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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness , Chronic Muscle Pain And Seizure?

IN 2008, I CONTRACTED GBS APPARENTLY FROM A FLU SHOT. TIME DEFINED THE CONDITION AS CHRONIC, I WAS NOT SATISFIED WITH THE DOC IN SALISBURY, MD. ANOTHER DOC FRIEND OF MINE MADE ARRANGEMENTS FOR ME TO BE SEEN BY DR. NICHOLAS MARAGAKIS @ JOHN HOPKINS. VERY SATISFIED WITH ALL MY VISITS & PROCEDURES. RECENTLY, I HAVE BEEN EXPERIENCING SIEZURES. THESE STARTED OUT AS RLS. HOWEVER, IN THE PAST YEAR WHEN I GO TO BED, IT TAKES ONLY A FEW MINUTES BEFORE THE SIEZURES BEGIN. I KNOW WHEN THEY ARE COMING. THEY SHAKE MY ENTIRE BODY, LASTING ONLY A SECOND OR TWO. HOWEVER, I MAY HAVE AS MANY AS 8-10 ONE RIGHT AFTER ANOTHER. I HAVE EXPERIENCED AS MANY AS 140 IN A 3 HOUR PERIOD. I ASKED THE LOCAL DOC TO PERFORM AN EEG. HE SAID IT WASN T JUSTIFIED! I AM CURRENTLY TAKING ROPINEROLE (4mg) EVERY NIGHT PRIOR TO BEDTIME. BORDERLINE SUCCESS. I AM A 72 Y.O. MALE. I AM HAVING CHRONIC PAIN, MUSCULAR & JOINTS, DIZZINESS, BALANCE DIFFICULTIES UPON STANDING SINCE THE G.B.S. I WONDER ABOUT M.S, PARKINSONS & WHATEVER ELSE. WAS HOPING A EEG WOULD GIVE SOME CLUES? WOULD APPRECIATE YOUR INPUT. RETURN BY YYYY@YYYY THANK YOU
Fri, 5 Oct 2018
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Neurologist 's  Response
Hi,

I am in agreement with obtaining an EEG based on the need for us to be able to correlate an electrical record with the actual episodes of physical tremors/shakes/twitches you are experiencing.

In fact, if these episodes are happening frequently enough I would even suggest putting you in a monitored setting for at least 72 hrs. To perform a video EEG recording which would include sleep deprivation and other activating procedures to see if an episode couldn't be provoked.

The EEG is not designed to inform on anything as a test except convulsive or seizure activity in a patient. The detection or testing for the number of other conditions you've listed would have to be done by other methods.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dariush Saghafi,
Neurologist
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What Causes Dizziness , Chronic Muscle Pain And Seizure?

Hi, I am in agreement with obtaining an EEG based on the need for us to be able to correlate an electrical record with the actual episodes of physical tremors/shakes/twitches you are experiencing. In fact, if these episodes are happening frequently enough I would even suggest putting you in a monitored setting for at least 72 hrs. To perform a video EEG recording which would include sleep deprivation and other activating procedures to see if an episode couldn t be provoked. The EEG is not designed to inform on anything as a test except convulsive or seizure activity in a patient. The detection or testing for the number of other conditions you ve listed would have to be done by other methods. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist