Facial nerve, Neurology FAQ - Page 5

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Understanding Involuntary Muscle Contractions at the Mouth Corner

Involuntary contraction of the corners of the mouth? Hello Dr. Jiang: I have noticed that the muscles at the corner of my right mouth are experiencing involuntary contractions (not twitching). A small area of muscle tightens continuously for about 2-3 seconds and then relaxes on ...


Dr. Jiang Junyi Reply:
Hello: The movement of the muscles at the corners of the mouth is controlled by the facial nerve. If you are experiencing twitching in other facial muscles in addition to the corners of your mouth, your symptoms may be indicative of facial nerve spasms. Current research suggests ...

[Read More] Understanding Involuntary Muscle Contractions at the Mouth Corner


Understanding Facial Twitching: Causes and When to Seek Help

Facial spasms Hello, I would like to ask about a twitching sensation on the left side of my cheekbone or just above the corner of my mouth. It occurs a few times a day, about 3 to 4 times, each lasting around 3 seconds. Sometimes there is a slight twitching feeling, but it doesn&...


Dr. Jiang Junyi Reply:
Hello: Eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles. If only the eyelid is affected and other facial muscles are not twitching, it is considered simple eyel...

[Read More] Understanding Facial Twitching: Causes and When to Seek Help


Understanding Facial Twitches and Sleep-Related Numbness: When to Seek Help

Facial twitching? Hello Doctor: I have two questions to ask. 1. I have been experiencing intermittent twitching in the philtrum area below my nose for several days, and I'm not sure what it could be; I am a bit worried. 2. I tend to sleep on my side and change positions whil...


Dr. Jiang Junyi Reply:
Hello: You mentioned that the intermittent twitching in the philtrum area has been ongoing for several days, and you are unsure about the cause, which is causing some concern. If there are no other issues, this could be considered facial nerve instability, leading to minor muscle...

[Read More] Understanding Facial Twitches and Sleep-Related Numbness: When to Seek Help


Understanding Facial Twitching: Causes, Symptoms, and Treatment Options

Facial twitching? Hello Doctor: Since yesterday, I have been experiencing involuntary muscle twitching on the right side of my face. During the twitching, the muscles under my right eye also twitch, and my right upper eyelid feels like it is drooping. The duration of the twitchin...


Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest blepharospasm, which often has an unknown cause and is three times more common in females than in males, typically occurring after the age of forty. Common causes include dry eye syndrome, high levels of stress, eye inflammation, light sensitivity...

[Read More] Understanding Facial Twitching: Causes, Symptoms, and Treatment Options


Understanding Muscle Relaxants: Safe Use and Pain Management After Injury

Medication Consultation Hello, doctor. I was in a car accident and am experiencing lower back pain and weakness in my right upper and lower limbs (with a feeling of uneven weight distribution in both legs, suspecting a leg length discrepancy). My right foot feels numb when I step...


Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider nerve compression as the cause of your numbness and pain. The medication you mentioned is SOMA from Sandoz, which contains the following components: Acetaminophen 250 mg, Chlorzoxazone 150 mg, Caffeine Anhydrous 20...

[Read More] Understanding Muscle Relaxants: Safe Use and Pain Management After Injury


Understanding Dizziness and Eye Twitching: Neurological Insights

Dizziness, frequent eyelid twitching, and inability to focus the eyes? Hello Doctor: Over the past month, I have been experiencing intermittent dizziness, and at times, I mistakenly think there is an earthquake. Additionally, my left lower eyelid has been twitching intermittently...


Dr. Jiang Junyi Reply:
Hello, based on your description of muscle twitching and pain under the eyelid, it may be necessary to consider the possibility of nerve instability. Eyelid movement is controlled by the facial nerve, and if the eyelid is continuously twitching, the physician will first carefully...

[Read More] Understanding Dizziness and Eye Twitching: Neurological Insights


Understanding Facial Nerve Paralysis: Steroid Use and Recovery Insights

Facial nerve paralysis Hello, doctor! My father-in-law has been diagnosed with facial nerve paralysis... but he only took steroids for one day and then stopped. The doctor said that the inflammation of the nerve does not require further steroid treatment and that we should wait f...


Dr. Jiang Junyi Reply:
Hello: Peripheral facial nerve palsy primarily affects the seventh cranial nerve. The clinical symptoms include sensations of numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patients may notice an increased sensitiv...

[Read More] Understanding Facial Nerve Paralysis: Steroid Use and Recovery Insights


Understanding Eyelid Movement Linked to Chewing: A Neurological Insight

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 search...


Dr. Jiang Junyi Reply:
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 pal...

[Read More] Understanding Eyelid Movement Linked to Chewing: A Neurological Insight


Understanding Eye Muscle Twitches: Causes and Solutions for Eyelid Spasms

Eyelid muscle spasms Hello, doctor. Recently, I've been experiencing intermittent twitching in the lower eyelid of my right eye (when I look in the mirror, it moves left and right). This has been ongoing for several days, occurring approximately every few minutes, and it is ...


Dr. Jiang Junyi Reply:
Hello: Based on your description, eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles. If, apart from the eyelid, there is no twitching in other facial muscles, it...

[Read More] Understanding Eye Muscle Twitches: Causes and Solutions for Eyelid Spasms


Understanding Facial Nerve Paralysis: Recovery and Symptoms Explained

Facial nerve paralysis Hello, Dr. Jiang. I sought medical attention on the second day of my illness, and the doctor diagnosed me with left-sided facial nerve paralysis. After a week of medication (steroids) and discontinuation of B vitamins, I began rehabilitation. However, after...


Dr. Jiang Junyi Reply:
Hello: In the acute phase of facial nerve paralysis, symptoms take time to improve due to nerve damage. The use of corticosteroids in the first week is primarily to control inflammation and reduce the extent of nerve injury. Other treatment options include medications such as vit...

[Read More] Understanding Facial Nerve Paralysis: Recovery and Symptoms Explained


Understanding Recovery Challenges After Orthognathic Surgery

Poor recovery status after orthognathic surgery? Hello, doctor... It has been over two years since my orthognathic surgery to advance my mandible, but the left side of my face is still experiencing muscle stiffness. When I smile, my face appears uneven, and the left side of my mo...


Dr. Jiang Junyi Reply:
Hello: Your description does not rule out issues related to peripheral facial nerve problems. Aside from corticosteroids, there is insufficient evidence to support the effectiveness of other treatment methods. After the acute phase, there are almost no medications that are defini...

[Read More] Understanding Recovery Challenges After Orthognathic Surgery


Post-Surgery Facial Recovery: Addressing Concerns After Jaw Surgery

Poor recovery status after orthognathic surgery? Hello, doctor... It has been over two years since my orthognathic surgery to advance my mandible, but the left side of my face is still experiencing muscle stiffness. When I smile, my face is uneven, and the left side of my mouth f...


Dr. Jiang Junyi Reply:
Hello: Your description does not rule out issues related to peripheral facial nerve problems. Aside from corticosteroids, there is insufficient evidence to support the effectiveness of other treatment methods. After the acute phase, there are almost no medications that are defini...

[Read More] Post-Surgery Facial Recovery: Addressing Concerns After Jaw Surgery


Can Facial Nerve Paralysis Aftermath Improve Over Time?

Facial nerve paralysis A year ago, I experienced facial nerve paralysis on the right side of my face. I went to the hospital for an examination and underwent relevant treatments for over a month at the time of the onset, and my condition improved significantly. However, there are...


Dr. Jiang Junyi Reply:
Hello: The peripheral facial nerve paralysis you mentioned is quite similar, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. In the acute ...

[Read More] Can Facial Nerve Paralysis Aftermath Improve Over Time?


Understanding Facial Twitches: When Sneezing Triggers Muscle Spasms

Facial twitching? Hello, doctor: Recently, I have noticed that the muscles near my cheekbone rapidly twitch for about 1-2 seconds when I sneeze, but this does not happen at other times. It only occurs during the act of sneezing. Could this be a sign of facial nerve dysfunction? S...


Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be more indicative of facial nerve instability, which may be caused by an overreaction of the sympathetic nervous system or the use of stimulants such as caffeine. Your symptoms following a sneeze may also suggest instability of the associated nerves....

[Read More] Understanding Facial Twitches: When Sneezing Triggers Muscle Spasms


Understanding Facial Nerve Issues: Symptoms and When to Seek Help

Left labial commissure twitching, facial nerve? The patient experienced twitching in the left lower jaw about a month ago, which resolved, but recently has started to have intermittent twitching in the left upper lip with frequent occurrences throughout the day. Occasionally, the...


Dr. Jiang Junyi Reply:
Hello: You mentioned the issue of facial twitching. Generally, this may be caused by instability of the facial nerve that innervates that area, which is commonly seen in conditions such as poor sleep, electrolyte imbalance, or local nerve inflammation. If you supplement with B vi...

[Read More] Understanding Facial Nerve Issues: Symptoms and When to Seek Help


Is Ear Pain Normal During Recovery from Facial Nerve Disorder?

Is it common to experience pain in front of and behind the ear during the recovery process from facial nerve dysfunction? Hello Dr. Jiang, one week ago (Monday), I sought medical attention due to symptoms of right-sided muscle weakness and facial drooping. After a CT scan of the ...


Dr. Jiang Junyi Reply:
Hello: You mentioned peripheral facial nerve paralysis, which primarily affects the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patients may notice...

[Read More] Is Ear Pain Normal During Recovery from Facial Nerve Disorder?


Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues

Right eyelid ptosis and tightness on the right side of the face? Hello, I noticed that my eyes are uneven about a month ago. The right side of my face droops, causing the asymmetry. I thought it was due to fatigue, but even after getting enough sleep, I woke up the next day with ...


Dr. Hong Weibin Reply:
Hello: Based on your description, I suspect the cause may be right-sided facial nerve paralysis. Additionally, it is important to be cautious about the possibility of myasthenia gravis. I recommend that you seek assistance from a neurologist directly.

[Read More] Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues


Understanding Facial Nerve Dysfunction After Cosmetic Procedures

Facial nerve Hello, doctor. Two years ago, I had a cosmetic mole removal procedure done near the inner corner of my eyebrow. About a month later, I noticed a slight drooping of my eyelid, but since it was not very noticeable, I thought I was overreacting and did not see a doctor....


Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Typically, the imp...

[Read More] Understanding Facial Nerve Dysfunction After Cosmetic Procedures


Understanding Muscle Twitches and Weakness: A Neurological Perspective

Muscle twitching and weakness? Hello, doctor. Last Tuesday, I visited the neurology department with complaints of facial nerve dysfunction and decreased dexterity in my right hand. During my follow-up appointment this Tuesday, my right hand is still not functioning well. I am ver...


Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned, combined with sensory abnormalities, may suggest peripheral nerve inflammation. Amyotrophic lateral sclerosis (ALS) primarily affects motor neurons and typically does not present with sensory abnormalities. Regarding fasciculations, they are ass...

[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective


Understanding Facial Nerve Palsy: Causes, Symptoms, and Treatment Options

Facial nerve paralysis Hello, doctor. On March 14th, I suddenly felt pain in the right side of my neck, which didn't feel like a muscle strain but rather like nerve pain. However, it improved by the evening. On the morning of March 15th, the pain returned and lasted all day ...


Dr. Jiang Junyi Reply:
Hello: Your symptoms indicate peripheral facial nerve paralysis, primarily affecting the seventh cranial nerve (if it were due to cervical nerve compression, it would not affect the face). Clinically, symptoms may include pain behind the ear 1-2 days prior to the onset. There may...

[Read More] Understanding Facial Nerve Palsy: Causes, Symptoms, and Treatment Options


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