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Unexplained tremors. Normal EEG and MRI. Syncope. Any answers?

I have unexplained severe tremors & have been to a neurologist to be tested for seizures where I was cleared for anything related to this. Everything was normal on EEG & MRI so nothing in the neuro department. Dr. suggested I see cardiologist as I have also had a couple of unexplained episodes of syncope . Not sure whether the two are related but both have happened while driving. One episode of syncope caused a traumatic car accident & I m thankful to walk away from it & no one was injured. Therefore, I m hoping you can provide me with some type of answer.
Asked On : Sun, 17 Mar 2013
Answers:  1 Views:  84
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

Based on the symptoms, the two possible diagnoses are still seizures and syncope.

I should clarify that seizures are a clinical diagnosis and not purely based on the EEG and MRI findings.

EEG may be normal in about 50% of cases of seizures. MRI of brain may also be normal in many cases of seizures.

So, my suggestion would be to see a cardiologist to evaluate for syncope. If that is normal, then, an empirical course of anti epileptic drugs may be used.

Best wishes,
Dr Sudhir Kumar MD DM
Senior Consultant Neurologist
Answered: Sun, 17 Mar 2013
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