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Have sleep apnea, under control, had migraines, neck jerks, low potassium. Emergency?

I have sleep apnea and it has been controlled, I thought. I ve been wearing my mask normally, etc. I ve had migraines most of my life, but had actually lessened through the years. I started having constant headaches that will ease off randomly but not for long. So about amonth ago, I woke from a nap and felt aware, but was confused about a normal task. Later that evening, I fell asleep in my chair at home and my husband woke me because he was going to bed. I sat up and felt normal and wasn t drowsy at all. When I stood and tried to walk, my legs bucked as if they were made of rubber. Tries to catch myself with my as and they did the same. I checked my bp and it was like 138/104. I was naturally freaked out because I had a few involuntary neck jerks. I saw my sleep doctor the next day thinking it was related to the naps. He suggested possible neurological causes or low potassium . I didn t go to the ER, but he asked that I would go if it happened again. Last nite it did. I had been tired with a worse than normal headache
Asked On : Mon, 7 Jan 2013
Answers:  1 Views:  28
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Neurologist 's  Response
Thanks for posting this question in this web site
The following data would be very essential for a better response from a neurologist
Your age, medicines that you use, do you have diabetes, cardiac problem, or kidney problem or not.
How ever my opinin is as follows
The cause of headache are many and migrain is one of them and migrain automatically becomes better with age. The recent change of character of headache could be due to a different cause. In a patient who has sleep apnea, poor treatment may result in excesive carbon dioxide in the blood and can result in headache. So i advise you to check with your sleep consultant to make sure that your sleep apnea is under control. Apart from that, the othet possibility in elderly (i donot know your age) could be temporal arteritis. This can be ruled by simple blood test, called ESR. ESR will be very high in this condition and it can be managed by steroids.A clinical and neurological examination will tell us if a CT scan of the brain is required or not. Regarding the few neck jerks during sleep can be a normal physiological one. But make sure that you donot have these jerks during wakefulness, i mean during office and working time. If that is so, the possibility of myoclonus is high and you need an EEG test to rule a possibility of that. Regarding he buckling part, i do agree with your local doctor and you can do vblood tests like serum potassium to see if it is low or not. I advise you to meet a local neurologist who can help you.

Hope this will help you

Dr Gopal. neurologist
Answered: Thu, 10 Jan 2013
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