Twitching eyes

Introduction Twitching is a manifestation of involuntary movement. It is a pathological phenomenon of neuro-muscle disease. It is characterized by involuntary contraction of striated muscle. TCM believes that the cause of convulsions is mainly caused by heat and poison, wind and yang disturbance, wind venom, and yin. Blood loss and other aspects. Often due to rapid exercise or work fatigue or severe twisting of the ankle, the spine muscles often appear to be full of muscle rigidity when lying down or sleeping, bursting and angling, the horns are reversed (the head is reclined, the whole body is bowed backwards) The eyes are turned up or gazing, and the mind is unclear.

Cause

High fever, epilepsy, tetanus, rabies, calcium deficiency, etc. can cause cramps, which are systemic, and localized such as gastrocnemius (commonly known as calf), often due to rapid exercise or work fatigue or severe twisting of the ankle The muscles of the spine often appear to be full of muscle rigidity when lying down or sleeping. They twitch and sway, and the horns are reversed (the head is reclined and the whole body is bowed backwards). The eyes are turned up or gazing, and the mind is unclear.

an examination

Related inspection

Ophthalmic examination

When the striated muscle appears involuntarily contracted frog, it can be diagnosed as convulsion. However, to distinguish which type needs to be judged according to the specific clinical manifestations. The hand and foot peristalsis and trembling are obvious to the extremities, which is different from convulsions. In addition to detailed medical history, symptoms and physical examination, routine examinations of blood, urine, and stool are necessary. Other laboratory tests are performed according to the condition, such as cerebrospinal fluid, blood glucose, urea nitrogen, carbon dioxide binding, and X-ray, B-mode ultrasound, electrocardiogram, CT, etc., to assist in the establishment of diagnosis.

Differential diagnosis

1, the body tonic convulsions: body muscle rigidity, bursts of twitching, angulation of the horns (head back, the whole body is curved back and bowed), eyes up or gaze, unconscious.

2, limited convulsions: only local muscle twitch, such as only one side of the body twitch, or facial muscle twitch, or finger, toe twitch, or eyeball rotation, nystagmus, blinking action, gaze and so on. Most of them are unconscious. The fashion of the above ventilating can be a few seconds or a few minutes, in severe cases, several minutes or repeated episodes, and the convulsion lasts for more than 30 minutes.

3, febrile seizures: mainly seen in children from 6 months to 4 years old when the high heat occurred in the wind. The febrile seizures are short-lived, and the recovery is quick after the pumping. Most of them occur in the early stage of fever. In a fever of the disease, there is often only one episode of convulsion, which can rule out diseases and other serious diseases in the brain. The EEG is normal.

A physical examination can be diagnosed.

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