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10 Possible Causes for Mild Facial Muscle Weakness, Rhythmic Slowing

  • Cushing Syndrome

    Features more specific to Cushing's syndrome include proximal muscle weakness, supraclavicular fat pads, facial plethora, violaceous striae, easy bruising, and premature osteoporosis[bestpractice.bmj.com] It may be difficult to distinguish patients with mild Cushing's syndrome from those with the metabolic syndrome (central obesity with insulin resistance, and hypertension)[bestpractice.bmj.com]

  • Hypocalcemia

    Symptoms include numbness and/or tingling of the hands, feet, or lips, muscle cramps, muscle spasms, seizures, facial twitching, muscle weakness, lightheadedness, and slow[medicinenet.com] Some affected people, especially if the condition is mild, will not have symptoms. Others may have severe and life-threatening symptoms.[medicinenet.com]

  • Todd Paralysis

    Focal clonic seizures are brief focal motor events that are distinguished from focal myoclonic seizures by their rhythmic repetition.[medlink.com] No facial weakness was appreciated. Motor examination was normal except for a mild left arm and leg hemiparesis rated at 5/5.[ncbi.nlm.nih.gov] Jacksonian march seizures refer to the clinical manifestations of the slow ephaptic propagation of epileptic discharge along the motor cortex, although similar progression[medlink.com]

  • Friedreich Ataxia

    Patients may experience mild weakening of the facial muscles with associated weakness of swallowing.[emedicine.medscape.com] Dysarthria (slowness and slurring of speech) develops, and the person is easily fatigued. Rapid, rhythmic, involuntary movements of the eye (nystagmus) are common.[xpertdox.com] Eventually, the patient is unable to walk because of the progressive weakness and ataxia, becoming wheelchair bound and ultimately bedridden.[emedicine.medscape.com]

  • Pyramidal Tract Disorder

    However, in some cases, a tremor, though rhythmic, is irregular, as occurs when tremor is associated with dystonic disorders.[merckmanuals.com] Less commonly, muscle weakness occurs in specific patterns—for example, involving only the facial, shoulder, or calf muscles—and the progress of the disease is much slower[britannica.com] Movement can be slow or fast, often repetitive, and sometimes rhythmic. Planned movements can exaggerate the effect – a condition known as intention tremors.[cerebralpalsy.org]

  • Spastic Ataxia with Congenital Miosis

    Movements flow from one to another but are not repetitive or rhythmic Sensation of restlessness causing patient to move frequently Slow, writhing movements that typically[quizlet.com] , hypo/ hypertension, facial flushing, sweating, pulmonary dysfnx Mild cases: self-limiting, minimal weakness Worst: quadriplegia, opthalmoplegic, requires ventilation for[flashcardmachine.com] […] of facial muscles (33%) - swallowing difficulty (10%) - severe: respiratory (vent required in 33%), eye movements. - a utonomic disturbances: tachycardia, cardiac irregularities[flashcardmachine.com]

  • Lethal Muscular Hypertonia

    Inhibitory pressure (applying firm pressure over muscle tendon) and promoting body heat retention and rhythmic rotation (slow repeated rotation of affected body part to stimulate[en.wikipedia.org] Atrophy and weakness of facial muscles, ptosis, and frontal baldness produce a characteristic facial appearance.[neuropathology-web.org] Myotonia (prolonged muscle contraction) occurs spontaneously or is elicited by voluntary activity or by mild stimulation, such as tapping on a muscle (percussion myotonia)[neuropathology-web.org]

  • Hemiplegic Migraine

    Adverse side effects are generally mild and reversible. The most common being unwanted weakness in adjacent muscles (4).[priory.com] Electroencephalography showed slowing of α rhythm and continuous rhythmical δ activity in the left hemisphere.[ncbi.nlm.nih.gov] William Binder, an otolaryngologist and facial plastic surgeon, observed that botulinum toxin type A provided relief to migraine sufferers whom he was treating for cosmetic[priory.com]

  • Metabolic Disease with Epilepsy

    […] waves Simple partial seizure – focal rhythmic discharges may be present Complex partial seizure – interictal spikes with slow waves MRI / CT – to rule out other diagnosis[physicianassistantexamreview.com] Less commonly, muscle weakness occurs in specific patterns—for example, involving only the facial, shoulder, or calf muscles—and the progress of the disease is much slower[britannica.com] Involves the temporal lobe Labs, Studies and Physical Exam Findings Electroencephalogram –helps determine the type of seizure Generalized seizures – generalized spikes and slow[physicianassistantexamreview.com]

  • Deafness - Opticoacoustic Nerve Atrophy - Dementia Syndrome

    Less commonly, muscle weakness occurs in specific patterns—for example, involving only the facial, shoulder, or calf muscles—and the progress of the disease is much slower[britannica.com] Fast downward jerk and slow upward return to midposition Ocular bobbing Extensive pontine destruction or dysfunction Gaze overshoot followed by several oscillations Ocular[merckmanuals.com] weakness and secondary skeletal deformities such as scoliosis (rotation of the spine).[britannica.com]

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