[44M] Experiencing Right Pinky Twitches and Memory Lapses

Patient Description

A 44-year-old male reports involuntary twitching of the right pinky finger occurring frequently throughout the day and during sleep, lasting for a few seconds each time. The twitching has been persistent and is not relieved by any measures. The patient has not sustained any recent injuries and there is no associated weakness, numbness, or changes in coordination. Additionally, the patient experiences occasional muscle cramps but has not noticed any significant changes in balance. The patient also describes memory lapses over the past two years, forgetting the names of familiar people and places, occurring 2 to 3 times daily. The patient has a history of high blood pressure diagnosed 18 years ago and is currently on olmesartan-amLODIPin-hcthiazid 40-5-12.5 mg tablet, Zyrtec, biotin, and ginkgo biloba. No known drug allergies have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Benign Fasciculation Syndrome: This condition is characterized by frequent muscle twitches. It's usually harmless and often happens in the absence of other neurological symptoms. The exact cause is unknown, but stress, anxiety, and fatigue can contribute to its occurrence.

    • There's no specific treatment for this condition, but reducing stress and anxiety, getting enough sleep, and staying hydrated can help manage the symptoms.
  • Carpal Tunnel Syndrome: This condition is caused by pressure on the median nerve, which runs the length of the arm, goes through a passage in the wrist called the carpal tunnel, and ends in the hand. Symptoms can include tingling, numbness, and weakness in the hand and arm.

    • Treatment can include wrist splinting, nonsteroidal anti-inflammatory drugs (NSAIDs), and surgery in severe cases.
  • Side effects of medication: Certain medications, including Adderall, can cause muscle twitching as a side effect.

    • If this is the case, you should discuss this with your doctor. They may be able to adjust your dosage or switch you to a different medication.

As for your memory loss, it could be due to a number of factors, including stress, lack of sleep, or a side effect of medication. However, given your age and the duration of your symptoms, it would be advisable to have this evaluated by a healthcare professional to rule out more serious conditions, such as early onset dementia or a neurological disorder.

What you can do

  1. Try to reduce stress and anxiety, get enough sleep, and stay hydrated to help manage your muscle twitching.
  2. Keep a journal of your symptoms and any potential triggers to help identify patterns and potential causes.
  3. Consult with your doctor about your symptoms. They may want to conduct further tests or refer you to a specialist for further evaluation.

What you should look out for

Reasons to see a doctor more urgently:

  • If your muscle twitching becomes more frequent or severe
  • If you start to experience weakness, numbness, or tingling in your hand or arm
  • If your memory loss worsens or starts to impact your daily life

Please remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

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People Also Ask


What is Benign Fasciculation Syndrome and how can it be managed?

Benign Fasciculation Syndrome is a condition characterized by frequent muscle twitches, often without other neurological symptoms. It is usually harmless. Management includes reducing stress and anxiety, ensuring adequate sleep, and staying hydrated.


Could my medication be causing muscle twitching, and what should I do about it?

Certain medications can cause muscle twitching as a side effect. If you suspect your medication is causing this, discuss it with your doctor. They may adjust your dosage or switch you to a different medication.


What are the symptoms of Carpal Tunnel Syndrome and how is it treated?

Carpal Tunnel Syndrome is caused by pressure on the median nerve in the wrist, leading to symptoms like tingling, numbness, and weakness in the hand and arm. Treatment options include wrist splinting, NSAIDs, and possibly surgery in severe cases.


What could be causing my memory lapses and when should I seek medical advice?

Memory lapses can be due to stress, lack of sleep, or medication side effects. However, persistent memory issues should be evaluated by a healthcare professional to rule out serious conditions like early onset dementia or neurological disorders. Seek medical advice if memory loss worsens or impacts daily life.


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