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What Is The Cause And Treatment Of Hermifacial Spasm?

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Posted on Mon, 8 Sep 2014
Question: what is the cause and the treatment of hermifacial spasm
doctor
Answered by Dr. Sudhir Kumar (50 minutes later)
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


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (15 hours later)
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?
doctor
Answered by Dr. Sudhir Kumar (2 hours later)
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)


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6231 Questions

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What Is The Cause And 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