Question Title: Nervous System - Eye Twitching

Forum: Neurology Forum
Topic: Neurology - General

Posted by CCF Neuro MD on May 27, 1997 at 10:58:17:

In Reply to: Nervous System - Eye Twitching posted by Pat Capwell on May 21, 1997 at 11:00:18:

: My father (64) has developed an eye twitch (both eyes)
that over the past year has steadily gotten worse. I can't help
but feel that it is nerve related. He states that when he is in the
car and his head is tilted back so that his neck is on the neck-
rest, the twitching ends. He was diagnosed with diabetes last
year and has had a weight problem for several years. He has
lost weight over the past year and the diabetes appears to be
in control. He speculated that the twitching might be related to
the diabtetes, but, I'm doubtful. This problem prevents my
father from socializing (embarrasement) and has also affected
his spirit. It appears that the twitching gets worse when in public
which further makes me think that it is nerve related. I've decided
to inquire on the net to see if anyone has any experience with
this sort of problem. Any help would be greatly appreciated.

Hello Pat,

The symptoms you have described is most consistent with a disorder called blephrospasm. It is a well recognised neurologic illness that falls under a group of disorders termed dystonias. This can be particularly problematic in that it is very embarrassing for the patient when this occurs in public. Things such as bright light or light wind can bring on the twitches. It is fairly typical to find certain manuevers to supress the twitches such as leaning the head back against a head rest or touching the face. It is important to exlude various ophthomologic causes like dry eyes prior to labelling it a dystonia. There are various medications that can helpful in control these movements. In some instances injections of dilute amounts of botulinum toxin have been used to control these twitches. Other possibilties that can produce such movements include blephroclonus, and orofacial dyskinesias. I would suggest that you seek a consultation from a neurologist with a specialization in movement disorders. If you are interested in coming to the Cleveleand clinic, I would suggest you meet with Dr R. Stanley Burns who is the head of our Movement disorder program. You can make an appiontment by calling 216-444-5559. Good Luck.

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