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Questions posted in the
Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.
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Subject: Re: Is there a difference between drug induced dystonia , changing symptoms I was first dx. with segmental myoclonus, then dystonia was used. I have been seen by various neuro. and have have various tests and re-tested, all normal. The first year I was in constant motion, first starting in one arm and moving rapidly throughout my body. That was in 88'. Many sensory things set off the spasms, such as flashing lights, red being the worst, rapid movement, loud noise, slight motion difference, certain area's of the body extra sensitive and other things. This could cause by body to stiffen, or head to jerk back or to side, arm to twist inward and freeze in postion. I never really know which part of the body it will effect or for how long. Off and on I have had problems where I will be seated and start to stand but will sit down again, after several tries, I can get moving. Another new symptom is when walking on a one color surface and then come to where the tile may change to a black stripe, my feet will stop. I have to think about it as I approach and step over it the line. This is just one example of how this happens. Also, I have at times started walking backwards and can't stop unless I run into something, or someone takes hold of me to stop. I have also walked sideways at times.What I have has been noted as generalized as it has effected my speech (choopy or inability to speak at times, though infreguent. This all began after taking Prozac for less than 2 wks. 20 mgs. Currently the meds. I take now are valium 15 mg. 4xaday and benadryl, OC. 1 4x aday, but if spasms begin to get worse I may increase it. I can look perfectly normal than either spasms or jerking movements begin. Why are there changes in the movements, or is there an answer? I am 45 years old, have had this for 10years. Thanks you = You should be seen by a movement disorders specialist or an exceptionally experienced general neurologist. The description actually sounds like a tic disorder. Myoclonus involves rapid involuntary movements but your description suggests that the nature of the movements is too complex. Dystonia involves involuntary movements (sometimes jerky, sometimes sustained posture) and the pattern may evolve but is usually not frankly migratory. Tics can be quite complex and stereotyped. Most general neurologists don't see much in the way of movement disorders. The advantage of seeing a subspecialist is that the jerking may be immediately recognizable if he/she has seen such a thing before. You are welcome to set up an appointment at CCF - call 800 223-2273 and ask for neurology appointments at 4-5559. Tell the appointments person that you want to be seen by a movement disorders specialist. I hope this helps. CCF MD mdf. |
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