### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
In May 2008 i was sitting at my desk on the phone with a customer when my left arm began to ache/tingle/going numb, my left jaw felt tight and numb to where it was hard to form my words, I had a warm, flowing, prickly feeling in the left side of my head, and felt like I was going to pass out or like my brain was going numb or asleep but I was awake. I thought I was having a stroke and was taken to the hospital by ambulance. Had an MRI & was told it was probably due to stress. I continued to have those episodes a couple of times a week, usually when I was sitting or driving but not always. A Neurologist said he thought it was due to the muscles in my neck. I had an ECG?? where they put the probes on my head but nothing showed up. I tried physical therapy, traction, injections, chiropractic to no avail. I thought maybe it was due to my cervical stenosis & discs that were impenging on my spinal cord so I had a double diskectomy in November 2011 which didn t help. For the last several years I almost constantly feel like I am living in a daze or brain fog with the more intense episodes at least daily to where I am really scared to drive. Things that used to come easy for me are much more difficult like remembering things, typing, doing math or our bills. All I get from Doctors around Fort wayne is I have never heard of that or that s unusual. I do have hypothyroidism with nodules that the doctors aren t concerned about and take levothyroxine, chronic migraines from perfume/colognes, flowery or strong soaps/deodorants/lotions/detergents/flowers, gas/oil especially the mixture of from a weed whacker or old truck burning rich, strong onions, the weather, when my sleep pattern strays from the usual, etc. I average about 3.5-5.5 hours sleep a night with many times awake during to change positions due to neck, shoulder, back, sciatic pain. When I have these intense episode I feel like I am going to lose my ability to think or am going to pass out (I have never in my life done so). Then last couple of weeks I have felt dizzy or light headed more than usual and just not well, exhausted. Do you have any ideas of what this could be? A doctor recently suggested Atipical Migraines. I am at my wits end.

### output:

Hello, First, I think you would have a transient ischemic attack (TIA), during the attack you lose contact with the surrounding environment. To distinguish an attack of atypical migraine from TIA, you should do T2 weighted MRI on your brain. If there were pathological changes in the brain tissues, you would have a transient ischemic attack. But, if there was no brain tissues damage, you would have an attack of atypical migraine. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. 