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Suggest Treatment For Blepharospasm

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Posted on Wed, 6 Jan 2016
Question: Hello. I am asking this question on my Dad's behalf. My dad is 60 years of age and he is suffering from Blepharospasm. He is taking treatment but till now it is not successful. He gets better sometime and then other time not so great.



In our family history there has never been any case of Blepharospasm. So we can rule that out.



Now after long thought Dad is thinking of getting Botox injection. I have done some reading on the internet they say some people just get it once and have never required it again and they feel better also, but some cases they say they need to apply after 6 months or so. Am i correct or no?



So my secodn question is : is it safe to get Botox for Blepharospasm and what are the side effects.
doctor
Answered by Dr. Neeraj Kumar (47 minutes later)
Brief Answer:
Go for botox for blepharospasm

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Blepharospasm in many person is of idiopathic cause and may respond to some extent with medication.
If the problem is intolerable then botox is a good option.
In very few people a single dose of botox will be sufficient but in majority the dose has to be repeated after few months, on an average of 6 months.
The response is very good.
Side effects are not much. Commonly there is slight drooping of eyelids in few patient which is reversible and recovers in few days. Other side effect are anaphylaxis type like breathlessness, reaction which can occur with any drug and unpredictable. But it is very very rare.
I will suggest you to go ahead for botox.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Neeraj Kumar (1 hour later)
Dear Dr XXXXXXX

Thank you so much for the detailed answer, means a lot. Actually i just had a word with my dad , he explained to me that his main problem is:

1. Bunny area of the nose.
2. Eyebrow muscle pain.

These are two things that are troubling him. The blinking is not much of an issue.

So what do you think about this.
doctor
Answered by Dr. Neeraj Kumar (4 minutes later)
Brief Answer:
Improvement in symptoms is expected with botox

Detailed Answer:
Hello,
Involuntary eye closure, stretching of muscle around eye and abnormal sensation may be a part of blepharospasm.
It improves with botox.
Regards
Dr N Kumar
neurologist
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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Suggest Treatment For Blepharospasm

Brief Answer: Go for botox for blepharospasm Detailed Answer: Hello, I have gone through your question and understand your concerns. Blepharospasm in many person is of idiopathic cause and may respond to some extent with medication. If the problem is intolerable then botox is a good option. In very few people a single dose of botox will be sufficient but in majority the dose has to be repeated after few months, on an average of 6 months. The response is very good. Side effects are not much. Commonly there is slight drooping of eyelids in few patient which is reversible and recovers in few days. Other side effect are anaphylaxis type like breathlessness, reaction which can occur with any drug and unpredictable. But it is very very rare. I will suggest you to go ahead for botox. Hope you found the answer helpful. Do get back to me for further queries. Regards Dr N Kumar Neurologist