Why do eyelids jump?
Medically, 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.
Is eyelid jump treated?
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 corners of 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.
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 also 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 beating 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 pulsation.
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.
Severe cardiofacial spasm
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.
The root of hemifacial spasm lies in the brain.
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 the lack of understanding of hemifacial spasm, the treatment method was to try to destroy nerves and find ways to close or cut off some nerves. 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.
Will it recur after eyelid jumping surgery?
It is understood that as far as the current medical technology is concerned, the probability of recurrence 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.
References:
/2005 02 23/yiyao 1 194 . htm