How do you diagnose a facial spasm? Under which circumstances would surgery be required?

On-line workstation with Professor Wang Zhou, an expert in cranial neurosis, there was a patient’s message: “At times three years ago, I felt that the left eye beads were jumping, and then the eye beaks were beating for some time, and the twitching of the eye and mouth horns last August to the present (9 months) last year, were getting worse, the ticking of the time ears, the discomfort, the increase in the condition of cold, the mood of other diseases, the interruption of the acupuncture for more than three months without effect, and, according to the current information, could it be diagnosed as a facial spasm? What should I do?”

Prof. Wang Chong: First of all, from the description of the patient ‘ s current symptoms, it can only be said that for the time being it looks more like a facial spasm, but it cannot be diagnosed. Clinically, the diagnosis of facial convulsions requires clinical assessment of the clinical performance of the patient; second: in the case of a disease, a fascism is a half-faced convulsion, inoperable, insemination, in which 80 per cent of the patients begin with eye graft, starting with the eye, gradually evolving towards the face-face, with a convulsion likely to increase in the case of emotional stress; third: there are three methods for the treatment of a fascoid convulsion: 1. The medication consists of Qamasipine, Ocasipine, and trophic nerve vitamin B, cobalt-methamphetamine or cereal, with a relative difference in the effect of the drug; 2. The problem of acupation or botulinum treatment is that the control time is relatively short, not more than two and a half months; 3. Microvascular pressure reduction, with the neural, the neural and an intermediate ducting of the nerve, to treat the disease.

In addition to clinical symptoms, a facial spasm requires MRI, a three-dimensional reconstruction to clarify the neurological-vascular relationship.

How far does the facial acreage go to require surgery?

The aerobic convulsions are not self-rehabilitating, and if they are not actively treated, the course of the disease progresses; they also affect the social image or lack of proof of the patient ‘ s eyes, the functional blindness and the deterioration of the patient ‘ s quality of life, in which case surgical treatment is considered.