Materiały źródłowe

• #1 Hemifacial Spasm (Face Twitching): Treatment, Symptoms & Causes

  https://my.clevelandclinic.org/health/diseases/15798-involuntary-facial-movements-hemifacial-spasm

  There is no proven way to prevent hemifacial spasm. […] If you have hemifacial spasm, you can minimize your symptoms by: Avoiding fatigue. Limiting caffeine and other stimulants. Managing anxiety. Minimizing stress.

• #2 Hemifacial spasm: Types, symptoms, and causes

  https://www.medicalnewstoday.com/articles/319591

  To date, researchers have not discovered any ways of preventing hemifacial spasms. […] As the spasms are involuntary, the only way to prevent the onset of muscle twitches once the condition develops is through treatment. […] Stress, fatigue, and anxiety have been shown to make the condition worse, so people trying to minimize their symptoms may want to try to avoid these triggers, where possible.

• #3 Hemifacial spasm – Wikipedia

  https://en.wikipedia.org/wiki/Hemifacial_spasm

  There is no known way to prevent hemifacial spasm. […] Hemifacial spasm is much more common in some Asian populations. […] Several families with hemifacial spasm have been reported, suggesting a genetic etiology or predisposition in some cases.

• #4 Hemifacial Spasm – Nashville Neurosurgery Associates

  https://www.nashvilleneurosurgery.com/conditions/hemifacial-spasm/

  No drug has proven effective in preventing or stopping hemifacial spasm. […] Microvascular decompression is a surgical procedure that can be used to ease the pressure on the facial nerve. […] Microvascular Decompression Surgery, the only known permanent treatment for hemifacial spasm.

• #5 Hemifacial Spasm – EyeWiki

  https://eyewiki.org/Hemifacial_Spasm

  While primary hemifacial spasms is not preventible, a more complete facial nerve recovery following lower motor neurone facial nerve injury or inflammatory facial palsy (Bell’s palsy) with optimal management may reduce the incidence of secondary HFS. […] Injection with botulinum toxin comprises this first line treatment for most patients. The efficacy approaches that of microvascular decompression with a much more favorable side effect profile. […] Surgery can be performed in primary HFS to distract the aberrant artery away from the seventh cranial nerve by placing a sponge between the vessel and nerve. This has been shown to be highly effective in experienced hands. However, the risk profile includes intracerebral hemorrhage, facial paralysis, deafness, and death. Thus, the benefits and risks must be appropriately weighed for each patient. It is used more often in refractory cases and the young.

• #6 Hemifacial treatment | Surgery for hemifacial | Seattle Neuroscience Institute

  https://seattleneurosciences.com/conditions/hemifacial-spasm/

  There are no current guidelines to prevent hemifacial spasm. […] Hemifacial spasm is more common in middle-aged and elderly women. […] Oral medications have been tried and are usually not effective for hemifacial spasm. […] The other non-surgical treatment is where botulinum toxin is injected in low doses which interrupts the connections between the nerves and the muscles, is injected in the affected area and that often calms down the spasms for a period of time. […] The other more definitive treatment is called a microvascular decompression where we make an incision behind the ear and go in with a high powered microscope along the cerebellum, the back of the brain, and find the vessel that is pulsating against the facial nerve and move that aside and then pad it with a teflon sponge or teflon padding. That usually removes any pulsations against the nerve and often is a curative for provides long term relief from the hemifacial spasms.

• #7 Hemifacial treatment | Surgery for hemifacial | Seattle Neuroscience Institute

  https://seattleneurosciences.com/conditions/hemifacial-spasm/

  There are no current guidelines to prevent hemifacial spasm. […] Hemifacial spasm is more common in middle-aged and elderly women. […] Oral medications have been tried and are usually not effective for hemifacial spasm. […] The other non-surgical treatment is where botulinum toxin is injected in low doses which interrupts the connections between the nerves and the muscles, is injected in the affected area and that often calms down the spasms for a period of time. […] The other more definitive treatment is called a microvascular decompression where we make an incision behind the ear and go in with a high powered microscope along the cerebellum, the back of the brain, and find the vessel that is pulsating against the facial nerve and move that aside and then pad it with a teflon sponge or teflon padding. That usually removes any pulsations against the nerve and often is a curative for provides long term relief from the hemifacial spasms.

• #8 Hemifacial spasm – Wikipedia

  https://en.wikipedia.org/wiki/Hemifacial_spasm

  There is no known way to prevent hemifacial spasm. […] Hemifacial spasm is much more common in some Asian populations. […] Several families with hemifacial spasm have been reported, suggesting a genetic etiology or predisposition in some cases.

• #9 Hemifacial spasm – Wikipedia

  https://en.wikipedia.org/wiki/Hemifacial_spasm

  There is no known way to prevent hemifacial spasm. […] Hemifacial spasm is much more common in some Asian populations. […] Several families with hemifacial spasm have been reported, suggesting a genetic etiology or predisposition in some cases.

• #10 Hemifacial Spasm – EyeWiki

  https://eyewiki.org/Hemifacial_Spasm

  While primary hemifacial spasms is not preventible, a more complete facial nerve recovery following lower motor neurone facial nerve injury or inflammatory facial palsy (Bell’s palsy) with optimal management may reduce the incidence of secondary HFS. […] Injection with botulinum toxin comprises this first line treatment for most patients. The efficacy approaches that of microvascular decompression with a much more favorable side effect profile. […] Surgery can be performed in primary HFS to distract the aberrant artery away from the seventh cranial nerve by placing a sponge between the vessel and nerve. This has been shown to be highly effective in experienced hands. However, the risk profile includes intracerebral hemorrhage, facial paralysis, deafness, and death. Thus, the benefits and risks must be appropriately weighed for each patient. It is used more often in refractory cases and the young.

• #11 Hemifacial Spasm in New York, NY | Dr. Raymond Sekula

  https://raymondsekulamd.com/conditions-we-treat/brain-tumors-and-conditions/hemifacial-spasm-new-york-ny

  Patients with a higher risk of developing hemifacial spasms should consult with a specialist like Dr. Sekula for early diagnosis and treatment to improve their quality of life. […] Don’t let hemifacial spasms dictate the rhythm of your life. With advancements in medical treatments and surgical interventions, relief is within reach. Whether you’re considering botulinum toxin injections or exploring the nuances of microvascular decompression surgery, take control of your health and seek comprehensive care today. Reach out to Dr. Raymond Sekula at The Neurological Institute of New York in New York, NY, and let us guide you on your journey to a life free from the challenges of hemifacial spasms.

• #12 Hemifacial Spasm (Face Twitching): Treatment, Symptoms & Causes

  https://my.clevelandclinic.org/health/diseases/15798-involuntary-facial-movements-hemifacial-spasm

  There is no proven way to prevent hemifacial spasm. […] If you have hemifacial spasm, you can minimize your symptoms by: Avoiding fatigue. Limiting caffeine and other stimulants. Managing anxiety. Minimizing stress.

• #13 Hemifacial spasm: Types, symptoms, and causes

  https://www.medicalnewstoday.com/articles/319591

  To date, researchers have not discovered any ways of preventing hemifacial spasms. […] As the spasms are involuntary, the only way to prevent the onset of muscle twitches once the condition develops is through treatment. […] Stress, fatigue, and anxiety have been shown to make the condition worse, so people trying to minimize their symptoms may want to try to avoid these triggers, where possible.

• #14 Treatment Options For Hemifacial Spasms – Associates in Neurology

  https://www.ainpc.com/2021/08/27/treatment-options-for-hemifacial-spasms/

  Hemifacial spasms are a chronic condition, so you’ll need to continue treatment to address symptoms long-term. Avoiding stimulants like coffee, avoiding fatigue, and healthily addressing stress and anxiety can help keep symptoms at bay. […] Fortunately, Botox injections, medications, and decompression procedures can help with this neuromuscular condition.

• #15 Hemifacial Spasm (Face Twitching): Treatment, Symptoms & Causes

  https://my.clevelandclinic.org/health/diseases/15798-involuntary-facial-movements-hemifacial-spasm

  There is no proven way to prevent hemifacial spasm. […] If you have hemifacial spasm, you can minimize your symptoms by: Avoiding fatigue. Limiting caffeine and other stimulants. Managing anxiety. Minimizing stress.

• #16 Treatment Options For Hemifacial Spasms – Associates in Neurology

  https://www.ainpc.com/2021/08/27/treatment-options-for-hemifacial-spasms/

  Hemifacial spasms are a chronic condition, so you’ll need to continue treatment to address symptoms long-term. Avoiding stimulants like coffee, avoiding fatigue, and healthily addressing stress and anxiety can help keep symptoms at bay. […] Fortunately, Botox injections, medications, and decompression procedures can help with this neuromuscular condition.

• #17 Hemifacial spasm: Types, symptoms, and causes

  https://www.medicalnewstoday.com/articles/319591

  To date, researchers have not discovered any ways of preventing hemifacial spasms. […] As the spasms are involuntary, the only way to prevent the onset of muscle twitches once the condition develops is through treatment. […] Stress, fatigue, and anxiety have been shown to make the condition worse, so people trying to minimize their symptoms may want to try to avoid these triggers, where possible.

• #18 Facial tics: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001410.htm

  Prevention: Many cases cannot be prevented. Reducing stress may be helpful. Sometimes, counseling can help your child learn how to cope with stress.

• #19 Hemifacial Spasm Treatment Westmead, NSW | Botox Injection Bella Vista & Wahroonga, NSW

  https://www.brainspinecentre.com.au/hemifacial-spasm.html

  To reduce the symptoms your doctor may recommend limiting caffeine and increasing intake of foods containing vitamin D and magnesium. […] The most effective non-surgical treatment so far with the least side effects is injections of botulinum toxin type A or Botox. […] Botox shows a success rate of 95% in the treatment of hemifacial spasms and has helped many people return to a better quality of life.

• #20 Hemifacial Spasm Treatment Westmead, NSW | Botox Injection Bella Vista & Wahroonga, NSW

  https://www.brainspinecentre.com.au/hemifacial-spasm.html

  To reduce the symptoms your doctor may recommend limiting caffeine and increasing intake of foods containing vitamin D and magnesium. […] The most effective non-surgical treatment so far with the least side effects is injections of botulinum toxin type A or Botox. […] Botox shows a success rate of 95% in the treatment of hemifacial spasms and has helped many people return to a better quality of life.

• #21 Treatment Options For Hemifacial Spasms – Associates in Neurology

  https://www.ainpc.com/2021/08/27/treatment-options-for-hemifacial-spasms/

  Hemifacial spasms are a chronic condition, so you’ll need to continue treatment to address symptoms long-term. Avoiding stimulants like coffee, avoiding fatigue, and healthily addressing stress and anxiety can help keep symptoms at bay. […] Fortunately, Botox injections, medications, and decompression procedures can help with this neuromuscular condition.

• #22 Hemifacial Spasm » Lillian S. Wells Department of Neurosurgery at the University of Florida » College of Medicine » University of Florida

  https://neurosurgery.ufl.edu/patient-care/diseases-conditions/hemifacial-spasm/

  No drug has proven effective in preventing or stopping hemifacial spasm. […] The most effective treatment of hemifacial spasm is a vascular decompression procedure of the facial nerve. […] The operation relieves the spasm permanently in the great majority of patients, however, as with trigeminal neuralgia, the problem may persist or recur in a few patients in spite of treatment.

• #23 Hemifacial Spasm – Nashville Neurosurgery Associates

  https://www.nashvilleneurosurgery.com/conditions/hemifacial-spasm/

  No drug has proven effective in preventing or stopping hemifacial spasm. […] Microvascular decompression is a surgical procedure that can be used to ease the pressure on the facial nerve. […] Microvascular Decompression Surgery, the only known permanent treatment for hemifacial spasm.

• #24 Hemifacial Spasm Treatment Westmead, NSW | Botox Injection Bella Vista & Wahroonga, NSW

  https://www.brainspinecentre.com.au/hemifacial-spasm.html

  To reduce the symptoms your doctor may recommend limiting caffeine and increasing intake of foods containing vitamin D and magnesium. […] The most effective non-surgical treatment so far with the least side effects is injections of botulinum toxin type A or Botox. […] Botox shows a success rate of 95% in the treatment of hemifacial spasms and has helped many people return to a better quality of life.

• #25 Hemifacial Spasm – EyeWiki

  https://eyewiki.org/Hemifacial_Spasm

  While primary hemifacial spasms is not preventible, a more complete facial nerve recovery following lower motor neurone facial nerve injury or inflammatory facial palsy (Bell’s palsy) with optimal management may reduce the incidence of secondary HFS. […] Injection with botulinum toxin comprises this first line treatment for most patients. The efficacy approaches that of microvascular decompression with a much more favorable side effect profile. […] Surgery can be performed in primary HFS to distract the aberrant artery away from the seventh cranial nerve by placing a sponge between the vessel and nerve. This has been shown to be highly effective in experienced hands. However, the risk profile includes intracerebral hemorrhage, facial paralysis, deafness, and death. Thus, the benefits and risks must be appropriately weighed for each patient. It is used more often in refractory cases and the young.

• #26 Efficacy and safety of botulinum neurotoxin in the treatment of hemifacial spasms: a systematic review and meta-analysis | BMC Neurology | Full Text

  https://bmcneurol.biomedcentral.com/articles/10.1186/s12883-024-03883-x

  Hemifacial spasm (HFS) is a neuromuscular disorder characterized by unilateral facial muscle spasms, negatively impacts quality of life due to social embarrassment. Botulinum Neurotoxin (BoNT) injections have emerged as a viable therapeutic approach. This systematic review evaluated the efficacy and safety of BoNT injections for HFS management, along with effects on patients quality of life and mental health. […] BoNT injection showed validity and clinical safety in the treatment of HFS, particular for depression relief. Injections around the mouth were only effective for HFS cases with severe symptoms. A standardized strategy for BoNT injections in managing HFS, detailing parameters such as injection sites, doses, and frequencies, remained elusive. […] BoNT has become the preferred therapeutic option for HFS, owing to its efficacy and safety characteristics. BoNT treatment could mitigate symptoms in a vast majority (85%-95%) of HFS patients.

• #27 Hemifacial spasm | Radiology Reference Article | Radiopaedia.org

  https://radiopaedia.org/articles/hemifacial-spasm?lang=us

  Hemifacial spasm is characterized by episodic facial spasms due to irritation of the facial nerve (CN VII). […] Management options include botulinum toxin therapy: treatment of choice, given three-monthly, with improvement noted in 75-100% of cases. […] Surgical microvascular decompression: generally reserved for cases refractory to botulinum toxin therapy, can result in up to 90% complete and immediate resolution of symptoms.

• #28 Efficacy and safety of botulinum neurotoxin in the treatment of hemifacial spasms: a systematic review and meta-analysis | BMC Neurology | Full Text

  https://bmcneurol.biomedcentral.com/articles/10.1186/s12883-024-03883-x

  Hemifacial spasm (HFS) is a neuromuscular disorder characterized by unilateral facial muscle spasms, negatively impacts quality of life due to social embarrassment. Botulinum Neurotoxin (BoNT) injections have emerged as a viable therapeutic approach. This systematic review evaluated the efficacy and safety of BoNT injections for HFS management, along with effects on patients quality of life and mental health. […] BoNT injection showed validity and clinical safety in the treatment of HFS, particular for depression relief. Injections around the mouth were only effective for HFS cases with severe symptoms. A standardized strategy for BoNT injections in managing HFS, detailing parameters such as injection sites, doses, and frequencies, remained elusive. […] BoNT has become the preferred therapeutic option for HFS, owing to its efficacy and safety characteristics. BoNT treatment could mitigate symptoms in a vast majority (85%-95%) of HFS patients.

• #29 Hemifacial spasm | Radiology Reference Article | Radiopaedia.org

  https://radiopaedia.org/articles/hemifacial-spasm?lang=us

  Hemifacial spasm is characterized by episodic facial spasms due to irritation of the facial nerve (CN VII). […] Management options include botulinum toxin therapy: treatment of choice, given three-monthly, with improvement noted in 75-100% of cases. […] Surgical microvascular decompression: generally reserved for cases refractory to botulinum toxin therapy, can result in up to 90% complete and immediate resolution of symptoms.

• #30

  https://link.springer.com/article/10.1007/s00701-024-06149-0

  RFT can be used to treat recurrences of HFS repeatedly. It provides symptom relief for around 11 months, lasting four times longer than with botulinum toxin injections. […] RFT is a well-documented option in treating HFS with almost four times longer-lasting results than botulinum toxin injections, and complications are well tolerated. […] We see an indication for RFT if the results of botulinum toxin injections are unsatisfactory and one of the following: The status of the patient does not allow craniotomy and general anesthesia, a patient has a recurrence after MVD or the patient does not want to go under MVD after being informed that MVD is superior in the long-term results with a low rate of permanent complications.

• #31 Efficacy and safety of botulinum neurotoxin in the treatment of hemifacial spasms: a systematic review and meta-analysis | BMC Neurology | Full Text

  https://bmcneurol.biomedcentral.com/articles/10.1186/s12883-024-03883-x

  Hemifacial spasm (HFS) is a neuromuscular disorder characterized by unilateral facial muscle spasms, negatively impacts quality of life due to social embarrassment. Botulinum Neurotoxin (BoNT) injections have emerged as a viable therapeutic approach. This systematic review evaluated the efficacy and safety of BoNT injections for HFS management, along with effects on patients quality of life and mental health. […] BoNT injection showed validity and clinical safety in the treatment of HFS, particular for depression relief. Injections around the mouth were only effective for HFS cases with severe symptoms. A standardized strategy for BoNT injections in managing HFS, detailing parameters such as injection sites, doses, and frequencies, remained elusive. […] BoNT has become the preferred therapeutic option for HFS, owing to its efficacy and safety characteristics. BoNT treatment could mitigate symptoms in a vast majority (85%-95%) of HFS patients.

• #32 Efficacy and safety of botulinum neurotoxin in the treatment of hemifacial spasms: a systematic review and meta-analysis | BMC Neurology | Full Text

  https://bmcneurol.biomedcentral.com/articles/10.1186/s12883-024-03883-x

  Our analysis supported that BoNT treatment demonstrated notable efficacy in alleviating symptoms of HFS, enhancing quality of life, and improving mental state, with a particularly significant effect on alleviating depressive moods. Gender might be a primary factor influencing the effectiveness of BoNT in mitigating depression. The effects of BoNT did not last indefinitely, requiring re-injection at intervals. No significant adverse reactions were reported following multiple injections. The most common adverse reaction was ptosis, or drooping of the eyelids, but this is transient. Although BoNT injections have shown effectiveness and clinical safety as a treatment for HFS, there was currently no standardized injection protocol, and evaluations of treatment outcomes also varied widely.

• #33 Hemifacial treatment | Surgery for hemifacial | Seattle Neuroscience Institute

  https://seattleneurosciences.com/conditions/hemifacial-spasm/

  There are no current guidelines to prevent hemifacial spasm. […] Hemifacial spasm is more common in middle-aged and elderly women. […] Oral medications have been tried and are usually not effective for hemifacial spasm. […] The other non-surgical treatment is where botulinum toxin is injected in low doses which interrupts the connections between the nerves and the muscles, is injected in the affected area and that often calms down the spasms for a period of time. […] The other more definitive treatment is called a microvascular decompression where we make an incision behind the ear and go in with a high powered microscope along the cerebellum, the back of the brain, and find the vessel that is pulsating against the facial nerve and move that aside and then pad it with a teflon sponge or teflon padding. That usually removes any pulsations against the nerve and often is a curative for provides long term relief from the hemifacial spasms.

• #34 Endoscopic assisted microvascular decompression versus new antiepileptics and BOTOX in treatment of hemifacial spasm: a clinical trial | Egyptian Journal of Neurosurgery | Full Text

  https://ejns.springeropen.com/articles/10.1186/s41984-019-0070-7

  Levetiracetam and gabapentin are new antiepileptic drugs with anti-kindling effect and both show promising results in the control of hemifacial spasm with few side effects. […] Botox is an attractive local therapy with reversible self-limited complications most suitable for patients who refuse either surgery or medication. […] From our results, we conclude that surgical intervention is superior to either BOTOX or antiepiletics.

• #35 Endoscopic assisted microvascular decompression versus new antiepileptics and BOTOX in treatment of hemifacial spasm: a clinical trial | Egyptian Journal of Neurosurgery | Full Text

  https://ejns.springeropen.com/articles/10.1186/s41984-019-0070-7

  Levetiracetam and gabapentin are new antiepileptic drugs with anti-kindling effect and both show promising results in the control of hemifacial spasm with few side effects. […] Botox is an attractive local therapy with reversible self-limited complications most suitable for patients who refuse either surgery or medication. […] From our results, we conclude that surgical intervention is superior to either BOTOX or antiepiletics.

• #36 Endoscopic assisted microvascular decompression versus new antiepileptics and BOTOX in treatment of hemifacial spasm: a clinical trial | Egyptian Journal of Neurosurgery | Full Text

  https://ejns.springeropen.com/articles/10.1186/s41984-019-0070-7

  Endoscopic assisted microvascular decompression offers the best chance to permanent cure with low complication rate. […] New antiepileptics (levetiracetam, gabapentin) provide a safe therapy for patients refusing surgical intervention. […] Botox is an attractive local therapy with reversible complications but with non-sustainable effect. […] From our results, we conclude that endoscopic assisted microvascular decompression is superior to either BOTOX or antiepiletics for the permanent cure of hemifacial spasm. […] Endoscopic-assisted microvascular decompression of the facial nerve offers the best opportunity to permanent cure with low complication rate. […] The use of endoscopy gives the surgeon the capability of adequate mobilization of the offending vessel to ensure decompression of the root entry zone.

• #37 Medications for Hemifacial Spasm | Aaron Cohen-Gadol, MD

  https://www.aaroncohen-gadol.com/en/patients/hemifacial-spasm/treatment/medications

  Hemifacial spasm (HFS) is a neurological condition that causes involuntary muscle contractions on one side of the face. […] The goal of medical management is to reduce the frequency and severity of facial spasms and improve your quality of life. […] Although medications may provide some relief, they are unlikely to cause a complete relief of hemifacial spasms. Surgery remains the only option for complete relief of spasms. […] It is important to note that these medications help to control symptoms but do not address the root cause of hemifacial spasms. […] If hemifacial spasms continue or worsen despite medical treatment, other treatment options such as surgery may be explored. […] Other natural and home approaches for managing hemifacial spasm include getting enough sleep, acupuncture, relaxation techniques, massage, facial and neck exercises, physiotherapy, and vitamin supplements. […] Work closely with your doctors to find the best treatments to manage your specific symptoms.

• #38 Hemifacial Spasm – Nashville Neurosurgery Associates

  https://www.nashvilleneurosurgery.com/conditions/hemifacial-spasm/

  No drug has proven effective in preventing or stopping hemifacial spasm. […] Microvascular decompression is a surgical procedure that can be used to ease the pressure on the facial nerve. […] Microvascular Decompression Surgery, the only known permanent treatment for hemifacial spasm.

• #39 HOME – Hemifacial Spasm | Dr. Arthur J. Ulm

  https://nashvillehemifacialspasm.com/

  Hemifacial spasm is a rare neuromuscular condition that causes uncontrollable muscle spasms in the face. […] permanent relief is available through microvascular decompression surgery. […] MVD is the only known permanent treatment for hemifacial spasm. […] Charlie Joe and his wife, Jane, decided he should have Microvascular Decompression Surgery, the only known permanent treatment for hemifacial spasm.

• #40 Hemifacial Spasm – Nashville Neurosurgery Associates

  https://www.nashvilleneurosurgery.com/conditions/hemifacial-spasm/

  No drug has proven effective in preventing or stopping hemifacial spasm. […] Microvascular decompression is a surgical procedure that can be used to ease the pressure on the facial nerve. […] Microvascular Decompression Surgery, the only known permanent treatment for hemifacial spasm.

• #41 Hemifacial Spasm — Matthew Mian, MD

  https://mian-neurosurgery.com/hemifacial-spasm

  Hemifacial spasm is a neurologic disorder in which there is uncontrollable twitching of one side of the face. […] The primary treatment for hemifacial spasm is botulinum toxin („botox”). These injections temporarily paralyze muscles in the face, making the twitching less noticeable. […] For patients who no longer wish to continue botox injections or who have had diminishing effectiveness of the injections over time, microvascular decompression (MVD) is an effective surgical option. MVD is a procedure also performed for facial pain disorders such as trigeminal neuralgia and glossopharyngeal neuralgia. In this procedure, the facial nerve and compressive blood vessel are dissected apart and permanently separated with a tiny piece of teflon padding. […] Microvascular decompression is very effective for hemifacial spasm, with 80-90% of patients experiencing long-term relief of their facial twitching.

• #42 Hemifacial treatment | Surgery for hemifacial | Seattle Neuroscience Institute

  https://seattleneurosciences.com/conditions/hemifacial-spasm/

  Its been studied in thousands of patients over a large series of patients have been recorded in the medical literature and its usually about ninety percent effective in eliminating the symptoms. […] After having the surgery the patients are often extremely grateful because its such a dramatic effect of having that condition and then all of a sudden they wake up in the recovery room and they have the typical patient has no more spasms after the operation.

• #43 Hemifacial spasm: a neurosurgical perspective in: Journal of Neurosurgery Volume 140 Issue 1 (2023) Journals

  https://thejns.org/view/journals/j-neurosurg/140/1/article-p240.xml

  Successful MVD is measurable not only by the relief of physical spasms, but also by improved quality of life and psychological disability scores. […] The psychological impact of HFS remains underappreciated, in part because patients often provide an impassionate description of physical symptoms during preoperative appointments. […] Attention to better informing patients and optimizing surgical outcomes should lead to a greater role for neurosurgery in the treatment and cure of HFS.

• #44 Endoscopic assisted microvascular decompression versus new antiepileptics and BOTOX in treatment of hemifacial spasm: a clinical trial | Egyptian Journal of Neurosurgery | Full Text

  https://ejns.springeropen.com/articles/10.1186/s41984-019-0070-7

  Endoscopic assisted microvascular decompression offers the best chance to permanent cure with low complication rate. […] New antiepileptics (levetiracetam, gabapentin) provide a safe therapy for patients refusing surgical intervention. […] Botox is an attractive local therapy with reversible complications but with non-sustainable effect. […] From our results, we conclude that endoscopic assisted microvascular decompression is superior to either BOTOX or antiepiletics for the permanent cure of hemifacial spasm. […] Endoscopic-assisted microvascular decompression of the facial nerve offers the best opportunity to permanent cure with low complication rate. […] The use of endoscopy gives the surgeon the capability of adequate mobilization of the offending vessel to ensure decompression of the root entry zone.

• #45

  https://link.springer.com/article/10.1007/s00701-024-06149-0

  RFT can be used to treat recurrences of HFS repeatedly. It provides symptom relief for around 11 months, lasting four times longer than with botulinum toxin injections. […] RFT is a well-documented option in treating HFS with almost four times longer-lasting results than botulinum toxin injections, and complications are well tolerated. […] We see an indication for RFT if the results of botulinum toxin injections are unsatisfactory and one of the following: The status of the patient does not allow craniotomy and general anesthesia, a patient has a recurrence after MVD or the patient does not want to go under MVD after being informed that MVD is superior in the long-term results with a low rate of permanent complications.

• #46

  https://link.springer.com/article/10.1007/s00701-024-06149-0

  RFT can be used to treat recurrences of HFS repeatedly. It provides symptom relief for around 11 months, lasting four times longer than with botulinum toxin injections. […] RFT is a well-documented option in treating HFS with almost four times longer-lasting results than botulinum toxin injections, and complications are well tolerated. […] We see an indication for RFT if the results of botulinum toxin injections are unsatisfactory and one of the following: The status of the patient does not allow craniotomy and general anesthesia, a patient has a recurrence after MVD or the patient does not want to go under MVD after being informed that MVD is superior in the long-term results with a low rate of permanent complications.

• #47

  https://link.springer.com/article/10.1007/s00701-024-06149-0

  RFT can be used to treat recurrences of HFS repeatedly. It provides symptom relief for around 11 months, lasting four times longer than with botulinum toxin injections. […] RFT is a well-documented option in treating HFS with almost four times longer-lasting results than botulinum toxin injections, and complications are well tolerated. […] We see an indication for RFT if the results of botulinum toxin injections are unsatisfactory and one of the following: The status of the patient does not allow craniotomy and general anesthesia, a patient has a recurrence after MVD or the patient does not want to go under MVD after being informed that MVD is superior in the long-term results with a low rate of permanent complications.

• #48

  https://link.springer.com/article/10.1007/s00701-024-06149-0

  RFT can be used to treat recurrences of HFS repeatedly. It provides symptom relief for around 11 months, lasting four times longer than with botulinum toxin injections. […] RFT is a well-documented option in treating HFS with almost four times longer-lasting results than botulinum toxin injections, and complications are well tolerated. […] We see an indication for RFT if the results of botulinum toxin injections are unsatisfactory and one of the following: The status of the patient does not allow craniotomy and general anesthesia, a patient has a recurrence after MVD or the patient does not want to go under MVD after being informed that MVD is superior in the long-term results with a low rate of permanent complications.

• #49 Medications for Hemifacial Spasm | Aaron Cohen-Gadol, MD

  https://www.aaroncohen-gadol.com/en/patients/hemifacial-spasm/treatment/medications

  Hemifacial spasm (HFS) is a neurological condition that causes involuntary muscle contractions on one side of the face. […] The goal of medical management is to reduce the frequency and severity of facial spasms and improve your quality of life. […] Although medications may provide some relief, they are unlikely to cause a complete relief of hemifacial spasms. Surgery remains the only option for complete relief of spasms. […] It is important to note that these medications help to control symptoms but do not address the root cause of hemifacial spasms. […] If hemifacial spasms continue or worsen despite medical treatment, other treatment options such as surgery may be explored. […] Other natural and home approaches for managing hemifacial spasm include getting enough sleep, acupuncture, relaxation techniques, massage, facial and neck exercises, physiotherapy, and vitamin supplements. […] Work closely with your doctors to find the best treatments to manage your specific symptoms.

• #50 Medications for Hemifacial Spasm | Aaron Cohen-Gadol, MD

  https://www.aaroncohen-gadol.com/en/patients/hemifacial-spasm/treatment/medications

  Hemifacial spasm (HFS) is a neurological condition that causes involuntary muscle contractions on one side of the face. […] The goal of medical management is to reduce the frequency and severity of facial spasms and improve your quality of life. […] Although medications may provide some relief, they are unlikely to cause a complete relief of hemifacial spasms. Surgery remains the only option for complete relief of spasms. […] It is important to note that these medications help to control symptoms but do not address the root cause of hemifacial spasms. […] If hemifacial spasms continue or worsen despite medical treatment, other treatment options such as surgery may be explored. […] Other natural and home approaches for managing hemifacial spasm include getting enough sleep, acupuncture, relaxation techniques, massage, facial and neck exercises, physiotherapy, and vitamin supplements. […] Work closely with your doctors to find the best treatments to manage your specific symptoms.

• #51 Hemifacial Spasm – EyeWiki

  https://eyewiki.org/Hemifacial_Spasm

  While primary hemifacial spasms is not preventible, a more complete facial nerve recovery following lower motor neurone facial nerve injury or inflammatory facial palsy (Bell’s palsy) with optimal management may reduce the incidence of secondary HFS. […] Injection with botulinum toxin comprises this first line treatment for most patients. The efficacy approaches that of microvascular decompression with a much more favorable side effect profile. […] Surgery can be performed in primary HFS to distract the aberrant artery away from the seventh cranial nerve by placing a sponge between the vessel and nerve. This has been shown to be highly effective in experienced hands. However, the risk profile includes intracerebral hemorrhage, facial paralysis, deafness, and death. Thus, the benefits and risks must be appropriately weighed for each patient. It is used more often in refractory cases and the young.

• #52 Medications for Hemifacial Spasm | Aaron Cohen-Gadol, MD

  https://www.aaroncohen-gadol.com/en/patients/hemifacial-spasm/treatment/medications

  Hemifacial spasm (HFS) is a neurological condition that causes involuntary muscle contractions on one side of the face. […] The goal of medical management is to reduce the frequency and severity of facial spasms and improve your quality of life. […] Although medications may provide some relief, they are unlikely to cause a complete relief of hemifacial spasms. Surgery remains the only option for complete relief of spasms. […] It is important to note that these medications help to control symptoms but do not address the root cause of hemifacial spasms. […] If hemifacial spasms continue or worsen despite medical treatment, other treatment options such as surgery may be explored. […] Other natural and home approaches for managing hemifacial spasm include getting enough sleep, acupuncture, relaxation techniques, massage, facial and neck exercises, physiotherapy, and vitamin supplements. […] Work closely with your doctors to find the best treatments to manage your specific symptoms.

• #53 Medications for Hemifacial Spasm | Aaron Cohen-Gadol, MD

  https://www.aaroncohen-gadol.com/en/patients/hemifacial-spasm/treatment/medications

  Hemifacial spasm (HFS) is a neurological condition that causes involuntary muscle contractions on one side of the face. […] The goal of medical management is to reduce the frequency and severity of facial spasms and improve your quality of life. […] Although medications may provide some relief, they are unlikely to cause a complete relief of hemifacial spasms. Surgery remains the only option for complete relief of spasms. […] It is important to note that these medications help to control symptoms but do not address the root cause of hemifacial spasms. […] If hemifacial spasms continue or worsen despite medical treatment, other treatment options such as surgery may be explored. […] Other natural and home approaches for managing hemifacial spasm include getting enough sleep, acupuncture, relaxation techniques, massage, facial and neck exercises, physiotherapy, and vitamin supplements. […] Work closely with your doctors to find the best treatments to manage your specific symptoms.

• #54 Hemifacial spasm: a neurosurgical perspective in: Journal of Neurosurgery Volume 140 Issue 1 (2023) Journals

  https://thejns.org/view/journals/j-neurosurg/140/1/article-p240.xml

  Successful MVD is measurable not only by the relief of physical spasms, but also by improved quality of life and psychological disability scores. […] The psychological impact of HFS remains underappreciated, in part because patients often provide an impassionate description of physical symptoms during preoperative appointments. […] Attention to better informing patients and optimizing surgical outcomes should lead to a greater role for neurosurgery in the treatment and cure of HFS.

• #55 Hemifacial spasm: a neurosurgical perspective in: Journal of Neurosurgery Volume 140 Issue 1 (2023) Journals

  https://thejns.org/view/journals/j-neurosurg/140/1/article-p240.xml

  Hemifacial spasm (HFS) causes both physical and psychological disabilities that significantly impact quality of life. […] While there is an excellent potential for disease cure with microvascular decompression (MVD) surgery, utilization rates remain very low in North America (approximately 10%) and many patients are not adequately informed of this surgical option. […] Attention to better informing patients and optimizing surgical outcomes should lead to a greater role for neurosurgery in the treatment and cure of HFS. […] The aim of each treatment is to balance a reduction of the excessive muscle activity with drug-induced facial muscle weakness. […] SBIs do not alter the usual progression of HFS. […] MVD aims to alleviate culprit pulsatile vascular contact on the nerve in an atraumatic fashion and has the potential to cure HFS.

• #56 Hemifacial spasm: a neurosurgical perspective in: Journal of Neurosurgery Volume 140 Issue 1 (2023) Journals

  https://thejns.org/view/journals/j-neurosurg/140/1/article-p240.xml

  Successful MVD is measurable not only by the relief of physical spasms, but also by improved quality of life and psychological disability scores. […] The psychological impact of HFS remains underappreciated, in part because patients often provide an impassionate description of physical symptoms during preoperative appointments. […] Attention to better informing patients and optimizing surgical outcomes should lead to a greater role for neurosurgery in the treatment and cure of HFS.

• #57 Hemifacial Spasm in New York, NY | Dr. Raymond Sekula

  https://raymondsekulamd.com/conditions-we-treat/brain-tumors-and-conditions/hemifacial-spasm-new-york-ny

  Patients with a higher risk of developing hemifacial spasms should consult with a specialist like Dr. Sekula for early diagnosis and treatment to improve their quality of life. […] Don’t let hemifacial spasms dictate the rhythm of your life. With advancements in medical treatments and surgical interventions, relief is within reach. Whether you’re considering botulinum toxin injections or exploring the nuances of microvascular decompression surgery, take control of your health and seek comprehensive care today. Reach out to Dr. Raymond Sekula at The Neurological Institute of New York in New York, NY, and let us guide you on your journey to a life free from the challenges of hemifacial spasms.

• #58 Medications for Hemifacial Spasm | Aaron Cohen-Gadol, MD

  https://www.aaroncohen-gadol.com/en/patients/hemifacial-spasm/treatment/medications

  Hemifacial spasm (HFS) is a neurological condition that causes involuntary muscle contractions on one side of the face. […] The goal of medical management is to reduce the frequency and severity of facial spasms and improve your quality of life. […] Although medications may provide some relief, they are unlikely to cause a complete relief of hemifacial spasms. Surgery remains the only option for complete relief of spasms. […] It is important to note that these medications help to control symptoms but do not address the root cause of hemifacial spasms. […] If hemifacial spasms continue or worsen despite medical treatment, other treatment options such as surgery may be explored. […] Other natural and home approaches for managing hemifacial spasm include getting enough sleep, acupuncture, relaxation techniques, massage, facial and neck exercises, physiotherapy, and vitamin supplements. […] Work closely with your doctors to find the best treatments to manage your specific symptoms.

• #59 Endoscopic assisted microvascular decompression versus new antiepileptics and BOTOX in treatment of hemifacial spasm: a clinical trial | Egyptian Journal of Neurosurgery | Full Text

  https://ejns.springeropen.com/articles/10.1186/s41984-019-0070-7

  Endoscopic assisted microvascular decompression offers the best chance to permanent cure with low complication rate. […] New antiepileptics (levetiracetam, gabapentin) provide a safe therapy for patients refusing surgical intervention. […] Botox is an attractive local therapy with reversible complications but with non-sustainable effect. […] From our results, we conclude that endoscopic assisted microvascular decompression is superior to either BOTOX or antiepiletics for the permanent cure of hemifacial spasm. […] Endoscopic-assisted microvascular decompression of the facial nerve offers the best opportunity to permanent cure with low complication rate. […] The use of endoscopy gives the surgeon the capability of adequate mobilization of the offending vessel to ensure decompression of the root entry zone.

• #60 Endoscopic assisted microvascular decompression versus new antiepileptics and BOTOX in treatment of hemifacial spasm: a clinical trial | Egyptian Journal of Neurosurgery | Full Text

  https://ejns.springeropen.com/articles/10.1186/s41984-019-0070-7

  Levetiracetam and gabapentin are new antiepileptic drugs with anti-kindling effect and both show promising results in the control of hemifacial spasm with few side effects. […] Botox is an attractive local therapy with reversible self-limited complications most suitable for patients who refuse either surgery or medication. […] From our results, we conclude that surgical intervention is superior to either BOTOX or antiepiletics.

• #61 Endoscopic assisted microvascular decompression versus new antiepileptics and BOTOX in treatment of hemifacial spasm: a clinical trial | Egyptian Journal of Neurosurgery | Full Text

  https://ejns.springeropen.com/articles/10.1186/s41984-019-0070-7

  Endoscopic assisted microvascular decompression offers the best chance to permanent cure with low complication rate. […] New antiepileptics (levetiracetam, gabapentin) provide a safe therapy for patients refusing surgical intervention. […] Botox is an attractive local therapy with reversible complications but with non-sustainable effect. […] From our results, we conclude that endoscopic assisted microvascular decompression is superior to either BOTOX or antiepiletics for the permanent cure of hemifacial spasm. […] Endoscopic-assisted microvascular decompression of the facial nerve offers the best opportunity to permanent cure with low complication rate. […] The use of endoscopy gives the surgeon the capability of adequate mobilization of the offending vessel to ensure decompression of the root entry zone.

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