Hi doctor, About 10 months ago after a workout, I had pins and needles on the left side of my body. After months of MRIs and EMGs, I got a skin biopsy that showed you gave small fiber neuropathy. Before I knew this, I got a deep tissue massage and started getting fasciculations. They had calmed down much since October but I will notice them here and there. I always developed movements before I fall asleep. My feet may just move or even my chest, it gives me much anxiety to go to bed. Lately, I have been noticing a little tremor in my right hand and tingling in them when I tried to put in fake eyelashes or hold a pen for a little time. Last week, I have noticed my thumb moved twice. Also, I feel sometimes like my teeth are shaking. A lot or neuros have told me that I am 32 and not to worry about much but they overlooked SFN. I am worried all EMGs are normal. I am concerned now and I have early Parkinson's?
Hello. I have studied your data. 10 months ago, I have a sudden onset of tingling on the left side after workout but with normal MRI (magnetic resonance imaging) brain and spine which means the stroke is less likely. Later you noted random twisting of muscles (fasciculations) with right-hand action tremor occasional. Movements before sleep (hypnogogic periodic limb movements) work up showed SFN but the cause of it not known until now with normal NCV EMG. We need to find out the cause of SFN like autoimmune disorders etc. It is not Parkinson's syndrome as it is not fitting into it. So do not worry about it. It seems some benign tremor fasciculation syndrome. Please answer some of my questions. Any family history of similar tremors? Any painful or burning sensation in palm and soles? I want to know about your blood sugar status, thyroid profile, ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), ANA (antinuclear antibody), APLA (antiphospholipid syndrome), ANCA (anti-neutrophil cytoplasmic antibody).