Strong Reflexes: Neurological Concerns After a Car Accident

Strong reflexes

Hello Doctor: A year ago, I was involved in a car accident, after which I experienced symptoms such as dizziness, nausea, and rapid muscle twitching, but I did not seek follow-up care.
About 4 to 5 months later, I began to feel numbness in the left side of my brain continuously.
Additionally, my left limbs would suddenly twitch, especially while sleeping.
Sometimes, I hear a rustling sound in my brain while I sleep.
What could this be? Last month, I visited Chung Hsing Hospital and underwent an electromyography (EMG) test.
The doctor mentioned that my reflexes were strong.
He also said that an MRI at this point could only determine if there are any residual effects from the accident (since it has been a year).
He advised that if I wait until I am completely weak or have abnormal symptoms, it would be more complicated, and surgery might be necessary.
What does this indicate? Later, he prescribed Rifampicin and painkillers.
I still experience some nerve twitching and an increased heart rate.
Since then, I have not returned for follow-up care.
Is this concerning? Please provide an answer, thank you!

yoho, 20~29 year old female. Ask Date: 2005/04/02

Dr. Xiao Furen reply Neurosurgery

Based solely on your description, it is indeed difficult to diagnose; part of it may be post-concussion syndrome.
As for what the original physician meant, it would be best to ask him directly for clarification, as I cannot speculate.
I recommend returning to your original physician for a follow-up appointment, as he is more familiar with your symptoms, physical examination, and electrophysiological tests.

Reply Date: 2005/04/02

More Info

It sounds like you are experiencing a range of concerning symptoms following a car accident that occurred a year ago. The symptoms you describe, including persistent left-sided numbness, muscle twitching, and auditory sensations, may suggest underlying neurological issues that warrant further investigation and management.

Firstly, the strong reflexes noted during your electromyography (EMG) test could indicate hyperreflexia, which is often associated with neurological conditions. Hyperreflexia can occur due to various reasons, including damage to the central nervous system (CNS) or peripheral nervous system (PNS). Given your history of a car accident, it is possible that you may have sustained a concussion or other forms of traumatic brain injury (TBI), which can lead to long-term neurological symptoms.
The symptoms of dizziness, nausea, and the sensation of things "rustling" in your brain could be indicative of post-concussion syndrome (PCS), a condition that can occur after a concussion and is characterized by a variety of physical, cognitive, and emotional symptoms. These can include headaches, dizziness, difficulty concentrating, and mood changes. The left-sided numbness and twitching in your limbs, particularly during sleep, may suggest that there could be some form of nerve irritation or damage that needs to be addressed.

The recommendation from your physician to undergo an MRI at a later stage, particularly if your symptoms worsen, is prudent. An MRI can provide detailed images of the brain and help identify any structural abnormalities, such as lesions or other changes that may have occurred as a result of the accident. It is important to note that while an MRI can reveal certain issues, it may not always correlate directly with the symptoms you are experiencing.

Regarding your concerns about not following up with your physician after being prescribed medication, it is crucial to maintain regular medical follow-ups, especially when experiencing neurological symptoms. Discontinuing care can lead to worsening of your condition or missed opportunities for effective treatment. If you are experiencing persistent symptoms, it is advisable to seek a follow-up appointment with a neurologist or your primary care physician. They can reassess your condition, adjust your treatment plan, and provide you with the necessary support.

In terms of treatment, medications such as those prescribed (likely for pain management and possibly to address nerve-related symptoms) can be beneficial, but they should be part of a comprehensive treatment plan that may include physical therapy, cognitive rehabilitation, and possibly psychological support if you are experiencing emotional distress related to your symptoms.

In summary, your symptoms following the car accident are concerning and should not be ignored. It is essential to seek further medical evaluation and follow-up care to address your neurological symptoms effectively. Early intervention can often lead to better outcomes and help you manage your symptoms more effectively. Please consider scheduling an appointment with a healthcare provider as soon as possible to discuss your ongoing symptoms and treatment options.

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