mg & tremors

    
      Re: mg & tremors
    


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Posted by CCF Neuro MD# on March 21, 1998 at 16:39:11:

In Reply to: mg & tremors posted by Dottie on March 20, 1998 at 14:23:23:

: I have had 3 years of tests for MS and MG.  Everything has turned up negative.  Although I have a lot of symptoms similiar to MG, my nuero who specializes in this type of disease does not think I have it.  I have trouble smiling, breathing and talking at times (under stress or very tired), fatigue, and trouble holding things and walking.  Most of my symptoms are on my left side, though, and I also have tremors in my left hand (fingers) and that hand wobbles if I try to hold something in it such as a cup of coffee.  My left hip is weak and gets weaker the more I do.  He is confused about my symptoms being mostly on my left side...MRI's, etc. do not show MS at this time.  I was wondering if MG ever dominates mostly one side or if it effects both sides evenly.  Are tremors ever a symptom of MG?  I really appreaciate your comments.  I am very frustrated after three years of searching and my nuero is confused as well and is unable to make a diagnosis at this time.  Thanks again.
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I will take your two questions in order :
(1)MG is an immune mediated disease, caused by antibodies which circulate in the
  blood and affect the junction between nerve and muscle, as such it does nor remain
  localized to one side of the body, since blood flow, which carries the antibodies is not
  restricted to one side of the body.
  The symptoms might be noticed first in one area but a this stage if you had MG it would be
  generalized.
(2)Tremor is not a feature MG, although weak muscles can sometimes seem to tremble
   simply due to the effort needed to maintain a posture.
   if this is a true tremor it stongly suggests that your underlying
   problem is not MG.
Without the opportunity to examine you and review your test results
it is difficult to contribute more at this point,however if you wish to
have a second opinion in the Neurology Dept here at the Cleveland Clinic
the number for appointment is [phone]