Case 31

 

A 33 year-old lady pharmacist, married and has children, in the last few months she experienced attacks of dizziness, early fatigue asthenia and sleepiness. She sought neurological consultation and had undergone many investigations including brain MRI which revealed nothing significant, so she took non-specific treatment however symptoms became intensified while in her work about 2 hours after breakfast.

 

 Examination:

                    - accepted general condition

                    - blood pressure 130/80

                    - pulse 80

                    - chest, heart and abdomen are clinically free

                   

 

 

What is the problem?

 

 

 

 

 

 

 

 

 

Answer

 

Answer