Patient's Query
Hello doctor,
Throughout the night, my children have been freezing with fully extended limbs, frequently involving the neck or head, feet, and back. This unusual tone is maintained in different postures for up to an hour, occasionally longer.
Observations during the day have an impact on my children's motions and create pain. These have increased significantly in my daughter in the previous week. My daughter is being evaluated for absent seizures, and an EEG is scheduled. She and my son have also displayed possible indicators of other seizure kinds.
My children's sleep has progressively deteriorated, and my son complains of body pain and headaches. He also experiences muscle cramps during the night. Both youngsters experience foot cramps throughout the day and night.
Kindly help.
Hi,
Welcome to icliniq.com.
I understand your concern. A large number of neurological conditions that produce spasms, dystonia (involuntary maintained contraction of agonist and antagonist muscles yielding abnormal posturing, twisting and repetitive movements, or tremulous and can be initiated or worsened by attempted movement), or myotonia (an impairing disorder that resulted in the delayed relaxation of skeletal muscles after voluntary contraction) are hereditary. However, based on your children's awake-time videos, (attachments removed to protect the patient’s identity).
I am not convinced that they have a neurological movement issue in their limbs or muscles. The nighttime videos are different. We know your son has parasomnia (a sleep disorder that involves unusual and undesirable physical events or experiences that disrupt your sleep), and your daughter may have the same problem. I am still waiting to read your son's genetic assessment to determine what types of illnesses have been screened. If I find that there are conditions with such characteristics that have not yet been screened, I will tell you their names so that you can request that they be checked. Your daughter's EEG (electroencephalogram) will also help us determine whether there is an underlying problem or not. Please feel free to send me the results.
I hope this helps.
Please revert in case of further queries.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
My kid was not diagnosed with parasomnia. He has been diagnosed with a sleep movement disorder. It took three pediatric neurologists before we met our neurologist for anyone to seriously examine my claim that PLMD was a misdiagnosis. When the neurologist conducted this and transmitted it to their pediatric neurology team, they all concurred that a PLMI of 74.5 hours is far too high for PLMD (periodic limb movement disorder) consideration. I knew this was the case because it was significantly higher than any range I could discover in numerous study publications on PLMD in children, with the diagnostic criteria being a PLMI > 5/per hour. In addition, they agreed that the PLMI (periodic limb movement index), calculated as a simple average of PLMs recorded by an EEG (electroencephalogram), which is a test that measures electrical activity in the brain divided by total sleep time, was miscalculated.
200 minutes of total sleep time showed no EMG (electromyography) activity that matched with the times marked as "body position override," as no data was recorded. However, these 200 minutes were not subtracted from total sleep time in calculating the PLMI, resulting in a PLMI of 130/hour. Finally, they concurred that the movements that had initially raised my concerns were not due to PLMD. PLMD movements are typically a leg twitch or jerk, or a less common arm jerk. They are not synchronous or symmetrical when multiple limbs are involved; they do not involve any sustained postures or increases in tone; and they certainly do not involve the feet, hands, neck, trunk, etc. The only takeaway from my son’s original sleep study is that his EMG showed way too much activity for a sleep movement disorder. I would argue that such an EMG is very consistent with the tone irregularities I have described. As to the daytime movements, I accept that I will never know enough to draw medical conclusions in neurology or any other field based on observed signs, symptoms, or test results. However, I can say with certainty that my children are experiencing many instances of increased muscle tone throughout the day that impact movement.
They are both frequently in considerable pain, and they express that pain. My son cannot run for more than a few minutes without stopping his participation in the sports activities he has signed up for, even though this was never the case at one point and his peers show no similar issues. These are just some of the constant issues I observe daily, and these tone-related issues and cramping in both children are consistent with such issues during sleep. I am not a doctor, but I am qualified to read medical research and papers, which I have poured over for almost two years, and I have found nothing that indicates these sleep postures with increased tone and painful spasms starting well before getting into bed, lasting through the night, and ending well after waking up that my son is fully aware of represent any natural occurrence. I will continue to seek answers. I wanted to schedule a conversation with you to continue our discussion while also beginning a question with another neurologist to obtain further opinions. Are you able to see that these are my questions before accepting them? I certainly do not want to lose the assistance you have provided, which has been extremely beneficial. At the same time, I am exploring other options.
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern.
I understand that you are seeking answers to your concerns. During our recent consultation, you inquired about which of the uploaded videos (attachments removed to protect the patient’s identity) would be most beneficial to show to your son's neurologist. Among them, I recommended one sleep-time video due to the presence of multiple arousals. I suggested that it might indicate parasomnia rather than epilepsy, and you later confirmed that your son's neurologist shared this suspicion. Confusional arousal is a type of parasomnia, and based on the videos you provided, it could be a potential diagnosis. However, this requires confirmation through polysomnography.
When I mentioned that your daughter might also experience parasomnia after observing her in a confused state during sleep, I was referring to this specific issue. Regarding spasms and cramps, it is challenging to make a definitive diagnosis from the uploaded videos alone. If your son reports clear symptoms of spasms and cramps, an electromyography/nerve conduction study could be a valuable diagnostic tool. This procedure is somewhat invasive, as it involves inserting a needle into the muscles of the limbs to detect any abnormal reactions. Additionally, your son's genetic assessment could provide insights into whether there are mutations associated with neurological diseases that cause muscle cramps or dystonia.
Ultimately, a clinical examination is crucial. Since an online consultation does not allow for such an examination, I am unable to assist further in this aspect. I apologize for any inconvenience this may cause. My current recommendation is to follow up with your children's neurologist and request an EMG/NCS study along with a thorough review of your son's genetic assessment for any relevant disorders.
I hope this information will help you.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
My major concern is that if the EEG results are negative, I will be unsure of what to do next. I have requested an EMG in the past, but I figured a surface EMG would be enough given the anomalies detected during the polysomnography. I was not sure why there was opposition to a simple EMG. Would this normally fall within the responsibility of a neuromuscular or movement specialist?
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
The reason for resistance to EMG is that it is an invasive diagnostic procedure. The first part of the test involves multiple electrical stimulations on motor and sensory nerves, which can be difficult to tolerate. The second part requires a needle to be inserted into the main muscles of the limb while the muscle is at rest. Then, the examinee must contract the muscle while the needle is in it, which can be very painful and frightening for adults. Frankly, it is a procedure with diagnostic value but is not pleasant, especially for children. Therefore, neurologists only perform it when absolutely necessary, and not for minor suspicions. It is a procedure that is commonly done by neurologists with neuromuscular subspecialties.
I hope this information will help you.
Thank you.
Patient's Query
Hello doctor,
The EEG came back normal. My children’s issues have continued to progress. Everything I’ve sent to neurologists has been benign, including the first video below where my son asks me to open his eyes with my fingers, then does so himself manually, as he cannot open them, followed by him saying it hurts him to do so. Understandably, it appears to be benign.
Recently, every time my daughter is put down for a nap she can frequently be observed manually closing or opening one eye that is stuck closed or open while the other is not. That can be seen in the second video below. This happens with both eyes as well, alongside what appears to be attempts to push her tongue back in, other facial movements, and abnormal body movements that have progressed, which is shown in the second video.
Does the second video appear to be abnormal? Any thoughts as to what it might be or how I can describe the symptom? My daughter’s body movements have also progressed to be much more twisted in various positions with some movements that repeat. I can share that as a follow-up. My son has complained about being unable to keep his eyes closed at various times over the last year, sometimes using his fingers to manually do so in the past. While similar, my daughter manually moving one eye that is stuck open or closed, perhaps alongside other observations, seems to confirm their issues are not behavioral to me. Looking forward to hearing from you.
Hello,
Welcome back to icliniq.com
I also hope that you are doing well. I am glad that the EEG study reported normal. I watched both videos. In the first one, your son is in the bath. Believe me, a similar condition during bath time or pool time is common in children. I have had countless identical situations. Such a situation, I mean a problem with eye-opening, can only be regarded as abnormal if it occurs frequently during normal daily activities (outside the bath or pool).
In the second video of your daughter, I did not see anything that seemed like a significant neurological issue in her face, eyes, or body. Please consider that during the transition from an awake state to sleep, children may show various movements such as body rocking, head rolling, twisting, and so forth. These are common and normal phenomena. Considering the previous normal results of medical investigations, if their developmental milestones are normal, then there is no significant neurological issue to be concerned about.
I hope this helps.
Thank you.
Patient's Query
Hi doctor,
As you probably realize, I am certain there is an issue. One more attempt to show this specific issue - a shorter video with clearer examples.
Please have a look.
Hello,
Welcome back to icliniq.com.
I understand your concerns as a father. Therefore, I watched your last video three times to not miss any potential abnormal neurological signs. I can tell you that, based on the videos you uploaded, I couldn't see anything concerning or neurologically suspicious. I again emphasize that if your children's developmental milestones are normal, there is no need for such a level of stress and sensitivity. My recommendation is to try to reassure yourself that every neurological, laboratory, imaging, EEG, and genetic test has been normal. So there is no need for high concern.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
Putting the video aside, would there be a clinically relevant neurological concern if my daughter were opening or closing one of her eyes manually as she couldn’t do so otherwise at the time?
Hello,
Welcome back to icliniq.com.
Yes, if such a problem repeats or worsens in the awake state, then a necessary evaluation is needed. We have such defined problems in neurology. Hemifacial spasm, blepharospasm, and apraxia of lid opening are on the list. However, these are not diagnoses related to your children. Please do not think about them. Your children's development seems normal, and considering previously done evaluations, there is no reason for concern about them.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
There is an issue, it is just challenging to show. Attached are images from today - a couple of examples of mouth asymmetry (weakness?) that my children display more and more frequently lately. Also, my daughter woke up this morning saying she is “scared of the eye thingy” repeatedly, she then displays weakness, her body going limp, what appears to be abnormal eye movements at 1:45, and then mouth asymmetry. Does any of this strike you as abnormal? I am assured they are not having seizures. My son’s MRI one year ago does not overcome what I see clearly daily. I promise this is not a waste of your time. My son has also been complaining about his eyes about what seems to be movement-related, yet not nystagmus, and two optometrists tell me neither have an ocular issue and to see a neurologist. I need something concrete before I can push for further evaluation given the situation at home.
Hello,
Welcome back to icliniq.com.
I understand your concerns. I reviewed the images and the video. Still, those did not give me evidence of a neurological problem. Please note that during the early years of development, children cannot control the fine movements of all muscles like adults. A good example is the ability to wink that everyone would learn gradually until age 6 to 8 years old. Children's brains try to learn fine control of the muscles, and therefore they try to use their facial muscles, making various forms of grimaces during playtime to master control.
If there is no ophthalmic problem according to the ophthalmologist, and as we know there is no significant structural or genetic problem in your children's nervous system, then the best strategy is to wait and see. With a high probability, the issue that you are concerned about will resolve itself.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
Moving away from the eyes, my daughter makes similar movements over and over again every night, sometimes showing discomfort and jerkiness, that often end in fixed positions. They occur in clusters. The video below contains movements from clusters on two separate nights.
Please check.
Hello,
Welcome back to icliniq.com.
After reviewing the video, I agree with you that there seems to be an issue. I do not have any concerns about the positions, but I noticed a high frequency of limb movements that may have caused arousal. As you may know, it is not possible to diagnose a sleep problem without polysomnography. Given your son's polysomnography result, there is a high possibility that he may have a similar issue. My recommendation is to give her a children's iron supplement, as some similar problems may be due to iron deficiency. Additionally, if your daughter seems tired or sleepy during the daytime, a polysomnography is recommended to accurately evaluate the issue.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
Do you have anyone who can examine a surface EMG, or better yet the raw data, from my son’s polysomnography? I will pay for whatever number of consultations needed to have them reviewed.
Hello,
Welcome back to icliniq.com.
I contacted two sleep medicine specialists whom I knew to see if they would agree to review your son's test data. Unfortunately, they did not accept. I am sorry that I cannot help you with your first question. Nevertheless, my colleagues advised me that if there are any suspicious technical errors in your son's polysomnography, the solution is not a second or third opinion; you need to repeat the test at another center.
In response to your second question, it is good to know that abnormal movements like dystonia or athetosis are awake-state problems. They may or may not continue during sleep. However, the opposite does not occur. This means that, for example, no dystonia occurs during sleep, except for a very rare one called nocturnal paroxysmal dystonia, which we now know is a form of sleep epilepsy, not an abnormal movement. Confirming such a diagnosis is not possible without polysomnography.
Overall, as your children seem to have notably higher than normal sleep-time movements, my recommendation is to consider polysomnography for them at a better sleep center.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
What about functional dystonia? The last image uploaded seems to match almost all of the facial positions I've seen in both of my children. It is also often not relieved due to sleep and worse during rest. Additionally, my original sleep-related concerns were simply fixed extended or contracted muscles with increased tone, which seems like it may match functional dystonia as well. The dystonia can also change between attacks. In many of the awake and sleep positions that she maintains, she appears to end up with unusual arm, wrist, and hand positions. Also, I counted 50 movements between 8 pm and 3 am two nights ago, averaging one every 8 minutes. They also seem to generally occur with the twisting of her abdomen.
Hello,
Welcome back to icliniq.com.
I reviewed the images and the video. Please note that no neurologist can diagnose a movement disorder based on still images. Such a diagnosis can only be made by seeing the complete set of movements or recorded videos. Therefore, I cannot make any judgments about the images. Again, I should reiterate that any movement disorder like dystonia manifests primarily in an awake state, and there are no cases that only show themselves during sleep.
The video shows frequent movements during your daughter's sleep. Unfortunately, a video of sleep time alone cannot provide essential data for an exact diagnosis. This is because there is no data on brain function and sleep state at the same time. Such data can only be gathered during a polysomnography study.
Based on the video alone, the most likely diagnosis might be a "sleep-related rhythmic movement". This condition is sometimes called a "disorder," but it is a stage of development in the majority of cases and will resolve as the child grows up. Ultimately, I believe that polysomnography is the best way to be completely certain about this issue.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
Are you familiar with anything that would cause these noises? Do you think these may be involuntary? They appear to be but I do not know if such noises tend to take on specific recognizable sounds. My wife sounds surprised by something that happens in the second video after saying do not choke yourself when she starts making additional choking noises and perhaps starts to spit up. It is unclear from the video but I thought you might be able to provide some insight.
Hello,
Welcome back to icliniq.com
I am unable to determine the exact nature of the noises in your video. During the first two minutes, it appears that your daughter may be intentionally producing the sounds. However, after she exits the camera's view, the noises resemble aspiration and choking. I am sorry that I cannot provide a definitive diagnosis. However, I recommend consulting an ENT specialist if the problem persists or recurs.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
Are these absence seizures? I am eager to hear your opinion. I know an EEG is required to make a definitive diagnosis but, assuming you also feel these appear to be absence seizures, do you feel it is highly likely they are absence seizures, likely absence seizures, or possibly 50 % chance or less, for example? No way to know without an EEG. I ask as I assumed the strongest response I would suggest that they look suspicious but an EEG is required.
Hello,
Welcome back to icliniq.com
I reviewed the videos. In both of them, there is a short period of staring and arrest of response in your son. Therefore, it might be suggestive of an absence seizure. Although it may also be due to a simple distraction. As you correctly stated, such a diagnosis needs to be confirmed by an EEG. I remember that he had similar episodes, and the plan was to check him by EEG. Additionally, I remember that you said that the EEG was reported as normal. Am I correct? Anyway, the detection of absence seizures is not always straightforward by EEG, as there is a chance that no episodes occur during the recording. In such cases of high suspicion, a repeat EEG or long-term EEG monitoring is needed.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
My son had a 24-hour EEG 18 months ago, though there was only one real event that most were convinced was not a seizure. My daughter had a 24-hour. Last night, and tonight thus far, since the absences, my son’s movements during sleep have changed dramatically and are now always shaky. Do these resemble possible seizures as well? They have never looked like this before.
Hello,
Welcome back to icliniq.com.
I watched the video. There are restlessness and increased limb movements during your son’s sleep. It is evident that these movements cause some episodes of arousal and disrupted sleep. Considering the recent normal 24-hour EEG monitoring, the possibility of epileptic problems is close to zero. Supported by your son’s polysomnography, what we see in his sleep is a kind of sleep disorder. However, without a properly done and interpreted polysomnography by a sleep specialist, I cannot name this problem. I think that your daughter’s frequent movements during sleep are related to the same issue. Currently, the issue we can be certain of is that your children do not suffer from epilepsy, based on their 24-hour EEG results.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
He also has these shaky movements while awake, before he falls asleep. If you saw those movements without knowing the history, do they resemble possible seizure activity? I wouldd appreciate your thoughts, even if the likelihood is close to 0.
Hello,
Welcome back to icliniq.com.
It depends on his wakefulness stage and the type of movements. There are known and normal involuntary jerks and muscle contraction movements that occur when a person is beginning to fall asleep. They are called hypnic jerks or myoclonus. I am not sure if what you saw was a jerk or not. However, this phenomenon is normal. Unfortunately, I do not have the necessary data to give you a diagnosis, and the above-mentioned explanations are based solely on the common jerky movements that can be frequently observed in healthy individuals.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
I have a question for you. Does sustained muscle tone during sleep, occurring many times per night every night, indicate a neurological issue? My understanding is that this is generally the case. Both of my kids now have trouble swallowing at times. Mostly at night. My daughter almost choked because of it and gags frequently. My son frequently struggles to swallow water at night, often keeping it in his mouth for extended periods and swallowing, with some dribbling out, and spitting it out after a while at other times. My son is fast, he has a great throw and an excellent kick yet he is consistently the first one to tire out when doing sports with other kids and will fall or struggle when pushed to keep playing after he tires out. With all of this happening, I refuse to go to another appointment where nothing will be apparent upon examination and I have nothing to show that there is an issue. If the answer to my question is no, please share when increased muscle tone would indicate what you would look for to determine that sustained muscle tone is of concern.
Hello,
Welcome back to icliniq.com.
The constellation of sleep time symptoms, including sustained increased tone, you described is abnormal. However, a skilled examiner or precise paraclinical test (e.g., a new exact polysomnography) must confirm them before any clinical judgment can be made.
Regarding the issue of exercise intolerance, as you mentioned, it would be beneficial to request that the genetic consultant who previously studied your son's genetic data review it for genetic metabolic disorders like McArdle disease or mild forms of carnitine palmitoyltransferase 2 deficiency, or common mitochondrial disorders that can cause exercise intolerance and cramps.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
I am taking you up on your suggestion and feel I can finally get somewhere with a neurologist. Last question until then. Many of my son’s issues appear to have progressed again. Do you have any additional impressions or thoughts concerning the newly developed presentation of my son’s condition that can be seen in the following? Is there anything from here that you feel is more or less relevant? I am not overly concerned with the last response as I’m sure the neurologist will lead the discussion but I would appreciate your thoughts.
Hello,
Welcome back to icliniq.com.
I have reviewed the video you provided. In the first two minutes, there are some rhythmic movements and restlessness during sleep. After 2:30, your son appears to wake up and move out of bed, which could be a sign of somnambulism. However, I must emphasize that any diagnosis of sleep problems or parasomnias requires a polysomnography study. Unfortunately, it is not possible to make a diagnosis based on a few short clips of recorded sleep time. For example, it is unclear whether your son's movement out of bed is due to somnambulism or simply because he woke up and decided to walk around his bedroom. To differentiate between these possibilities, we would need EEG data to determine his sleep or wakefulness state. Therefore, if you believe that your son's sleep problems are worsening, the most appropriate course of action would be to repeat a polysomnography study.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
Sorry, I did not provide any details. He is awake when the rocking occurs. I was in the room for 20 minutes more before he fell asleep. The first two events occur right when he lays down and lays back down. We talk in the brief period between the events. The videos where he stands up require more explanation. I can see why the assumption would be that these are all occurring during sleep. Every morning, when he wakes up, he has varying degrees of stiffness and difficulty walking until he moves around enough to be able to walk normally. It is not just when he gets out of bed or just in the morning. It seems to occur after periods of rest. They have also been having weird hand movements, lately. My daughter calls attention to them and they hurt at times. I only noticed the movement recently.
Hello,
Welcome back to icliniq.com
I reviewed the videos. I do not have any concerns about your son's rocking movement before sleep. As I have explained before, such movements are common in children and are known as sleep rhythmic movements. Frankly, in the 2nd and 3rd videos, I did not find firm visual evidence in favor of abnormal movements such as dystonia. However, this is not a feature that can be diagnosed or ruled out without a physical examination. Nevertheless, as you are frequently reporting transient episodes of limb stiffness in your son, my recommendation is the following:
Firstly, it would be beneficial if a pediatric rheumatologist examined your son for childhood rheumatological diseases, as morning stiffness can be a sign of such conditions.
Moreover, it would be worthwhile if your genetic specialist checked the available DNA samples of your son for Segawa disease mutation. It is the only neurological disease that commonly manifests as diurnal or transient dystonia and can start in childhood.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
Given the number of times you have said you see no signs of seizures or dystonia, I have assumed these are not what my son is experiencing. In the second and third videos, I was trying to show hand movements my children display, both while awake and while asleep, that often result in my daughter expressing hand pain. Are there other possibilities? Choreoathetosis or something else, perhaps?
Hello,
Welcome back to icliniq.com.
I reviewed the video. Fortunately, based on the recorded moments, I did not see any movements resembling choreoathetosis or other known abnormal movements.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
I managed to clearly capture my child's rigidity during sleep while measuring his oxygen levels, which drop significantly (below 85 percent for five minutes as one example) multiple times per night. My child’s fingers or thumbs were fully flexed, making an over-clenched fist, to the point where I could not open them and straighten a finger after trying many times over the course of an hour in order to use a pulse oximeter. The same happens with his limbs often. There is just no way to show his limbs are stiff.
Kindly help.
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern.
The issue that you indicated this time is important. A significant decrease in O2 saturation to this level for a significant duration is something that needs accurate evaluation. It is generally called apnea, and it is critical to find the underlying cause to determine whether it is central (due to temporary neurological dysfunction) or obstructive (due to a problem in the respiratory system). Accordingly, a new polysomnography study is highly indicated to find the reason and subsequent management. I saw the video (attachments removed to protect the patient's identity). As you indicated, it seems that your son's muscle tone increased during that recorded sleep period. Normally, muscle tone decreases during sleep. However, I cannot give you a diagnosis because more data is needed. As a result, I again encourage you to request your son's physician to schedule an appointment for a new polysomnography study. Any concomitant abnormal muscle tone increase or spasm can also be recorded during the study, and it will help us determine what kind of sleep problem may exist.
I hope I have answered your question.
Let me know if I can assist you further.
Regards.
Patient's Query
Hello doctor,
Thank you for the reply.
Another sleep study was ordered due to the oxygen levels, though the fist issue was largely ignored. Does this provide a clearer depiction of a neurological or systemic issue?
Hello,
Welcome back to icliniq.com.
Thank you for updating me about your son. I also was going to send a follow-up message to you to ask for the result of your son's polysomnography. Has it been done? If yes, can you please share the result? After all, any judgment about your son's possible sleep problem will be more scientific and feasible by looking at the polysomnography result. About the video on that link, I am happy to reassure you that I did not see any significant evidence of facial palsy or asymmetry that would warrant a neurological issue.
I hope I have answered your question.
Let me know if I can assist you further.
Regards.
Patient's Query
Hello doctor,
Thank you for the reply.
I was very surprised to get the same reaction from family members in relation to the video I sent but they all felt this looked alarming to an untrained eye: After seeing that video, they also felt that seeing my son had asymmetric eye events last night (and every night) as well is significant. Thank you for your continued support.
Hello,
Welcome back to icliniq.com.
I reviewed both videos twice. Again, I can reassure you that I did not see any significant neurological signs in either of them. Please consider that the videos were recorded in the dark via IR light. In the dark, when visual clues are very low, brain control over open eyes decreases as there is not enough visual target to fix the eyes. This is the cause of the abnormal movements you may have observed. In the case of facial movements, I reassure you that I did not see any warning signs.
I hope I have answered your question.
Let me know if I can assist you further.
Regards.
Patient's Query
Hello doctor,
Thank you for the reply.
Is my son displaying any gait abnormalities in this video? Still waiting on latest sleep study results.
Hello,
Welcome back to icliniq.com.
I hope you are doing well. I reviewed the video. Your son's gait is abnormal for most of the video. However, it seems she walked that way intentionally, as there were periods when she walked normally. Therefore, I do not think there is a serious problem. Nevertheless, if you notice this gait becoming usual, you should first visit a podiatrist or physical therapist for a gait analysis and, if necessary, a referral to a specialist. I wish you and your family the best during the holidays and the coming new year.
Thank you, and take care.
Regards.
Was this conversation helpful?
Answered byDr. Seyedaidin Sajedi
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
