### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi my question is why does my husband shake in his sleep like he is having a seizure he start from his legs up to his head and his eye are half open it last like 3to4 minutes and he really shake and Trimble he is 40yrs old and he started like a year and a half ago and it s like he not taking it serious he don t want to go to see his doctor can you tell me what it is and what should we do thanks.

### output:

Hi, I am Chat Doctor. I have read your message. I think I can help you. First, the symptoms that you have described are highly suggestive of seizures. Here is why- 1. They come in night-seizures are commonly triggered when the patient sleeps or just around the sleep. Of course, they can occur at other times too.2. They start from the leg and move up and then spread to the rest of the body.3. The episodes last 3-4 minutes and then resolves. I assume (you have not mentioned it) that it is never remembered by him, the episode that is. I think you should both take it very seriously. There is a high possibility that there is an intracranial problem that he is having which is extending and progressing undetected in the brain just because you do not want to visit a neurologist. I think you should meet a neurologist as soon as possible and request an MRI brain (with spectroscopy if needed) and video EEG. If he does turn out to have a pathology, treatment will have to be initiated for the pathology in addition to regular anti-epileptic medicines. I suggest taking a video of these episodes that he is having. It may help convince him that he needs to visit a doctor, and it may be helpful to the doctor in seeing the condition that your husband has. Yes, you need to visit a neurologist as soon as possible. Ideally, I would also like to know if he has been having headaches for the past years? Does he seem to be having episodes where he does not recollect what he has been doing for a certain duration of time? You may need to talk to his colleagues at work and find out if he has been having seizures or any abnormal behavior at work. There is a high chance that he knows that he has been having seizures at work and not telling you about it. I have tried my best to help you. Unfortunately, I cannot initiate / suggest medicines as long as the diagnosis is not confirmed because the anti-epileptics may have severe side effects. Best of luck, 