28 yr old male, no significant med history except thyroid ablation with radio iodine now take levothyox 175 mcg. Seems well regulated now, but for previous year was basically hypo. Strong family history for rheumtalogical disease. drink consume alcohol 15-20 drinks per week.
Complaints = sensory abnormalities, widespread twitches, spasms, cramps and aches and pains. All fleeting. Usually last only a few moments with the exception of twitches in my feet which are near constant, but some days much worse than other. These twitches cause all my toes to move and frequently precede painful cramps. Sensory problems include pins and needles in hands feet, occasional mild numbness on soles of feet and recently my knees, but lately more and more pain. Large leg muscles feel tight but haven;t started cramping. Some general malaise
Rheumatoligist workup (RA, ANA, Sed rate, ANCA) was completely normal. b-12 normal. Homocysteine was slightly elevated. Neuro workup normal except incidental finding of pineal cyst or pineal cytoma. (MRI with and w/o contrast normal. EMG and Nerve conduction normal. exam Normal maybe slightly brisk reflexes in my legs)
Even though MRI had no evidence of MS, Im still very concerned. I've read that paroxysmal sensory symptoms are pretty specific for MS. Plus it seems like everything else has been ruled out. And I understand one clear MRI defintely cannot rule out MS.
Is it fair to say that paroxysmal sensory problems like mine are fairly MS specific? What's your best guess as to the likelihood of ultimate MS dignosis. Anything else it could be?