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Suggest Treatment For Blepharospasm
Question: Hi, I have had a heavy right eyelid for weeks and weeks now. I also have twitching around my eye and I thought my right upper lid was twitching but it almost feels and looks like it is involuntary blinking and closing of the eye. I will get a really strong sensation in the eyelid and it will blink or close. I went to the doctor last week because my head was hurting really bad on that side also. They said I had trigmenlia nueralgia...not sure how to spell that. But, the headache and neck ache went away. Could this be dystonia or what? It is not painful, just very annoying.
Brief Answer:
Possibility of focal dystonia exists.
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
Involuntary blinking of eye with increased frequency, and as it is preceded by a strong sensation, may be the early stage of a focal dystonia-called as blepharospasm.It can't be denied at this stage.
In blepharospasm, talking with others usually act as a sensory trick and frequency of blinking decreases while the person is engaged in conversation.What happens to your eyelid blinking frequency,when you are talking with others?
Trigeminal neuralgia is characterized by transient(lasting seconds and maximum upto a couple of minutes)events of excruciating pain in the facial trigeminal area.These are usually triggered by speaking,chewing,brushing or smiling.The headache you mentioned does not appear to be like that of Trigeminal neuralgia.
Hoping that you must be having some further questions,I shall be glad to have you in follow-up.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Possibility of focal dystonia exists.
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
Involuntary blinking of eye with increased frequency, and as it is preceded by a strong sensation, may be the early stage of a focal dystonia-called as blepharospasm.It can't be denied at this stage.
In blepharospasm, talking with others usually act as a sensory trick and frequency of blinking decreases while the person is engaged in conversation.What happens to your eyelid blinking frequency,when you are talking with others?
Trigeminal neuralgia is characterized by transient(lasting seconds and maximum upto a couple of minutes)events of excruciating pain in the facial trigeminal area.These are usually triggered by speaking,chewing,brushing or smiling.The headache you mentioned does not appear to be like that of Trigeminal neuralgia.
Hoping that you must be having some further questions,I shall be glad to have you in follow-up.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
I don't seem to have the strong sensations and blinking when I am talking to someone. If I try to have someone see the action my eye usually won't do it. When I am at the computer, or just doing everyday things it does it almost every minute.
Brief Answer:
Possibly blepharospasm.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
This acts as a sensory trick tilts the diagnosis in favor of focal dystonia likely blepharospasm.
I suggest you to be on a trial of clonazepam, and observe for the response.It may turn out to be of beneficial effect.
PLEASE TAKE ALL MEDICINES UNDER THE GUIDANCE OF A PHYSICIAN ONLY.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Possibly blepharospasm.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
This acts as a sensory trick tilts the diagnosis in favor of focal dystonia likely blepharospasm.
I suggest you to be on a trial of clonazepam, and observe for the response.It may turn out to be of beneficial effect.
PLEASE TAKE ALL MEDICINES UNDER THE GUIDANCE OF A PHYSICIAN ONLY.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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