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Doctor Ryan
Doctor Ryan, Doctor
Category: Health
Satisfied Customers: 37
Experience:  Licensed Family Medicine Physician, Licensed Medical Review Officer, Member AAFP, Member IAFP
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Wondering if I need to be worried about my husband who,

Customer Question

wondering if I need to be worried about my husband who, while sleeping goes into some sort of convulsions, I can wake him up from them, but he then has a feeling inhis arms & legs like electricity, and has aches & pains all over. He says it's cause he's shivering - I think it's more. He is diabetic, and recently injured his back during construction - should I be worried?
Submitted: 9 years ago.
Category: Health
Expert:  Doctor Ryan replied 9 years ago.

Hello there! I'd like to help. I need some more information.

How old is your husband?

Is he overweight?

Does he snore?

How long has he been having these issues?

Customer: replied 9 years ago.
My husband is 45. He is overweight, he has type 2 diabetes (for 8 years) He has sleep apnia - uses a c-pap machine to sleep, without it, yes he snores. This has been going on for about 1 1/2 - 2 months.
Expert:  Doctor Ryan replied 9 years ago.
he does already have a diagnosis of sleep apnea. That was one of the things that I would be worried about. Has he had a reevaluation of his sleep apnea? Sometimes the settings or type of C-PAP machine needs to be adjusted if his apnea is worsening. Perhaps obtaining another sleep study would be quite beneficial. The other thing that concerns me about your husband would be his feeling of aching in his limbs after these episodes and your description of "convulsions". That also sounds like a possible seizure disorder to me. In order to evaluate that further, a sleep study might also help, but also an electroencephalograph or EEG to evaluate brain activity.
Customer: replied 9 years ago.
He had a sleep study done about a year ago. Everything was fine - they did some minor adjustments.

As for a seizure disorder - is it common to have episodes only when sleeping? Also, I can wake him up from them - I thought you couldn't stop a seisure without medicine?
Expert:  Doctor Ryan replied 9 years ago.
There are various types of seizure disorders, all varying in severity and ways to treat. You do not necessarily have to lose consciousness to have a seizure. Although it would be odd for the seizures to be triggered only at bedtime, the brain does function at different wavelengths during sleep versus consciousness, which could manifest such a disorder. Other differentials would be restless leg syndrome, PLMS (periodic limb movements of sleep), or nocturnal myoclonus. Again, all of these syndromes would best be studied via sleep study or EEG, or even a combination of the two.