 
  • Posted

    Hi Pageside.  I too would like to see a recent update on how you're doing.  I have episodes of not knowing where I am; literally, I feel like I've been plucked from my home and placed on Mars.  Everything looks foreign.  They last anywhere from 5 minutes to 45 minutes and there's no triggers for mine.  I also get the headache and now I'm getting a vision "pop" before they happen.  My situation, however, seems a bit different from what I'm reading here because I've been through all the tests (my neurologist thought I was having mini-seizures), and it was determined that it was happening because of the high dose of anti-seizure medication I take for a neurological condition.  Once I adjusted to the medicine, they virtually went away, until recently, when I had to start taking another of these medications in conjunction with the one I already take.  They're back and with a vengeance.  Changing my environment, nor sleeping, help.  The only thing that I've found that helps is to just play normal and do normal activities; my brain goes into auto-pilot and eventually I come out of it.  I remember people mostly, but I don't remember places or things.  It's quite scary, actually.  I think mine is still brought on by the high dose of anti-seizure medicine, but you never know.  Best wishes for you all, and I hope that someone figures things out and helps.  My sympathy and understanding is with you.  

    • Posted

      I so sorry to hear that😔 I had my brainfog for about 3-4 months. From doing a lot of research I thought mine was maybe brought on by stress/worrying/anxiety. My 18 year old son graduated HS and off to college. I cried daily for about 3 weeks when he left. It felt like a death. It was during this time that I started feeling severe brainfog, trouble forming thoughts and carrying conversations. I had trouble reading and concentrating. I felt so withdrawn it was a challenge to get off the couch. I dreaded leaving the house and doing anything social. About 5 weeks or so ago a friend posted an article about the terrible effect of Singular. I had been on it for roughly two years. I have been off of it ever since reading the article 5 weeks ago. I have to admit I feel sooo much better! I still have some foggy times but nothing compared to a few months ago. 

      I sure hope you get some relief soon. It's maddening.

    • Posted

      Hey Beth,

      Sorry to hear about your struggles - they're all too familiar to me to this day. I feel like if the conjunction med they tacked on is still causing these weird sensations for you then it could be a good idea to reconsider? Sounds like you were making progress before that acclimating to the original medication. But I could be wrong.

      I am still in the same boat as before, experiencing these strange neuro episodes regularly. However, I have noticed that their frequency is much less during the summer compared to other seasons. Could be the weather, my happiness, traveling and/or something else about that season, but not entirely sure. Either way, it's one more piece to this complex puzzle for the next time I see a doctor.

      How are you doing now?

    • Posted

      I'm glad you found some relief! So you think Singulair could have directly affected the way you felt, coupled with empty nest syndrome yeah?

      How are you doing now?

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