Why is eyelid jump a common symptom in neurosurgery?

Symptoms of common diseases in neurosurgery! Why do eyelids jump? 2010-09-11Question: Why do eyelids jump? The best answer: Although modern medicine has long proved that the saying that "jumping with the left eye is rich and jumping with the right eye is evil" has no scientific basis, there are still many people (especially in rural areas) who come to see a doctor because of jumping eyelids. This shows that the phenomenon of eyelid jump is common, and people don't know the reason of eyelid jump. So-why does the eyelid jump in medicine? Eyelids are called eyelids. There are two kinds of muscles in the eyelid, one is called orbicularis oculi muscle, which is shaped like a wheel and surrounds the eyes. When it contracts, the eyelids close. Another kind of muscle is called levator palpebrae superioris. When it contracts, its eyes open. These two muscles are constantly contracting and relaxing, and the eyes can be opened and closed. If the nerves that dominate these two muscles are stimulated by some factors and both muscles are excited at the same time, there will be repeated contraction, even convulsions or tremors, and the eyelids will beat involuntarily. When eyelid jump happens, most people feel obvious, but others can't see it. Only a few people can be seen by others. Eyelid jump can be divided into physiological type and pathological type. Physiological eyelid jump does not need treatment. Many people have experienced physiological eyelid jump, and its attack is short-lived. The attack time is very short, often only a few seconds, and the beating degree is not serious. This kind of eyelid jump generally does not need special treatment. Just close your eyes and rest for a while, give a local massage or hot compress, and the eyelid jump will disappear. Pathological eyelid jump needs treatment. Some people not only jump their eyelids, but even twitch their mouths and half their faces together, making them feel sick and dizzy. This eyelid jump can only be stopped if the cause is found and ruled out. Causes include fatigue, tension and illness. The more serious pathological eyelid jump is caused by hemifacial spasm. This kind of eyelid jump is a sign of intracranial diseases, mainly because the facial nerve that dominates eyelid muscle movement is compressed by blood vessels, which produces abnormal nerve impulses and is difficult to heal itself. So please ask a neurosurgeon for examination and treatment as soon as possible. Therefore, if there is a long-term and gradually aggravated eyelid jump, you should go to the hospital in time. The reason why eyelids jump is that many people think that something good or bad is happening. Medically speaking, the scientific name of blepharoptosis is "blepharoptosis", which is mainly caused by repeated contraction of a very thin muscle in the eyelid-orbicularis oculi muscle. There are two reasons, one is because of lack of rest and sleep, or because of anemia, excessive alcohol and tobacco, and the other is caused by eye diseases, such as myopia, hyperopia, astigmatism, conjunctivitis, keratitis, etc ... The treatment method should pay attention to rest on the one hand, and can be moderate if it is serious. In addition to citing scientific theories, I will make a simple analysis of the possible consequences of eyelid jump. If a person's eyelids are always jumping, on the one hand, it is because of improper rest or fatigue, on the other hand, it is bound to fidget, which may really lead to some accidents or mistakes in work. If he walks, rides a bike or even drives on the road, there is a great possibility of an accident, which is basically a "disaster" caused by eyelid jumping. With the acceleration of the pace of life, eyelid jump interferes with people's work and life more and more, especially when the seasons change. For a long time, because there is no unified and standardized diagnosis and treatment standard of facial neurology, there are different understandings of "eyelid jump", which leads to many misunderstandings in treatment and prevention, one-sided or blind. First, some people think that eyelid jumping doesn't matter. There is a folk saying that "jumping in the left eye is wealth, jumping in the right eye is disaster", especially jumping in the left eye, which delays the illness; Second, some people are so sensitive that they will go to treatment as soon as their eyelids jump. Looking forward to "immediate results", rapid improvement, regardless of the consequences. As a result, a common disease that is easy to cure has become an extremely difficult disease. Third, confusion or uncertainty. Mistakenly regard eyelid jump as spasm, and some people regard eyelid jump caused by sequela of facial paralysis as spasm. Sun is the director of Beijing Yijiyuan Facial Nerve Research Institute. He has analyzed more than 8,000 cases of facial nerve diseases. In his opinion, whether it is ptosis or hemifacial spasm, apart from occupying lesions, most of them are due to mental stress, eye muscle fatigue, lack of sleep, precursors of chronic diseases and sequelae of facial paralysis, which weakens the nerve function conduction, leads to eye malnutrition, and capillaries contact with nerve endings, which affects muscles and leads to involuntary pulsation. The contact area between capillaries and nerve endings increases, from contact adhesion to linear adhesion, from pulsation to convulsion, forming hemifacial spasm, and the focus is also in the eye. From the diagnosis, there is a clear difference between simple eyelid jump and hemifacial spasm. Simple eyelid jump generally has no facial muscle depression, nasolabial groove asymmetry or linear atrophy zone of both cheeks; When blinking, the orbicularis oris muscle has no traction. In fact, eyelid jump is something that everyone may encounter in life, and most people can disappear on their own in a short time. Therefore, when the eyelids just jump, don't go to treatment immediately, pay more attention to rest, relax and maintain a good attitude; At the same time, pay attention to observe whether the eyelid pulsation is gradually decreasing or increasing, whether there is a downward expansion trend and a linear pulling feeling from the eye to the mouth. In addition, look in the mirror to see if there is any obvious atrophy (depression). If the eyelid still jumps after a week, you should go to a professional medical institution for treatment. Other answer 2: Why do eyelids keep jumping? Why do eyelids jump? Is it really like the older generation said that the left eye jumps for happiness and the right eye jumps for disaster? Maybe everyone has had the feeling of eyelid jumping. It's not a disease, but it's really uncomfortable. There is a folk saying that jumping eyelids can be good or bad, and there is another saying that "jumping with the left eye is a fortune, and jumping with the right eye is a curse." So, why do eyelids jump? Is there any way to prevent it? In human anatomy, eyelids are called "eyelids". There are two kinds of muscles in eyelids. One is called orbicularis oculi muscle, which is shaped like a wheel and surrounds the eyes. When it contracts, the eyelids close, and the other is called levator palpebrae superioris, which opens when it contracts. With the continuous contraction and relaxation of these two muscles, eyes can be opened and closed. Once stimulated by a certain factor, these two muscles will get excited, leading to repeated contraction, even spasm or tremor, so people obviously feel that the eyelids are beating involuntarily and it is difficult to control. This is eyelid jump. The most common cause of eyelid jump is eye fatigue, or fatigue, mental tension and so on. For example, the computer plays for too long; Use your eyes for too long in strong or weak light; The mental stress before the exam was too great, and the questions were poorly done, which made the eyelids jump involuntarily. At this point, as long as you take a short rest and close your eyes, the symptoms will disappear naturally, and you don't have to be nervous or uneasy. If the patient has ametropia, myopia, hyperopia or astigmatism, and does not wear appropriate glasses, which leads to eyelid jumping, it is just to remind you that you can pay for glasses suitable for your eyesight. If the above factors are excluded, the eyelids are constantly beating and getting worse, which may be caused by eye diseases. Please ask an ophthalmologist to find the cause carefully for you and give you symptomatic treatment. "Eyelid" is called "eyelid" in medicine. There is a thin muscle in people's eyelids, called "orbicularis oculi muscle", which grows in a wheel shape around the eyes, and its contraction causes eyelid contraction. If for some reason, a certain part of the orbicularis oculi muscle fiber suddenly contracts repeatedly, there will be a phenomenon of "eyelid jump", which is called "eyelid tremor" in medicine. As the saying goes, "the left eye jumps over wealth and the right eye jumps over disaster", but there is no scientific basis for this statement. "Eyelid jump" is actually a harbinger of some kind of disease in human body. Eyelid jump is actually an alarm that reflects human health. For the vast majority of people with simple eyelid jump, the common reasons are excessive eye use or fatigue, excessive mental tension and so on. In addition, eye ametropia, myopia, hyperopia or astigmatism, intraocular foreign bodies, trichiasis, conjunctivitis and keratitis can also cause eyelid jump. Most eyelid beats caused by eye muscle fatigue and mental stress can be recovered by relaxing stress and proper rest. If the eyelid beats due to ametropia, it can usually be relieved by vision correction. If you have an eye disease, you can find an ophthalmologist to cure it. If the eyelid pulsation is aggravated, leading to eyelid spasm or hemifacial spasm, neurosurgeon is needed for treatment. In life, many people have had the experience of eyelid jumping. Beating mostly occurs in the upper eyelid and sometimes in the lower eyelid, which is not controlled by human thinking and consciousness. Eyelid jump is divided into physiological and psychological, the former usually passes quickly and sometimes lasts for several days; The latter is more serious and progressive. People often say that "the left eye jumps for money and the right eye jumps for disaster", so jumping eyelids will worry many people. But the doctor doesn't think so. "Eyelid jumping is actually a manifestation of increased nerve excitability. I have had such an experience, and medicine does not believe these folk sayings. " Dean Zuo Huanyan of the Second Affiliated Hospital of Tsinghua University said. Although eyelid jump is not life-threatening, it greatly reduces the quality of work and life. The doctor reminds you to see a doctor as soon as possible if your eyelids keep beating and don't relieve. Eyelid jump is divided into physiological and psychological. It is understood that the common causes of eyelid jump in life include overwork, mental stress, eye diseases or improper use of eyes, trauma and so on. These factors will stimulate the nerve of the eye, lead to muscle contraction, and then cause muscle beating. Physiological eyelid jump is generally mild. If you are overworked, you will get better after rest. Even if you have inflammation and other reasons, you can relieve it through treatment. The cause of eyelid jump after hemifacial spasm is in the brain, which is difficult to heal itself, and the development trend is progressive aggravation. According to Dr. Zuo Huanyan, eyelid jump caused by hemifacial spasm is mostly unilateral, and rarely bilateral. Patients with hemifacial spasm usually start with eyelid jump. After a few months or a year, their mouths began to twitch, twitching to a certain extent, their eyes could not be opened, and their mouths tilted to one side. At this point, their condition is very serious. At the same time, patients are inconvenient to see things and have great psychological pressure. Zuo Huanyan believes that if the eyelid jump lasts for a short time, it is a normal physiological transient phenomenon and does not need special treatment. Just close your eyes and have a rest. However, if it lasts for a long time, even if the eyes jump and bring troubles to life, you should see a doctor and find out the reason. It is understood that many patients who come to the hospital have their eyelids beating for several years. For example, some patients have a little jump in the upper eyelid at first, and then slowly develop downward, and the lower eyelid begins to jump, and even the corners of the mouth begin to twitch. When they don't dance well, they feel sick and dizzy. These patients suffer from hemifacial spasm, either on the left, right or both sides. According to Zuo Huanyan, one of the best treatments for severe hemifacial spasm is microvascular decompression, and this blood vessel is removed from the excited nerve. "In the past, due to insufficient understanding of hemifacial spasm, the treatment method was to destroy nerves and try to close or cut off a part. Since the cause is clear, let's remove the blood vessels from the nerves. " He said. It is understood that this kind of operation is minimally invasive and requires a small hole in the skull. The operation steps are as follows: make a small hole of 1.5 cm behind the ear of the patient with hemifacial spasm; Find the blood vessels that oppress the facial nerve under the microscope, then separate the nerve from the blood vessels, and then put a special pad to relieve the nerve compression. Some patients' eyes continue to beat for some time after operation. This is because nerve recovery after vascular resection needs a process, and it will stop beating completely when it grows up. According to reports, the operation time usually takes 1 hour. It is understood that as far as current medical technology is concerned, the recurrence rate is very small. At the same time, with the improvement of surgical level, the incidence of common complications-facial paralysis has been very low, and it is generally impossible to cause permanent facial paralysis. Generally speaking, whether you do it early or late, you can stop beating. However, facial muscle spasm lasts for a long time, and facial muscles are prone to atrophy and deformation. If muscle deformation occurs, traces can be seen after operation. The doctor suggested that hemifacial spasm should be operated as soon as possible. But the doctor pointed out that if it is an injury, such as facial spasm caused by a car accident, then the injury has damaged the nerve. So it depends on the patient's condition to analyze how to treat it. It is also revealed that the current cost of this operation is about 6.5438+0.2 million yuan. 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