Neck weakness, TIA?

My neck problem began nearly one year ago with severe weakness and pain. The left shoulder and arm suffered the same symptoms. I had mild nausea from about November to February. Then, at the beginning of this year, I had also tremor and some other symptoms. The symptoms then appeared every now and then. I also have chronic sinusitis.

From August till now (late October) the neck weakness has become worse. It is in every day, usually in afternoon or evening, often like an attack. I also have muscle twitches. My neurologist said that it might be TIA. Therefore I 'll have a scanning of the jugular arteries in next week. I have got OMT physiotherapy but it does not help. Today I began to take Dolan.

I have hypothyroidism (treated with Thyroid Erfa) and hyperparathyroidism (no treatment) and dysautonomia. I am taking atenolol and Multaq for my blood pressure and heart rhythm problems (atrial fibrillation in 2010). I have a mild oestrogen treatment (63 years old).

One Doctor suspectes Multaq. Could it cause the neck symptoms? My dose is very low,  200 mg, whereas the normal dose is 2x400 mg. Or could the cause be thyroid under-, overmedication, hypercalcemia, sinusitis, myasthenia gravis, vasculitis, polymyalgia? Myasthenia, vasculitis and polymyalgia, in addition to TIA, have been mentioned by Doctors as possible causes.

[helyanna]

I saw another neurologist yesterday. He thought that my neck weakness is due to facette joint arthrosis or dystonia. I have also sitting weakness, possibly due to weak lower body muscles or proximal leg muscles.

I have to read about dystonia. Blepharospasm may be related to dystonia. My uncle had blepharospasm. My father had head tremor and my older brother has it, too.

Is here anybody with cervical dystonia?

[helyanna]

A couple of days ago I went to another neurologist. I was diagnosed with dystonia. Is it very difficult to diagnose? Even a professor of neurology could not diagnose it.

I got a benzodiazepam (Rivatril, medicine for epilepsy) for evenings. I took one half, but in next morning I had again tremor. I don't want to use benzodiazepines. I wonder whether I could instead increase my atenolol and use Dolan (orphenadrin + paracetamol).

How could I treat my dystonia in other ways? Can I have physiotherapy?

Can it be delayed or cured? The symptoms are mostly in the neck, but in 2009 my legs were weak. I also have pain in my upper abdomen (diaphraghm?) during fast walking (don't know its cause).

I wonder, how much my hypercalcemia affects my dystonia. Could Multaq (dronedarone) or my chronic sinusitis cause dystonia? I was on Multaq for over two months late in 2010. The neck symptoms began when I was still on Multaq.

[helyanna]

I'll have an MRI my brain. My left hand does not work as the right hand does. I did not receive botulinum toxin into my neck muscles, I have no other medicines either for my dystonia.