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Doctor insights on: Asymmetrical Tonic Neck Reflex

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Non-stop facial tics in 5yr old. Ct scan/eeg normal. Constant eye rolling, head jerks & jaw movement. What could this be?

Non-stop facial tics in 5yr old. Ct scan/eeg normal. Constant eye rolling, head jerks & jaw movement. What could this be?

Very unusual: Nonstop is unusual. While people usually think of tourette syndrome, there are other tic disorders of childhood. There is also a postviral syndrome of opsoclonus-myoclonus, which can be seen in other conditions (neuroblastoma). Sounds like the child needs to see a pediatric neurologist. ...Read more

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What causes arm weakness , lifting causes facial spasm, movement or touching head causes spasms, back of head and neck sore. Mri of brain and neck ok?

What causes arm weakness , lifting causes facial spasm, movement or touching head causes spasms, back of head and neck sore. Mri of brain and neck ok?

Unrelated: Sometimes, with fibromyalgia especially, symptoms may have a non-neurological etiology. Consider having prior imaging re-read and/or redone if none over more than 3 years. Consider treatment for symptoms to decide if neurochemical cause. ...Read more

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Sweats, back spasms neck stiff,half head spasm an vision trouble is this migraines please answer ?

Sweats, back spasms neck stiff,half head spasm an vision trouble is this migraines  please answer ?

Maybe migraine: But it doesn't really help make the the pain go away. Also it could be more than a single thing. Migraines often are throbbing in one temple and may involve vision issues. The sweat and back/neck pain may be separate but you hurt. That's the thing to deal with. Your pharmacist may have ideas better than aspirin - massage or accupressure may help. Hope it helps! ...Read more

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Cold shoulder pain, sleep paralysis, myoclonus, tmjd, hypoglycemia, voice hoarseness, numbness in neck, paresthesia in face (electrical) and body?

Cold shoulder pain, sleep paralysis, myoclonus, tmjd, hypoglycemia, voice hoarseness, numbness in neck, paresthesia in face (electrical) and body?

Long menu: You have a long menu of symptoms. I would recommend you see a neurologist who specializes in sleep disorders as well and that you also see an endocrinologist. Together they be able to piece together what's going on. The help of an ear nose and throat specialist may also be required. Best wishes. ...Read more

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Neck,left side back head,ear pain. Had slight asymmetrical smile and slight feeling of muscle weakness in eye. Tearing eye lip closed slightly crooked. Normal neuro physical exam and normal eye exam. Possible Bell's palsy?

Neck,left side back head,ear pain. Had slight asymmetrical smile and slight feeling of muscle weakness in eye. 
Tearing eye lip closed slightly crooked. Normal neuro physical exam and normal eye exam. Possible Bell's palsy?

Possibly/depends,,,: It's possible that this is Bell's palsy but it depends on how severe your symptoms are and/or if anything else might have contributed to this. It could be caused by an infection flare-up or this could be a viral infection like herpes. Apparently, this can have episodes that come and go and may not even need treatment. It'd be best to see a neurologist to be sure. Best of luck. ...Read more

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Went to dr for clumsiness.I had hyperreflexsia legs/arms jaw jerk present positive hoffman's sign babinski present & clonus. Neuro. ordered MRI. ??

Went to dr for clumsiness.I had hyperreflexsia legs/arms jaw jerk present positive hoffman's sign babinski  present & clonus. Neuro. ordered MRI. ??

Dr ordered MRI: What is your question? Is your question why the doctor ordered an MRI? Please state the reason the doctor gave for ordering an MRI, and also, an MRI of what? Brain? Heart? Left foot? If you did not ask the doctor the reason, please state why not. ...Read more

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Ears plugged, ringing, human voice sound funny, mild vertigo. Neck at base of scull hurting ;like muscle strain, anxiety, no fever, tired. ?

Ears plugged, ringing, human voice sound funny, mild vertigo. Neck at base of scull hurting ;like muscle strain, anxiety, no fever, tired. ?

Begin by clarifying Begin by clarifying ear: You need to discuss with your physician Your best starting point is with the ears to see about the ringing. This may be a clue to the rest of your problems. ...Read more

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Paralyzis and hyperalgesia in one limb initiated 2 weeks after scoliosis surgery. sphincter incont Clonus. Spasticity. upper motor neuron lesion? why?

Paralyzis and hyperalgesia in one limb initiated 2 weeks after scoliosis surgery. sphincter incont Clonus. Spasticity. upper motor neuron lesion? why?

Postop complication: One has to worry about a delayed postoperative complication-significant!!!! Need to see operating surgeon . Potential causes would be hematoma(blood) compressing spinal cord or even a spinal cord lesion remote from operative site ...Read more

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Went to dr for clumsiness I had hyperreflexia legs/arms +jaw jerk +hoffman's sign +babinski & clonus. Neuro ordered MRI of brain What is she looking 4?

Went to dr for clumsiness I had hyperreflexia legs/arms +jaw jerk +hoffman's sign +babinski & clonus. Neuro ordered MRI of brain What is she looking 4?

Broad ddx: There may be a bilateral cortical/subcortical brain disruption and MRI could help identify a potential cause based on the pattern of abnormalities. For ex: adult-onset leukodystrophy would show extensive demyelination of the white matter sparing the periventricular white matter vs MS vs Cerebral Autosomal-Dominant Arteriopathy, and work-up is different for each disease. ...Read more

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My husband has slurred speech, stiff lower limb, palato pharyngeal weakness.What is this?

My husband has slurred speech, stiff lower limb, palato pharyngeal weakness.What is this?

Slurred speech: This combination of symptoms could be caused by many, serious things. I strongly urge you to consult a neurologist as soon as possible. ...Read more

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Loss of lordosis in neck; causing tremors, pain and numbness, shaky weak legs, movement of neck causes uncomfortable sensation in body, is this normal?

Loss of lordosis in neck; causing tremors, pain and numbness, shaky weak legs, movement of neck causes uncomfortable sensation in body, is this normal?

Not normal: The combination of symptoms you are experiencing are quite concerning. I suggest that you see your gp right away. If not available, this could be handled by your local walk-in clinic or a;e. Good luck. ...Read more

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Paralyzis in one limb initiated 2 weeks post scoliosis surgery. clonus spasms and dorsal back pain. upper motor neuron lesion? why? Mri and CT normal.

Paralyzis in one limb initiated 2 weeks post scoliosis surgery. clonus spasms and dorsal back pain. upper motor neuron lesion? why? Mri and CT normal.

Ct/MRI of what?: Was the "normal" MRI and ct before or after surgery and were those procedures done of the entire spine-including the cervical spine ? Highly recommend returning to operating surgeon and neurologist ...Read more

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Diagnosed w migraines by neuro. Starts w/ tense neck/ trap muscles, eventually turns into pain around entire head. Vomit. Whatkind of migraine is ths?

Diagnosed w migraines by neuro. Starts w/ tense neck/ trap muscles, eventually turns into pain around entire head. Vomit. Whatkind of migraine is ths?

Perhaps not true mo.: This sounds like a muscle-related or cervicogenic headache. I myself used to have them and i can assure you that the nausea can indeed come from a side effect of neck and shoulder muscles in spasm. ...Read more

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Hoffmann's reflex in my right fingers and symmetrical reflex everywhere else, my neurologist said it is caused by degenerative changes in spine suggestd in c-spine camera. Is it true?

Hoffmann's reflex in my right fingers and symmetrical reflex everywhere else, my neurologist said it is caused by degenerative changes in spine suggestd in c-spine camera. Is it true?

Normal reflex: A hoffmann's reflex can be present in an entirely normal patient and in normal patients is more commonly found in those who are naturally hyper-reflexive, which is normal. It may be found in people with arthritis-related changes in the spine vertebrae. If there is spine compression, then red flag symptoms to watch for and see a neurologist include weakness and loss of bowel/bladder control. ...Read more

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Loud grinding sound in base of scull (neck) when turning head. Strong occipital headache. Have Ehlers Danlos. Is it chiari malformation? Other cause?

Loud grinding sound in base of scull (neck) when turning head.  Strong occipital headache. Have Ehlers Danlos. Is it chiari malformation? Other cause?

See your doctor : The grinding is generally a sign of digerati on in the facets, or neck joints. As an ED person, your ligaments which hold the bones in place are most likely lax, allowing excess movement. While,this could. Rear a chairing type malformation, I think arthritis is a more common answer. An X Ray will be telling ...Read more

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What it's mean in flexible laryngoscopy test: "findings supraglottic hyper function, muscular tension dysphonia"?

What it's mean in flexible laryngoscopy test: "findings supraglottic  hyper function, muscular tension dysphonia"?

Hoarse?: i think it is a fancy medical term for raspy voice,hoarsness . it means that your vocal cord are failing to close completely, because the hyperfunction muscle pulling them apart.it si something voice therapy can solved. be cereful until you have a better control there is slim chance of aspiration that could lead to repiratery problems ...Read more

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Pressure/ burning sensation in head either top or back of head everyday. Body weakness, slurred speech, neck ache, fatigue, muscle aches? Thanks

Pressure/ burning sensation in head either top or back of head everyday. Body weakness, slurred speech, neck ache, fatigue, muscle aches? Thanks

Fibromyalgia ? : 27 yo female c/o daily head discomfort, "body weakness, slurred speech, fatigue, muscle aches" & cervical pain. Assuming these symptoms are chronic & not an acute viral illness or related to trauma, a general medical exam is needed to rule out systemic disorders & autoimmune disease. If no distinct findings, then see a Rheumatologist to be considered for possible Fibromyalgia. ...Read more

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