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Life Threatening? No
Write-up: Had HPV and Menactra on 4-5-07 on 4-10-07 began to have chest and abdomen pain then had seizures (abd) a few days later which have developed into grand mal seizures. 7/5/07-records received for DOS 4/16-5/29/17-seen by cardiologist on 4/16 for C/O chest pain, experiencing chest pain for several months, 3-5 times per day last from 1-3 minutes, occasionally becomes nauseous with pain. Associated sharp abdominal pain at time, left sided. Impression: experiencing noncardiac chest pain. Seen by neurologist on 5/4/07- with C/O seizures versus migraines verus other. Having intermittent apells that are confusing in spite of multiple work ups and evaluations. Episodes occur any time night or day, woken the patient up twice. Seem to be somewhat progressive, patient first complains of chest pain and this occurs in epigastric region radiating to left chest and patient may tense up, episodes now described as being normal and then 5-10 minutes spaces out. Seems to be in a trance and is amnesic and may fall to floow with cold sweats and cries and screams may ball up into fetal position. Has had 4 back to back. Always happen on the left. Two weeks prior to onset of symptomatology patient had HPV vaccine and meningiococcal vaccine. Follow up visit on 5/30/07-Currently all spells have been on Friday and Saturdays and consisting of trembling, shaking all over, both hands are fists, she becomes stiff her eyes are squeezed tight. Ususally an aura of nausea prior to event. EEG normal and 6 hour vido EEG was normal. Assessment: paroxysmal spells would could represent complex parital seizures versus nonepileptic events.
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