Eyelid Myokymia Workup

Updated: Jan 03, 2022
  • Author: Byron L Lam, MD; Chief Editor: Edsel B Ing, MD, PhD, MBA, MEd, MPH, MA, FRCSC  more...
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Workup

Imaging Studies

A complete cranial nerve examination should be performed.

If the myokymia is not seen in the office, patients should be encouraged to video-document their episodes.

Brain magnetic resonance imaging (MRI) with GAD is not needed for typical eyelid myokymia but should be considered to image the central and peripheral pathways of the facial nerve when other coditions such as facial myokymia, hemifacial spasm, or spastic paretic facial contracture is suspected, as well as when eyelid myokymia is continuous.