Fingers crossed

Specialties School

Published

Just sent a kiddo to ER w/ mom. Presented with numb and tingly R face and arm, floaters (green) in R eye, possibly a twitch/droop on R side of face. Don't know the child well enough to know what is normal. Hoping for an ocular migraine at best; or Bells Palsy... and praying for it not to be a neurological event.

I have been down this road before with kids and the outcome has not been good.

I will keep you posted

Specializes in School health, pediatrics.

Wow, I hope the family feels a relieved as we do! Good job!

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Specializes in ICU/community health/school nursing.
Yay!

And Wow on the fast neuro referral as well - your quick referral to the ED likely helped that progress rapidly as well.

YAAAS! In my world a neuro consult is week in coming. So glad your advocacy and spidey senses helped this along.

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Specializes in kids.
Great news!! Well, not great that the kid has migraines, but great that it isn't anything scarier than that!!!

I hear ya!

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Specializes in kids.
YAAAS! In my world a neuro consult is week in coming. So glad your advocacy and spidey senses helped this along.

The nurse that mentored me made a great point. Obviously the doc (who I am familiar with) trusted my gut sense to go ahead and pre order testing at ER. It showes I have credibility. I agree and it feels good. But it feels even better to have had a negative MRI!!!!

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The nurse that mentored me made a great point. Obviously the doc (who I am familiar with) trusted my gut sense to go ahead and pre order testing at ER. It showes I have credibility. I agree and it feels good. But it feels even better to have had a negative MRI!!!!

Awesome!!!

I have never worked neurology and I'm curious- how do they arrive at the diagnosis of migraine for this? Is it a matter of ruling out differentials?

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Oh wow, how scary! I'm glad the MRI was neg!

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Thank goodness, when I saw your post earlier you mentioned neuroblastoma and I thought you were saying that they found a neuroblastoma. So relieved it is migraines and not anything deadly!

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Thank goodness, when I saw your post earlier you mentioned neuroblastoma and I thought you were saying that they found a neuroblastoma. So relieved it is migraines and not anything deadly!

Yes, reading the thread I thought the same thing! Phew, I am glad he was negative.

Just as well he was scanned; even if there had been a history of migraines I'd have still wanted my kid scanned. That all-clear probably helped Mom's health more than anyone elses.

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Great assessment, and great result. Can't get much better than that (and I had no idea that migraines, especially of the ocular nature, happen in kids)

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