A salesman who got slapped by a lady customer when his right eye winked without his control
1. 45-year old man presented with involuntary #winking of right #eye of 6 months duration. It occurred several times in a day and he could not control them. He had no other symptoms.
1. 45-year old man presented with involuntary #winking of right #eye of 6 months duration. It occurred several times in a day and he could not control them. He had no other symptoms.
2. He was a salesman in a cosmetics shop and most of the customers were women.
It was a usual day for him at work when his right eye winked at a lady customer (while talking about a product). She misunderstood it and slapped him. All his explanation could not pacify her.
It was a usual day for him at work when his right eye winked at a lady customer (while talking about a product). She misunderstood it and slapped him. All his explanation could not pacify her.
3. With help from his boss and lengthy discussion with the woman's family, the matter was amicably resolved.
However, his job was at stake and he decided to seek a Neurologist's opinion.
However, his job was at stake and he decided to seek a Neurologist's opinion.
4. Careful history revealed that his right eye winked for no reason and without his control. It occurred 8-10 times in a day, however, he had no pain and his vision was normal.
Since he had no major difficulty with the problem, he had not sought medical opinion so far.
Since he had no major difficulty with the problem, he had not sought medical opinion so far.
5. I suggested that this was a neurological problem and the disease is called #blepahrospasm.
He was asked to get an MRI of brain done to exclude secondary causes of blepharospasm.
Treatment options were discussed and he opted for #botulinum toxin injection.
He was asked to get an MRI of brain done to exclude secondary causes of blepharospasm.
Treatment options were discussed and he opted for #botulinum toxin injection.
6. His right eye winking stopped soon after taking injection. He was from another city and I advised him to continue injections locally every 3-6 months (as per neurologist advice).
He has remained well and is one of the popular salesman (including women) in the shop.
He has remained well and is one of the popular salesman (including women) in the shop.
7. Take home message
*Winking of right eye may not mean one would soon meet a loved one or one's partner (a belief in astrology); it could be a sign of neurological disease.
*Proper medical treatment would result in excellent outcome.
#Medtwitter #neurotwitter
*Winking of right eye may not mean one would soon meet a loved one or one's partner (a belief in astrology); it could be a sign of neurological disease.
*Proper medical treatment would result in excellent outcome.
#Medtwitter #neurotwitter
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