Apology for Same-Old Post

twitchdirtyroo

New member
I apologize in advance for the "same old, same old" content and LONG post you'll find here. But for some reason I have been unable to take comfort in the many stories nearly identical to my own, and feel that I need assurance specific to my case. I'm sure this will all sound very familiar ;) Thank you for reading and offering your thoughts.April 18, 2009, one week before my wedding I developed an absolutely maddening twitch in my left temple. I dismissed it (or tried to) as it was an incredibly stressful day (last saturday before the wedding - tons of stuff to do!) and fortunately by the next day it was gone. During my weeklong honeymoon I felt occasional flickers by my temple but it never really came back, full-on.Our flight home was incredibly turbulent. To the point that even the flight attendants seemed distressed - something I had never seen before. I was wretched and miserable and on the verge of tears through the entire duration of the 6 hour flight. I was literally shaking with fear. Finally we landed safely (obviously ;) and I tried to sleep at home. Throughout the night I had the most violent and bizarre movements which I now understand to be nocturnal myoclonus. Bizarre, but I chalked it up to stress from the flight. The next day, at work, I had a panic attack. Residual stress from the flight? Related to the myoclonus onset? I'm not sure. The myoclonic nightime movements would continue for another month- jerking me out of bed every night - before I could finally see my doctor, who was initially bewildered, though as my symptoms did not yet include daytime twitching, not overly concerned. Throughout the summer she gave me mirapex, ativan, a sleep study that yielded no results and finally a suggestion that I see a neurologist.Soon thereafter the daytime twitches started (or started again, I should say, as my initial temple twitch was during the day). Not jerky myoclonus, but the garden variety fasciculations that we have all come to hate. Eyelid, mouth, cheek, calves, thighs, shoulders, abdominals, back, clavicle. Not constant and far from debilitating, except for the extreme anxiety it provoked. Hotspots nut not focal. Nothing lasting for more than a few seconds. The only ones I was able to see were leg twitches as I could never get to a mirror in time to see the others. (I had had similar twitches about 13 years ago, in highschool. On my thighs. Bad enough that I googled them and came across ALS but as I was only 17 I quickly dismissed it. They went away. )I should say that at this point I was not hugely concerned about the daytime twitches simply because the nighttime myoclonus was so disabling (it prevented me from sleeping) that it was all I cared about.Anyway went to the neuro in early July and he gave me an exam and pronounced me completely healthy though he was also at a loss to explain my symptoms. Said that given my history it was likely stress related. Recommended an EEG and MRI "just in case." Had the EEG - normal. MRI is scheduled for tomorrow (took forever to get the authorization!)The thing is because my GP referred me to the neuro for the nocturnal myoclonus, I did not mention the daytime twitching to the him. STUPID, I know, but it was so new at that time and not yet disabling. But he did give me the entire neuro exam, strength tests, grip, gait, drift, Babinski, reflexes, etc and said that I seemed totally fine.SO - in the month that has lapsed since my neuro appointment, the myoclonus has disappeared as mysteriously as it came on. But the milder daytime twitching continues consistently. I never have a twitch free day but the twitches are generally mild though mentally jarring as anyone who has ever had them knows. my question is - do I go back to Neuro and tell him about the daytime twitches? Or can I be reassured by a healthy, complete neuro test? I have NO feelings of weakness or stiffness at all. But I keep thinking how much comfort can I take from that visit when I wasn't fully forthcoming with my symptoms????Thank you to all, this site (and lexapro ;) have kept me sane.
 
Seriosuly could have wrote that myself word for word. Mine started with the nocturnal myclonus and then came the twitching as well. Mine even started in April of this year. My nocturnal myclonus has also dissapeared, but the daytime twitching remains. I have also had three clean neuro exams, mri, eeg, emg, sleep study, blood work etc. I also take lexapro. Very similiar stroy indeed. The only oither thing we hae in common is that stress seems to have brought it on. Yours was a wedding, mine a divorce, but the same. I am also going to take a guess and say this isn't your first problem with stress and anxiety. Mine neither.I have been diagnosed with bfs by three neuros so I am sure yours will turn out the same.
 
Thank you for the response, yes there are some uncanny similarities there! Glad to hear all your tests have been negative. I am trying to decide if it is worth making an appointment with the neuro again to request the EMG. Is a normal exam enough reassurance? OR is EMG the only definitive way to figure it out? I cannot believe the amount of mental havoc a benign condition can wreak!
 
Hi Miss TwitchyWelcome to the site. I thought I'd just add a couple of comments to corroborate what others have said.1. Stress is thought to be a provoking factor in BFS in a good percentage of cases. Sounds as if this applies to you - weddings are very stressful!2. I am a GP by the way and my neurologist comments that she sees at least a couple of colleagues each year who are fearful of ALS because of twitching. Interestingly, she asked me specifically whether I had travelled overseas prior to the onset of my twitching and said that the colleagues she has seen with twitching not uncomonly tell her that the twitches came on after flying to/ from an overseas conference or holiday. I have never seen a correlation between flying and BFS written down anywhere or described by others but it is interesting that my neurologist had obviously observed this trend.3. A normal clinical examination and EMG rule out serious problems whether or not the specialist knew your specific symptoms - these are objective assessments.4. I do'nt know if nocturnal myoclonus is linked with BFS but I certainly experienced it for a couple of weeks when I was very stressed about my BFS symptoms. Myoclonis of this kind is a completely benign condition.All the best for your MRI - I am sure it will be fine.RegardsSimon
 
One theory I have is that the body will only take so much before starting to 'complain'. There seem to be lots of ways the body tries to get our attention:FibromyalgiaIBSCrampsTwitchesMy thoughts are that your body went into overdrive with adrenalin and now is confused.Anyway in my own case, before my back surgery, twitching, etc. I was major type A. Always trying to do to much. Upset when things didn't go right, etc.Over time I have tried to learn to chill. I think it is helped my body regain some sort of balance and maybe has decreased my symptoms.Hope I have helped.-43RichyThe43rd
 
Thank you all so much again. This site has been a godsend as everyone in my "real" life is quite sick of hearing me talk about twitching! That is so interesting abou the flying. I came across a lone post (i think it was on medhelp?) where a doctor referencing flying as a cause of twitching but I was never able to find it again! Huh. Also Simon good point about the physical exam being objective. Clears my mind a little bit. At least, until the next twitch. Sigh.Twitchy.
 
Twitchymissy,I thought I'd add my two cents. My story also has similarities to yours. Mine started in late June 08 with an eye twitch that went away after several weeks but it was persistent enough for me to google it. I also had a stressful period around that time. I had to wrap up my last days of school as a teacher and the obligations of getting my final credential and on the very last day of teaching I had to fly from the California to Atlanta for my sister's wedding that evening. Then in August, I had to fly back again for my brother's wedding. I have no idea if these flights contributed to an escalation of my symptoms but I will say I HATE to fly. I white knuckle it the whole way but you can't miss the weddings of your siblings. Unfortunately, I jumped on the medical treadmill and turned the machine on its highest setting. I had to because the twitching came with a restless leg bodywide type issue that was so uncomfortable it disrupted my whole life not just sleep. I still have the twitches in all the places you mentioned and more but no weakness after a year but instead increased strength from having started to exercise. I have undergone so many tests that I do have evidence of some nerve problems but they don't fit into any clear disease. The neuros say I had some kind of "episode" probably involving my immune system and I'll probably be ok. At first I was told I was making the symptoms up and/or it was anxiety. But when twithces are daily and this widespread there is obviously something going on. If I had not had the extreme discomfort day and night, I might have been able to leave it alone. Since you say you are not bothered by your day twitches and your night problems have gone away, I recommend that you stay away from doctors as long as this remains the case.Thanks for telling your story. I think you add one more person to the growing numbers here that show that there is a much under recognized phenomenon involving muscle twitching. Maybe someone will undertake another study and educate more doctors about it so patients can be reassured if they are not fortunate enough to find this board. I'm glad you did.Krackersones
 

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