curb side consult

[APACHE3]

---

Members do not see this ad.

ok, I keep getting this muscle twitching in my chin. It started about a month ago, and it recurrs several time thoughout the day, but is not constant. Driviing me crazy now, and of course I think the worse, like first signs of parkinsons or something. Any suggestions?

 

[Methyldopa]

Benign fasciculation syndrome. A good number of people get this twitchings at least once in their lives. Can be caused by anxiety, physical stress. Go see your doctor, who will probably do an EMG test (which should be normal and therefore excludes most other major conditions).

 

[APACHE3]

yeah, I do have anxiety about internship starting soon. But I'm am older grad, and I remember assessing a couple of Parkinson patients with sucking reflex etc, . My twitching is no where near that bad, but still irritating. Oh well, I guess its better han MI!!! 🙂

 

[neurologist]

Benign fasciculation syndrome. A good number of people get this twitchings at least once in their lives. Can be caused by anxiety, physical stress. Go see your doctor, who will probably do an EMG test (which should be normal and therefore excludes most other major conditions).

Eeeek! No doctor (and hopefully by "doctor" you mean neurologist or physiatrist) would do an EMG based on a solitary twitching chin muscle!

 

[Methyldopa]

Eeeek! No doctor (and hopefully by "doctor" you mean neurologist or physiatrist) would do an EMG based on a solitary twitching chin muscle!

True. I prolly should have said "may". One would do one based if other symptoms are involved. And by Doctor, I mean MD/DO, including a family practice doc or internist.

 

[drimg]

we call it third year syndrome.
it is a common problem with medical students when they learn about ALS. REASSURANCE is the TREATMENT OF CHOICE. Now here are some pointers to differentiate between benign and pathological fasciculations

Benign
* localized
* short lasting
* absence of other signs/ symptoms

Pathological
*widespread
* persistent
* usually associated with other UMN/LMN signs

 

[Hard24Get]

we call it third year syndrome.
it is a common problem with medical students when they learn about ALS. REASSURANCE is the TREATMENT OF CHOICE. Now here are some pointers to differentiate between benign and pathological fasciculations

Benign
* localized
* short lasting
* absence of other signs/ symptoms

Pathological
*widespread
* persistent
* usually associated with other UMN/LMN signs

True dat. I had this 2-day period where I kept getting a fasciculation in my upper eyelid, and it went crazy when I met with a neurology attending about going into neurology. I got really self-conscious about it and he thought I was crazy! But at least he reassured me

 

[Nerdoscience]

I have personally experienced:
1. spontaneous very loud buzzing in my right ear
2. severe vertigo
3. fasciculations at least twice a month involving my arm, thigh or eyelid.

None of these things amount to anything on their own. It's like my body knows I'm going into Neuro...