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What Causes Slurred Speech And Involuntary Muscle Movements?

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Posted on Mon, 3 Nov 2014
Question: Does this cause you to have t times with your muscles not working right. For instance, one minute I feel fine and then the next minute I can't control the muscles in my legs and my speech is slurred because my throat feels like it is paralyed and I can't speak and sometimes I shake and my blood pressure goes sky high.I have had tjyroid condition since I was in my twenties, I am now jn my early sixties. I hate this feeling and nobody can diagnose this for me. They als have found nodules on one side of my throat. Dr. can you please explain this to me. Sometimes they are so bad I just wanna die. Please help me. Thank you ---XXXX
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Answered by Dr. Tushar Kanti Biswas (57 minutes later)
Brief Answer:
Endocrine disorder with neuro-muscular symptoms

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

With your thyroid disorder, occasional sky high BP, nodules on one side of throat (? metastatic lymph node at this age of 60 yrs) possibility of Multiple Endocrine Neoplasia (Men 2) Syndromes should be excluded. Serum calcitonin level is suggested.

Neuro-muscular symptoms seem to be transient in nature in your case. Detail neurological examination is essential to arrive at a diagnosis. Fasciculation (one minute you feel fine-then no control of muscles in leg) is most likely, which can occur in thyrotoxic myopathy.

Regards

Dr. T.K. Biswas M.D. XXXXXXX
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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Answered by
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Dr. Tushar Kanti Biswas

Internal Medicine Specialist

Practicing since :1975

Answered : 1920 Questions

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What Causes Slurred Speech And Involuntary Muscle Movements?

Brief Answer: Endocrine disorder with neuro-muscular symptoms Detailed Answer: Hi, Thank you for your query. I can understand your concerns. With your thyroid disorder, occasional sky high BP, nodules on one side of throat (? metastatic lymph node at this age of 60 yrs) possibility of Multiple Endocrine Neoplasia (Men 2) Syndromes should be excluded. Serum calcitonin level is suggested. Neuro-muscular symptoms seem to be transient in nature in your case. Detail neurological examination is essential to arrive at a diagnosis. Fasciculation (one minute you feel fine-then no control of muscles in leg) is most likely, which can occur in thyrotoxic myopathy. Regards Dr. T.K. Biswas M.D. XXXXXXX