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PatrickK

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  • Biography
    Born in 1959.

    * The evening of Feb. 13 2004 - i order a pizza on the phone; then i go on the computer until it's time to pickup

    * Suddenly when i stand up, i have an even MORE crushing headache than i've BEEN having for the last couple weeks, numbness/inability to move? down the right side of the body, i hear a sort of tone (you know, like 'you're about to pass out'), and SUCH a tightness and pain in the occipital area of my head and back of the neck that my stomach cramps up and i want to, i do, vomit.

    * I figure i better go get that pizza, so at least that's done. I figure this is just a monstrous migraine coming. SO, i drive like a 100 year old half blind person to the pizza store. I can't turn my head to look for oncoming traffic, luckily i didn't get hit, i got my pizza and put it on the counter and went to bed.

    * I go lie down for a while, hoping to sleep, so it might be better when i awaken, but this pain is just WAY too much. i can't sleep, it's like torture. I keep getting up to throw up. i am just sweating in buckets, and have diarrhea when the worst waves of pain hit.

    * I finally figure this really seems pretty serious, so i walk to the neighbor's and ask if he'll take me to the hospital. He takes me to the ER at Lake West Hospital, and after making me sit there for an hour while i sweat and vomit more (and scare the living hell out of everyone else in the waiting room, who must figure i have something like ebola from the looks of it) they take me in and do a CTscan and diagnose me with a SAH, and finally give me some morphine. That at least dulls the sharpness of the feeling like a butcher knife has been rammed into my brain from right through the bottom rear of the skull.

    * They put me in a LifeFlight helicopter (a noisy, vibrating thing that smells like aircraft exhaust - think of your worst migraine - would that be a good environment to be in?) and they flew me to the Neuro ICU specialists that were waiting at Cleveland Clinic.

    * They did various tests to rule out aneurysm, stroke, AVM etc.: more CTs, doppler(ultrasound), MRI/MRA with contrast (a WAY friggin WORSE idea when a patient has a crushing headache BTW, what they SHOULD have done is gotten an Anesthesiologist in and made me unconscious during the MRI). But instead the whole tempo and intensity of this headache horror increased for 3-4 days and i can easily start shaking at the frequency of that damned machine if i even think about being in that machine. So i don't think about it. but thanks guys! They really put themselves in the patient's shoes there huh?)

    * Feb. 17 (or so, my brain isn't what it USED to be!) - Had cerebral angiogram done, no aneurysm found. Still have intense headache (migraine), occasional vomiting.

    * Feb 21 (or so) - Was released from the hospital. still on Nimodipene and Dilantin.

    * April 2 (or so) - Had 2nd cerebral angiogram done, also no aneurysm found.


    Final diagnosis: Perimesencephalic SAH. Live Long and prosper
  • Location
    Cleveland, Ohio, USA
  • Interests
    Alt. music, animals (the Jindo dog especially), veterinary science,trying to avoid constant pain,etc
  • Occupation
    Computer Programmer
  • SAH/Stroke Date
    12 February 2004
  1. OK, that's kind of what i figured from the doc's response (he might haven even said this was very common, i was pretty drugged ). Pat
  2. I'll frequently awaken from a crushing pain in the occipital area of my skull if i sleep long enough. In fact, that is virtually always WHY i get up if it isn't the alarm clock, dogs barking, etc. waking me. This NEVER happened before the SAH, and immediately began happening when i had the SAH. So I usually slept with my head on a bag of ice while in the hospital to prevent this. It's just one of those things i have accepted as resulting from damage incurred from the bleed and i have to find ways to live with/around it. In this case: try not to sleep on the back of my head (although to use my CPAP that IS the position that works best ) , don't just continue lying in bed thinking it will go away, it won't - it will only get worse. Once i get out of bed, and am in an upright position, it improves - but does never really subsides entirely for the rest of the day. It's a headache. Pat
  3. Thanks Bogbrush and Tina! and Thank You for making my giant font look slightly less insane there Bogbrush! Pat
  4. Thank you Louise, Karen, Maggie Karen, I actually would sporadically {luckily VERY rarely} get migraines (no aura) since i was a child (age 8-9 as best as i can reconstruct it), but i never had aura until my 20s. And then i had no clue at all that these visual phenomena were prodromal to a headache - i figured it must mean my BP was high or something what can i say, i'm not a particularly fast learner . But you fellow SAH victims might (or might not;-)) find this interesting, when i was in hospital getting the cereb. angio, just when they were at the point where the hemorrhage had occurred, and they released the contrast substance (which i was watching on the screen) it was like golden sparks of light, not so much SPARKS but like lightning bolts, which i think m a y b e shot across my visual field from the edges. This happened both times i got angios, and the neurosurgeon acted like that was no big deal and not unusual. But that is a very common type of aura i'll get as prodrome to a migraine. But the sensations in and on the head are something i take more seriously, because then it's a pretty sure thing that it's not just going to go away unless i retreat from all activity, light, etc. Pat
  5. Thanks Jess and Kempse! I had thought on several occasions what a good idea a forum would be, but don't know if i actually did ever get to searching Pat
  6. Hi, I just found this amazing group. This is such an important thing to have! I am 6 years post-PeriMesencephalic SAH. Had my PMSAH on Feb 12 2004. They did the first cerebral angiogram and that was negative. They also did all the usual things: MRI/MRA with contrast, ultrasound, ruled out stroke and AVM. They kept me on Dilantin and Nimodipine to prevent seizure or vasospam. Since the onset of the SAH i had had a horrible headache, a migraine as it turned out. The intensity of the headache went from horrible to 'being in hell' when they put me in that noisy shaking MRI machine without sedating me first. That made things SO so much worse for days that i am still upset by it if i think about it. Once they moved me from the ICU to a private room (which was a VERY quiet environment) - with ice bags on my head around the clock, with the blinds closed, lights off, door closed, etc.) THEN my headache was finally able to began subsiding. i was relased form the hospital on the 10th day. Still on Nimodipine and Dilantin. Had a repeat angio done at 6 weeks, also negative. Was left with the instructions to 'go and return to my life as well as I am able. There may be some residual symptoms but these should improve over time. Don't do or not do anything special, the chance of this recurring is VERY rare.' And I was sent on my way. This is why i am SO pleased to see that there is a group of others who have had similar experiences as I have had. Because the docs can just say "OK, you can go now". But they don't really know what it's like living with the long-term after effects of these things. I couldn't stand for more than a couple minutes at first without getting dizzy and pouring out buckets of sweat. Anything that required concentration would make me sweat buckets. Just because i was 'neurologically intact' did not mean i was as good as new. Several years after the SAH i began seeing a very good headache specialist. and she put me on Topamax to prevent migraines. and told me that i am a 'classic migraineur'. And i discovered that many of those sensations i was calling 'residual sequelae' were migraine-related. And with the Topamax on board the incidence of residual sequelae dropped enormously. So now, if I am getting an upsurge of tingly, STRANGE, sensations anywhere in my head, face, what feels like cold water rushing down INSIDE the skull, like the back of the head, scalp is vibrating, on fire, this means i am on my way to getting a migraine (this has for me become my own sort of pseudo-tactile equivalent to how some people get visual aura before migraine, I will OCCASIONALLY get visual phenomena) so then I know what to do and i take it seriously and cancel the rest of the day and most probably the next day and take an extra dose of Topamax, avoid stress, light, noise, and any commotion at all and just lie back quietly. Migraine by the way IS what the neurologists in the hospital when i had the PMSAH said I was having after the SubArachnoid Hemorrhage occurred. It's very nice to meet all of you fellow SAH survivors! Pat
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