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).....