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Suffering from Myoclonus - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2009
Answered : 674 Questions
User :   Hi, may I answer your health queries right now ? Please typ
Doctor :   hi
Doctor :   please proceed with your health query
User :   Yes it involves a Neurology question but you maybe able to answer it.
Doctor :   ok. please proceed. I am a General Practitioner, I believe I can help you within my expertise and If required I shall recommend a specialist.
User :   I have had myoclonus for about 6 months now that progressively was getting worse. It would be on and off and sometimes less severe than other times.
Doctor :   ok. please describe the movements.
User :   Just yesterday I was having one of those myoclonus episodes that lasted several hours. Been having confusion, memory impairments, lightheadedness occationally and all.
User :   They are mid to slow movements. And its primarly on the left side but the right side will join in sometime as well.
Doctor :   ok.
User :   What is strange is that I'm pretty sure I had a seizure in the middle of the night last night. Now today my myoclonus is much improved. What happened there? Was that a build up of all that time for a seizure just to resolve itself?
Doctor :   i will explain.
User :   Okay
Doctor :   Myoclonus is a neurological movement disorder characterized by sudden, involuntary contractions of skeletal muscles than can be caused by a number of reasons.
Doctor :   usually it is seen in epileptic patients and the main cause is believed to be prolonged hypoxia or lack of oxygen in brain
User :   I was told that mine is more than likely related to antipsychoctic meds.
Doctor :   it can develop in response to infection, head or spinal cord injury, stroke, brain tumors, kidney or liver failure, lipid storage disease, chemical or drug poisoning, or other disorders, or it can occur on its own too
Doctor :   ok. it could be realted.
Doctor :   but if you are sure that you have had a seizure last night, then I would strongly recommend you to go ahead with getting an EEG done
Doctor :   it will pick up if any abnormal signals are still present and give the probable cause for the myoclonus.
User :   I see a Neurologist tommorrow. But what has me baffled is the sudden decrease in the jerks and movements after that seizure.
Doctor :   yes that too has a reason. seizure usually occurs due to sudden release of chemicals in brain that triggers abnormal signals and seizure episodes
Doctor :   myoclonus in such cases gets extended due to the seizure, you can take it as minor discharges that is still going on
Doctor :   do not delay the EEG, you might lose significant findings as time passes
User :   So just because I'm having fewer myoclonus jerks doesn't mean the underlying reason has been resolved? That the jerks could pick back up soon?
User :   Will that EEG possibly pick up that seizure that recently happened?
Doctor :   yes, if anything triggers abnormal signaling in brain, they could pick up again
Doctor :   yes, it usually picks up abnormal brain activity when done within 24 hours
User :   Then it more than likely won't pick it up then. This happened about 2:00 am last night. My appointment is for tommorrow at 1:30 pm which will put it over 24hrs.
User :   I would think it would still be wise to get one done while at his office.
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries

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