[47F] Experiencing falling episodes with paralysis and muscle spasms

Patient Description

A 47-year-old female has been experiencing episodes of falling accompanied by paralysis for about a month. These episodes last a couple of minutes, during which she cannot control or stop her fall or speak. The falls have resulted in broken bones. The patient reports muscle weakness, tingling sensations in the head, and muscle spasms or violent jerks. She rarely sleeps and has been exposed to black mold. The falls do not seem to be triggered by strong emotions, and no specific triggers for the tingling sensation have been identified. There is no family history of neurological or sleep disorders, and the patient is not currently taking any medications or supplements. She has allergies to penicillin and sulfa.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Narcolepsy with Cataplexy: Narcolepsy is a sleep disorder characterized by excessive daytime sleepiness and sudden loss of muscle tone (cataplexy), which can lead to falls. The fact that you rarely sleep and experience paralysis during these episodes could suggest this condition. Narcolepsy can also cause sleep paralysis and hallucinations.

    • Treatment typically involves medications to manage symptoms and lifestyle changes to improve sleep hygiene.
  • Seizure Disorders: Some types of seizures can cause sudden falls and temporary paralysis. These can be accompanied by muscle spasms or jerks. The tingling sensation in your head might also be related to seizure activity.

    • Treatment usually involves anti-seizure medications and sometimes lifestyle modifications.
  • Exposure to Black Mold: Prolonged exposure to black mold can lead to neurological symptoms, including muscle spasms and tingling sensations. However, it is less likely to cause the specific symptoms of falling and paralysis.

    • Treatment involves removing the source of mold exposure and managing symptoms.

What you can do

  1. Consult a Healthcare Professional: It's important to see a doctor as soon as possible for a thorough evaluation. They may recommend tests such as a sleep study, EEG, or MRI to help diagnose the underlying cause of your symptoms.

  2. Track Your Symptoms: Use MDandMe to journal your symptoms, including the frequency and duration of your falls, any triggers you notice, and how you feel before and after episodes. This information can be valuable for your healthcare provider.

  3. Ensure a Safe Environment: Since your falls have led to broken bones, make sure your living space is as safe as possible to prevent further injuries. Remove tripping hazards and consider using protective gear if necessary.

  4. Improve Sleep Hygiene: Try to establish a regular sleep schedule, create a comfortable sleep environment, and avoid caffeine or electronics before bed to improve your sleep quality.

What you should look out for

Seek immediate medical attention if you experience:

  • An increase in the frequency or severity of falls
  • New or worsening symptoms, such as confusion or difficulty breathing
  • Any signs of a serious injury from a fall, such as severe pain or inability to move a limb

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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1 mo ago

People Also Ask


What are the common symptoms of narcolepsy with cataplexy?

Common symptoms of narcolepsy with cataplexy include excessive daytime sleepiness, sudden loss of muscle tone (cataplexy), sleep paralysis, hallucinations, and disrupted nighttime sleep.


How can exposure to black mold affect neurological health?

Exposure to black mold can lead to neurological symptoms such as headaches, memory loss, mood changes, and in some cases, muscle spasms and tingling sensations. It is important to remove the source of mold exposure to prevent further health issues.


What are the typical treatments for seizure disorders?

Typical treatments for seizure disorders include anti-seizure medications, lifestyle modifications, and sometimes surgery. The specific treatment plan depends on the type and severity of the seizures.


How can I improve my sleep hygiene to manage sleep-related disorders?

To improve sleep hygiene, establish a regular sleep schedule, create a comfortable and dark sleep environment, avoid caffeine and electronics before bed, and engage in relaxing activities before bedtime to promote better sleep quality.


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