Neurological disorder Archives

Restless Legs Syndrome

Posted on August 10, 2021 by Xavia Malcolm

Restless legs syndrome (RLS) or Willis-Ekbom disease is a common disorder that causes what is often described as tingling, pulling, throbbing, itching, burning, aching or crawling sensations in the legs. These sensations result in an uncontrollable urge to move your legs.

RLS can also occur in other parts of the body such as the arms or torso; however, these instances are less common.

Anyone can be at risk for developing RLS. According to the Sleep Foundation, “RLS affects 5 to 10% of adults and 2 to 4% of children in the U.S. and it is found in women more often than men. People of all ages can develop RLS, but the most severe symptoms tend to occur in older adults.”

Symptoms of restless legs syndrome can include:

An irresistible urge to move the legs or arms
Discomfort in the legs or arms
Trouble staying asleep due to the urge to move your limbs
Periodic limb movement or leg twitching while you sleep
Daytime sleepiness due to sleep disruption

These symptoms most commonly occur in the late afternoon or evening hours and may increase in severity at night. They can also happen when you remain inactive or seated for extended periods. Symptoms typically go away in the morning.

Although the exact cause of restless legs syndrome is unknown, it is believed that genetics and environmental factors play a significant role. RLS is often associated with other medical conditions such as:

Iron deficiency
Multiple sclerosis
Late-stage kidney disease
Parkinson’s disease
Peripheral neuropathy

RLS may also occur temporarily during pregnancy with most women developing the disorder during their third trimester.

Some medications such as anti-depressants, anti-nausea, and allergy drugs can contribute to the development of RLS.

A diagnosis for restless legs syndrome is determined after your medical and family history is assessed, a complete physical and neurological exam is conducted, and blood tests are ordered to rule out other possible conditions. Your doctor may also refer you to a sleep specialist for an evaluation.

Currently, there is no cure for restless legs syndrome. However, there are treatments available to manage symptoms. Your doctor may include the following treatments or therapies in your care plan: exercise, massages, foot wraps, stress reduction, iron supplementation or prescription medications.

To schedule an appointment with a doctor at Jamaica Hospital Medical Center, please call 718-206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What is fibromyalgia and why is it painful ?

Posted on April 2, 2019 by Andrew Rubin

Fibromyalgia is a condition thought to be caused by an increase in the way the brain processes pain sensation throughout the musculoskeletal system of the body. The result is a chronic sensation of pain that is often debilitating and life changing. Women tend to be affected by fibromyalgia more than men but the reason for that is unclear. In some people, fibromyalgia appears after a trauma, a surgical procedure, an infection, or after a stressful event. There also may be some correlation to it running in families.
Scientists believe that there may be an overstimulation of the pain receptors that causes the symptoms. Symptoms of fibromyalgia include:
• Pain all over the body
• Fatigue
• Difficulty focusing
• Migraine headaches
• Anxiety
• Depression
Fibromyalgia is diagnosed through a physical exam and blood tests that examines thyroid function, red and white blood cell count, rheumatoid arthritis factor and the erythrocyte sedimentation rate. If a person has pain for three months and no obvious medical reason for it, it might be reason to rule out fibromyalgia.
There is no one method of treating fibromyalgia that is completely effective.
• Treatment options include:
• Physical therapy
• Pain relievers
• Anti-depressants
• Getting adequate rest
• Acupuncture
• Regular exercise
If you have symptoms of fibromyalgia and would like to schedule an appointment with a doctor at Jamaica Hospital Medical Center please call 718-206-7001.

Early Onset Alzheimer’s

Posted on November 7, 2017 by Xavia Malcolm

Many people associate Alzheimer’s disease with older adults that are advanced in age. However, the disease can also affect people who are younger than the age of 65. When this happens, the disease is referred to as younger-onset or early onset Alzheimer’s.

Early-onset Alzheimer’s has been found to mostly affect people in their forties and fifties. Currently, experts are unsure why some people get the disease at an earlier age than others. Research does point to genetics as a contributing factor in some cases.

The symptoms and signs of early-onset Alzheimer’s may differ with each person and can include:

Personality or mood changes
Difficulty making decisions
Misplacing items on a regular basis
Frequently withdrawing from social situations
Difficulty finding the right words for specific items
Difficulty finishing a sentence
Losing track of locations, dates or times
Asking for the same information again and again
Difficulty learning new things

If you are experiencing symptoms or displaying signs of the disease on an ongoing basis, it is recommended that you consult a physician who specializes in treating Alzheimer’s. In order to diagnose the disease, the physician may complete a comprehensive medical evaluation which can include cognitive tests, brain imaging, neurological and medical exams.

Early detection of Alzheimer’s disease can maximize the benefits received from treatment and may help you to maintain your independence longer. Therefore, it is highly advised that you seek the assistance of a specialist immediately.

What is Bell’s Palsy ?

Posted on September 7, 2017 by Andrew Rubin

Bell’s palsy is a condition that causes the muscles on one side of the face to become very weak or even paralyzed. When this happens, the face droops on one side. The cause of this is usually damage to the seventh cranial nerve, known as the “facial nerve” . It is more common in people who have diabetes, are pregnant or who have recently had a viral infection, but it can happen to anyone. Bell’s palsy is usually only temporary with the symptoms disappearing within a few weeks to a few months.
Symptoms of Bell’s Palsy:
• Unable to blink on one side
• Facial droop
• Drooling
• Problem with chewing
• Loss of sense of taste
• Unable to close one eye
• Possible pain behind the ear or in the jaw
Diagnosing Bell’s palsy usually involves taking a detailed medical history as well as ruling out other causes of nerve damage to the face. These symptoms can also be caused by a stroke, Lyme disease and a stroke. A physician may order a few tests to help with the diagnosis. This might include an MRI, a CT scan and an Electromyography (EMG).
Bell’s palsy often will start to resolve on its own after a few weeks. To relieve some of the symptoms, which can be very uncomfortable, a physician might prescribe corticosteroids which have an anti-inflammatory affect and also some physical therapy. To relieve some pain, a mild pain reliever can be taken such as aspirin, ibuprofen, or Tylenol.
If you have any symptoms of sudden facial drooping you should go to the nearest emergency room immediately. .

Alzheimer’s and Brain Awareness Month

Posted on June 28, 2017 by Joann Ariola

June is Alzheimer’s and Brain Awareness Month. During this month, the Alzheimer’s Association is asking healthcare providers to raise awareness about Alzheimer’s disease and dementia.

Alzheimer’s disease affects over 5 million Americans and is fatal. It is a progressive brain disease that currently has no cure. Alzheimer’s is more than memory loss and can appear through a variety of signs and symptoms such as:

Memory loss
Difficulty planning and solving problems
Difficulty completing familiar tasks
Difficulty determining time or place
Difficulty finding the right words
Misplacing items often
Difficulty making decisions
Personality and mood changes
Withdrawing from work and social events

Alzheimer’s, unlike Dementia (which is syndrome that affects mental cognitive tasks such as memory and reasoning) causes the person to lose the ability to carry out the simplest tasks.

Jamaica Hospital is committed to raising awareness about Alzheimer’s disease and Dementia through social media and providing medical services to those who are experiencing the signs and symptoms of Alzheimer’s disease.

If you or a loved one has questions or concerns and would like to see a medical professional, call Jamaica Hospital Medical Center’s Ambulatory Care Center for an appointment at 718-206-7001.

To learn more about Alzheimer’s disease, visit www.act.alz.org

Tourette’s Syndrome and Other Tic Disorders

Posted on May 12, 2017 by Jamaica Hospital Medical Center

At some point in our lives, we have all experienced some form of an uncontrollable muscle spasm or twitch. These “tics” as they are commonly referred to are normally harmless and don’t last long. In some cases however, they are the result of a child onset, neurodevelopmental condition known as a tic disorder.

Tics are involuntary, repetitive movements or vocalizations and are distinguished as either motor or vocal/phonic in nature

Motor tics are short-lasting, sudden movements that most often take place in the head and neck region. Simple motor tics include, but are not limited to, eye blinking, head bobbing, jaw movements, shoulder shrugging, and neck stretching.

Vocal or phonic tics produce a sound. Examples include, but are not limited to sniffing, throat clearing, grunting, hooting, and shouting. Complex vocal tics involve the usage of words or phrases and in rare cases, inappropriate language is used.

Those with tic disorders explain experiencing a tingling sensation that can only be relieved by performing the tic. They might be able to momentarily suppress a tic, but doing so only creates a level of discomfort that can only be relieved by performing the tic.

Approximately 25% of all children experience some type of tic disorder, with boys being far more likely to develop a disorder than girls. Tic disorders usually emerge develop in children between the ages of five and seven. They tend to increase in frequency between the ages of eight to twelve. Most children with tic disorders see their symptoms dissipate or totally resolve themselves during late adolescence.

Tic disorders are distinguished by the types of tics present and by the length of time that the tics have been present.

Transient tic disorder – This disorder most commonly appears in youth. It affects between 5% and 25% of school-age children. Transient tic disorder is characterized by the presence of one or more tics for at least one month but less than one year. The majority of tics seen in this disorder are motor tics, though vocal tics may also be present.
Chronic motor or vocal tic disorder – While transient tics disappear within a year, chronic tics can last for a year or more. Chronic tic disorder is characterized by the presence of one or more long-lasting tics. They may be either motor or vocal, but not both. Chronic tics occur in less than one in 100 children.
Tourette’s syndrome – This syndrome is the most severe tic disorder. It is characterized by the presence of both motor tics and vocal tics. The severity of Tourette’s syndrome often changes over time. There may be periods of reduced tic frequency followed by heightened tic activity. Fortunately, many people with Tourette’s syndrome find that their condition improves as they get older.

Doctors do not know what causes tics to occur, but stress and lack of sleep seem to play a role in the occurrence and severity of tics. Some medications are also thought to contribute to tics, but there is no evidence to confirm this theory.

Treatment for tic disorders depends on the severity of the condition. In many instances, no treatment is needed and the tics will resolve over time. In some instances, a doctor may suggest behavioral therapy, medication, or a combination of the two. Behavioral therapy can help those with tic disorders learn how to manage their tic symptoms and reduce tic frequency. Medications are typically prescribed to reduce tic frequency and enhance a person’s daily life.

If you think your child has a tic disorder, discuss the condition with their pediatrician. If you do not have a pediatrician, Jamaica Hospital’s Ambulatory Care Center has many excellent doctors who can provide care. To make an appointment, please call 718-206-7001.

Rare but True: Sleeping Beauty or Kleine Levin Syndrome

Posted on March 15, 2016 by Xavia Malcolm

sleeping -493503106 Kleine Levin Syndrome (KLS) or Sleeping Beauty Syndrome is a rare neurological condition characterized by recurring periods of excess sleep. It is estimated that 1000 people worldwide are diagnosed with the disorder. Adolescent boys are primarily affected but a small percentage of adults and small children (male and female) are also known to suffer from this condition.

KLS symptoms occur in episodes that can last for days, weeks or months. During each episode, an individual can sleep from 12 to 20 hours a day- only waking to eat and use the bathroom. A person can experience anywhere from two to 12 episodes per year. Symptoms that occur during wakefulness include:

Mood changes
Hyper sexuality
Hallucinations
Disorientation
Child-like behavior
Flu-like symptoms
Excessive eating
Hypersensitivity to noise and light

These symptoms prevent individuals from leading a normal life. Most are bed ridden and unable to attend work or school. The frequency of KLS episodes tend to decrease with age, there is a possibility that they can recur later in life.

The cause of KLS is unknown but it is believed that it may be the result of a malfunction of the hypothalamus and thalamus (the parts of the brain that regulates sleep, body temperature, sex drive and appetite).

There is no cure for KLS but treatment is available to alleviate symptoms. Doctors may prescribe stimulants to reduce excessive sleepiness.