Current medical treatment helps to prevent new attacks and improve function after an attack.

MS is twice as common in women as in men between the ages of 20вЂ“50 years. Most common causes are thought to be related to autoimmune, genetic, viral, and environmental factors. The etiology is insufficiently understood. Multiple sclerosis (MS) is a chronic inflammatory demyelinating disease of the central nervous system. An awareness of this presentation not only may lead to an earlier diagnosis in some patients but can be a sign of relapse in patients with established multiple sclerosis. This is an unusual presentation for multiple sclerosis.

Here we present a case of MS diagnosed in a 33-year-old male with facial myokymia of left eyelid, which progressed to left hemifacial spasm. The most common physical signs and symptoms of MS include constitutional symptoms, muscle weakness, motor and autonomic spinal cord symptoms, paresthesias, and vision changes. MS is diagnosed by physical examination, diagnostic imaging, and examination of cerebral spinal fluid. MS is twice as common in women as in men between the ages of 20 and 50 years. Autoimmune, genetic, viral, and environmental factors have been hypothesized.

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