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Ask Dr.Shakeel Ansari Your Own Question
Dr.Shakeel Ansari
Dr.Shakeel Ansari, Neurology Specialist
Category: Neurology
Satisfied Customers: 861
Experience:  Post Graduate Diploma Clinical Neurology
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I have recently got neck twitches, so I will move my neck

Customer Question

I have recently got neck twitches, so I will move my neck one direction then get a twitch / shake, is this normal?
Submitted: 17 days ago.
Category: Neurology
Customer: replied 17 days ago.
There like neck spasms?
Expert:  Dr.Shakeel Ansari replied 17 days ago.
Hi, this is dr Ansari, welcome to JA.
Expert:  Dr.Shakeel Ansari replied 17 days ago.

May I know your age and gender?

Expert:  Dr.Shakeel Ansari replied 17 days ago.

Any illness long-term treatment.

Customer: replied 17 days ago.
Male 25 and no nothing
Customer: replied 17 days ago.
Any ideas what it is Doctor?
Expert:  Dr.Shakeel Ansari replied 17 days ago.

This could be Cervical Dystonia associated with myoclonus. You need to see a Neurologist.

Customer: replied 17 days ago.
Not a brain tumour then?
Expert:  Dr.Shakeel Ansari replied 17 days ago.

Not a brain tumour, but when a question asked to give a perfect diagnosis on clinical grounds then I always tell my patient that you must do an evaluation, a clinical one by a neurologist and then investigations, and Radiography like Brain and Neck MRI.

Customer: replied 17 days ago.
I had an mri a month ago? What do you think to that?
Expert:  Dr.Shakeel Ansari replied 17 days ago.
You have to do an EEG to rule out epileptic seizures and to do a Cervical spine MRI. MRI brain report excluded any tumour.
Customer: replied 17 days ago.
But I haven’t had any epileptic seizures?
Expert:  Dr.Shakeel Ansari replied 17 days ago.

These are routine to investigate as in the brain there is temporal lesion. So it is essential to rule out a seizure which can only be a focal one.

Expert:  Dr.Shakeel Ansari replied 17 days ago.

Neck MRI for cervical spine degenerative changes or cervical spondylosis.

Customer: replied 17 days ago.
What are temporal lesions? What do you mean by a focal one? I haven’t had one these ?
Expert:  Dr.Shakeel Ansari replied 16 days ago.
In the report, the temporal lesion is the right temporal encephalocele.
Expert:  Dr.Shakeel Ansari replied 16 days ago.

Temporal encephaloceles are usually small encephaloceles often asymptomatic but increasingly recognized as potential causes of Temporal lobe epilepsy and as a sequela of idiopathic intracranial hypertension.

Customer: replied 16 days ago.
What is a temporal lesion? Also is idiopathic intracranial hypertension serious? As I googled it and it mentioned about blurry vision which I have in one eye?
Expert:  Dr.Shakeel Ansari replied 16 days ago.

The temporal lesion is what is reported in your MRI report as Temporal encephalocele

Expert:  Dr.Shakeel Ansari replied 16 days ago.

Temporal encephaloceles are recognised as potential causes of Temporal lobe epilepsy and as a sequela of idiopathic intracranial hypertension. You may not have these but your Neurologist has to rule them out.

Idiopathic intracranial hypertension (IIH) happens when high pressure around the brain causes symptoms like vision changes and headaches. “Idiopathic” means the cause isn’t known, “intracranial” means in the skull, and “hypertension” means high pressure.