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my friend has a tic in her eye she has been to a neurologist and eye specialist and had an Mri but they cant find what is wrong with her she finds it difficult to walk read drive and is very depressed. It is a very strong tic which forcers her to close the eye and her face screws up. She is taking xanax and this helps a little. They found two white spots on her brain but said that was normal ageing but also they could be sending the wrong signals to the brain and making the eye tic. Botix wont help and an operation is not thought possible. This is a very strong capable women who doesnt complain but is now wanting to die.

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replied December 1st, 2009
Muscular and Nerve Disorders Answer A8139
Hello and welcome to eHealth Forum!

If the white spots in her brain are in the basal ganglion or close to it then they could be responsible for the eye twitch. Certain sleep disorders too result in eye twitch and hence a sleep study should be done even if your friend sleeps the customary 7-8 hours.

Corneal irritation or injury, stress, anxiety, and at times hereditary plays a role.
Your friend should get the blood levels of the following checked if they have not already been checked: potassium, calcium, sodium, magnesium, vitamin B complex, or vitamins B1, B3, or B6 and Vitamin D. Generally deficiencies of any of the above can cause muscle twitching and spasms in localized or generalized areas of the body.

Get her kidney function, parathyroid gland function and adrenal function tests done because these affect the electrolyte balance in the body. Stress, alcohol, caffeine and fatigue all cause similar symptoms. Peripheral nerve disorders due to diabetes or hypothyroidism can also be the cause.

Consult an internal medicine specialist or her PCP and discuss these possibilities. It is difficult to comment beyond this without examining. A comprehensive investigation is required keeping all the points in mind. Hope this helps. Take care!

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