Doctors (and runners) of the world, please help me!

Exercise induced diplopia

Age: 42

Gender: Male

Weight: 88 kg/194 lbs

Lifestyle: Married with two kids (10 and 7 years old), runs a small software company. Every day is pretty dense of duties. He loves to run, normally from 1 to 3 times per week.

Typical day: 8 hours of work (5 days per week) and taking kids outdoor. Many activities with kids involve mid level aerobic work.

Diet: Mediterranean, lot of vegetables and fruits. Since the first episode he lowered the fat intake limiting dairy products and fat meat. He loves sugar and tend to abuse of it.

 

The Episodes

Episode # Date Daytime Months from previous Episode Activity Outside temp Aerobic Training Level Initial symptoms Full symptoms Horizontal nystagmus Vomit Neck bending involved? Full recover time Headache & digestion problems Last meal Notes
1 Aug 2012 Afternoon - 30' Running Very hot Low Double vision & loss of balance Double vision & loss of balance, dumb mouth & asymmetric eyelids, arms & legs tingling. Not checked Yes, a few times, triggered by positional change   2 Hour Can't remember Heavy, 2 hours before E.R.
2 Nov 2012 Afternoon 3 Simply climbing stairs Fresh n/a Double vision & loss of balance Double vision & loss of balance, dumb mouth & asymmetric eyelids, arms & legs tingling. Not checked Yes, a few times, triggered by positional change Yes, looking up 2 Hour Can't remember Heavy, 4 hours before Just had sex before. E.R.
3 Jan 2013 Afternoon 2 60' Ice skating Cold Low Double vision & loss of balance Double vision & loss of balance, dumb mouth & asymmetric eyelids, arms & legs tingling, nystagmus. Not checked Yes, a few times, triggered by positional change Yes, rotation 2 Hour Yes, a couple of days before Regular, 4 hours before E.R.
4 Aug 2013 Morning 7 30' Oudoor Aqua-gymming Very hot Low Double vision & loss of balance Double vision & loss of balance, dumb mouth & asymmetric eyelids, arms & legs tingling. Not checked Yes, a few times, triggered by positional change Yes 1 Hour Yes, a couple of days before Regular, 3 hours before Was under Citalopram and took a Xanax pill during the episode.
5 Oct 2013 Morning 2 45' Running Fresh Low Double vision & loss of balance Double vision & loss of balance, dumb mouth & asymmetric eyelids, arms & legs tingling. Not checked Yes, a few times, triggered by positional change   1 Hour Yes, the night before Fast
6 Jan 2014 Morning 4 45' Running Fresh Low Double vision & loss of balance Double vision & loss of balance, dumb mouth & asymmetric eyelids, arms & legs tingling. Not checked Yes, a few times, triggered by positional change   2 Hour Yes, a couple of days before Tea and butter biscuits, just before
April 2014 Morning Fresh High Vertigo turning head when still in bed Vertigo standing up and turning head. Soft vertigo for all day. Not checked No Yes, roation and flexion ~24 Hours Can't remember Fast
7 May 2014 Evening 4 30' Running Fresh High Double vision & loss of balance Double vision & loss of balance, dumb mouth & asymmetric eyelids. Not checked No   1 Hour Yes, a couple of days before Pasta, one egg and carrots just before Was under intense cervical physiotherapy.
8 Jun 2014 Morning Less than 1 30' Biking Hot Mid Double vision & loss of balance Double vision & loss of balance, dumb mouth & asymmetric eyelids, arms & legs tingling. Not checked Yes, a few times, triggered by positional change Yes, rotation and flexion 2 Hours Yes, the evening before Tea and biscuits, just before, heavy dinner the day before. It suddenly started bending himself to check a cable under a desk. After recovering I had a relapse in the afternoon while walking under an hot sun (last meal was breakfast, probably caused by an incomplete recovery). During this relapse I only experienced double vision, after resting 30' on the bed I was fine again. Was also under a generic B complex from a couple of weeks.
9 Jul 2014 Late evening Less than 1 Simply walking Fresh n/a Double vision & loss of balance Double vision & loss of balance, dumb mouth & asymmetric eyelids, arms & legs tingling. Not checked Yes, a few times, triggered by positional change Yes, looking up 2 Hours Yes, the evening before Hamburger, vegetables and watermelon. Was under a generic B complex from more than a month. This time I checked my sight from one eye, from the other and from both. I could see fine from individual eyes but not from both. Red dots on both the arms, probably an indigestion consequence. They lasted a few days.
  Aug 2014 Late evening   Reading in bed Fresh   Vertigo Vertigo while reading in bed. Yes No Yes, looking the book on my chest while laying in bed   No Bresaola, cheese and craker

Just had sex before. Remaining still in bed, I recovered in half an hour.
10 Jan 2015 Morning 6 30' tennis Fresh Low Double vision & loss of balance Double vision & loss of balance, dumb mouth & asymmetric eyelids, arms & legs tingling. Yes No   1 hour Yes, from a few days. Tinnitus included. Tea and biscuits Under Vessel and 5+5 drops of Rivotril from 5 months
  Jul 2015 Night   Sleeping Fresh   Vertigo Vertigo while sleeping. No No Yes, rotating left and right   No   Under Daparox only
 

Exams (all negative)

 

Therapies (none helped)

 

Current attempt

 

Willing to try

 

Oddities

 

Have you got similar symptoms? Want to discuss about them? Please share your opinion here.

Last updated: July 15, 2015