There is a folk saying that “the left eye jumps for money, the right eye jumps for disaster”, but in fact, many times the eyelid jumps, not just “wealth” or “disaster” of the ” The fact is that many times eyelid jumping is not just a “harbinger” of “wealth” or “disaster” so simple. There are two kinds of eyelid jumping: physiological and pathological. Physiological eyelid jumping is generally relatively mild, if it is overworked, rest will be good. The cause of pathological eyelid jumping is complex and difficult to heal on its own, the trend is progressive aggravation. Eyelid jumping or twitching at the corners of the mouth may belong to the facial nerve disorder, which is usually clinically diagnosed as facial muscle spasm. If left untreated, facial myospasm does not usually improve spontaneously, and the attacks will gradually become more frequent, and facial paralysis may occur after several years. Therefore, patients suffering from facial spasm should go to a regular hospital for treatment as soon as possible. Symptoms: light eyelid jumping and heavy spasm of the entire facial muscle Many people have experienced eyelid jumping or twitching at the corners of the mouth, but many may not realize that either eyelid jumping or twitching at the corners of the mouth are facial nerve disorders, usually clinically diagnosed as clonic facial muscle spasm. Clonic facial muscle spasm, also known as facial muscle twitching, is an episodic painless contraction of the muscles innervated by the facial nerve. The first symptom often starts with a slight twitching of the orbicularis oculi muscle of the lower lid, or eyelid jumping, and then gradually extends upward to all the orbicularis oculi muscle and then to the lower half of the facial muscles, especially the corners of the mouth twitching more often. The eyelid jumping is actually a manifestation of increased nerve excitability. Most of the eyelid twitching occurs in the upper eyelid, sometimes also in the lower eyelid, and is generally not controlled by the person’s mind and consciousness. Twitching at the corners of the mouth is more common on the right side, and it may also occur on the left side. In severe facial muscle twitching, the whole facial muscle and ipsilateral cervical latissimus muscle can be spasmed, and the eyes cannot be opened when the orbicularis oculi muscle is in severe spasm, thus affecting walking and work, and may be accompanied by mild weakness and muscle atrophy. The spasm may be aggravated by mental stress, fatigue and voluntary movement, and disappears during sleep. Analysis: Facial nerve abnormalities, trauma, and brain surgery may cause Facial muscle spasms are usually not accompanied by pain, and the face is generally unaffected when the facial muscles do not twitch. As for the etiology of facial muscle spasm, it is not clear, and it is generally believed that there are three possible causes: first, it may be caused by ectopic excitation or pseudo-synaptic conduction of the facial nerve; second, it may be due to compression of the facial nerve root by aneurysm, arteriovenous malformation or brain tumor, etc.; third, very few patients have facial muscle twitching after trauma, tumor or surgical operation. If facial muscle spasm is not treated, it usually will not improve naturally, and facial muscle spasm attacks will gradually become more frequent and last longer, which will seriously affect the patient’s work and life. In some patients with untreated facial spasm, facial muscle paralysis (facial palsy) can occur after several years. Therefore, patients suffering from facial muscle spasm should go to a regular hospital for treatment as soon as possible. Judgment: If the duration is long or even both eyes are jumping need to seek medical attention As for how to determine whether eyelid jumping, mouth twitching should go to the hospital, eyelid jumping is divided into physiological and pathological, life usually causes eyelid jumping, including overwork, tension, eye disease itself or improper use of the eyes, trauma and intracranial lesions, these factors can stimulate the motor nerve, resulting in muscle contraction, thus causing muscle jumping. Physiological eyelid jumping is generally mild, if it is overworked, it will be fine after rest, even if there is inflammation and other causes can be alleviated through treatment. In contrast, the cause of pathological eyelid jumping is complex and difficult to heal on its own, and the trend is progressive aggravation. Generally speaking, if the eyelid jumping lasts for a short time, it is a normal physiological phenomenon that does not require special treatment, just close your eyes and rest. But if it lasts for a long time, or even both eyes jump, bringing trouble to life, you should go to the hospital to find the cause. Treatment: oral medication, botulinum toxin injection About the treatment of facial muscle spasm, early treatment can be done by medication, such as oral carbamazepine, clonazepam or baclofen. Along with western medicine, herbal medicine with acupuncture and massage can be used for treatment. In cases where medication is not effective, botulinum toxin treatment can also be used to achieve certain results. Botulinum toxin treatment involves selecting several injection sites in the upper eyelid, lower eyelid and outer corner of the eye where muscle twitching is obvious and injecting the configured botulinum toxin intradermally, which will generally take effect 3 to 7 days after the injection, and most patients need to repeat the treatment six months after the first treatment. At this time, because the degree of facial twitching has been significantly reduced compared to before, the dose of Botulinum toxin treatment required will be greatly reduced. A third treatment option is nerve stem block therapy or surgical treatment, in which facial nerve canal decompression is performed through open surgery. Recently, other doctors have tried radiofrequency thermocoagulation of the branches of the facial nerve, which has also shown some results.