Could Eye Issues and Muscle Twitches Indicate a Brain Tumor? - Neurology

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Brain issues


I often experience twitching in my body or limbs lately.
I am a heavy user of computers and smartphones, and sometimes my eyes feel blank while looking at the screen.
Recently, I also feel that my vision has slightly declined.
Could these two issues be symptoms of a brain tumor? Should I undergo some tests?

Mr. Li, 20~29 year old female. Ask Date: 2022/09/28

Dr. Jiang Junyi reply Neurology


Hello Mr.
Li: You mentioned that "the body or limbs often twitch," which may initially suggest symptoms of neuroinflammation.
Some metabolic disorders, such as hyperthyroidism and electrolyte imbalances, can also present with similar symptoms.
As for brain tumors, the symptoms depend on their size and location.
The onset of symptoms from a brain tumor is primarily due to the constraints of the skull, as the brain is an organ within a confined space.
When a tumor grows within the skull, it can cause symptoms by compressing or infiltrating brain tissue.
Additionally, surrounding edema may increase intracranial pressure, leading to symptoms such as nausea and vomiting.
If this is particularly distressing and you are concerned about the potential risk of developing cancer from radiation exposure, I recommend considering an out-of-pocket MRI of the brain.
I also suggest increasing your intake of B vitamins and reminding yourself to get up and stretch every half hour to avoid symptoms exacerbated by nerve compression and muscle tension.
Thank you for your inquiry, and feel free to discuss any related issues further! Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Hospital, cares for you.

Reply Date: 2022/09/28

More Info


When considering the symptoms you've described—muscle twitches and visual disturbances—it's understandable to be concerned about the possibility of a brain tumor. However, it's essential to approach this situation with a clear understanding of the potential causes and the appropriate steps to take.

Muscle twitches, also known as fasciculations, can occur for various reasons, including stress, fatigue, excessive caffeine intake, or even prolonged periods of screen time, which can lead to eye strain and muscle fatigue. In your case, being a heavy user of computers and smartphones may contribute to both your muscle twitches and your visual symptoms. Eye strain from prolonged screen use can lead to a condition known as digital eye strain or computer vision syndrome, which can cause blurred vision, dry eyes, and discomfort.

Visual disturbances, such as a feeling of decreased vision or blurriness, can also arise from several non-tumor-related issues, including refractive errors (like nearsightedness or astigmatism), dry eyes, or even migraines. While brain tumors can indeed cause visual changes, they typically present with additional symptoms, such as persistent headaches, nausea, vomiting, seizures, or neurological deficits (like weakness or numbness in limbs).

It's important to note that brain tumors often cause symptoms based on their size and location. For instance, if a tumor is pressing on the optic nerve or the visual pathways in the brain, it could lead to specific visual field deficits or changes in vision. However, the absence of other neurological symptoms makes it less likely that a brain tumor is the cause of your current issues.

Given your symptoms, it would be prudent to consult with a healthcare professional, preferably a neurologist or an ophthalmologist. They can perform a thorough evaluation, which may include a detailed history, a physical examination, and possibly imaging studies like an MRI if deemed necessary. An MRI is particularly useful for visualizing brain structures and can help rule out any significant abnormalities, including tumors.

If your healthcare provider finds that your symptoms are related to eye strain or muscle fatigue, they may recommend lifestyle modifications, such as taking regular breaks from screens (the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds), ensuring proper lighting while using screens, and possibly using artificial tears for dry eyes. Additionally, they may suggest exercises or stretches to relieve muscle tension.

In summary, while muscle twitches and visual disturbances can be concerning, they are not definitive indicators of a brain tumor, especially in the absence of other neurological symptoms. A thorough evaluation by a healthcare professional is essential to determine the underlying cause of your symptoms and to establish an appropriate treatment plan. Early intervention can often lead to better outcomes, so don't hesitate to seek medical advice if your symptoms persist or worsen.

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