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面肌痉挛是面神经支配肌肉的发作性无痛性阵挛性收缩,起始于下眼睑,随即波及上唇肌肉、颈阔肌和一侧面部,约60%的患者在发病后两年内进展到口角。此病常限于一侧面部,发生于双侧者极少,为中老年人较常见的疾病,女性占大多数,发病率约占面神经疾病的26%。症状发作可由面部的自主运动如咀嚼、瞬目或随意的表情动作所诱发,情绪激动时症状可加重,严重时,即使在熟睡中也持续抽搐。近年,随着对本病病因的认识,在治疗上取得了很大的进展,兹仅就近年文献对本病的治疗进展作一简要综述。一、药物治疗:据报告服用酰胺咪嗪治疗本病有效,每日用量600mg可使症状
Hemifacial spasm is a paroxysmal nocturnal, painless clonic contraction of the facial nerve that begins in the lower eyelid and immediately affects the upper lip muscles, platysma and one side of the face. Approximately 60% of patients develop to the mouth within two years of onset . The disease is often limited to one side of the face, occurred in both sides of the very few, for the elderly common disease, the majority of women, the incidence of facial nerve disease accounted for about 26%. Symptoms may be caused by facial autonomic motility such as chewing, blinking, or random facial expressions. Symptoms may aggravate when emotionally agitated. In severe cases, convulsions persist even during sleep. In recent years, with the understanding of the etiology of the disease, great progress has been made in the treatment. Only a brief review on the treatment progress of the disease in recent years is hereby given. First, the drug treatment: It is reported taking amipramine effective treatment of the disease, 600mg daily dosage can make the symptoms