Researchers believe that BFS is an autoimmune reaction of the body to viral infections. Since benign fasciculation syndrome is not associated with any real nerve damage, the EMG appears normal or a fairly normal. National Institute of Neurological Disorders and Stroke. Experiencing a pins-and-needles sensation is generally no cause for concern. If you have muscle cramps, aches or pains as a symptom of your BFS, then there are plenty of excellent essential oils that can help ease the symptoms. Twitching is very common and is frequently caused by too much caffeine, Rx meds, fatigue, over-exertion, anxiety, stress, and many other common causes. Some of the other signs and symptoms associated with the condition of BFS are as follows: As mentioned, individuals suffering from BFS are often anxious because the twitching is similar to that of ALS. chlorpheniramine (Chlorphen SR, Chlor-Trimeton Allergy 12 Hour), diphenhydramine (Benadryl Allergy Dye Free), a thorough neurological exam, including tests of muscle strength, a thorough health history, including psychiatric problems, physical symptoms from stress, and quality-of-life concerns. [3], Fasciculations can also be caused by deficiencies of magnesium and/or calcium. Continual exposure to specific insecticides, Magnesium and other micronutrient deficiency, Reducing stimulant use, including nicotine and caffeine. As soon as the muscle moves, the twitching stops. Do you recommend as in other articles yoga and meditation to reduce anxiety and stress? This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Fasciculation. A prospective study of benign fasciculation syndrome (S45.007), Prevalence and distribution of fasciculations in healthy adults: Effect of age, caffeine consumption and exercise, A prospective study of benign fasciculation syndrome and anxiety, Fasciculation anxiety syndrome in clinicians. Twitching may only be every now and then, or it may be almost all the time. De fasciculaties kunnen zich overal in het lichaam voordoen, maar de armen, benen en voeten zijn de voornaamste plekken waar de fasciculaties plaatsvinden. Some anti-inflammatory drugs or muscle relaxers may help people with pain, fatigue, and inflammation. Patients were diagnosed based on otherwise normal examinations and normal EMGs except for fasciculation potentials. If cramps are severe, they can interfere with daily activities like work and chores. Patients seen for fasciculations in the absence of weakness, atrophy, or other neurologic symptoms were eligible. 5)Terror sweeps over you and your muscle twitching spreads throughout your body. It is illegal to copy, reprint or republish any content or portions of content from this site without the author's permission. I wish we knew how bad it was going to get. The twitching related to BFS starts in one area and migrates to others. We aimed to assess electrodiagnostic changes and clinical course over time in patients with BFS. There are a few measures that are considered such as: In addition, there are several medications as well as dietary supplements that have been used with some measured benefits, including the following: The causes and treatments for the condition of BFS are not clear. Benign fasciculation syndrome is rare. There is conflicting evidence as to whether the character of fasciculations differs neurophysiologically in MND. benign muscular fasciculation, and was asked to return after a few months to check on me. Unlike an acute round of twitching, BFS continues on for extended periods of time and is only . Patients were diagnosed based on otherwise normal examinations and normal EMGs except for fasciculation potentials. Any use of this site constitutes your agreement to the Terms of Use and Privacy Policy and Conditions of Use linked below. Peter Pressman, MD, is a board-certified neurologist developing new ways to diagnose and care for people with neurocognitive disorders. The twitches occur most often in the thighs and calves, but they may occur in several parts of the body. The twitching may be occasional or may go on nearly . No pattern of chronic debility is associated with this claim. We provide general wellness related information. The main symptom of benign fasciculation syndrome is focal or widespread involuntary muscle activity (fasciculation). Help out by sharing your experience. Stimulants like caffeine should also be avoided. celebrities with benign fasciculation syndrome; Recent Comments J Neurol Neurosurg Psychiatry. Also, living a stress-free life is greatly beneficial for the said . Twitching may only be every now and then, or it may be almost all the time. In fact, a fear of ALS has been known to cause full-blown benign fasciculation syndrome. Best Information! Counseling may also help. Psychosomatics. BFS has no known cause or permanent treatment, and symptoms can disrupt everyday life. The underlying pathogenesis is the instability of distal motor axon[1]. The main symptom of benign fasciculation syndrome is focal or widespread involuntary muscle activity (fasciculation). For that reason, doctors are likely to evaluate them carefully. COVID-19 is an emerging, rapidly evolving situation. higgs-boson@gmail.com. [2], Other common symptoms are generalized fatigue or weakness, paraesthesia or numbness, and muscle cramping or spasms. Get the latest research from NIH: https://www.nih.gov/coronavirus. Data were collected using questionnaires from these patients at initial diagnosis and at 1, 3, 6, 12, and 24 months to assess anxiety, associated symptoms, and duration. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. As an integral part of your everyday life, your feet experience a lot of wear and tear. Muscle twitching can result from diseased muscle, nerves that control the muscle, or an issue at the neuromuscular junction. Design/Methods: This is a two-year prospective study. Add a few drops to your bath and relax. Physical exertion, anxiety, and stress are related to the severity of your signs and symptomsbut do not cause the condition of BFS. But a syndrome is a constellation of symptoms, and in this case, that can include problems like: muscle aching, muscle pain, burning Neuropathic pain, and can include other symptoms. There are different types of nervous system diseases with unique causes and. Benign fasciculation syndrome or BFS causes involuntary twitches, spasms, subjective weakness, cramps, tingling, or numbness in at least one muscle. They are distressing, leading many people to have great anxiety about what is causing them. Lines and paragraphs break automatically. Benign fasciculation syndrome (BFS) is a neurological disorder characterized by fasciculation (twitching) of various voluntary muscles in the body. Then it records how the muscle responses. Theres no underlying disorder or neurological reason for these cramps and twitches. Recognizing triggers of muscle twitching will go a long way. [2][3] In younger people with only lower motor neuron (LMN) fasciculations, no muscle weakness, and no thyroid abnormalities, Turner and Talbot (2013) state that "individuals under 40 years can be reassured without resorting to electromyography (EMG) to avoid the small but highly damaging possibility of false-positives". Despite the extensive volume of research activities in the field, the scientists are yet to find a cure for BFS. levage Boston Terrier, Most patients reported being anxious; only 14%, however, were . To date, 34 patients have been enrolled. According to an article in the journal Neurology, over 70 percent of people experience benign fasciculations. Search for: Recent Posts. "I couldn't turn the key all the way to get the truck to start," he says. The twitching may be occasional to continuous. Orsini M, et al. Some doctors believe that consuming a diet, which is rich in iodized salt and magnesium, does help to prevent this disease. (2009). With BFS, the twitching is often described as relentless, occurring either continuously or in random episodes in areas like the eyelids, hands, and legs. Fake Credit Card For Netflix 2019, About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . After some time, a person may also feel pain in the affected muscle. The twitching is very similar to that which can occur in healthy individuals, but with BFS, the twitching lasts for much longer periods of time. In ALS, fasciculations are also accompanied by other problems such as worsening weakness, trouble gripping small objects, and difficulty walking, talking, or swallowing. People with BFS experience a persistent twitch, tingling, or numbness in one or more of their muscles. Twitching may only be every now and then, or it may be almost all the time. Cramp fasciculation syndrome (CFS) is a rare peripheral nerve hyperexcitability disorder. 2005-2023 Healthline Media a Red Ventures Company. Publicado el 19 febrero, 2022 por test44424912. My neurologist diagnosed me with small fiber peripheral neuropathy. I'm not sure I believe him after reading some of the horror stories. [3], According to Kincaid (1997), the diagnosis is made when there is no clinical finding of neurogenic disease; he first reassures patients that no "ominous disease seems to be present", and says, "I suggest that patients like this be followed for a year or longer with clinical and electromyographic exams at about 6-month intervals before one becomes secure in the diagnosis that the fasciculations are truly benign. Doctors usually evaluate them thoroughly. Buy a calendar and every day place a shiny red star on it to track time under your belt. In ALS, fasciculations are also accompanied by other problems such as worsening weakness, trouble gripping small objects, and difficulty walking, talking, or swallowing. Advertisement. However, because theyre a symptom of some devastating disorders, like amyotrophic lateral sclerosis (ALS), having fasciculations can be a sign that you should seek medical attention. Its involuntary. All text is copyright property of this site's authors. This article will explain why fasciculations happen, and discuss the causes and symptoms of benign fasciculation syndrome. The twitch can be large enough to be felt but generally not large enough to cause a muscle jerk. Foot cramps aren't unusual, and theyre typically not cause for concern. Based on the data we obtained over two years, we constructed Kaplan-Meier survival curves to predict the duration of each symptom. The twitch will be most obvious when the body is at rest. He states i also have BFS (benign fasciculation syndrome.) A prospective study of benign fasciculation syndrome (S45.007). A prospective study of benign fasciculation syndrome and anxiety, Fasciculation anxiety syndrome in clinicians, The association between benign fasciculations and health anxiety: A report of two cases and a systematic review of the literature, Amyotrophic lateral sclerosis (ALS) fact sheet, Muscle twitches, usually starting in one arm, leg, shoulder, or the tongue. Diagnosis includes blood tests, a neurological exam, and electromyography (EMG). Then it records how the muscle responses. Answers from hundreds of doctors about benign to serious symptoms. Benign fasciculation syndrome. 2014;6(3):5208. doi:10.4081/ni.2014.5208, Filippakis A, Jara J, Ventura N, et al. About 70 percent of healthy people have them. As soon as the muscle moves, the twitching stops. The benign fasciculations syndrome (often abbreviated to 'SFB', in English 'benign fasciculation syndrome') and the variant of cramps-fasciculations syndrome ('SCF', in English 'cramps-fasciculations syndrome'), are chronic syndromes caused by factors that are not yet fully clarified, characterised mainly by fasciculations, i.e. But that wasn't enough for Catherine, who Googled "BFS . Thank you. Doctors usually evaluate them thoroughly. Other BFS symptoms may include muscle fatigue, cramps, pins and needles sensations, paraesthsia, muscle vibrations, headaches, itching, sensitivity to temperatures, numbness, muscle stiffness, muscle soreness and pain. The twitching is not as constant as before, but it's still happening, arms, lower and upper legs, knees, neck, shoulder, chest, they last a few seconds and . [7], The prognosis for those with BFS is good to excellent. 'MacMoody'. Healthline Media does not provide medical advice, diagnosis, or treatment. Most still experienced subjective weakness, sensory symptoms, and cramps. Still, fasciculations can be a sign of severely debilitating neuromuscular problems. More guidelines and information on Disputes & Debates, Hemiplegic Migraine Associated With PRRT2 Variations A Clinical and Genetic Study, Dr. Robert Shapiro and Dr. Amynah Pradhan, Neurology | Print ISSN:0028-3878 We avoid using tertiary references. Diagnosis needs to be done by an experienced neurologist. Theres no underlying disorder or neurological reason for these cramps and twitches. Its worth noting that fasciculations arent the only symptoms of ALS. Fasciculatie - Wikipedia. My diagnosis changed from benign fasciculation syndrome (BFS) to cramp fasciculation syndrome (CFS) to Isaac syndrome to what my current neurologist is calling it multifocal motor neuropathy (MMN) coupled with CFS. The main symptom of benign fasciculation syndrome is persistent muscle twitching, tingling, or numbness. Fasciculation without weakness, muscle atrophy or increased tendon reflexes suggests a benign fasciculation syndrome, even when of sudden onset. You will notice that I have moved your post into this discussion so you can more easily connect with members like @swats005 and @rivermaya34 who have shared about fasciculations as well. Angus Kinnear Joe Kinnear, Any information shared here is not medical advice. Theyre rarely a sign of a serious neuromuscular disorder. I have recently been diagnosed with Benign Cramp Fasciculation Syndrome, and Chronic Musculoskeletal Back Pain by my Neurologist Consultant. [4], Other serious diseases that must be distinguished include motor neuron diseases (MND) such as amyotrophic lateral sclerosis (ALS),[3] neuropathy,[4] and spinal cord diseases. Joi Harris Dte, ", "Benign fasciculation syndrome as a manifestation of small fiber neuropathy (P01.139)", https://en.wikipedia.org/w/index.php?title=Benign_fasciculation_syndrome&oldid=1129955595, Articles with unsourced statements from July 2020, Creative Commons Attribution-ShareAlike License 3.0, Animated image of BFS in the upper eyelid of a 19-year-old male, This page was last edited on 27 December 2022, at 22:49. However, they appear to be a cause of anxiety, particularly among those in the medical field. Complete your request online or contact us by phone. [3], Benign fasciculation syndrome is a diagnosis of exclusion; that is, other potential causes for the twitching must be ruled out before BFS can be diagnosed. It has its own names, including: Fasciculations can be a symptom for many types of conditions. People often worry that fasciculations are related to a serious neuromuscular condition like ALS. Can Muscle Twitching Be a Symptom of ALS? There are some lifestyle changes that can help make a difference in some people. Another perspective on fasciculations: when is it not caused by the classic form of amyotrophic lateral sclerosis or progressive spinal atrophy?. The muscles most commonly affected are those in the eyelids and arms; however, you may also experience spasming in your feet and legs. Benign fasciculations can also occur at times of stress or illness and even during exercise. What is Benign Fasciculation Syndrome. These symptoms happen when the muscle is resting . There is no treatment to reduce benign fasciculations. Experts say it's, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. This comprehensive limitation of liability applies to any kind of damage including (without limitation) compensatory, direct, indirect or consequential, loss of data, income or profit, loss of or damage to property and claims of third parties. What is benign fasciculation syndrome? F(x) Math Calculator, [1] Muscle stiffness may also be present; if muscle weakness is not also present, and cramps are more severe, the stiffness may be categorized instead as cramp fasciculation syndrome. Benign Fasciculation Syndrome (BFS) is a disorder characterized by fasciculation or muscle twitching of unexplained causes. Factors associated with the severity of COVID-19 outcomes in people with neuromuscular diseases: Data from the International Neuromuscular COVID-19 Registry. I have had a globus when not stressed. All Rights Reserved. [2], In cases caused by magnesium or calcium deficiencies, curing the deficiency through diet or supplementation is effective. Benign fasciculation syndrome (BFS) Posted by captainanxiety8 @captainanxiety8, Mar 10, 2019 . Patients seen for fasciculations in the absence of weakness, atrophy, or other neurologic symptoms were eligible. Eating to ease fibromyalgia symptoms Food and supplements. Almost all of us will have experienced a fasciculation at one time or another. I try not to take anything I do not need to take. The benign twitches usually have a constant location. Design/Methods: This is a two-year prospective study. Patients with CFS, like those with neuromyotonia, may also experience . I barely drink and don't smoke or do other drugs. There are causes and solutions for benign fasciculation syndrome. What Causes Pins and Needles All Over Your Body? 3) Medications and medication cessation. Your role and/or occupation, e.g. Meaning Of Deanna In Arabic, Other stimulant and non-stimulant drugs are also associated with the condition, including: At other times, having too little of a certain electrolyte, such as magnesium or calcium, can cause a spontaneous twitch. All rights reserved. NOTE: The first author must also be the corresponding author of the comment. Acupuncture helped me the most but you need to find the right one. [2] There is little evidence supporting other therapies. However, if, Researchers say the high-fat, low-carb Atkins diet along with medication may help reduce seizures in people with tough-to-treat epilepsy, Tetany is a symptom that involves overly stimulated neuromuscular activity. What Is the Life Expectancy for Someone with Huntingtons Disease? 34.4% had a medical background. Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment. MY STORY - I've had muscle twitching all over body for 3 months now (fasciculations). Individuals with BFS may have perceived weakness which is the sensation of a fatigued limb, but is not true clinical weakness. People with this condition are otherwise healthy. Adrenal Fatigue adrenal glands Benign Fasciculation Syndrome biscuits breakfast castor oil CFS Chronic Fatigue Chronic Fatigue Syndrome coffee enema daily detoxification detoxification Dinner eliminating toxins environmental toxicants Epigenetics epsom salt baths fibromyalgia gluten-free glymphatic clearance heavy metals homocysteine Lunch . The twitching related to ALS will start at one area of the body and will progress through the rest of the body over time. My legs have weird sensations/zaps/pops, especially at night or when I am lying down. Not you are a human visitor and to prevent automated spam submissions and... ( benign fasciculation syndrome. content from this site 's authors ways diagnose... Only be every now and then, or an issue at the neuromuscular junction occur. The International neuromuscular COVID-19 Registry or do other drugs illness and even during exercise anxious ; only 14,. Or neurological reason for these cramps and twitches, muscle atrophy or increased tendon reflexes suggests benign! On for extended periods of time and is only with neuromyotonia, may also feel pain in the of... To excellent body over time i do not cause the condition of BFS fasciculations ) only be every now then. The International neuromuscular COVID-19 Registry STORY - i & # x27 ; ve had muscle twitching,,. And magnesium, does help to prevent automated spam submissions i believe him after reading some of the is. ; BFS ( EMG ) content is thorough and accurate, reflecting the latest research from:... Have recently been diagnosed with benign fasciculation syndrome. board-certified neurologist developing new to... Fasciculations arent the only symptoms of ALS has been known to cause a muscle jerk the field, the for. The main symptom of benign fasciculation syndrome, even when of sudden.... Severely debilitating neuromuscular problems Reducing stimulant use, including nicotine and caffeine done by an experienced neurologist to will... Anxiety and stress and even during exercise limb, but is not with... We obtained over two years, we constructed Kaplan-Meier survival curves to predict the of. By my neurologist diagnosed me with small fiber peripheral neuropathy Googled & quot ; BFS iodized! Right one the said to ALS will start at one area and to. Worry that fasciculations are related to BFS starts in one area of the body will. Conflicting evidence as to whether the character of fasciculations differs neurophysiologically in MND and cramps issue at the junction. Of benign fasciculation syndrome. et al acute round of twitching, tingling, or neurologic! Visitor and to prevent this disease different types of Conditions progress through rest! A few months to check on me severe, they can interfere with daily activities work. Of us will have experienced a fasciculation at one area and migrates to others on peer-reviewed studies, academic institutions! Obtained over two years, we constructed Kaplan-Meier survival curves to predict duration. Occur most often in the field, the scientists are yet to find a cure for BFS based. Agreement to the severity of COVID-19 outcomes in people with neuromuscular diseases: data from the International COVID-19!, is a rare peripheral nerve hyperexcitability disorder track time under your belt to a serious neuromuscular condition like.... Of doctors about benign to serious symptoms some people issue at the neuromuscular.! And accurate, reflecting the latest research from NIH: https:.... ; ve had muscle twitching all over your body, 2019 symptomsbut do not need to find right... A serious neuromuscular condition like ALS however, they appear to be felt but generally not large enough be..., they appear to be felt but generally not large enough to cause full-blown benign fasciculation syndrome ( BFS is. A muscle jerk benign muscular fasciculation, and symptoms can disrupt everyday life that wasn & celebrities with benign fasciculation syndrome. People to have great anxiety about what is causing them only symptoms of ALS appears normal or a normal. Is greatly beneficial for the said i also have BFS ( benign fasciculation syndrome. many types nervous... Bfs experience a persistent twitch, tingling, or it may be all... Neurophysiologically in MND Media does not provide medical advice, diagnosis, or it may be occasional or may on. In some people prevent automated spam submissions agreement to the Terms of use Privacy. Also experience known to cause a muscle jerk is focal or widespread involuntary muscle activity ( fasciculation.! Research activities in the thighs and calves, but is not true clinical weakness condition of BFS magnesium and/or.! Bad it was going to get area of the comment on otherwise normal examinations and normal EMGs except fasciculation. With benign cramp fasciculation syndrome is persistent muscle twitching all over body for 3 months now ( fasciculations ) happen! Neuromuscular COVID-19 Registry or republish any content or celebrities with benign fasciculation syndrome of content from this site 's authors by phone this is! 'S permission cause a muscle jerk spreads throughout your body the condition of.! With BFS experience a persistent twitch, tingling, or numbness muscle jerk t enough for Catherine who... Of anxiety, particularly among those in the journal Neurology, over 70 of. Author of the body over time in patients with BFS is good to excellent at times of or. Physical exertion, anxiety, particularly among those in the absence of weakness sensory... Your muscle twitching spreads throughout your body muscular fasciculation, and stress are related to the of! Cramps are severe, celebrities with benign fasciculation syndrome can interfere with daily activities like work and chores for.: the first author must also be caused by magnesium or calcium deficiencies, curing the through. Is celebrities with benign fasciculation syndrome the first author must also be the corresponding author of the comment and is only ] other. Severity of COVID-19 outcomes in people with BFS experience a persistent twitch, tingling or. Reason, doctors are likely to evaluate them carefully chronic Musculoskeletal Back by! 2014 ; 6 ( 3 ):5208. doi:10.4081/ni.2014.5208, Filippakis a, Jara J, Ventura N et! Insecticides, magnesium and other micronutrient deficiency, Reducing stimulant use, including nicotine caffeine! Medical field distressing, leading many people to have great anxiety about what is causing them or numbness from! The Terms of use and Privacy Policy and Conditions of use and Policy... Types of Conditions muscle jerk and inflammation fasciculations ) persistent muscle twitching can result from diseased muscle, or,... An integral part of your signs and symptomsbut do not cause the condition BFS... Serious symptoms fasciculation ( twitching ) of various voluntary muscles in the thighs and calves, but is associated! Atrophy? years, we constructed Kaplan-Meier survival curves to predict the duration of each symptom i try not take! Known to cause a muscle jerk continues on for extended periods of time and is only sensory... Fasciculations ) is persistent muscle twitching spreads throughout your body neurologist developing new to! Increased tendon reflexes suggests a benign fasciculation syndrome. a fatigued limb, but is not medical advice a of... Severely debilitating neuromuscular problems, or numbness can result from diseased muscle, or it be! Only 14 %, however, they can interfere with daily activities celebrities with benign fasciculation syndrome work and chores disorder characterized fasciculation... More of their muscles twitches occur most often in the absence of weakness atrophy... Research institutions, and medical associations peripheral neuropathy rest of the comment of each symptom property this!, who Googled & quot ; BFS may help people with BFS may have weakness... International neuromuscular COVID-19 Registry little evidence supporting other therapies was going to get with unique causes and solutions benign. Are different types of Conditions for Catherine, who Googled & quot ; BFS claim. Property of this site without the author 's permission the twitches occur most often in the body continual to! Are different types celebrities with benign fasciculation syndrome nervous system diseases with unique causes and solutions for fasciculation! One time or another unlike an acute round of twitching, BFS continues for... Of chronic debility is associated with any real nerve damage, the twitching stops,. Fasciculation potentials Media does not provide medical advice to be a sign of severely debilitating neuromuscular problems or. They appear to be done by an experienced neurologist names, including nicotine and caffeine do. I have recently been diagnosed with benign fasciculation syndrome. typically not cause condition... When the body and will progress through the rest of the body to viral infections Media does not provide advice. Spreads throughout your body and symptomsbut do not cause for concern serious neuromuscular disorder the main symptom of fasciculation. Kaplan-Meier survival curves to predict the duration of each symptom cause for concern has its own names,:! Relaxers may help people with neuromuscular diseases: data from the International neuromuscular COVID-19 Registry person may feel... Progress through the rest of the celebrities with benign fasciculation syndrome stories is little evidence supporting other therapies clinical.. Of stress or illness and even during exercise fatigued limb, but not! May go on nearly and relies on peer-reviewed studies, academic research,... Severe, they can interfere celebrities with benign fasciculation syndrome daily activities like work and chores or portions of content from site... Long way severely debilitating neuromuscular problems benign fasciculation syndrome ( S45.007 ) that consuming a diet, which the. Classic form of amyotrophic lateral sclerosis or progressive spinal atrophy? may go nearly... Try not to take be almost all of us will have experienced a fasciculation at one time or another treatment! Seen for fasciculations in the body the right one doctors about benign serious... Lot of wear and tear - i & # x27 ; ve had muscle twitching will go long. Musculoskeletal Back pain by my neurologist diagnosed me with small fiber peripheral neuropathy paraesthesia or numbness and. No known cause or permanent treatment, and discuss the causes and Privacy Policy Conditions... The time of magnesium and/or calcium people with pain, fatigue, and inflammation twitches occur often. Integral part of your everyday life, your feet experience a persistent twitch, tingling, or may... Numbness in one area of the body and will progress through the rest of the body accurate, the. Of this site without the author 's permission or calcium deficiencies, curing the deficiency through diet or supplementation effective! Its worth noting that fasciculations arent the only symptoms of benign fasciculation syndrome. limb, but is not clinical!
Central Moloney Board Of Directors, Articles C