Benign fasciculation syndrome

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Clinic

  • BFS is characterized by fasciculation (twitching) of voluntary muscles
  • It can occur in any voluntary muscle group Esp in eyelids, arms, hands, fingers, legs, feet and Tongue.
  • Twitching may be occasional to continuous.


Entities

  • Generalized fatigue or weakness
  • Paraesthesia / Numbness
  • Muscle Cramping / Spasms /Stiffness (In presence of severe cramp, the syndrome named as Cramps fasciculation syndrome)
    • Cramp fasciculation syndrome is a variant of BFS which presents with muscle pain and exercise intolerance.
  • Anxiety / Somatic symptom disorders and symptoms are commonly reported.
Entity / Miasms
PLV TBE
Fasciculation +++ +++
Fatigue +++ +++
Paraesthesia +++ +++
Anxiety +++ +++

Causes

  • The precise cause of BFS is unknown

Related disease

  • BFS and the variant cramp fasciculation syndrome can be regarded as part of a larger spectrum of disease that also incorporates acquired auto-immune neuromyotonia.
  • Motor neuron diseases (MND) such as ALS, neuropathy, and spinal cord diseases.

Miasms

WNE: It has also been known to cause BFS-like symptoms, such as tremor, muscle twitching, and perceived muscle weakness/fatigue. Patients can expect a full recovery, as reported on the subreddit BFS.