Discussions By Condition: I cannot get a diagnosis.

Neurological Symptoms - Positive Babinski - Urgent?

Posted In: I cannot get a diagnosis. 7 Replies
  • Posted By: MochaBubblez
  • October 25, 2012
  • 01:20 AM

Thank you in advance for any help you can offer.

I am posting on behalf of my sister. She is 20 years old.


About a month ago, she began have strange spasms/movements in her toes on her left foot. These spasms (for lack of a better word - the movements are erratic - please see a video of it before it became full-blown here - working on uploading a more recent video: http://s260.beta.photobucket.com/user/Somni00/media/IMG_0165.mp4.html) would come and go.

This past Saturday they got worse and would not stop, and were causing pain. It has progressed up her entire leg. It is spasming/twitching nonstop. It's clear by the way it's moving that it's not voluntary.

By the third day of this, I noticed tiny little veins popping up all over her foot (I'm assuming from it going nonstop for so long - please excuse the poor image quality, they were taken with a phone camera so it's a bit hard to see): http://i260.photobucket.com/albums/ii22/Somni00/photo1.jpg


Yesterday, her foot started getting a purple tint: http://i260.photobucket.com/albums/ii22/Somni00/photo3.jpg


She has been to the doctor three times for this. She had blood tests done which were all normal (including calcium, B12, serm, gamma CT, CK, AST, RBC, WBC, platelet), except slightly eleveated ALT. She is waiting for additional blood tests to come back (including copper levels).

She was prescribed muscle relaxants (flexeril,) which helped the pain, but did not stop the spasming.

On her third visit, they performed the Babinski test which was positive, and when he moved her large toe she was unable to correctly tell him in which direction he was moving it.

She was sent to the ER to see a neurologist who was concerned and considering a focal seizure. She was showing hyperreflexia (her leg jumped when the doctor just tapped it with his fingers).

A CT was done but came back normal. An urgent MRI has been scheduled.

She was given Ativan with no results, and was prescribed dilantin last night. Since then, it has stopped throughout the day today a only a few times, then come back seconds or minutes later.

The doctors and neurologist are at a loss as to what this might be.

Other possible symptoms: nystagmus, ongoing sleep difficulties since adolescence, low back pain/thigh spasms worse at night/at rest, unexplained neck spasm (a 'regular' cramp but for no reason and has lasted 8+ months).....

Reply Flag this Discussion

7 Replies:

  • My sister asked me to add heat intolerance to other possible syntpoms. I've also uploaded a more recent video here: http://s260.beta.photobucket.com/user/Somni00/media/IMG_0185.mp4.html
    MochaBubblez 3 Replies
    • October 25, 2012
    • 02:36 PM
    • 0
    Flag this Response
  • http://s260.beta.photobucket.com/user/Somni00/media/IMG_0185.mp4.html recent videoUpdate: EDIT - a new symptom was noticed by her Massage Therapy instructor in class. Her bad leg was accidentally pushed inward. Her good leg is mirroring what the bad leg does without being touched. It moved inward on its own.
    MochaBubblez 3 Replies
    • October 25, 2012
    • 04:23 PM
    • 0
    Flag this Response
  • Things that come to mind- MS, a variant of CIDP called "MADSAM", or transverse myelitisit could be coming from the brain, spinal cord, or the peripheral nerves- whatever it is, make sure that she goes to the emergency room if it progresses rapidly or any other symptoms appear. (honestly, she should be cared for at a hospital right now until they obtain a diagnosis- in case of something serious.) Some forms of nerve damage are not reversible.Good luck and update please!
    Jaimep 2 Replies
    • November 1, 2012
    • 10:06 PM
    • 0
    Flag this Response
  • Her CSF fluids should be checked. My first thought was Transverse Myelitis- damage can be permanent, so, yes this could be very urgent to get her treatment asap. treatment is prednisone, which is the same for many disorders causing nerve damage.
    Jaimep 2 Replies
    • November 2, 2012
    • 01:28 PM
    • 0
    Flag this Response
  • Have they done a spinal tap to rule out possible Guillian Barre disease? Good Luck, I wish you all the best.
    sarahjean 1 Replies
    • November 4, 2012
    • 03:27 PM
    • 0
    Flag this Response
  • Have docs done neck MRI to look for spinal cord damage or compression? Thank you in advance for any help you can offer.I am posting on behalf of my sister. She is 20 years old. About a month ago, she began have strange spasms/movements in her toes on her left foot. These spasms (for lack of a better word - the movements are erratic - please see a video of it before it became full-blown here - working on uploading a more recent video: http://s260.beta.photobucket.com/user/Somni00/media/IMG_0165.mp4.html) would come and go.This past Saturday they got worse and would not stop, and were causing pain. It has progressed up her entire leg. It is spasming/twitching nonstop. It's clear by the way it's moving that it's not voluntary. By the third day of this, I noticed tiny little veins popping up all over her foot (I'm assuming from it going nonstop for so long - please excuse the poor image quality, they were taken with a phone camera so it's a bit hard to see): http://i260.photobucket.com/albums/ii22/Somni00/photo1.jpgYesterday, her foot started getting a purple tint: http://i260.photobucket.com/albums/ii22/Somni00/photo3.jpgShe has been to the doctor three times for this. She had blood tests done which were all normal (including calcium, B12, serm, gamma CT, CK, AST, RBC, WBC, platelet), except slightly eleveated ALT. She is waiting for additional blood tests to come back (including copper levels). She was prescribed muscle relaxants (flexeril,) which helped the pain, but did not stop the spasming.On her third visit, they performed the Babinski test which was positive, and when he moved her large toe she was unable to correctly tell him in which direction he was moving it. She was sent to the ER to see a neurologist who was concerned and considering a focal seizure. She was showing hyperreflexia (her leg jumped when the doctor just tapped it with his fingers).A CT was done but came back normal. An urgent MRI has been scheduled.She was given Ativan with no results, and was prescribed dilantin last night. Since then, it has stopped throughout the day today a only a few times, then come back seconds or minutes later.The doctors and neurologist are at a loss as to what this might be. Other possible symptoms: nystagmus, ongoing sleep difficulties since adolescence, low back pain/thigh spasms worse at night/at rest, unexplained neck spasm (a 'regular' cramp but for no reason and has lasted 8+ months).....
    rockfish 4 Replies
    • November 7, 2012
    • 11:08 PM
    • 0
    Flag this Response
  • Hi,Since posting an MRI was done that focused on her brain and spine, and it showed no abnormalities. And EEG was also done and came back normal. Her foot is still going but not as bad as it was. It has been over a month now. She was taken off the seizure meds. The other day she tipped her chair right back over for no apparent reason and banged her head ******n the corner of a table. The chair is sstable and she doesn't know what happened. We aren't sure if this is related to these other issues or just a weird accident. She is now on a 4-5 month waiting list for a neuorologist who specializes in movement disorders. Doctors and current neurologist don't know what else to do
    MochaBubblez 3 Replies
    • November 15, 2012
    • 04:58 PM
    • 0
    Flag this Response
Thanks! A moderator will review your post and it will be live within the next 24 hours.