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I Have Had Muscle Twitches In My Legs (random Throughout

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Posted on Tue, 19 Nov 2019
Question: i have had muscle twitches in my legs (random throughout the day for a couple months). i now have vertigo and a discomfort/ headache in the back of my head. i have had the following tests

bloodwork, nurological exam, emg, ekg, ct scan w/wo contrast, 8 minute MRI to ruleout stroke

what should i do next?
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Answered by Dr. Dr. Erion Spaho (6 hours later)
Brief Answer:
Further steps explained below.

Detailed Answer:
Hello and welcome to " Ask a Doctor" service.

I have read your query and here is my advice.

Muscles twitching may be a feature of benign fasciculations syndrome, but also may be linked with electrolyte imbalance, low vitamin B group levels, etc. since the tests that you mentioned didn't show anything neurological.

So, specific blood tests for electrolyte levels and vitamin B group levels are necessary.

Vertigo and headaches in the back of the head may be linked to unstable blood pressure or cardiac problems, so, for this problem, I think that cardiac workup is necessary.

Discuss with your Doctor about these issues.

Hope you found the answer helpful.

Let me know if I can assist you further.

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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I Have Had Muscle Twitches In My Legs (random Throughout

Brief Answer: Further steps explained below. Detailed Answer: Hello and welcome to " Ask a Doctor" service. I have read your query and here is my advice. Muscles twitching may be a feature of benign fasciculations syndrome, but also may be linked with electrolyte imbalance, low vitamin B group levels, etc. since the tests that you mentioned didn't show anything neurological. So, specific blood tests for electrolyte levels and vitamin B group levels are necessary. Vertigo and headaches in the back of the head may be linked to unstable blood pressure or cardiac problems, so, for this problem, I think that cardiac workup is necessary. Discuss with your Doctor about these issues. Hope you found the answer helpful. Let me know if I can assist you further.