Chronic Myokymia Limited to the Eyelid is a Bengin Condition

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Title Journal of Neuro-Ophthalmology, December 2004, Volume 24, Issue 4
Date 2004-12
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6xq0b1q
Setname ehsl_novel_jno
ID 225346
Reference URL https://collections.lib.utah.edu/ark:/87278/s6xq0b1q

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Title Chronic Myokymia Limited to the Eyelid is a Bengin Condition
Creator Banik, R; Miller, NR
Affiliation Albert Einstein College of Medicine, Montefiore Medical Center (RB), Bronx, New York 10467, USA. rbanik@montefiore.org
Abstract BACKGROUND: Eyelid myokymia, unlike myokymia of the other facial muscles, is assumed to be a benign, self-limited disorder. However, no systematic follow-up study has been performed on patients with chronic, isolated eyelid myokymia to verify its benign nature. METHODS: Retrospective single-institution chart review of 15 patients examined between 1983 and 2002 with a diagnosis of isolated eyelid myokymia who have had at least 12 months of follow-up. RESULTS: In all patients, symptoms began as unilateral, weekly or biweekly, intermittent eyelid spasms, and progressed to daily spasms over several months. The mean duration of symptoms at first examination was 91 months (range 2.5 months to 20 years). In no patient was the myokymia the first manifestation of a neurologic disease, although one patient progressed to ipsilateral hemifacial spasm. Thirteen patients (86.7%) underwent neuroimaging that gave negative results. The myokymia resolved spontaneously in four patients. Of the remaining 11 patients, eight were treated with botulinum toxin injection at regular intervals, with most reporting an improvement in symptoms. CONCLUSION: Chronic isolated eyelid myokymia is a benign condition. It tends not to progress to other facial movement disorders or to be associated with other neurologic disease. It responds well to treatment with botulinum toxin.
Subject Adolescent; Adult; Chronic Disease; Demography; Eyelids; Female; Follow-Up Studies; Humans; Male; Middle Older people; Myokymia/diagnosis; Myokymia/physiopathology; Retrospective Studies
OCR Text Show
Format application/pdf
Publication Type Journal Article
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
Setname ehsl_novel_jno
ID 225330
Reference URL https://collections.lib.utah.edu/ark:/87278/s6xq0b1q/225330