Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Is The Cause And Treatment Of Hermifacial Spasm?
Posted on
Thu, 21 Aug 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 21 Aug 2014
Answered on
Mon, 8 Sep 2014
Last reviewed on
Question : what is the cause and the treatment of hermifacial spasm
Brief Answer:
Botox injection is the best treatment.
Detailed Answer:
Hi Mr XXXXXXX
Thank you for posting your query.
I have noted your diagnosis and medications tried.
Hemifacial spasm is caused by involvement of facial nerve, which start in the brainstem and come to supply the facial muscles. It could be due to compression of facial nerve by a blood vessel. in some cases, no causes can be found.
Though several medications are used for treating hemifacial spasm, including pacitane (trihexiphenidyl), and other medicines which you have used, the best treatment is botox (botulinum toxin injections). Botox is injected directly in the affected muscles over face.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Botox injection is the best treatment.
Detailed Answer:
Hi Mr XXXXXXX
Thank you for posting your query.
I have noted your diagnosis and medications tried.
Hemifacial spasm is caused by involvement of facial nerve, which start in the brainstem and come to supply the facial muscles. It could be due to compression of facial nerve by a blood vessel. in some cases, no causes can be found.
Though several medications are used for treating hemifacial spasm, including pacitane (trihexiphenidyl), and other medicines which you have used, the best treatment is botox (botulinum toxin injections). Botox is injected directly in the affected muscles over face.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
IS BOTOX THE PERMANENTLY TREATMENT FOR THIS AND HOW MANY TIME IS GIVEN BY A DOCTOR. (2).IS THE SURGICAL TREATMENT FOR THE BEST CHOICE FOR THIS. AND WHAT I DO?
Brief Answer:
Botox needs to be repeated.
Detailed Answer:
Thank you for getting back.
Botox injection needs to be repeated once in 3-4 months and can be given several times. In one patient, I have given botox 14 times over a period of five years for hemifacial spasm. The effect of botox injection is temporary (3-4 months) and not permanent.
Surgery is not the best choice. You can choose medical treatment or botox injection.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Botox needs to be repeated.
Detailed Answer:
Thank you for getting back.
Botox injection needs to be repeated once in 3-4 months and can be given several times. In one patient, I have given botox 14 times over a period of five years for hemifacial spasm. The effect of botox injection is temporary (3-4 months) and not permanent.
Surgery is not the best choice. You can choose medical treatment or botox injection.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
