肌肉跳動與腳踝問題：是否需要進一步檢查？-神經內科

肌肉跳動和腳踝問題？

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醫師您好

我之前因為一段時間手腳的緊繃、麻、痛等不適感和局部、間歇性的肌肉跳動、抽動而在今年9月底時有去找神經內科（神經肌肉相關的）的醫生做肌電圖（右手兩個點+右腳兩個點）、神經傳導和抽血的檢查，後面看報告時她評估結果是一切正常。但到現在我還是會覺得我手腳某些不特定位置還是會有時不時的肌肉跳動、抽動，發生的情況也是時好時壞，只有在站著的時候不太會發生，最近幾天嚴重時只要不是站著就會一直感覺到間歇性、不同位置（腳底板到大腿都有發生過、手臂偶爾也會）的跳動、抽動，右腳踝那裡也一直覺得麻麻痛痛的，走路都覺得怪怪的，搞得我一直覺得不舒服，那我還需要再去做檢查嗎？還是是什麼其它沒被檢查出來的問題或神經、肌肉以外的狀況？

附上報告：
The motor, sensory nerve conduction velocity, F-wave, H-reflex study of four limbs showed: - Prolong distal latency of compound motor action potential in left median nerve, normal amplitude of compound motor action potential in bilateral median nerves and bilateral ulnar nerves, normal motor nerve conduction velocity in bilateral median nerves and bilateral ulnar nerves. - Normal latency of F-wave in bilateral median nerves and bilateral ulnar nerves. - Normal amplitude of compound sensory action potential in bilateral median nerves and bilateral ulnar nerves, normal sensory nerve conduction velocity in bilateral median nerves and bilateral ulnar nerves. - Prolong distal latency of compound motor action potential in bilateral peroneal nerves, normal amplitude of compound motor action potential in bilateral tibial nerves and bilateral peroneal nerves, normal motor nerve conduction velocity in bilateral tibial nerves and bilateral peroneal nerves. - Normal latency of F-wave in bilateral tibial nerves and bilateral peroneal nerves. - Normal amplitude of compound sensory action potential in bilateral sural nerves, normal sensory nerve conduction velocity in bilateral sural nerves. - Normal latency of bilateral H-reflex. The needle electromyography of muscles was performed over right biceps brachii, right extensor carpi radialis, right vastua lateralis, right tibialis anterior muscles. The needle electromyography of muscles showed: - Resting phase: There was normal insertional activity. There was no spontaneous activity. - Minimal effort: There was normal recruitment pattern. There was no polyphasic motor unit potential. There was gaint amplitude of motor unit action potential in right vastua lateralis muscle. - Maximal effort: There was normal interference pattern. Conclusion: The electrodiagnostic study suggested left carpal tunnel syndrome and bilateral anterior tarsal tunnel syndrome. The needle electromyography of muscles showed chronic neuropathic change without active denervation in right vastua lateralis muscle. The motor, sensory nerve conduction velocity, F-wave, H-reflex study of four limbs showed: - Prolong distal latency of compound motor action potential in left median nerve, normal amplitude of compound motor action potential in bilateral median nerves and bilateral ulnar nerves, normal motor nerve conduction velocity in bilateral median nerves and bilateral ulnar nerves. - Normal latency of F-wave in bilateral median nerves and bilateral ulnar nerves. - Normal amplitude of compound sensory action potential in bilateral median nerves and bilateral ulnar nerves, normal sensory nerve conduction velocity in bilateral median nerves and bilateral ulnar nerves. - Prolong distal latency of compound motor action potential in bilateral peroneal nerves, normal amplitude of compound motor action potential in bilateral tibial nerves and bilateral peroneal nerves, normal motor nerve conduction velocity in bilateral tibial nerves and bilateral peroneal nerves. - Normal latency of F-wave in bilateral tibial nerves and bilateral peroneal nerves. - Normal amplitude of compound sensory action potential in bilateral sural nerves, normal sensory nerve conduction velocity in bilateral sural nerves. - Normal latency of bilateral H-reflex. The needle electromyography of muscles was performed over right biceps brachii, right extensor carpi radialis, right vastua lateralis, right tibialis anterior muscles. The needle electromyography of muscles showed: - Resting phase: There was normal insertional activity. There was no spontaneous activity. - Minimal effort: There was normal recruitment pattern. There was no polyphasic motor unit potential. There was gaint amplitude of motor unit action potential in right vastua lateralis muscle. - Maximal effort: There was normal interference pattern. Conclusion: The electrodiagnostic study suggested left carpal tunnel syndrome and bilateral anterior tarsal tunnel syndrome. The needle electromyography of muscles showed chronic neuropathic change without active denervation in right vastua lateralis muscle.

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尤，20~29歲男性，詢問日期：2025/11/12