Question

Dear sir/madam I am a 40 year old male doctor who have had asymptomatic cervical spondylosis at multiple levels until june last year when after few heavy books fell on my head. Soon after bilateral pains radiated into both arms. The next 4-5 months were hell with pain, numbness, parasthesias and all that. I could not sleep at all. As it was improving on jan 26 2015 as I went to bed I started with head tremors all of a sudden. The tremors were like a storm with high frequency and large amplitude. They were mostly side to side with occassional neck flexions. There was however variation in amplitude. I took clonazepam 0. 5mg + propranolol 20 mg once the next morning, then again at 6 pm, followed by 2mg trihexiphenydyl at 10 pm and then at around 1 am during the second night I took diazepam iv. And then in the morning the tremors stopped completely after about 36 hours. Since then I am feeling occassional tremors that are barely noticeable. I am a known case of ocd and was on fluoexteine when the tremors first happened. I stopped fluoxetine that very day. I am currently on mirtazipine 15 mg. Mri brain is normal while cs shows disc bulges at c4 - c8 with foraminal compromise. Please let me know what I am going through.

Dr. Akshay Kumar Saxena90%(2898 ratings)

Dip. SICOT (Belgium), MNAMS, DNB (Orthop...read more

Orthopedist•Delhi

Hi thanks for your query and welcome to lybrate

You have issues with your cervical spine but I am concerned regarding your tremors part. Actually I would like to see:
1) a detailed neurological examination of both your upper and lower limbs including motor, sensory ex and evaluation of dtr of both upper and lower limbs
2) x ray cervical spine ( ap & lateral - flexion and extension)
3) mri cervical spine - images with reports I will also advise you to get in touch of a neu...more

628 people found this helpful

Dr.Akshay Kumar Saxena · Accepted Answer

Hi thanks for your query and welcome to lybrate

You have issues with your cervical spine but I am concerned regarding your tremors part. Actually I would like to see: 
1) a detailed neurological examination of both your upper and lower limbs including motor, sensory ex and evaluation of dtr of both upper and lower limbs
 2) x ray cervical spine ( ap & lateral - flexion and extension)
 3) mri cervical spine - images with reports I will also advise you to get in touch of a neurophysician and get yourself evaluated thoroughly. Do not hesitate to contact me if you need any further assistance.

Thanks & regards 
Dr Akshay Kumar Saxena

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