What is the role of imaging studies in the workup of eyelid myokymia?

Updated: Oct 08, 2019
  • Author: Byron L Lam, MD; Chief Editor: Edsel Ing, MD, MPH, FRCSC  more...
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Answer

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) is not needed for typical eyelid myokymia but should be considered if facial myokymia, hemifacial spasm, or spastic paretic facial contracture is suspected, as well as when eyelid myokymia is continuous.


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