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

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===== 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.
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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]].