Hi there. There are certain causes responsible for muscle twitching like diet deficiency, drug overdose, and side effects of diuretics, corticosteroids, estrogens, exercise, benign twitches, and nervous system conditions like amyotrophic lateral sclerosis or ALS, muscle dystrophy, spinal muscular atrophy and myopathy. Your neurologist needs to look into these conditions one by one. The other possible cause could be multiple sclerosis and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs. Bowel and bladder symptoms include frequency of micturition, urine leakage, eye symptoms like double vision uncontrollable rapid eye movements, facial pain, painful muscle spasms, tingling, burning in arms or legs, depression, dizziness, hearing loss, fatigue etc. The treatment is essentially limited to symptomatic therapy so the course of action would not change much whether MS has been diagnosed or not. Apart from clinical neurological examination, MRI shows MS as paler areas of demyelination, two different episodes of demyelination separated by one month in at least two different brain locations. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Demyelinating neurons, transmit nerve signals slower than non-demyelinated ones and can be detected with EP tests. These are visual evoked potentials, brain stem auditory evoked response, and somatosensory evoked potential. Slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI in addition, a spinal tap. Therefore, it would be prudent to consult your neurologist with these concerns. Vision should be checked by an ophthalmologist.Take care
thanks a lot to answer my question.i visited a neurologist and got treatement for two years.he prescribed vit B12 injection but it did not worked.then muiltivitamin but failed.i had eeg,blood test,nerve test thayroad test.but only nerve test got positive and showd abnormal nerve conduction and f wave study in lower limbs.then doc gave vit B 12 INJC.but no improvement.i ioose balance in the dark like im in a room and iight gets off my body starts rocking and if i want to walk then iloose balance and fall.if i sit on bed in crossed leg position and read something my body starts rocking forwards n backwards.even if i lye down on bed i can feel it is rocking up n down.if i try to read my head gives a spin . but not continuously.time after time i can feel the spin.is this serious sir please help me. i also lost my energy and activeness.i have booked ticket for bangalore to visit doc.where can i get best result.ill be greatful to u n wating for ur answer.
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