Neurological Symptoms: Eye Twitching and Tinnitus Explained - Neurology

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Hello, Director Yeh.
I have followed your instructions regarding medication, and my soreness has improved significantly.
I am engaging in gentle exercises and targeted activities, and I believe that in the near future, I can gradually reduce my long-term medication use.
I also believe that "maintaining a normal diet and health care" is very important, and I often share this with my friends.
Additionally, I would like to ask the doctor about occasional eyelid twitching or tinnitus.
What could be the cause? Thank you for your response, and I wish you good health!

vicky, 30~39 year old female. Ask Date: 2005/07/11

Dr. Ye Boshou reply Neurology


Autonomic nervous system dysregulation requires plenty of rest.

Reply Date: 2005/07/11

More Info


Hello! Thank you for your inquiry regarding the occasional eye twitching and tinnitus you are experiencing. These symptoms can be quite concerning, but they are often benign and can arise from various underlying causes.

Eye Twitching (Myokymia): Eye twitching, also known as myokymia, is a common condition that usually affects the lower eyelid. It can be triggered by several factors, including:
1. Stress: Increased stress levels can lead to muscle spasms, including those in the eyelids.

2. Fatigue: Lack of sleep or excessive fatigue can contribute to eye twitching.

3. Caffeine Intake: High consumption of caffeine can stimulate the nervous system and lead to twitching.

4. Eye Strain: Prolonged screen time or reading without breaks can cause eye strain, leading to twitching.

5. Nutritional Deficiencies: Deficiencies in certain nutrients, particularly magnesium, can lead to muscle spasms.

In most cases, eye twitching is harmless and resolves on its own. However, if the twitching persists for an extended period, becomes more frequent, or is accompanied by other symptoms (such as drooping eyelids or changes in vision), it is advisable to consult a healthcare professional.

Tinnitus: Tinnitus is the perception of noise or ringing in the ears when no external sound is present. It can be caused by various factors, including:
1. Hearing Loss: Age-related hearing loss or exposure to loud noises can lead to tinnitus.

2. Ear Infections or Blockages: Conditions affecting the ear, such as infections or wax buildup, can cause tinnitus.

3. Medications: Certain medications, particularly those that are ototoxic (harmful to the ear), can lead to tinnitus.

4. Stress and Anxiety: Psychological factors can exacerbate the perception of tinnitus.

5. Underlying Health Conditions: Conditions such as high blood pressure, diabetes, or thyroid issues can also contribute to tinnitus.

Similar to eye twitching, tinnitus is often not a sign of a serious condition, but it can be bothersome. If the tinnitus is persistent, worsening, or accompanied by other symptoms (such as hearing loss or dizziness), it is important to seek medical advice.

Management and Lifestyle Adjustments: To alleviate both eye twitching and tinnitus, consider the following lifestyle adjustments:
- Stress Management: Engage in relaxation techniques such as yoga, meditation, or deep-breathing exercises.

- Adequate Sleep: Ensure you are getting enough restful sleep each night.

- Limit Caffeine and Alcohol: Reducing intake of stimulants can help minimize symptoms.

- Regular Breaks: If you spend long hours in front of screens, take regular breaks to reduce eye strain.

- Healthy Diet: A balanced diet rich in vitamins and minerals can support overall health and potentially reduce symptoms.

In conclusion, while occasional eye twitching and tinnitus can be concerning, they are often benign and manageable through lifestyle changes. However, if these symptoms persist or worsen, it is essential to consult with a healthcare provider for a thorough evaluation and appropriate management. Your health is important, and addressing these symptoms early can lead to better outcomes. Thank you for your question, and I wish you continued health and well-being!

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