2023.08.10 반측성 안검연축

안녕하세요,

국진 지킴이입니다. 

오늘은 반측성 안검연축에 대해서 알아보도록 하겠습니다. 

국문	영문
편안면 경련은 얼굴 한쪽의 근육이 경련하는 신경계 질환입니다.	Hemifacial spasm is a nervous system condition in which the muscles on one side of the face twitch.
편측 안면 경련의 원인은 대부분 안면 신경에 닿거나 박동하는 혈관입니다.	The cause of hemifacial spasm is most often a blood vessel touching or pulsing against a facial nerve.
안면 신경 손상이나 종양도 원인이 될 수 있습니다.	A facial nerve injury or a tumor also can cause it.
때때로 알려진 원인이 없습니다.	Sometimes there is no known cause.

 

 

개요

편안면 경련은 얼굴 한쪽의 근육이 경련하는 신경계 질환입니다. 편측 안면 경련의 원인은 대부분 안면 신경에 닿거나 박동하는 혈관입니다. 안면 신경 손상이나 종양도 원인이 될 수 있습니다. 때때로 알려진 원인이 없습니다.

Overview

Hemifacial spasm is a nervous system condition in which the muscles on one side of the face twitch. The cause of hemifacial spasm is most often a blood vessel touching or pulsing against a facial nerve. A facial nerve injury or a tumor also can cause it. Sometimes there is no known cause.

 

증상

Symptoms

Common symptoms of hemifacial spasm include jerking of muscles in the face that are most often:

• On one side of the face.
• Not controllable.
• Painless.

 

편측 안면 경련의 일반적인 증상은 가장 자주 발생하는 얼굴 근육 경련을 포함합니다.

얼굴 한쪽에.
제어할 수 없습니다.
무통.

 

These muscle movements, also called contractions, often start in the eyelid. Then they might move on to the cheek and mouth on the same side of the face. At first, hemifacial spasms come and go. But over months to years, they occur almost all the time.

Sometimes, hemifacial spasms occur on both sides of the face. However, the twitching doesn't occur on both sides of the face at the same time.

 

수축이라고도 하는 이러한 근육 운동은 종종 눈꺼풀에서 시작됩니다. 그런 다음 얼굴의 같은 쪽에 있는 뺨과 입으로 이동할 수 있습니다. 처음에는 편측 안면 경련이 왔다가 사라집니다. 그러나 몇 달에서 몇 년에 걸쳐 거의 항상 발생합니다.

때로는 반쪽 안면 연축이 얼굴 양쪽에서 발생합니다. 그러나 경련은 얼굴의 양쪽에서 동시에 발생하지 않습니다.

 

 

원인

 

Causes

A blood vessel touching a facial nerve is the most common cause of hemifacial spasm. A facial nerve injury or a tumor also can cause it. Sometimes the cause isn't known.

Hemifacial spasm sometimes starts as a result of:

• Moving the muscles in the face.
• Anxiety.
• Stress.
• Being tired.

원인

 

안면 신경에 닿는 혈관은 반쪽 안면 경련의 가장 흔한 원인입니다. 안면 신경 손상이나 종양도 원인이 될 수 있습니다. 때로는 원인을 알 수 없습니다. 반쪽 안면 경련은 때때로 다음의 결과로 시작됩니다. 

 

얼굴의 근육을 움직입니다. 

불안. 

스트레스. 

피로

 

 

Diagnosis

Diagnosing hemifacial spasm might involve a physical exam. Imaging tests might find the cause of the condition.

MRI uses a magnetic field and radio waves to create detailed images of the head. This can help find the cause of hemifacial spasm. A contrast dye put into a blood vessel can show whether a blood vessel is touching the facial nerve. This is called magnetic resonance angiogram.

Diagnosing hemifacial spasm doesn't always need an MRI scan or other imaging test. Imaging tests might be for people whose symptoms aren't typical or who are having surgery.

 

진단

 

반측성 경련 진단에는 신체 검사가 필요할 수 있습니다. 이미징 테스트는 상태의 원인을 찾을 수 있습니다. MRI는 자기장과 전파를 사용하여 머리의 상세한 이미지를 생성합니다. 이것은 편측 안면 경련의 원인을 찾는 데 도움이 될 수 있습니다. 혈관에 넣은 조영제는 혈관이 안면 신경에 닿았는지 여부를 보여줄 수 있습니다. 이를 자기 공명 혈관 조영술이라고 합니다. 편측안면 경련 진단에 항상 MRI 스캔이나 기타 영상 검사가 필요한 것은 아닙니다. 영상 검사는 증상이 일반적이지 않거나 수술을 받는 사람을 위한 것일 수 있습니다.

 

치료

Treatment

Treatment for hemifacial spasm may include:

• Botulinum injections. A shot of botulinum toxin (Botox) into the affected muscles keeps the muscles from moving for a while. This treatment needs to be repeated every few months. It controls symptoms in most people.
• Other medicines. Some medicines, including anticonvulsant drugs, can relieve hemifacial spasm in some people.
• Surgery. There are several types of surgery that can help relieve hemifacial spasm. One type of surgery, called decompression, involves making an opening in the skull and opening the covering of the brain, called the dura. This exposes the facial nerve where it leaves the brainstem.Other procedures include destroying parts of the facial nerve with surgery and heat and radio waves, called radiofrequency thermocoagulation.
• A surgeon then finds the blood vessel pressing on the facial nerve. Putting a spongelike material between the nerve and blood vessel eases pressure on the nerve. This surgery often works to relieve hemifacial spasm.

 

보툴리눔 주사. 영향을 받은 근육에 보툴리눔 독소(보톡스) 주사를 맞으면 근육이 한동안 움직이지 않습니다. 이 치료는 몇 달마다 반복해야 합니다. 대부분의 사람들의 증상을 조절합니다. 

 

기타 의약품. 항경련제를 포함한 일부 의약품은 일부 사람들의 편측 안면 연축을 완화할 수 있습니다.

 

 수술. 편측안면 경련을 완화하는 데 도움이 되는 여러 유형의 수술이 있습니다. 감압이라고 하는 수술의 한 유형은 두개골에 구멍을 만들고 경질막이라고 하는 뇌 덮개를 여는 것입니다. 이것은 뇌간을 떠나는 안면 신경을 노출시킵니다. 다른 절차에는 고주파 열응고술이라고 하는 열과 전파로 수술과 안면 신경의 일부를 파괴하는 것이 포함됩니다. 그런 다음 외과 의사는 안면 신경을 누르는 혈관을 찾습니다. 

신경과 혈관 사이에 스펀지 같은 물질을 넣으면 신경에 대한 압박이 완화됩니다. 이 수술은 종종 편측 안면 경련을 완화하는 데 효과적입니다.