Hemifacial spasm is usually a chronic condition. Remission of symptoms, although possible, has only been noted to occur in less than 10% of patients.
Talk with your doctor about the best treatment plan for you. Treatment options include:
is often used initially, with improvement in symptoms in up to half of patients who are treated.
- According to the Food and Drug Administration (FDA), patients of Asian ancestry who have a certain gene, called HLA-B*1502, and take carbamazepine are at risk for dangerous or even fatal skin reactions. If you are of Asian descent, the FDA recommends that you get tested for this gene before taking carbamazepine. If you have been taking this medicine for a few months with no skin reactions, then you are at low risk of developing these reactions. Talk to your doctor before stopping this medicine.
—These may also be beneficial for treating hemifacial spasm in some patients.
Botulinum Toxin Injections
(ie, Botox) into the affected muscles can stop eyelid spasm for several months. These injections must be repeated, usually several times a year.
Botulinum toxin injections are the treatment of choice.
Microvascular decompression surgery repositions the blood vessel away from the nerve. This is successful in cases of hemifacial spasm where the cause is suspected to be a blood vessel compressing the facial nerve.