A member asked:

My neurologist took a look at my mri scan of my brain and told me there were no signs of dystonia but what could be causing all the muscle spasms? is it pseudo and if so what is the best method of treatment?

3 doctors weighed in across 3 answers

Normal MRIs do not exclude all causes of dystonia, and often other testing needs to be done to uncover causation. It is not feasible to be more precise in absence of many additional data points. You could seek a second opinion from a neuromuscular specialist, at a medical school, or we may be able to help via a virtual consult here at HT (connect@healthtap.com).

Answered 10/30/2022

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Dr. Mark Fisher answered

Specializes in Neurology

Your MRI is important not only in what it shows, but what it does NOT show, namely, any visible lesion(s) that could cause dystonia. That narrows the differential diagnosis. The MRI is not the patient; YOU are. It's impossible to say any more without knowing more about your "muscle spasms." That's your neurologist's job. You haven't been through the whole diagnostic process.. Be patient.

Answered 10/30/2022

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Dr. Rebecca Gliksman answered

Specializes in Internal Medicine

Where are the spasms occurring? Would consider MRIs of neck and low back if in arms/ legs) as problems with discs/stenosis can cause spasms. Would also check metabolic profile including levels of magnesium, potassium calcium phosphorus and check thyroid function, parathyroid function and glucose level.

Answered 10/31/2022

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