Hemifacial spasm is often manifested as paroxysmal and involuntary muscle spasm on one side of the face. The convulsion starts from the eye and gradually expands downward, affecting the mouth and facial expression muscles. In severe cases, it can involve the ipsilateral neck muscles. Emotional tension can aggravate the symptoms and disappear during sleep, often accompanied by headache and tinnitus. Most of them have no positive signs of nervous system, and some of them have peripheral facial paralysis caused by long-term illness or injection of botulinum toxin. The time of attack is from several seconds to several minutes each time, and in severe cases, convulsions can occur all day long, even during sleep. It directly affects the work or study and mood of patients, and destroys their physical and mental health.
In addition to affecting face
, hemifacial spasm can also lead to other complications
.
Hemifacial spasm can also cause eyelid tonic contraction to make the palpebral fissure smaller, the mouth can continue to tilt to the affected side, taste loss or disappearance, dizziness, tinnitus, deafness, sweating, nasal congestion and other symptoms. Patients may also have complications such as trigeminal neuralgia.
This is because with the increase of human age, blood vessels bend and compress the facial nerve, which will cause demyelination changes when the facial nerve root is compressed, and then “short circuit” occurs between nerve fibers, resulting in abnormal convulsions of facial muscles.
Clinically, hemifacial spasm is treated with drugs, acupuncture or botulinum toxin and surgery (microvascular decompression).
1. Drug therapy is divided into two categories: the first category of antiepileptic drugs, such as carbamazepine and oxcarbazepine, has the effect of reducing central nervous reactivity, reducing facial nerve reactivity, and alleviating and relieving facial convulsions; The second class of B vitamins, such as mecobalamin, oryzanol, vitamin B1, B6, B12, have a certain role in nerve nutrition, remind: drug treatment can only alleviate, alleviate facial convulsions.
2, acupuncture or botulinum toxin treatment, directly on the face to do the operation, acupuncture is to cause a mild damage to the nerve, resulting in mild facial paralysis, do not beat; Botulinum toxin is the so-called cosmetic needle, similar to a closed role, the nerve closed naturally will not beat, the problem of these two treatments is that the control time is short, the effective time is not more than half a year.
3. Microvascular decompression (MVD) is the only method for radical treatment of hemifacial spasm. Find out the blood vessel that compresses the nerve under the endoscope or microscope, which is called the responsible blood vessel in medicine, and then separate the blood vessel from the nerve with nerve pad cotton. The facial nerve is no longer compressed, and the eyelid beating and mouth twitching will naturally be relieved.
Professor
Wang Jing’s microvascular decompression is performed under neuroendoscope, which has the following advantages:
1. The incision is small and the amount of bleeding is small.
2. Observing the relationship between nerves and blood vessels in all directions;
3. Close observation, leaving no responsible blood vessels;
4. Reduce postoperative complications;
Therefore, choosing a professional team and appropriate treatment methods can help patients with hemifacial spasm completely get rid of the disease and return to normal life.
