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identify the condition and suggest what further investigation and treatment of choice?

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its a classical case of hemifacial spasm..not tics as many mentioned.. tics are habitual voluntary movements..these are uncontrolled involuntary.. its called blepharospasm if only eye muscles are involved.. please see my subsequent posts linked to this case for pre and postop details

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Myokymia is commonly used to describe an involuntary eyelid muscle contraction, typically involving the lower eyelid or less often the upper eyelid. It occurs in normal individuals and typically starts and disappears spontaneously. However, it can sometimes last up to three weeks. Since the condition typically resolves itself, medical professionals do not consider it to be serious or a cause for concern.

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Left hemifacial spasm. Medial management fails go for Botox injectin

Botox is only temporary and symptomatic relief.. Standard protocol is to offer surgery of MVD for all fit cases
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its a classical case of hemifacial spasm..not tics as many mentioned.. tics are habitual voluntary movements..these are uncontrolled involuntary.. its called blepharospasm if only eye muscles are involved.. please see my subsequent posts linked to this case for pre and postop details

Classical blepharospasm

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Left fascial hemispasm ,most of the time it's because of crossing fascial n by an artery so.go for MRI of post fossa & surgical intervention sos.

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SOME.NEUROLOHICAL DISORDER ADVISED M.R I SCAN BRAINE CONSULTATION OF NEUROLOGIST

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Tics Inj Botox is helpful

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Tics tab clonidine ADHD tab clonazepam may be useful alternative inj botox

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Blepharospasm, facial myoclonus

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