Benign essential blepharospasm (BEB)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Benign essential blepharospasm (BEB). Older age, Females, Sun exposure, Coffee intake. Fully referenced neurology checklist.

Risk factors

  • Older age
  • Females
  • Sun exposure
  • Coffee intake
  • Family history of dystonia or postural tremor
  • Non-smoking
  • History of dry eyes
  • Head trauma
  • Dental procedures
  • Genetic mutations: CIZ1, GNAL, SYNE1, REEP4, TOR2A 

Main clinical features

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Associated clinical features

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Provoking factors

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Possible associated disorders

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Differential diagnosis (secondary blepharospasm)

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Predictors of spread

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Treatment

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References

  1. Hallett M, Evinger C, Jankovic J, et al. Update on blepharospasm: report from the BEBRF International Workshop. Neurology 2008; 71:1275-1282.
  2. Schwingenschuh,P, Katschnig P, Edwards MJ, et al. The blink reflex recovery cycle differs between essential and presumed psychogenic blepharospasm. Neurology 2011; 76:610-614.
  3. Hallett M. Blepharospasm: recent advances. Neurology 2002; 59:1306-1312.
  4. Molloy A, Williams L, Kimmich O, et al. Sun exposure is an environmental factor for the development of blepharospasm. JNNP 2016; 87:420-424. 
  5. Defazio G, Hallett M, Jinnah HA, Berardelli A. Development and validation of a clinical guideline for diagnosing blepharospasm. Neurology 2013; 81:236-240.
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