Myokymia

Myokymia: understanding and causes of an unusual symptom

Myokymia, also known as pseudofasciculation, is a neurological condition characterized by involuntary and rapid muscle contractions, mainly in the facial region. This unusual symptom can cause discomfort and anxiety in those who experience it.

Myokymia occurs as small, involuntary muscle contractions that may be visible to the naked eye. It often affects the muscles of the eyelids, causing rapid and rhythmic tremors or contractions. Myokymia may also appear in other areas of the face, such as the lips or cheekbones.

The causes of myokymia are not entirely clear, but it is believed to be due to electrical stimulation in the muscles caused by various factors. Here are some of the common causes of myokymia:

1. Stress and fatigue: Stress and physical fatigue may be associated with the occurrence of myokymia. Periods of increased stress can cause disorganization in the nervous system and lead to unusual muscle contractions.

2. Nervous system disorders: Some nervous system disorders, such as multiple sclerosis or Parkinson's disease, may be associated with myokymia. This is due to dysfunction of the nerve pathways that control muscle activity.

3. Medicines: Some medications, including some antidepressants and anticonvulsants, can cause myokymia as a side effect.

4. Injury and Infection: Nerve damage or infectious diseases such as herpes or botulism can cause myokymia.

5. Genetic factors: In rare cases, myokymia may be associated with inherited genetic disorders that lead to unusual variations in the functioning of muscle cells.

The diagnosis of myokymia is based on observing symptoms and ruling out other possible causes. In some cases, a neurological examination or electromyography may be required to evaluate the electrical activity of the muscles.

Treatment for myokymia depends on its cause and severity. In most cases, unless myokymia causes significant discomfort or interferes with daily life, no specific treatment is required. However, in some cases, medications may be prescribed, such as anti-seizure drugs or drugs that help reduce muscle excitability.

In addition to drug treatment, reducing stress and managing fatigue levels can help reduce the symptoms of myokymia. Regular exercise, relaxation techniques such as yoga or meditation, and adequate sleep can be helpful.

It is important to note that myokymia is not usually a sign of serious illness and rarely requires specific treatment. However, if you experience symptoms of myokymia and they are bothersome or are affecting your quality of life, it is recommended that you see your doctor for evaluation and advice.

In conclusion, myokymia is a neurological condition characterized by involuntary muscle contractions, mainly in the facial region. Its causes can be varied, including stress, nervous system disorders, medications, trauma and genetic factors. Treatment for myokymia depends on the cause and severity of symptoms, and may include medication, stress and fatigue management, and other approaches aimed at relieving symptoms and improving the patient's quality of life.

Myokymia (Greek μυϊκος - muscular; Lat. cymus - wave).

A symptom complex characterized by spontaneous muscle contractions. Most often it is a type of paresthesia. Patients describe myoclonic contractions not as voluntary movements, but as spontaneous and not always consciously performed stretching. The phenomenon can also imitate hiccups and bulbar disorders. Etiology: the cause lies in supraspinal disorders of the central nervous system. Formally, myokymia is not considered a form of epilepsy, but there is a known theory about the participation of the focus of the “convolutions” of the temporal lobe in the pathogenesis of the disease. It is diagnosed more often after 30 years of age, and is observed somewhat more often in women than in men.