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What Causes Hemifacial Spasms?

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Posted on Tue, 29 Nov 2016
Question: Hello sir I was diagnosied with left hemifacail spasm any treatment available for this ??
doctor
Answered by Dr. Neeraj Kumar (1 hour later)
Brief Answer:
Take treatment as advised, visit a neurologist

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.

Hemifacial spasm is managed by medications and botox injection.
Drugs like pacitane and clonazepam can be tried in increasing tolerable doses for effect.
If the symptoms are not controlled, then botox can be tried.
Botox injection are applied over the involved area of face and is safe and effective.
The injection needs to be repeated every 6 months.

Hope you found the answer helpful.

Do get back to me for further queries.

Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Neeraj Kumar (26 hours later)
Thanks for the reply sir doctor asked me to take TEGRITAL and BACLOF 20
Are they the right medicines and also I want to know Botox has got any long term side effects and painful in the treatment ???
Please let me know thanks
doctor
Answered by Dr. Neeraj Kumar (17 hours later)
Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
You can try these medications too.
The effect may be delayed requiring a month time.
Botox is relatively safe with rare systemic side effects. The injection is mildly painful.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. REMY KOSHY
doctor
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Follow up: Dr. Neeraj Kumar (2 hours later)
Sir thanks and last question how about the surgery MVD???
doctor
Answered by Dr. Neeraj Kumar (20 hours later)
Brief Answer:
Another option of treatment in selected cases

Detailed Answer:
Hello,
Microvascular surgical decompression is an option in patients with blood vessel loop around facial nerve exit.
You can get MRI brain with FIESTA sequence and MR ANGIOGRAPHY.
This traetment is also a good option in indicated cases.
Regards
Dr N Kumar
neurologist
Above answer was peer-reviewed by : Dr. REMY KOSHY
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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What Causes Hemifacial Spasms?

Brief Answer: Take treatment as advised, visit a neurologist Detailed Answer: Hello, I have gone through your question and understand your concerns. Hemifacial spasm is managed by medications and botox injection. Drugs like pacitane and clonazepam can be tried in increasing tolerable doses for effect. If the symptoms are not controlled, then botox can be tried. Botox injection are applied over the involved area of face and is safe and effective. The injection needs to be repeated every 6 months. Hope you found the answer helpful. Do get back to me for further queries. Regards Dr N Kumar Neurologist