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Constant twitch between left eye brow and where the hairline starts. Causes for twitch?

Hi Dr , For just over a week I ve had a constant twitch between my left eye brow and where my hairline starts. It has already gotten to that annoying stage and a bit of frustration as I don t know how to fix it or what is causing it to happen. Would you happen to know any answers? Thank you for helping Regards
Asked On : Thu, 20 Dec 2012
Answers:  2 Views:  106
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General & Family Physician 's  Response
Dear Concerned.,
Thanks for writing to us.,
the constant twitch you are referring to is called by the Medical Term "myokimia", it is a spontaneous ,quivering of muscle bundles , involuntarily but localised to a group of muscle fibres.
In your case it is "Lt Superior Oblique muscle" involvement.
If it resolves spontaneously it is of no significance and if it has lasted for days and weeks, it is a cause for concern.
Normally due to anxiety/lack of sleep/excess of stress/caffeine/nicotine withdrawal/overexposure to computer can all lead to Myokimia.
Local application of Warm Compresses// A small dosage of benzodizepine//a small dosage of antihistaminic//Reducing and stopping of Coffee/Tea for a few days.
Coming to pathological Myokimia. which may last for days and weeks,
Differential Diagnosis;-Myotonia- due to Isaac's Syndrome-responds to carbamazepine/phenytoin.For other disease associated Myokimias such as Multiple Sclerosis/Neuromyotonia/Hemifacial Spasm/Blepharospasm etc professional help from neurologist has to be obtained.
Wishing you a Speedy Recovery.,
Best regards.,
Dr Lt Cdr ASN Bhushan.,

Answered: Thu, 20 Dec 2012
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General & Family Physician Dr. Parthipan K's  Response
HI frosty welcome to HCM,

The symptom you have described is known as fasciculations which is usually due to nerve hyperexitability which inturn may be due to a lot of underlying causes like neurological disorders, autoimmune disorder, drug side effect or overdosage, etc. Usually these twitchings are harmless and resolve spontaneously in short period. However if it is persistent it implies some underlying problem which needs to be sorted out...
Since you have mentioned its annoying and frustrating it might be present for a long time, so its better to get yourself examined by a doctor for possible causes..
With regards
Dr. Parthipan
Answered: Thu, 20 Dec 2012
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