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Pupil change. Plus, a new neuro... (Read 2312 times)
Uncontrollable
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Pupil change. Plus, a new neuro...
Nov 10th, 2011 at 2:21pm
 
OK, I've posted a few times but it's been a bit since I've opened a dialog...but here goes.

This new cycle started for me about two weeks ago. I had detoxed from everything back in 2001 and was using just O2, ice pack and Red Bull for any abortive measures I needed.

To start off, I'm @ 25lpm and I have ordered the mask off the site a while back so I'm good there. Love the mask, by the way. Glad to know somebody's thinking back there...anyway, this cycle kicked in and it's been all over the map so I decided, since I moved and I live in a completely new area, I'd try a new Doctor and see where that takes me.

First experience there was awesome. They had me run through the standard neurology stuff....reflex testing, etc...then the doc asked me to smile. The thing is, I have a rather unique smile in that it's a bit crooked. I hate it, personally, but it has gotten me a few dates here and there (more on that at a different time). When asked, I explained to her that when I was born, I was rather forced out (this was 1970) and had a partial muscle collapse on the right side of my face, causing my whole face to droop. The doctors at the time said it's nothing to worry about and that it would all go back to normal in time.

It did...kinda. Without smiling or manipulating my face, things look mostly normal...so I guess there's that.

So the Doctor takes one look at that and starts brainstorming. The interesting part is that the affected side is where my clusters are at. The other thing of concern that she noticed was that the pupil on that side was noticeably larger. I had just had a rather nasty bout right before my visit there so I had though that maybe that was the case...but in my 20+ years of dealing with this monster, I don't ever recall pupil changes.

They ordered an X-Ray...not sure why...and also, my most recent MRI from my old neuro.

Before I left, they did an occipital nerve block with lidocane...just to kinda test the waters. She's working on the theory that I may have occipital neuralgia as well as clusters (joy). I also got a prescription of Gabapentin (nerve pain/anti seizure) and Baclofen (muscle relaxer). Not sure if any of them help yet...too early to tell.

The nerve block only lasts a few hours but I was PF during that time...can't tell if I was PF anyway or if it was doing any good.

Last night=Good 'til about 7am...then...Hell. I'm going back in today to see if I can get another block and get some follow up.

Figured I'd keep you guys updated.

Also, I'm doing the Batch vitamin deal on top of all this....

Un

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"My name is David Banner... the world thinks I'm dead... I travel alone... I try to keep the beast caged within myself... "
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Guiseppi
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Re: Pupil change. Plus, a new neuro...
Reply #1 - Nov 10th, 2011 at 4:59pm
 
Welcome back Un, not familar occipital neuralgia, but damn glad you found a doc who listens and takes an interest. Worth their weight in gold aren't they?

Joe
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Uncontrollable
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Re: Pupil change. Plus, a new neuro...
Reply #2 - Nov 10th, 2011 at 7:07pm
 
Joe,

Occipital neuralgia...at least, from what I am learning, looks like something that CH could be mis-diagnosed as or vice versa...though, in a few cases, it sounds like some people can have both. ON (as I'll call it from now on) is usually brought on by some type of trauma. I think that's where this new neuro is coming from seeing as my birth trauma might have been a leading reason. She's thinking at this point that it may have been a mini-stroke due to what my mother says about there being a mass of broken blood vessels that were part of the process.

Sounds lovely, doesn't it? You should hear mom's version of events...you could write a horror novel from the sounds of it.

God only knows where we're going at this point. I got hit again today and they wanted to try a big Toradol injection. No dice, of course.    Undecided

Thanks for the welcome back. I'm glad this place is around. It's like your favorite motel when you're on a road trip...sucks to be away from home but at least you know the pillows are soft...

Un
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"My name is David Banner... the world thinks I'm dead... I travel alone... I try to keep the beast caged within myself... "
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Guiseppi
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Re: Pupil change. Plus, a new neuro...
Reply #3 - Nov 10th, 2011 at 7:57pm
 
sucks to be away from home but at least you know the pillows are soft... Grin

I like that!

Joe
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Uncontrollable
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Re: Pupil change. Plus, a new neuro...
Reply #4 - Nov 11th, 2011 at 2:15am
 
I have the briefest moments of brilliance in between hits!...actually, this is something I should ask the community in general...has anyone experienced unexpected genius WHILE getting hit?

My math skills are mensa-like during a hit...analytical skills, through the roof....maybe something is stirring up in the the old brain pan that accompanies the pain but we never notice it because, well...the pain.

I have theories coming out all the time about this stuff. Mostly, just gibberish!

Un

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"My name is David Banner... the world thinks I'm dead... I travel alone... I try to keep the beast caged within myself... "
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Uncontrollable
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Re: Pupil change. Plus, a new neuro...
Reply #5 - Nov 11th, 2011 at 2:31am
 
Update:

As expected, the Toradol did nothing whatsoever. 7 hits so far today...I think I broke my personal best (not counting that year I was chronic, of course).

I went in for a walk-up at the Neuro (I know, I know...I'm probably the luckiest S.O.B. on the boards at the moment...and I do realize that so I won't rub it in) and the first thing she said was that we couldn't do another lidocane nerve block but she was fast-tracking Botox therapy through my insurance. I guess she's done a fair amount of reading about some more recent cluster trials and even CALLED a couple of the doctors involved in some of these. The 7 out of 10 numbers seem to be pretty accurate but there were a number of factors that toss those numbers into the wind including the fact that it was least likely to affect chronics...NOBODY knows why. Her physicians assistant is actually open to me bringing print-outs from these very boards.

I told him I'd be happy to but also invited him as well as Dr. Piercey to join...wouldn't that be cool?

They did up my frequency of Baclofen and wrote me a script for oxycodone...for emergency purposes, though we all know it's pretty much ineffective...I'll giggle like a schoolgirl while I'm writhing in pain. Good times.

But seriously, he backs up my O2 therapy and (what seems to be working fastest right now) Red Bull.

Since we're going in the Botox direction, I will not only keep you guys updated as to what happens but also how they do it. It seems there's several theories as to where to inject, how much and how many places. I'll get the skinny and post as soon as I get more info.

Un

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"My name is David Banner... the world thinks I'm dead... I travel alone... I try to keep the beast caged within myself... "
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wimsey1
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Re: Pupil change. Plus, a new neuro...
Reply #6 - Nov 11th, 2011 at 8:49am
 
Uncontrollable wrote on Nov 11th, 2011 at 2:15am:
I have the briefest moments of brilliance in between hits!...actually, this is something I should ask the community in general...has anyone experienced unexpected genius WHILE getting hit?

My math skills are mensa-like during a hit...analytical skills, through the roof....maybe something is stirring up in the the old brain pan that accompanies the pain but we never notice it because, well...the pain.

I have theories coming out all the time about this stuff. Mostly, just gibberish!Un


While I am reasonably bright, when getting hit I turn into a stupid, raging thing. There are no analytical skills operating. Just panic and reflex. Without a routine, I don't think I would know what to do. So if you're getting smarter while getting hit, why not find us a cure? And it does suck to have two diagnoses. Good luck with the Gaba. I know it has been a god-send for other types of neuralgia, but it didn't help my CHs at all. Here's hoping you have a different experience. Blessings. lance
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Imitrex4Breakfast
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Re: Pupil change. Plus, a new neuro...
Reply #7 - Nov 12th, 2011 at 1:03pm
 
Becoming a genius duing a hit ... no, I don't think that's ever happened to me. Although, I do believe that a medication I took, KEPPRA, caused me to have photographic memory while I was on it. It was realy neat and fun at the same time, BUT, the med also had very nasty side effects which caused me to have terribly insane nightmares over and over all night long. My mind was definately playing tricks on me and I HAD to stop taking the medication. The photographic memory abilities stopped very soon after too. (I wish I could've kept that though)

Most of the time, for me (during a hit), I'm a raving lunatic in panic mode. Not the nicest guy during those times.

My pupils do become different sizes as some doctors have told me that this is normal for cluster sufferers. I'm just glad the pupils are not torn to shreds when the attacks are over. I often look into the mirror just to re-affirm to myself that there had been no serious injury to my eye during the attack.

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Uncontrollable
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Re: Pupil change. Plus, a new neuro...
Reply #8 - Nov 13th, 2011 at 5:30am
 
S'pose I should have clarified a tad. I am definitely a rumbling idiot 99.9% of the time!

Can't get away from that part I guess...it's that .1% where you have to cough up some info during a hit...ER visit, whatever. I guess the remarkable part is the memory recall for me. Almost freakish. I think, at the same time, that's my brain saying "here's what you need! Now, leave me alone already!"

Makes more sense to me than anything else.

Imitrex,

I completely hear 'ya about the pupils. I was scared to death about eye damage...especially since I did Lasik a few years ago.

On a different note, I thought I was going to get by on "cycle lite" this time around until last night. Upper kips...at least 3...ugh. I'm scared to sleep now. You know you're in a tough situation when you play all of your cards for a hit...cold pack, O2, Red Bull...all in one stinking night...several times over, mind you.

I hate this.

Un
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"My name is David Banner... the world thinks I'm dead... I travel alone... I try to keep the beast caged within myself... "
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Guiseppi
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Re: Pupil change. Plus, a new neuro...
Reply #9 - Nov 13th, 2011 at 9:57am
 
You know you're in a tough situation when you play all of your cards for a hit...cold pack, O2, Red Bull...all in one stinking night...several times over, mind you.

High cycle sucks.  Cry

Joe
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Uncontrollable
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Re: Pupil change. Plus, a new neuro...
Reply #10 - Nov 15th, 2011 at 5:42pm
 
Update:

Still working with insurance over the Botox dealie...so, nothing there yet.

This weekend was pure, unadulterated HELL. High cycle, hits every 1-2 hours at night and 4-5 during the day. Just pure insanity. I have been taking Neurontin (Gabapentin) and Baclofen up to now and, though I know it takes a bit for the Neurontin to kick in (about as long as Verapamil, from what I've read) I just couldn't wait any longer for some kind of relief.

I know my postings over the past couple years have been scarce but if anyone has read anything from me before, you'll know that my disdain for Prednisone shows no equal. Mind you, when I detoxed from everything back in '01, they had me on 40mg a day for the better part of a year. I was not a person anyone wanted to be around during that year...so needless to say, my experience was a bit skewed.

After spending some time on the boards here and reading up on what is working for a lot of you, I called my neuro and asked about a Prednisone taper and Verapamil dose. Though we couldn't come up with a solid number for the Verapamil (I'm going to start @ 240mg...these are the little, 40mg instant release tablets so I'm doing 80mg x3 with meals), we agreed that 60mg of Prednisone tapered to 0 after 2 weeks is probably the best route for that...

I got the script yesterday and dove right in...last night, I actually slept. No hits whatsoever. No O2 needed, no Red Bull. Nothing. I'm not going to jump all over this and say I'm good to go but actually getting some sleep after not having a full night in well over three weeks is definitely cause for some celebration...so I danced a little jig in the living room this morning, coffee in hand...

Un
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"My name is David Banner... the world thinks I'm dead... I travel alone... I try to keep the beast caged within myself... "
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spiny
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Re: Pupil change. Plus, a new neuro...
Reply #11 - Nov 19th, 2011 at 11:32am
 
Sidebar: Medicare has approved Botox for migraines! You can use that as ammo perhaps.

Pupil on my CH side is permanently constricted. As in for 6 years now. My iris color started to change from Hazel to Green about 6 months ago. Overcame Ptosis 5 years ago by fighting with the muscle that was not working! Took 2 years, but it no longer droops. But, during CH periods, that eyebrow now goes UP about 1/4 inch and so does my eyelid!

O2 rocks! Smiley

I am now into one night off and two-three nights on. I wake up with a Kip 7 to deal with. The two nights on are still really rough, but I do get some rest in between! On CH nights, I get about 2 hours sleep total. I use O2, coffee, and sit upright to prevent an immediate return. Energy drinks make me sick - too sweet. But, I have started drinking a cup of coffee right before bed. I still go to sleep no problem. Only one night trying this, but will do it again tonight and cross fingers.

Yes, I have noticed that I have an elevated sense of humor this go round, when I am not hurting. Usually I am not great at one liners, but lately I have the power! Smiley One aspect that I would like to hang on to when this siege is over!

All the best

spiny
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