Thank you for sharing about your wife's experience, and I'm so sorry to hear about her stroke.

The BD is not in play when I drive, which is infrequent and only within our town. I'm sitting down while in the car, not involved in any movement such as when walking/standing. I don't much enjoy driving anyway, and hubby does the driving whenever there is reason to venture further from home.

I have not been diagnosed as of yet. I have the app't with the neurologist next month, at which time the backward falling and the incidents will be discussed. He is an outstanding doctor, highly regarded by many within his field. He'll write the script for the brain MRI, and then we'll learn if indeed there have been more lesions since the MRI of '22.

There are several other factors that can enter into a diagnosis of BD that have caught my attention, since I have had demyelination and Transcient Ischic Attacks (on prior studies) but no strokes or heart involvement of any type (thank God!). The traumatic damages to my left ankle/foot/leg from an accident in a store (caused by their negligence) may just play a part. I quote from the NIH government site: "Awkward disequilibrium could also be due to an imbalance between the ankle extensor muscles and the ankle flexor muscles, because of hypertonia of extensor muscles, which could be caused by a peripheral neurological lesion."

Somewhat describes to a T what's been diagnosed with my foot/ankle/leg by the same neurologist that I'll be seeing next month. His final diagnosis was Complex Regional Pain Syndrome, for which I've seen pain management specialists and have done countless physical therapy (presently attending!) in an effort to keep that area from atrophying. Has definitely affected my ability to walk since I have constant burning nerve pain and the joint is indeed "tight" despite attending PT since 2021 AND doing the exercise routines at home. Coupled with the meniscus tear, tendon and nerve damages, and I have indeed had to strategize how to ambulate within daily activities.
I can't ignore stairs within our home or I'd be destined to never go to the first floor where the kitchen and other living areas are located....but hubby has set up a steel shelving unit in the laundry room (off the kitchen) where I've been placing the often-used food items and other needed things. I hold the bannister and take steps one at a time, which is what generally has to be done due to the not-quite-flexible ankle joint, and the unforgiving knee tear. Life has changed for me ever since that awful day in June of '21...But it is what it is, and I strongly advocate for myself, so I should have more answers in a few weeks.

Another aspect cited on the NIH site has to due with "Cortical and subcortical lesions of the central nervous system are the main abnormalities lead to BD." So yes, those pesky brain lesions may just be responsible....we'll see.

Again, I thank you for your post. I hope your wife has been able to recover from her medical condition.🌺