Occlusion, eyelid movement?
I experience involuntary movement of my left eyelid whenever I engage in chewing or biting behavior, while my right eyelid remains unaffected.
I am not aware of this occurrence myself; it was brought to my attention by others.
A few years ago, I searched for related information but couldn't find anything.
This year, I happened to find several individuals on a Chinese website who have the same issue.
They asked questions online, but access to the Chinese site requires a login.
Only one article mentioned seeing a "neurologist." This led me to inquire here.
What could be causing this condition? Is it likely to improve? I have had this issue for as long as I can remember.
Are there any precautions I should take? Is this condition hereditary? Thank you.
Niming, 20~29 year old female. Ask Date: 2019/03/08
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that the abnormal movement of your eyelids may be related to the symptoms of blepharospasm.
The opening and closing of the eyes are controlled by the coordinated contractions of the orbicularis oculi muscle (innervated by the facial nerve) and the levator palpebrae superioris muscle (innervated by the oculomotor nerve).
Blepharospasm can be triggered by various factors, including fatigue, stress, excessive intake of stimulants such as caffeine, and low blood calcium levels.
Sometimes, compression of the facial nerve by blood vessels can also cause this condition.
I wonder if you experience fluctuations in your symptoms? I recommend consulting a neurologist for discussion and treatment, as understanding the potential causes can help determine if there is a hereditary component.
Among neurologists, those specializing in movement disorders have more experience in treating this condition.
Wishing you good health and peace.
Dr.
Jiang, Neurology, Taoyuan Medical Center, cares about you.
Reply Date: 2019/03/08
More Info
The phenomenon you are experiencing, where your left eyelid moves in conjunction with the act of chewing while the right eyelid remains still, can be attributed to a neurological response known as a "reflex." This type of eyelid movement is not uncommon and can be linked to the intricate connections between the facial muscles and the nervous system.
When you chew, the muscles involved in mastication (the process of chewing) are activated. These muscles are innervated by the trigeminal nerve (cranial nerve V), which is responsible for sensation in the face and motor functions such as biting and chewing. The trigeminal nerve has connections to other cranial nerves, including the facial nerve (cranial nerve VII), which controls the muscles of facial expression, including the eyelids. This interconnectedness can lead to involuntary movements in the eyelids during chewing, particularly if there is a heightened sensitivity or a reflexive response in one side of the face.
In your case, the left eyelid's movement could be a result of a stronger or more sensitive neural pathway on that side, causing it to react more noticeably during the act of chewing. This could be due to various factors, including muscle tone differences, neurological pathways, or even past injuries that may have affected the nerve pathways.
As for whether this condition will improve or not, it largely depends on the underlying cause. If this is a benign reflex without any associated neurological disorders, it may not pose any significant health risks and could remain stable over time. However, if there are underlying neurological issues, it would be advisable to consult a neurologist for a thorough evaluation. They may conduct tests to rule out any conditions that could be contributing to this phenomenon, such as facial nerve disorders or other neurological conditions.
Regarding heredity, while some neurological conditions can have genetic components, the specific reflex you are experiencing is not commonly known to be hereditary. However, if there is a family history of similar symptoms or neurological issues, it may be worth discussing with a healthcare professional.
In terms of precautions, it is essential to monitor any changes in your symptoms. If you notice an increase in the frequency or intensity of the eyelid movement, or if you experience other symptoms such as pain, discomfort, or changes in vision, it would be prudent to seek medical advice. Keeping a record of when the movements occur and any associated activities can also provide valuable information for your healthcare provider.
In summary, while the eyelid movement you describe during chewing is likely a benign reflex, it is essential to consult with a healthcare professional, particularly a neurologist, if you have concerns or if the symptoms change. They can provide a more comprehensive assessment and guide you on any necessary steps to take.
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