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Event Account activated - pending validation.
Your account has been activated successfully, but we still need to validate you as a healthcare professional. We’ll send you an email with the result of the validation process in the next [five] days.
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鑑別すべき疾患として、片側顔面痙攣、眼部ミオキミア、チック、開瞼失行、眼瞼下垂があげられます。[1]
片側顔面痙攣：
通常片側性であり、他の同側顔面筋にも同期性攣縮がみられることが鑑別診断のポイントになります。
眼部ミオキミア：
線維束性収縮の群発により、体表面からさざなみ状の不随意収縮が観察できる現象です。針筋電図で特有の筋放電パターンを観察できれば、診断は確実です。
チック：
発症年齢が若いこと、一時的に症状を抑制できることが鑑別診断のポイントになります。
開瞼失行：
臨床的には額を持ち上げて開瞼しようとすることが鑑別のポイントになります。
眼瞼下垂：
眼瞼下垂は、重力または上眼瞼挙筋の麻痺によって上眼瞼が眼球を覆った状態です。ボツリヌス治療によって増悪する可能性が高いため、治療時には眼瞼下垂を除外してください。
