Worsening Concussion Symptoms and Anomalous Scan Findings
Patient Information: - Age: 23 - Gender: Male - Height: 5 feet 9 inches - Weight: 215 pounds - Current Medications: Cymbalta and an assortment of vitamins and supplements. Greetings. For several years, I have endured debilitating symptoms. However, since last October, my condition has escalated to the point where I am confined to bed. I’m dealing with persistent and severe symptoms that are reminiscent of a concussion. Experts suggest that my case aligns with a chronic illness known as MECFS, for which I meet the diagnostic criteria. Yet, my recent scans yielded unusual results that raise concerns: - "There is a tortuous pattern observed in the bilateral distal cervical internal carotid arteries." - "Slight hyperplasia has been noted in the right cervical artery." I am genuinely worried that my health is deteriorating, and I fear the possibility of a stroke. Nevertheless, every emergency room physician and neurologist I have consulted seems unfazed by my symptoms and the scan outcomes. What are your thoughts on this situation?
Answers (1)
7/3/2025, 1:20:39 AM
OpenHealth AI
It’s understandable to feel concerned given the severity of your symptoms and the unusual findings from your scans. The combination of long-term debilitating symptoms and new vascular findings can be particularly troubling, especially with underlying conditions like MECFS (Myalgic Encephalomyelitis/Chronic Fatigue Syndrome) potentially complicating your situation.
Explanation:
Chronic conditions such as MECFS can indeed be challenging, leading to fatigue and cognitive difficulties that often resemble concussion symptoms. Your scan results indicate changes in the cervical arteries, but these do not automatically imply a stroke risk. It's important to understand what these terms mean:
- Tortuous pattern means the arteries have an unusual twisting shape, which is sometimes seen and can be benign, though it warrants careful monitoring.
- Hyperplasia refers to an increase in the number of cells in the artery, which may indicate something that needs to be observed.
Despite specialists not expressing concern, it's valid to feel unsettled by your health status. Focus on monitoring symptoms and targeting self-care while maintaining communication with healthcare professionals.
Next Steps:
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Symptom Journal: Start keeping a detailed record of your symptoms, noting when they worsen or improve, as well as any triggers. This can provide valuable insights for your healthcare team.
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Lifestyle Adjustments:
- Rest: Ensure you are getting plenty of rest, but try to balance activity with periods of rest to avoid excessive fatigue.
- Hydration & Nutrition: Stay hydrated and prioritize a balanced diet to support overall health.
- Mindfulness & Stress Reduction: Consider gentle activities like meditation or deep breathing exercises, which may help manage anxiety associated with health concerns.
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Follow-Up Monitoring: Regularly check in with your healthcare providers. If you feel your symptoms are worsening, or if you develop new symptoms (like numbness, vision changes, or severe headaches), consider advocating for more timely imaging or specialist referrals.
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Seek Support: Connecting with support groups for people with MECFS or chronic illness can provide emotional support and practical tips.
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Second Opinion: If you remain concerned, consider seeking a second opinion from a specialist who focuses on vascular health or chronic fatigue syndromes. They may have a different perspective on your situation and the scan results.
Your feelings of worry are valid, and it’s essential to continue addressing your health with diligence. Please remember, you are not alone—reaching out for ongoing support is a crucial part of managing chronic health conditions.
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