Uncontrolled Movements: A Neurology Perspective - Neurology

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A problem that has been troubling me for a long time?


Since I started junior high school, I have experienced episodes where, after performing sudden movements (such as running suddenly or standing up after squatting for a long time), the left side of my body, including my arm, leg, and face, involuntarily contracts and becomes uncontrollable.
The entire left side feels very strange, possibly like a seizure, lasting for a few seconds.
Additionally, when I was in elementary school, I had a head injury on the right side that caused significant swelling, and I could feel a bump when I touched it.
I'm not sure if this is related to my current symptoms.
If I want to get this checked, which medical specialty should I consult? Thank you.

Lai Er Fu, 10~19 year old female. Ask Date: 2004/07/01

Dr. Ye Boshou reply Neurology


Lai Er Fu: Based on your description of symptoms, it may be a type of movement disorder.
I recommend that you visit a neurology outpatient clinic for a detailed examination.
Dr.
Yeh Bo-Shou, Hsinchu Hospital.

Reply Date: 2004/07/01

More Info


Understanding uncontrolled movements, especially in the context of your symptoms, requires a comprehensive approach that considers both neurological and psychological factors. Based on your description, it seems that you experience involuntary movements on the left side of your body, particularly after sudden physical actions like running or standing up after sitting for a long time. This could potentially be related to a few neurological conditions, and it is essential to explore these possibilities further.

Firstly, the symptoms you describe—uncontrolled movements and strange sensations on one side of your body—could be indicative of a movement disorder. Conditions such as focal seizures, which can manifest as involuntary movements or sensations in specific body parts, might be relevant here. Focal seizures can occur without loss of consciousness and may present as twitching or jerking movements, which could explain the episodes you experience after sudden movements.

Additionally, your history of head trauma during childhood could also play a role. Traumatic brain injuries can lead to various neurological symptoms, including movement disorders, depending on the area of the brain affected. If the injury impacted areas responsible for motor control or sensory processing, it could contribute to the symptoms you are experiencing now.

Given these considerations, it would be advisable to consult with a neurologist. A neurologist specializes in disorders of the nervous system and can conduct a thorough evaluation, including a detailed medical history, neurological examination, and possibly imaging studies such as an MRI or CT scan to assess any structural changes in the brain. They may also recommend an EEG (electroencephalogram) to monitor brain activity and identify any seizure activity that may be occurring.

In addition to a neurologist, it may also be beneficial to consider a multidisciplinary approach. If psychological factors such as anxiety or stress are contributing to your symptoms, consulting with a psychiatrist or psychologist could provide additional insights and management strategies. Stress and anxiety can exacerbate physical symptoms and may lead to a cycle of increased tension and involuntary movements.

It is also important to keep a detailed diary of your symptoms, noting when they occur, their duration, and any potential triggers. This information can be invaluable for your healthcare provider in diagnosing and managing your condition.

In summary, your symptoms warrant a thorough evaluation by a neurologist, who can assess the potential neurological basis for your involuntary movements. Given your history of head trauma, it is crucial to explore any possible connections to your current symptoms. A comprehensive approach that includes both neurological and psychological assessments may provide the best pathway to understanding and managing your condition effectively.

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