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SOME SPECIFIC FASCICULATION QUESTIONS

Dan
HI

I know neuros Do not like to make the distinction between ALS TWITCHES AND BENIGN FASCICULATIONS, yet PLEASE try to answer my questions even if the answers will be relevant only for the most part of cases:

1.What  pattern is more typical for the initial twitching of als(initial!): A. Random twitches that do not seem to settle in a specific muscle (RANDOM POPPING - "a twitch here a twitch there but many of them...
or..  B. specific areass/spots of fasciculations that are widespread, but every muscle have specific spots where ONLY there , you find twitches.

*I never get a twitch again in a plcace  where It has twitched
never 2 twitches in the same spots for a long time. there are many of them, but each time, different spot, different muscle
MINE IS A.

* based on your clinical experience, which pattern is more typical for the inital twitches of als (A OR B), when you examine the patient first time. (I read somewhere that in als , each muscle has specific spots/areas of twitching, and these spots of recrurtent fasciculatins ARE found  in clinical exam - so B is more appropriate. IS it?

2.I know that als has assymetric onset by definition. well, are there cases of Benign fasciculation you have seen of assymetric pattern also? How common is that?
I was diagnosed with benign fasciculations, yet 80% of my twitches are left sided (left leg and arm) so I would like to know ,base on your experience, how common is assymetric pattern of benign fasciculations (more twitches in one side or limb)???
ARE most benign fasciculation patients symmetric or assymetric?
**** DEAR NEURO, I KNOW THAT MOST NEUROLOGISTS DISLIKE THESE DISTINCTIONS, BUT PLEASE ,  TRY TO RELATE TO THESE 2 POINTS as specifically as you can, especially to PATTERN A,B , PATTERN YOU FIND MOSTLY IN ALS AND MY PATTERN(A), PLEASE!

BEST REGARDS, DAN!  
52 Responses
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Avatar universal
how long were you on the ativan..& what was your dosage?.i too got got widesread twitching after i quit taking ativan!!
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Avatar universal
how long were you on the ativan..& what was your dosage?.i too got got widesread twitching after i quit taking ativan!!
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Avatar universal
how long were you on the ativan..& what was your dosage?.i too got got widesread twitching after i quit taking ativan!!
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Avatar universal
its strange..for the first time in my life im just now experiencing widespread twitching & i quit taking ativan just one month ago..im having an emg very soon to dtermine if its something really bad or just a temporary withdrawal symptom the twithching started 3 wks ago
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Avatar universal
Dan - I noticed something in your original post that I didn't see addressed by any of the responses I read.  I mentioned that you recently began taking Paxil.  A very low dose of Paxil was prescribed for me recently for the prevention of tension induced migraines.  About a week after beginning the Paxil, I started noticing some very pronounced twitching all over my body.  My doctor refuses to believe there is a connection, but if you do an internet search on Paxil side effects, I'm sure you'll find, as I did, many other Paxil patients who've experienced the same thing, and worse!  My twitching has yet to be officially diagnosed, but I am convinced that the Paxil plays a role.
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Avatar universal
This entire thread has become surreal! Let's lobby for a
" twitching" forum on MGH...moderated by dan3! Just a little humour to lightn things up !
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