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Eye Lid And Middle Of Lower Lip Started Twitching Intermittently. What Can Cause This?

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Posted on Fri, 9 Nov 2012
Question: My left eye lid and middle of my lower lip started twitching intermittently. What can cause this? I had a few drinks on Thursday but that is the only alcohol I have had in a week. Didn't know if that could cause it?
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Answered by Dr. Vineet Saggar (10 minutes later)
Hi,
Thanks for writing to us.
I dont think the alcohol is a cause of your symptoms. If this was only one episode, there is nothing you need to worry about. But if it is occurring frequently, this could be the beginning of hemifacial spasm caused by vascular loops pressing on facial nerve at its origin at brain stem in posterior fossa.
You will require to undergo MRI BRAIN with dedicated posterior fossa cuts to elaborate it. Treatment of this problem is medical first with gabapentin and tegretol (carbamazepine). If it still doesn't resolve, surgery or gamma knife can be used.
Regards
Dr Vineet
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Above answer was peer-reviewed by : Dr. Aparna Kohli
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Answered by
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Dr. Vineet Saggar

Neurologist, Surgical

Practicing since :2002

Answered : 182 Questions

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Eye Lid And Middle Of Lower Lip Started Twitching Intermittently. What Can Cause This?

Hi,
Thanks for writing to us.
I dont think the alcohol is a cause of your symptoms. If this was only one episode, there is nothing you need to worry about. But if it is occurring frequently, this could be the beginning of hemifacial spasm caused by vascular loops pressing on facial nerve at its origin at brain stem in posterior fossa.
You will require to undergo MRI BRAIN with dedicated posterior fossa cuts to elaborate it. Treatment of this problem is medical first with gabapentin and tegretol (carbamazepine). If it still doesn't resolve, surgery or gamma knife can be used.
Regards
Dr Vineet