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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Fatigue Along With Stiffness In The Muscles?

my 21 yr old daughter has the following symptoms periodically (and right now): excessive fatigue (that one is all the time), attacks of great muscle tension, jitteriness, racing pulse (not too fast, just faster than normal), fappearing immobilized and staring off in space, mouth open and tongue hanging out slightly (no other facial movements). She is on Latuda, wellbutrin and zoloft, among other things. Could these episodes, that last maybe 1 hour, and 2-3 times per week, be seizures? When they re not happening, she is still very fatigued, but able to work and do schoolwork, drive, etc.
posted on Wed, 21 Jun 2017
Twitter Fri, 24 Aug 2018 Answered on
Twitter Wed, 29 Aug 2018 Last reviewed on
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General Surgeon,  's  Response
Hi,

* As per my clinical experience, the assembly of symptoms indicate underlying upper motor neuron lesion at the central nervous system, can not be considered as mere seizures.
* This requires thorough neurologic work up with relevant evaluation of spinal tap, MRI brain and spine for further guidelines of management.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Severe Fatigue Along With Stiffness In The Muscles?

Hi, * As per my clinical experience, the assembly of symptoms indicate underlying upper motor neuron lesion at the central nervous system, can not be considered as mere seizures. * This requires thorough neurologic work up with relevant evaluation of spinal tap, MRI brain and spine for further guidelines of management. Hope I have answered your query. Let me know if I can assist you further.