What are facial tics?
Facial tics are brief, involuntary, repeated twitching of
muscles in the face. They may be frequent or almost continuous.
Some common facial tics include:
- blinking the eyes
- wrinkling the nose
- sticking out or biting the tongue
- facial grimaces.
How do they occur?
Tics often start between the ages of 7 to 9, but may start as
early as age 3. Tics often go away as children grow up. They
sometimes develop when the person is tense or anxious.
Tic disorders tend to run in families. Males are more likely
to be affected than females. Tics may be related to carbon
monoxide poisoning, strep infections, some stimulant medicines,
tumors, Paget disease, multiple sclerosis or stroke. Pain in
the face or teeth, denture problems, or damage to the facial
nerve may cause a muscle spasm.
What are the symptoms?
The muscle twitching in facial tics repeats in the same
pattern. Tics have no apparent purpose. They are not voluntary,
but the person may be able to control them for short periods.
Repressing them usually makes the person anxious until he or
she allows the tic to occur. There may be a feeling of relief
until the sense of need for another tic occurs. Tics are
decreased when the person is relaxed and usually stop during
sleep. They get worse with tension and emotional strain.
How are they diagnosed?
Your health care provider will examine you, observe symptoms,
and ask about medical and family history. You may have an EEG,
MRI, CAT scan, or blood tests to rule out other conditions,
such as a seizure disorder.
How are they treated?
Most tics are not harmful and get better on their own. They may
cause embarrassment. Focusing too much on tics can make them
worse.
Typically, tics increase when the person is tense or stressed,
and decrease when the person is asleep, relaxed, or focused on
an absorbing task. The use of relaxation techniques or
biofeedback may help relieve stress.
Chronic tic disorders and Tourette's syndrome may respond to
behavioral therapies. Medicines or Botox injections may also
help. Depending on the cause, surgery may be done on facial
nerves or muscles. If your symptoms are seriously interfering
with your daily life, seek help from your health care provider
or a mental health professional.


Disclaimer: This content is reviewed periodically and is subject to
change as new health information becomes available. The
information provided is intended to be informative and educational and is not a
replacement for professional medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
HIA File BRN3411F.HTM Release 9.0/2006. Copyright © 2006 McKesson Corporation and/or one of its subdiaries. All Rights Reserved.
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