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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: Myoclonus : I had a car accident in April and since then, alot of strange symptoms have shown up. First I started getting numbness in my hands and lower legs. I went to a neurologist and he gave me a nerve conduction test , which came back negative. A little later , I started have large and small movements of my legs , arms and fingers as I started to fall asleep. Also at about this time, my left arm and hand started to have strange creepy feelings in it. I would develope cramps in the thumb. Sometimes the feelings felt electrical. I went back to the neurologist,and he gave me an EMG in that arm and hand.That was also negative. Then I started to get little muscle twitches all over my body. I was sent for MRI of my brain. All normal. Some times when I am very tired or stressed, my fingers in my left hand will get a quick twitich. When all was said and done, the doctor said that I have Nocturnal Myoclonus. Does this sound right? I must also include the fact that I have Fibromyalgia. Could this be a form of restless leg? Thanks for your time.
Dear Perrie: I do not think that the daytime symptoms that you have in your left arm and hand are necessarily related to your night-time or sleep twitching symptoms. Your arm symptoms are slightly worrisome and may represent a problem in or near your cervical spine, although this is somewhat less likely with negative EMG studies. With your history of a car accident (with a possible neck injury?), the diagnostic consideration of compression of one of the cervical roots/spinal cord may or may not be sufficiently strong to warrant an MRI scan of the cervical spine. Contrarily, these arm symptoms may be from an entiry unrelated neurological problem. |
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