28 results match your criteria: "Eyelid Myokymia"

Metformin-induced eyelid myokymia.

Indian J Pharmacol

September 2024

Department of Obstetrics and Gynaecology, Latifa Hospital, Dubai Health Authority, Dubai, UAE.

Metformin, an insulin-sensitizer, is used in the treatment of polycystic ovarian syndrome (PCOS) in obese women as it helps in weight loss and regularizes the menstrual cycle. However, impaired absorption of Vitamin B12 due to metformin has also been hypothesized. Here, we report the case of a 39-year-old woman prescribed metformin for PCOS, presenting with an unusual symptom of eyelid myokymia.

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Isolated Hemifacial Spasm as the Presenting Sign of Cerebral Glioblastoma.

Ophthalmic Plast Reconstr Surg

December 2024

Department of Ophthalmology and Visual Science, The University of Texas Health Science Center at Houston, Houston, Texas, U.S.A.

The authors report a rare case of a 58-year-old female with mild right-sided hemifacial spasms and eyelid myokymia and a concomitant high-grade glial mass. This report outlines the clinical presentation, diagnostic approach, and management of right hemifacial spasms and eyelid myokymia. The patient had a 5-month history of gradually worsening right hemifacial spams accompanied by mild right lower eyelid twitching.

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Introduction:  Previous studies have shown that isolated eyelid myokymia (EM) is usually caused by stress, fatigue, and caffeine consumption. The purpose of this study was to evaluate the association between EM and digital screen time, uncorrected refractive error, intraocular pressure (IOP), and blood electrolyte levels.

Methods: Between February 2023 and June 2024, 103 eyes of 103 patients who applied to the ophthalmology outpatient clinic with complaints of eyelid twitching lasting for more than two weeks and 103 eyes of 103 healthy individuals as a control group were included in the study.

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Article Synopsis
  • A 57-year-old man had a rare growth called a trigeminal schwannoma in a part of his brain called Meckel's cave, which caused his eyelid to twitch.
  • Doctors used a special test to check how the man's eyelid blink responded to nerves, which helped them understand his condition better.
  • For people with ongoing eyelid twitching, tests that look at both nerve function and images of the brain can help figure out the cause.
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Article Synopsis
  • * Data collected over 3 months revealed that most patients experienced complete resolution of symptoms, with an average recovery time of 42 days; older patients and those with longer hospital stays showed slower recovery rates.
  • * The severity of COVID-19 or patient gender did not significantly affect the recovery process, suggesting eyelid myokymia could be a temporary note during recovery from the illness.
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Article Synopsis
  • The study investigates the occurrence of eyelid myokymia in patients with Marcus Gunn jaw-winking synkinesis (MGJWS), noting that five patients (3 males, 2 females) exhibited this phenomenon during a retrospective analysis in Riyadh hospitals.
  • Most patients displayed right-sided MGJWS and exhibited vertical twitching of the upper eyelid, associated with monocular elevation deficiency on the same side.
  • The findings suggest that ipsilateral eyelid myokymia could be an important characteristic of MGJWS, indicating that peripheral dysinnervation might play a role in the condition.
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Swallow-Induced Eyelid Myokymia: A Novel Synkinesis Syndrome.

Neuroophthalmology

April 2020

Department of Ophthalmology & Visual Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Article Synopsis
  • The text discusses a new type of facial nerve condition called swallow-induced eyelid myokymia, related to facial nerve synkinesis.
  • The authors suggest that this condition arises from mixed nerve signals affecting both certain neck muscles and the eyelid muscle.
  • The patient experienced significant improvement after receiving onabotulinum toxin A treatment.
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Article Synopsis
  • Multiple sclerosis is the most common demyelinating disorder in young adults and is rare in children under 10, while acute disseminated encephalomyelitis usually occurs after viral infections.
  • A case study of a nine-year-old girl revealed her second episode of neurological symptoms, which included dysphonia and gait issues, with past symptoms at age four.
  • Brain MRI showed multiple demyelinating lesions, emphasizing the challenge of differentiating between multiple sclerosis and acute disseminated encephalomyelitis based on symptoms and imaging.
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Article Synopsis
  • Eyelid myokymia, or eyelid twitching, is a harmless condition that usually goes away within hours to days but can sometimes last for weeks or months.
  • People often look for home remedies to help manage the symptoms when the twitching persists.
  • The article explores how tonic water might work as a treatment option and addresses any safety issues related to its use.
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Eyelid Myokymia with Concomitant Cerebral Tumour: A Case Report.

Neuroophthalmology

June 2018

Department of Oculoplastic, Orbital and Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Aichi, Japan.

Article Synopsis
  • - Eyelid myokymia is a localized movement disorder characterized by involuntary, fine, and continuous muscle contractions of the eyelid's orbicularis oculi muscle, typically linked to peripheral nerve issues but can sometimes relate to intracranial problems.
  • - A case study describes a 52-year-old woman who experienced left eyelid myokymia for six months, along with upper and lower eyelid ptosis.
  • - MRI results revealed a 20 × 25 × 20 mm solid mass in the temporal lobe, identified as a cerebral astrocytoma, linking her symptoms to an underlying brain tumor.
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Article Synopsis
  • Multiple sclerosis (MS) is a chronic disease affecting the central nervous system, believed to be caused by a mix of autoimmune, genetic, viral, and environmental factors, but its exact cause is still unclear.
  • The condition is more prevalent in women aged 20 to 50 and currently has no cure, although treatments can help manage symptoms and reduce flare-ups.
  • This text discusses a unique case of a 33-year-old man with MS, who exhibited unusual symptoms like facial myokymia, which can indicate either a new diagnosis or a relapse in patients already diagnosed with MS.
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Topiramate-Induced Persistent Eyelid Myokymia.

Case Rep Psychiatry

June 2016

Department of Psychiatry, Shafa Hospital, Guilan University of Medical Sciences, Rasht 4165863795, Iran.

Article Synopsis
  • Topiramate (TPM) is a medication primarily used for epilepsy but is also prescribed for migraines and binge eating disorders, with potential side effects affecting the eyes.
  • A case study details a 47-year-old woman who experienced persistent eyelid twitching after starting TPM for binge eating, with no significant lifestyle changes helping alleviate her symptoms.
  • The twitching improved after stopping TPM, highlighting the need for healthcare providers to recognize the possible neuroophthalmologic effects of this drug.
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Article Synopsis
  • Some people who take topiramate for migraines can get a strange twitching of the eyelids called "myokymia."
  • In a study with 140 migraine patients, 8 of them (about 6%) showed this eyelid twitch after starting the medicine.
  • When the medicine was stopped, the twitching went away, but it came back when they took topiramate again, so more research is needed to understand why this happens.
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Eyelid myokymia: not always benign.

Orbit

December 2011

Division of Ophthalmic Plastic and Reconstructive Surgery, Weill Cornell Department of Ophthalmology, New York-Presbyterian Hospital, New York, New York, USA.

Article Synopsis
  • A 33-year-old healthy male experienced twitching in his right lower eyelid for a week, which later progressed to involve his right brow and upper lip.
  • Medical imaging showed demyelinating lesions, indicating he was diagnosed with multiple sclerosis.
  • The text discusses eyelid and facial myokymia, highlighting that while eyelid twitching is usually harmless, it can sometimes signal serious brainstem issues.*
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Chronic myokymia limited to the eyelid is a benign condition.

J Neuroophthalmol

December 2004

Albert Einstein College of Medicine, Montefiore Medical Center (RB), Bronx, New York 10467, USA.

Article Synopsis
  • Eyelid myokymia is a condition where the eyelid has spasms, and it is usually harmless and goes away on its own.
  • A study looked at 15 patients over many years and found that while symptoms may start off mild, they can get worse over time, but they usually aren’t signs of a bigger problem.
  • Treatment with a special injection can help make the spasms better, and overall, the condition is considered not serious.
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Disorders of facial motor function.

Curr Opin Ophthalmol

December 1996

Neurology Unit, Hôtel-Dieu de Montréal Hospital, Québec, Canada.

Article Synopsis
  • * Electromyographic studies show that blepharospasm is not a uniform disease, and treatments like botulinum toxin A injections are preferred for both blepharospasm and apraxia of lid opening.
  • * New methods, such as the search coil technique, enhance our ability to study eyelid function and monitor recovery in patients with facial nerve issues.
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Article Synopsis
  • * The study analyzed clinical and neuropathologic findings in this family and compared them with those from families affected by spinocerebellar ataxia 1 (SCA1) and spinocerebellar ataxia 2 (SCA2).
  • * Key characteristics in MJD patients included dystonia and difficulty with eye movement, and while MJD shares some symptoms with SCA1 and SCA2, it is distinct in its neuropathologic features, particularly involving the subthalamopallidal system.
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Electrophysiologic investigation of benign eyelid twitching.

Electromyogr Clin Neurophysiol

September 1991

Department of Neurology, New York Hospital-Cornell Medical Center, NY.

Article Synopsis
  • A 48-year-old woman experienced intermittent twitching of her right eyelid for 5 years.
  • Tests showed abnormal electrical activity in the eyelid and dysregulation in brainstem reflexes, along with abnormal auditory and sensory responses, suggesting possible brainstem issues.
  • The presence of oligoclonal bands in her cerebrospinal fluid, despite normal brain MRI results, suggests that her eyelid twitching may indicate underlying facial myokymia related to brainstem disease.
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Article Synopsis
  • A large Japanese family with likely Machado-Joseph disease (MJD) was studied, revealing a range of neurological symptoms across 12 patients in three generations.
  • Symptoms included issues with balance (cerebellar ataxia), trouble with eye movements (ocular paresis), eyelid opening difficulties, facial muscle twitches (myokymia), and signs of nerve damage (peripheral neuropathy).
  • The inheritance pattern was likely autosomal dominant, but genetic linkage analysis did not identify strong markers, suggesting a distinct set of symptoms that helps differentiate MJD from other similar conditions.
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