These rapidly spread over her entire
body, including her face. About 30 seconds
after the paresthesias began, she found that
she was unable to move her legs, then arms,
and then her entire body. When she began to
lose movement of her legs, she turned her car
into a parking lot and continued at a low
speed until she hit a guard rail at the far side
of the lot. She denied any loss of consciousness
or confusion after the event. She was
told by a bystander that her speech was
“funny,” and she believed he meant it was
slurred but was uncertain. She denied incontinence
or tongue-biting. She denied anxiety
or panic prior to episode. She experienced
some nausea and vomiting in the AM and
noted, “I think I was hung over from last
night”. She then elaborated that she drank
about four beers and smoked some marijuana
at a concert the night before and explained
that this was unusual for her since she rarely
drank that much or used marijuana.