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What Causes Involuntary Movements In The Eyelids And Face?

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Posted on Thu, 13 Oct 2016
Question: For the past two months I have been having muscle spasms. Originally it was just in my eyelids. I would rapidly blink three or four time. Within a week, I also developed them in several spots in my face and neck. I went to my primary care physician, who thought might have blepharospasm and referred me to a neurologist. When I went to the neurologist, I had a very bad episode where multiple spasms showed at once. When I tried to lift my head, my head started shaking from left to right. My neurologist said that it was a tic and gave me a prescription for clonazepam. I've been taking it for about a week but it doesn't seem to be helping. Today I started to develop similar problems with my hands. I don't really think that what I have is a tic and I'm considering getting a second opinion. Is there anything else that could be causing this? My neurologist didn't do any tests and made his diagnosis based on my description and what he saw. Should I have had tests done before being prescribed meds?
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Answered by Dr. Neeraj Kumar (25 minutes later)
Brief Answer:
Upload video, Possibility of tics

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Abnormal movement involving eyelids and face may be due to hemifacial spasm, blepharospasm or tics.
Stress increases the symptoms.
The diagnosis is usually clinical and doesn't require any investigation.
You can upload videos if available.
The clonazepam can be increased.
Other drugs are also available and can be tried if increasing clonazepam doesn't help.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2260 Questions

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What Causes Involuntary Movements In The Eyelids And Face?

Brief Answer: Upload video, Possibility of tics Detailed Answer: Hello, I have gone through your question and understand your concerns. Abnormal movement involving eyelids and face may be due to hemifacial spasm, blepharospasm or tics. Stress increases the symptoms. The diagnosis is usually clinical and doesn't require any investigation. You can upload videos if available. The clonazepam can be increased. Other drugs are also available and can be tried if increasing clonazepam doesn't help. Hope you found the answer helpful. Do get back to me for further queries. Regards Dr N Kumar Neurologist