Age: 25, male Symptoms: headaches (esp. right side & top),
Age: 25, maleSymptoms: headaches (esp...
Age: 25, maleSymptoms: headaches (esp. right side & top), derealization, ptosis, dizzinessStory:3 months ago I was invited by a former high school peer to join for some drinks in our city. I am not drinking that much alcohol (my wife says once every 4 - 6 weeks about 2 drinks is a good estimate for my level of alcohol consumption), so I couldn´t really keep up with my friend. Still we drank 7 middle to strong drinks (cocktails & more) in 4 hours until we went home, he was ok and I was heavily drunk. I was talking to my friend while we were on our way home (train), then I fell asleep for 20 minutes. He woke me up, we left the train and I was so dizzy and intoxicated that I had to puke (one time). We went home by foot which was about one mile, I was still able to navigate my way home and opened the doors with my keys. I went to take a shower for about 15 minutes and then went to bed since I felt so awful, considering our trip home and time until I went to bed it was maybe one hour (1 AM). I surely had a calculated BAC of 0.25 to 0.3. I woke up 2 times in the middle of the night because of dizziness & nausea. The first time, I went to take another shower, the second time my wife was waking me up asking if everything is ok since I was mumbling and breathing heavily (nausea & the spins) and I replied more unconsciously "I´m OK", because I didn´t want her to worry. I didn´t puke another time, since I somehow unconsciously held it back.Sorry for that ridiculous story.Here is the part that I am actually inquiring about. I woke up at 9 AM with symptoms that go far beyond a heavy hangover. I´ve had a devastating headache of about 7/10 on pain scale, I was heavily desoriented, confused, restless, dizzy, heavy vertigo. Worst of all is a symptom of "derealization" that I knew from my adolescent years when I was 19. It is best described as some kind heavy dizziness, that goes beyond normal dizziness by the factor of 100, can hardly be controlled and distorts basically everything that has to do with your perception. The symptoms, headache, dizziness, vertigo & derealization didn´t go away in the following days, so I got really worried on day 5. I cannot even say when my hangover has passed, since the headache and the dizziness was so bad that I couldn´t feel any amelioration of my symptoms at all. I felt deficient of my cognitive abilities and I found it hard to focus on my work (consultant IT). It got slightly better after 4 weeks, headache was then 4/10 (always constant), derealization persisted, vertigo still there. 9 weeks since then, I still have 3 - 4/10 headache & derealization. Vertigo has subsided. The headache, also the 2 week long 7/10 is always 24hrs present.I went to hospital and asked for a neurological check with my complete story and they said (brain) damage is rather impossible, but threw in something like it could be a carotid dissection. Another neurologist of the same hospital looked at my case and ordered an EEG and an MRI. The EEG came back with a focal slowing, though I had an EEG back in 2010 which was fine. The MRI came back normal so he said he doesn´t think much of my EEG results. In the end he says it´s most likely a psychological problem. Which I prefer totally over lasting brain damage and I would totally accept it. He mentioned that I have unilateral ptosis, which is new. He suggested that I go to see a psychologist, since everything is most likely coming from panic & anxiety. Strange thing is I didn´t have any panic attacks & avoidance attitudes ever since. I am still holding presentations in front of more than 80 people without problems (cognitive troubles aside). However I possibly had a panic attack while completely intoxicated, I wouldn´t doubt that, but can as well not confirm. The headache, of all things, is the worst.History:When I was 19 I had a sudden onset of "unreality" feelings, together with severe fatigue, vertigo, dizziness (no headache). No doctor could tell me what it was, except for a neurologist who told me it was derealization which most commonly an anxiety symptom. We did some tests, which were all fine (EEG, MRI). I went to see a psychologist for 6 months, which absolutely had no effect. The psych. also was not sure anymore. After about 4 years it has gradually vanished, but it was a very bad time for me, since nothing has helped.my questions are:Could there have been some damage done to my brain during that isolated night of heavy drinking? I didn´t black out and could move, found the way, opened the doors, put out the contact lenses etc. Is there a possibility that I could have suffered somehow a lack of oxygen during my sleep that could have led to my current condition? Is an MRI enough to rule out any damages? Is there anything that you could add to this topic, that I might need to discuss with my doctor? What is your opinion on this matter?BTW I ´ll never touch alcohol ever again. Ever.Submitted: 6 months ago.Category: Neurology