My mother (78yrs) has recently been admitted to hospital with what initially appeared to be a stroke/ischemic attack. She has subsequently developed severe (although of short duration - a few seconds) facial and body twitches or contractions only on the right side of her body. She experiences no pain, but a tingling sensation in the affected areas. The affeced areas "wander", with tingling sensations moving from above the eye to her neck. As she also had arythmia, she was given a pace maker, but we are none the wiser what the cause of the twitching can be. The twitching has also manifested in what appear "hiccup" like spasms in her abdomen (right side only) and the involuntary twitches cause her throat to constrict - this in turn creates anxiety. Neither neurologists or cardiologists have come up with a satisfactory answer or even pointed in a direction. MRI showed normal atrophy for her age group with no distinctive abnormalities. Where do we go from here? Any thoughts on what tests could be done. Mother has no thyroid, but is on eltroxin and tests were within "normal" scope.
Hi, Thank you for your question. The symptoms you are describing bear resemblance to few possibilities like facial nerve palsy, trigeminal neuralgia MPDS( myofacial pain dysfunction) and then TMJ disorder due to streneous opening of mouth for long sittings of RCT. Facial nerve palsy is characterized by inability to close eye, loss of sensation on affected part, difficulty in speaking and mask like face on affected side because facial nerve innervates facial muscles and any damage to facial nerve may cause inability make facial expressions like smiling, frowning etc. Second possibility is Trigeminal neuralgia - neural pain of face with possible loss of sensation on the affected part of face but eye is seldom involved. It is usually associated with history of traumatic extraction of ipsilateral tooth. Third possibility can be sinusitis due to possible oro-antral fistula after extraction leading to sinus infection. This may lead to dull pain over the cheek area but inability to close eye and tongue involvement may not be explainable with this condition. You may consult an oral surgeon/physician/ neurologist to rule out above stated possibilities who may be able to help you in this regard. Take care.
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