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Hemifacial Spasm

A nerve disorder featuring involuntary contractions of facial muscles on one side.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Nöroloji department. Book Appointment →

What is Hemifacial Spasm?

Hemifacial spasm develops when the facial nerve is compressed at its exit from the brainstem, usually by a blood vessel. Over time, involuntary, intermittent contractions appear on one side of the face. Initially limited to the area around the eye, spasms may spread to the face, lip, and neck.

The disease is generally seen in middle age and older, and is slightly more common in women. It worsens with stress, fatigue, and during speech; it may even continue during sleep.

Diagnosis is made with clinical and imaging findings; brain MRI is necessary to investigate neurovascular compression and other causes. Botulinum toxin injections are the most effective treatment option.

Symptoms

Involuntary twitches starting around the eye
Spasms spreading to one side of the face
Spasms increasing with speech and excitement
Involuntary closure of the eyelid
Involuntary pulling of the corner of the mouth
Cosmetic and social anxiety
Movements continuing even during sleep

Risk Factors

Vascular-nerve contact anomaly
Middle to advanced age
Female gender
History of Bell's palsy
Multiple sclerosis
Pontine lesions
History of trauma or surgery

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If there are involuntary twitches on one side of the face
  • If the eyelid intermittently closes
  • If complaints disrupt daily life
  • If social anxiety and depression have developed
  • If symptoms show progressive features

Treatment Methods

01
Botulinum toxin injection
02
Antiepileptics (carbamazepine, gabapentin)
03
Muscle relaxants
04
Microvascular decompression surgery
05
Stress management and relaxation techniques
06
Support and psychosocial counseling

Which Department to Visit?

You can visit our Nöroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.