Is Trembling In Arms And Eye Twitching Symptoms Of Partial Seizure?

Posted on Wed, 26 Mar 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 26 Mar 2014 Answered on

Mon, 14 Apr 2014 Last reviewed on

Question : I am a 26 y.o. Female, 135 lbs, 5'5". In Dec of 2013 I acutely had an episode of what I felt to be a partial seizure. Both arms were trembling bilaterally and my eyes were twitching. I did not lose consciousness, but my legs felt weakened as well as my arms. I felt like I couldn't stop fixating on objects and my arms and legs had burning and tingling sensations. Noises around me became very loud, my ears were ringing, I also could feel pressure in both my eyes. For the following week, I felt very off balance and dazed. The parasthesia in arms/legs continued. I also would have a hard time grabbing objects, particularly when someone would hand me something, ex:cellphone, change, keys, etc. I would get really dizzy and my hands would feel weak. About a month later, developed a permanent blepharospasm in lower left eyelid. I currently am still experiencing the blepharospasm. I had CBC, electrolytes, thyroid checked and B12 --all were normal. I had an MRI of my brain recently and my brain was normal, No lesions. I was told over the phone from MA at primary care Dr 's office that MRI showed hypoplastic bilateral maxillary inflammation, . I understand the facial twitches/ blepharospasm, but could this explain the parasthesia and visual disturbances? I am not sure from here who I should be seeing--- neurologist, optometrist, or ENT Dr? What is tx for this type of condition?Any suggestions would be very helpful. Thank You.

Answered by Dr. Rakesh Karanwal (1 hour later)

Brief Answer: Consult a Neurologist Detailed Answer: Hi dear, Thanks for posting your query on this forum. I fully understand your concerns for the ongoing problems. Since all blood reports and MRI were normal, your NEUROLOGIST needs to look for other causes, such as, idiopathic epileptic episode, imbalance of chemicals (called neurotransmitters) in the brain, brain aneurysm (a localized ballooning of a brain artery), embolism or an autoimmune disease. Therefore, you require an angio-MRI of the brain (including brainstem) for evidence of aneurysm; an EEG (electroencephalogram) for abnormal brain electrical activity; other tests to identity the source of recurrent embolisms (if any). You should therefore consult a Neurologist and apprise him of my opinion. I am certain that he will agree with me; order required tests, and- based on the reports- will arrive at a certain diagnosis and prescribe suitable treatment as advised. The treatment would depend on the cause. Hope I have addressed your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Take care, Col (Dr.) Rakesh Karanwal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar