Hemifacial spasm treatment [Neurosurgery Wiki]

This page is read only. You can view the source, but not change it. Ask your administrator if you think this is wrong.

====== Hemifacial spasm treatment ======

{{rss>https://pubmed.ncbi.nlm.nih.gov/rss/search/1RukBFKPvab1Owpt9CZOh_loua3NLZodzFC4IO8DV9pJHcCA_t/?limit=15&utm_campaign=pubmed-2&fc=20221213023052}}

===== Medical management =====

[[Hemifacial spasm]] is generally a surgical condition. Early, mild cases may be managed expectantly. 

[[Carbamazepine]] and [[phenytoin]] are generally ineffective, unlike the situation with the causally similar condition of trigeminal neuralgia. 

Local injection of [[botulinum toxin]] (Oculinum®) may be effective in treating HFS and/or blepharospasm.

[[Baclofen]] has been advocated but is not very effective.
----


As a treatment for [[hemifacial spasm]], [[microvascular decompression]] and [[botulinum toxin]] injection have been shown to be highly successful. [[Anticonvulsant]] drugs relieve HFS in some patients; however, the use of such drugs is limited owing to their side effects, predominantly in elderly patients.

see [[Levetiracetam for hemifacial spasm]].

[[Botulinum toxin]] can be useful by alleviating the symptoms, but the effects are inconstant and only transient. 

===== Surgery =====

see [[Hemifacial spasm surgery]].