In daily life, we all have eye twitching. In fact, eye twitching is a type of hemifacial spasm. In the early stage of hemifacial spasm, intermittent twitching of the extraocular muscles is common. The upper eyelid trembles independently and slowly spreads to one side of the face and other muscles, accompanied by excitement and anxiety. It can stop after falling asleep. Hemifacial spasm is very easy to be misdiagnosed. It rarely occurs in bilateral muscles, which also reminds us to pay attention to early symptom identification. 1. Is it a blessing or a curse for a boy’s left eyelid to twitch? Whether it is eye twitching or facial spasm, except for space-occupying, most of them are due to factors such as mental anxiety, extraocular muscle fatigue, poor rest, chronic disease symptoms and sequelae of facial paralysis, which weaken the autonomic nerve transmission, insufficient nutrients around the eye, and produce contact point adhesion between capillaries and peripheral nerves, which trigger muscles and cause independent tremors. The total contact area between capillaries and peripheral nerves expands, and the contact point adhesion changes to strip adhesion, and the tremor changes to twitch, which results in facial spasm, and the disease is also around the eye. 2. Symptoms of Facial Spasm 1. Central nervous system examination Very few terminal patients have mild facial paralysis and bilateral post-line symptoms. The key is that when the twitch on one side stops, the other side will relapse, and one side of the body is more severe than the other. The patient has no positive signs. 2. Ankylosing Stiffness can cause facial spasms in patients, causing fatigue, tilted mouth corners, inability to speak, anxiety, and inability to open the eyes in the same direction. When in a quiet state or with good sleep, the symptoms are relieved or subsided, but once emotionally excited, the symptoms will worsen again. Some patients will continue to experience mild facial pain during twitching, and very few patients will also experience symptoms such as headaches and tinnitus in the same direction. 3. Gender-related symptoms Primary hemifacial spasm is more common in women, and the onset age is after middle age. Primary hemifacial spasm mainly manifests as paroxysmal, independent twitching of the extraocular muscles on one side. With the further development of the disease, it can spread to other facial muscles on the face, which is also the specific manifestation of patients with early hemifacial spasm. 4. Tics Initially, the tics are mild and last for a short time, usually a few seconds. As the disease progresses, the duration can increase to several minutes or longer. The intervals between tics decrease, and the frequency of tics gradually increases. Patients mainly experience rapid, paroxysmal, and irregular tics. |
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