Insomnia, memory loss, muscle twitches. MRI shows sinus blockage. Taken antibiotics. No periods
Patient: I m a 20 year old female and 3 months ago after smoking a hookah for 3 nights in a row I developed insomnia , memory loss , muscle twitches, cognitive decline much like brain fog where I cant think straight or quickly, depression , anxiety and visual disturbances. Two weeks later I had an MRI done which came back normal except for total blockage in my sinuses, I was given steroids and antibiotics but my condition did not improve. I have had a an abdominal and pelvic CT scan and everything was normal. My blood work was normal except for elevated white blood count, elevated proteins , low vitamin D . This past summer I was diagnosed with gastroparesis , non alcoholic fatty liver disease and polycystic ovary disease, I have not had a period in 5 years. I recently had an EEG done by a neurologist and it was abnormal, he said I had diffused slowing and spikes in the background. He thinks I may have had an acute case of bacterial meningitis due to my severe sinusitis and these are the after effects. His final diagnosis was metabolic encephalopathy, he scheduled a follow up sleep deprived EEG to rule out a seizure disorder. I m afraid it something worse like Creutzefeld Jacob Disease. I have no family history of neurological illness. I still have the sinusitis and am taking estradiol and progesterone. Doctor: In addition to the advise by neurologist, in my opinion, you need to consult an endocrinologist who will estimate your hormonal profile like thyroid level, estrogen, progesterone FSH etcAlso, important to consult psychiatristContinue taking vit D till it comes to normal level or as advised by doctorCreutzefild jacob disease, to me seems less likely