How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Kaushik Your Own Question

Dr. Kaushik
Dr. Kaushik, Doctor
Category: Medical
Satisfied Customers: 4617
Experience:  Doctor ( General Medicine)
9385906
Type Your Medical Question Here...
Dr. Kaushik is online now

I had DBS surgery dystonia last December.

Resolved Question:

I had DBS surgery for generalised dystonia last December. Since then I developed startle myoclonus and initially would have an exaggerated startle response lasting for about two or three seconds in response to noise or movement but despite taking clonazepram, now when I am startled my legs or arms or both together will jerk very rapidly and continuously for about twenty seconds at a time. Just recently it has happened on a couple of occasions when I have been relaxing in bed after waking up when there has been no sound or movement. Is this normal for myoclonus, I am not due to see my neurologist again until April and am a bit concerned.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. David replied 1 year ago.
This is Dr. David
yes, your symptoms do sound like startle myoclonus.
sometimes deep brain stimulation is used to treat severe cases of myoclonus
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3036960/
http://www.hindawi.com/journals/crinm/2014/937095/
is another report of deep brain stimulation helping someone who has myoclonus.
are your generalized dystonia symptoms better after deep brain stimulation?
what dose of your clonazepam are you using?
Expert:  Dr. Kaushik replied 1 year ago.
Greetings.Welcome to the site.I am sorry to learn about your predicament and I empathise with you. I will like to offer my help by answering your query.Well from the clinical presentation of your symptoms, other than startle myoclonus , another close differential diagnosis is Anxiety attack/ Panic attack which may also bring about symptoms like shaking or tremors.So, i will suggest that you ask your doctor to get your EEG and EMG done, which shall help in describing the pattern of this myoclonus and help in its diagnosis or to rule it out as the diagnostic entity and there by shift focus on panic attacks as the revised diagnostic entity.In addition to this, ask your doctor to add depakene ( divalproex ) at dose of 300 to 500 mg once a day and also ask him to give you clonazepam in two divided doses of of 0.5 to 1 mg each dose.I hope this helps.Wish you all the best.Please kindly leave a POSITIVE RATING if you are satisfied with the answer. Regards
Dr. Kaushik, Doctor
Category: Medical
Satisfied Customers: 4617
Experience: Doctor ( General Medicine)
Dr. Kaushik and 2 other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.co.uk/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.co.uk/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.co.uk/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.co.uk/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.co.uk/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.co.uk/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.co.uk/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions