Profile of patients with essential blepharospasm and hemifacial spasm in the two largest ophthalmology reference centers in Brazil.

Arq Bras Oftalmol

Department of Ophthalmology and Visual Sciences, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Published: October 2023

AI Article Synopsis

  • The study aimed to analyze the clinical characteristics of patients with essential blepharospasm and hemifacial spasm in Brazil, as information on this topic was limited.
  • Conducted at two major ophthalmology centers, the research included demographic data, stressful events linked to symptom onset, and factors affecting the severity of eyelid spasms.
  • Of the 102 patients studied, females made up the majority, with essential blepharospasm being the most common, and many patients reported that stress was a significant triggering and aggravating factor for their symptoms.

Article Abstract

Purpose: Information is scarce regarding the comprehensive profile of patients with essential blepharospasm and hemifacial spasm in Brazil. The present study aimed to assess the clinical features of patients with these conditions, followed up in two reference centers in Brazil.

Methods: The study included patients with essential blepharospasm and hemifacial spasm, followed up at the Departments of Ophthalmology at Universidade Federal de São Paulo and Universidade de São Paulo. Apart from demographic and clinical features, past stressful events related to the first symptoms (triggering event), aggravating factors, sensory tricks, and other ameliorating factors for the eyelid spasms were assessed.

Results: A total of 102 patients were included in this study. Most patients were female (67.7%). Essential blepharospasm was the most frequent movement disorder [51/102 patients (50%)], followed by hemifacial spasm (45%) and Meige's syndrome (5%). In 63.5% of the patients, the onset of the disorder was associated with a past stressful event. Ameliorating factors were reported by 76.5% of patients; 47% of patients reported sensory tricks. In addition, 87% of the patients reported the presence of an aggravating factor for the spasms; stress (51%) was the most frequent.

Conclusion: Our study provides information regarding the clinical features of patients treated in the two largest ophthalmology reference centers in Brazil.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630479PMC
http://dx.doi.org/10.5935/0004-2749.2022-0160DOI Listing

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