Uncontrollable Twitches: Neurological Issues After Surgery

Involuntary twitching of the limbs that feels like an electric shock may indicate a neurological issue. It is advisable to consult a neurologist for further evaluation and diagnosis?

I am a person with cerebral palsy, and I walk on my toes with my left foot.
I have had surgeries on both legs, and currently, my walking balance is unstable.
Additionally, I have undergone surgery for a ventricular septal defect in my heart.
In recent years, I have noticed that my legs cramp at night, and this has gradually worsened.
During the day, I also experience twitching in my hands, which feels like an electric shock.
I am very concerned and unsure which specialist to consult.
Could this be a complication from my heart surgery?

Xiao Ji, 30~39 year old female. Ask Date: 2013/03/19

Dr. Gao Chunde reply Neurology

It is important to observe whether the twitching in the legs and the movements in the hands are brief or persist for several seconds before stopping, as this could indicate abnormal electrical discharges from the brain or symptoms related to cervical spine pathology.
It is advisable to visit a neurology clinic for further evaluation by a physician, who can arrange appropriate tests to determine the source of the problem and provide targeted treatment.

Reply Date: 2013/03/19

More Info

Uncontrollable twitches, especially in the context of a history of cerebral palsy and previous surgeries, can be concerning and warrant a thorough evaluation. Given your background, it is essential to consider various factors that could contribute to these symptoms.

Firstly, the twitches you are experiencing at night, known as nocturnal myoclonus, could be related to several neurological issues. Myoclonus refers to sudden, involuntary muscle jerks, which can occur in various conditions, including epilepsy, metabolic disorders, or as a side effect of certain medications. In your case, since you have a history of cerebral palsy and have undergone surgeries, it is possible that these twitches are related to neurological changes or imbalances in your body.

The fact that you are also experiencing daytime twitching in your hands, described as feeling like being "electrocuted," raises the possibility of a neurological condition known as peripheral neuropathy. This condition can result from nerve damage, which may be due to various factors, including previous surgeries, underlying metabolic issues, or even complications from your heart surgery. It is important to note that while heart surgery itself is not typically associated with twitching, the overall health and function of your nervous system can be affected by any significant medical procedure.

Given the complexity of your symptoms, it is advisable to consult a neurologist. A neurologist specializes in diagnosing and treating disorders of the nervous system, which includes the brain, spinal cord, and peripheral nerves. They can perform a comprehensive evaluation, including a detailed medical history, neurological examination, and possibly imaging studies or nerve conduction tests to assess the function of your nerves and muscles.

In addition to consulting a neurologist, it may also be beneficial to discuss your symptoms with your primary care physician or the surgeon who performed your heart surgery. They can help coordinate your care and ensure that all aspects of your health are being considered.

As for the concern about whether these symptoms could be a side effect of your heart surgery, it is essential to understand that while direct connections may not be evident, the body’s systems are interconnected. Stress from surgery, changes in medication, or even post-operative recovery can impact neurological function. Therefore, it is crucial to communicate all your symptoms and concerns to your healthcare providers.

In summary, uncontrollable twitches can arise from various neurological issues, especially in someone with a complex medical history like yours. Seeking evaluation from a neurologist is the best course of action to determine the underlying cause of your symptoms and to explore potential treatment options. They may recommend therapies that could include medications to manage the twitching, physical therapy to improve balance and coordination, or other interventions tailored to your specific needs. Remember, early intervention can often lead to better outcomes, so do not hesitate to seek help.

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