The condition has persisted for about 10 years, occurring 1-2 times a week, each episode lasting approximately 5-10 minutes.
What possible conditions come to your mind?
Please share your opinion. Thank you.
I will provide my opinion and details about her case later. (04/02/2025)
The patient came in for treatment today. She feels much better, both physically and mentally. The pain in the left side of her neck and upper back has reduced by 30%, which she can now tolerate without suffering. The pain in her neck has also decreased significantly, and she hasn’t had any episodes of facial spasms. Treatment is ongoing.（05/02/2025）
Her Story and My Opinion
Ten years ago, she experienced a horrifying event where someone attempted to kill her by strangling her neck with their hands. She was on the verge of death but managed to break free and survive. Without knowing this traumatic event, it might be difficult to fully understand her condition.
After this event, she suffered from prolonged anxiety and depression, along with chronic left-sided neck pain.
While the chronic neck pain was tolerable, she relied on painkillers and various treatments. However, when her neck muscles went into spasm, she would experience severe full-body convulsions, starting from her face, spreading to her stomach and legs, resembling a seizure.
During these episodes, she would relive the traumatic moment of being strangled, as if the event were happening again, until the spasms subsided.
Another notable trigger is when she lies down and closes her eyes—this often leads to full-body spasms.
She underwent CT, MRI, and EMG, all of which showed negative results. Additionally, all neurological examinations were normal.
Based on these findings, I believe she is suffering from Post-Traumatic Stress Disorder (PTSD), accompanied by Functional Neurological Disorder (FND).
Therefore, in addition to treating her physical symptoms, we are also providing psychotherapy to address the underlying trauma. (06/02/2025)
放一个短视频，为不能看YouTube的朋友。
阵发性面部肌肉抽搐十多年。突然从左颈部开始肌肉紧张，到头，到面部肌肉紧张，然后面部肌肉抽搐，然后舌头，喉部肌肉抽搐，特别是安静时，或闭眼静养时发作，一周1-2次。每次发作5-10分钟。有时伴发全身肌肉抖动。大约几分钟，好时如常人。
你认为是什么问题，我有空谈谈这个病，很有意思。（04/02/2025）
这个病人今天过来治疗。她感觉非常好，心身都安静很多。左侧颈背部疼痛减轻了百分之30，已经能忍住了，不再让她痛到苦。颈部不太痛了，她发作性面部痉挛也没发作。继续治疗中。（05/02/2025）
她的故事与我的观点
1，十年前，她经历了一场极度恐怖的事件——有人试图掐住她的脖子杀害她。她几乎窒息而亡，但最终拼尽全力挣脱，成功存活。如果不了解她所经历的创伤，可能很难真正理解她的症状。
2，从那以后，她长期受到 焦虑和抑郁 的困扰，并且一直存在 左侧颈部的慢性疼痛。
3，慢性颈部疼痛 对她来说尚可忍受，她服用了大量止痛药并尝试了多种治疗。但当 颈部肌肉发生痉挛 时，她会经历 严重的全身抽搐，从 面部 开始，蔓延至 腹部和腿部，类似 癫痫发作。
4，在抽搐发作时，她 会在脑海中重现被掐脖子的经历，直到痉挛停止。
5，另一个特殊情况是，当她 躺下闭眼休息时，更容易诱发全身抽搐。
6，她已经接受了 CT、MRI 和 EMG 检查，但结果均为阴性，所有神经系统检查也 未发现异常。
7，根据这些症状，我认为她患有创伤后应激障碍 (PTSD)，同时伴有功能性神经障碍 (FND)。
8，因此，除了缓解她的身体症状，我们也正在进行心理治疗，以帮助她应对创伤。 (06/02/2025))
谢谢！
中文微信：nzacupunctureclinic
Leave a reply