instruction: hi doctor about 10 months ago after a workout I had pins and needles on the left side of my body after months of iris and eggs I got a skin biopsy that showed you gave small fiber neuropathy before I knew this I got a deep tissue massage and started getting fasciculations they had calmed down much since october but I will notice them here and there I always developed movements before I fall asleep my feet may just move or even my chest it gives me much anxiety to go to bed lately I have been noticing a little tremor in my right hand and tingling in them when I tried to put in fake eyelashes or hold a pen for a little time last week I have noticed my thumb moved twice also I feel sometimes like my teeth are shaking a lot or euros have told me that I am 32 and not to worry about much but they overlooked sfn I am worried all eggs are normal I am concerned now and I have early parkinson s
output: hello I have studied your data 10 months ago I have a sudden onset of tingling on the left side after workout but with normal mri magnetic resonance imaging brain and spine which means the stroke is less likely later you noted random twisting of muscles fasciculations with right hand action tremor occasional movements before sleep hypnogogic periodic limb movements work up showed son but the cause of it not known until now with normal nav egg we need to find out the cause of son like autoimmune disorders etc it is not parkinson syndrome as it is not fitting into it so do not worry about it seems some benign tremor fasciculation syndrome please answer some of my questions any family history of similar tremors any painful or burning sensation in palm and soles I want to know about your blood sugar status thyearoid profile ear erythrocyte sedimentation rate cop reactive protein ana antinuclear antibody alla antiphospholipid syndrome anna anti neutrophil cytoplasmic antibody