Department of Neurology and Clinical Neurophysiology, Amsterdam University Medical Centers, Amsterdam Neuroscience, University of Amsterdam, Amsterdam, The Netherlands.
Tremor Other Hyperkinet Mov (N Y). 2021 Sep 20;11:36. doi: 10.5334/tohm.653. eCollection 2021.
Hemifacial spasm is diagnosed on a clinical base, with certain atypical features alerting the physician for mimics.
Hemifacial neuromyotonia/myokymia characterized by tonic hemifacial contraction followed by multifocal undulating hemifacial twitches.
These features are a red flag for (post-irradiation) facial neuromyotonia/myokymia which generally responds well to low dose carbamazepine.
面肌痉挛是基于临床诊断的,某些不典型特征提示医生注意类似疾病。
以面肌强直性收缩为特征的面肌神经肌强直/肌纤维抽搐,随后出现多灶性波浪状面肌搐动。
这些特征是(放疗后)面肌神经肌强直/肌纤维抽搐的警示信号,一般对小剂量卡马西平反应良好。