What causes involuntary movements in my lower jaw?

Hi,

Welcome to icliniq.com.

I understand your concern and will try to help you with it.

I had appreciated it if you could provide details about your symptoms in a sequential manner:

1. When did your headaches start? Could you give an estimate in terms of days, weeks, or months?

2. Where do you feel the headaches in your head? If possible, could you send pictures with your finger pointing to the affected areas as attachments?

3. How would you describe the type or character of the pain you experience? Is it a feeling of heaviness, bursting, stretching, pinpricks, burning, tingling, electric current, or something else?

4. On a scale of mild, moderate, to severe, how intense is the head pain?

5. Considering these headaches are intermittent, how long does one episode typically last? Are we talking about minutes, hours, or days?

6. Do you experience any associated symptoms like nausea, vomiting, redness of the eyes, or watering from the eyes during headache episodes?

7. Have you identified any trigger factors for these headaches?

8. Do you have any significant past medical history or medication history?

9. Have you undergone any investigations for these symptoms? If so, please attach the investigation reports.

10. When did you first notice the involuntary movements in your lower jaw?

11. Do these movements involve any other body parts such as the neck, shoulder, or arm?

12. Once the movements begin, are you able to partially control them or not at all?

13. Do you remain fully conscious and alert during these movements?

14. How long does one episode of such movements typically last?

Additional Information:

1. How is your sleep routine? Do you feel sleepy soon after lying down, or does it take a while? Do you experience frequent awakenings during sleep? Do you feel refreshed upon awakening in the morning?

2. What is your usual mood during day-to-day activities? Are you generally happy, sad (perhaps thinking about past events), worried (perhaps thinking about future events), or irritable?

3. Also, could you please click pictures of the headache location (with a finger pointing) and attempt to make a video of the involuntary movements to provide a better understanding and aid in diagnosis?

Kindly respond with the answers to these questions to assist you better.

I hope this information will be helpful.

Thank you for consulting me.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

How frequent are these headaches (how many days in a month are spent in headaches)?

Also, I would like to know which medications you tried, after which you felt increased symptoms. Your headache description raises suspicion of it being either a tension headache or a migraine headache. However, it is difficult to interpret these jaw movements from this video.

The calcified granuloma in the CT head does not seem to be the reason for these headaches.

I would suggest you undergo further investigations:

1. MRI (magnetic resonance imaging) of the brain with magnetic resonance venography with contrast.

2. Electroencephalogram (EEG).

3. Triiodothyronine (T3), thyroxine (T4), and thyroid-stimulating hormone (TSH).

4. Serum vitamin B12 level.

5. Electrocardiogram (ECG).

6. Complete blood count (CBC) with erythrocyte sedimentation rate (ESR).

7. Antinuclear antibody test using indirect immunofluorescence assay (ANA-IFA method).

Additionally, I recommend consulting an ophthalmologist for refraction, intraocular pressure (IOP), and fundus examination. Furthermore, I suggest consulting a neurologist in person regarding these jaw movements for a comprehensive evaluation and management plan.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

If you recall, could you please provide the exact name of the neuromedicine you took?

If your headache frequency is approximately eight days per month, it may necessitate regular medication for headache management. Regarding the jaw movement, I recommend consulting a neurologist in person. Chat may not be the most suitable mode for addressing such issues.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

I have no knowledge about homeopathic medications. A CT (computed tomography) finding of age-related corticocerebral atrophy means that the brain is slightly shrunken compared to normal size, and as age increases, some shrinkage (atrophy) is a normal thing.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

A calcified granuloma was in the previous CT (computed tomography) report; it is not mentioned in the last CT report. Mild age-related atrophy is usually asymptomatic (no symptoms). If atrophy increases, it may affect memory, decision-making, calculations, and planning.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

A person having a speech problem, which sometimes increases and is difficult to say clearly, can be related to neurology or also can be related to a larynx and vocal cord problem.

Need to first see it clinically (physically). Calcified granuloma can also be found in asymptomatic patients; in some patients, it may trigger seizures or fits.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

It may be a neurological problem. Need to see the patient with a detailed history. It would be better if you discuss about your symptom query instead of other things.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Very difficult to make a conclusion by chat discussion about lower ja involuntary movements. For that I would suggest consulting neurologist physically.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

These attachments do not enable me to draw any conclusions regarding these jaw movements. Additionally, it is not feasible to reach a conclusion via chat. I recommend consulting a neurologist in person for an accurate assessment of these jaw movements.

Looking forward to your response in order to help you.

Thank you.