Neurologist Questions

“TIA-like experience ”

Hello, I had a weird thing happen to me last night that lasted only a few seconds (up to a minute).
-Went out for a beer after studying whole day and these symptoms occured: eye strain, tinnitus (or similar ringing/buzzing in ears that slowly increased), temporary blurring and vision loss, followed by feeling of warmness in upper body with a few seconds of tingling on the skin.
-Went to the bathroom, washed my face and went outside (still had blurry vission and little dizziness) sat down untill it all slowly resolved.
Current medication that Ive been taking:
Artvigil-150mg (Armodafinil) for 4 days &
Marijuana for a few years.


Male | 22 years old
Complaint duration: About 1 minute
Medications: Armodafinil (4days now) & Marijuana (few years)
Conditions: Von Willebrand Factor deficit & possible Left ventricular hypertrophy

2 Answers

Your symptoms sound more like migraines than a TIA. Typically TIA results in a loss of function: paralysis, blindness, loss of feeling. Your episode sounds like the extra sensations that can occur with migraines: warm sensations, ringing in the ears and skin tingling. Migraines dont always occur with a headache. You can have neurological symptoms followed by headache, headache alone, or the neurological symptoms without any headache. Thats not to say you should ignore the episode. You need to at least notify your doctor about it.
Hello. Most likely it was brought by a combination of all of the above. A mini TIA or a migraine aura-like episode due to the combination of stimulant ( Artvigil ) and alcohol with Cannabis added if you had consumed some in the few hours prior to the episode. I would check with your Dr./ Neurologist or whoever prescribed the Atrvigil for you about this episode and if further evaluation is needed ( i.e. EEG to evaluate for possible seizure and/or an MRI to evaluate for TIA ). Make sure you get plenty of sleep and maintain good hydration with cutting back on the alcohol. It is difficult to be more specific without knowing well your whole medical history. Good luck.