How is facial nerve spasm treated?

Facial nerve spasm, also known as hemifacial spasm, can primarily be treated through the following methods:

1. Medication: Commonly used drugs include antiepileptic and sedative medications such as carbamazepine, oxcarbazepine, clonazepam, and gabapentin. These medications can effectively relieve the twitching symptoms of the facial muscles. Additionally, nerve-nourishing medications such as methylcobalamin and vitamin B12 are often used as adjunctive therapies.

2. Surgical treatment: When medication and botulinum toxin injections fail to effectively alleviate symptoms, surgical intervention may be considered. Microvascular decompression of the facial nerve is currently regarded as the most effective surgical treatment. This procedure achieves a curative effect by relieving vascular compression on the facial nerve. The surgical technique is well-established, relatively simple to perform, and associated with low risk.

3. Daily management: Patients should maintain a balanced diet and consume more foods rich in B vitamins in daily life. They should ensure adequate sleep and maintain a pleasant mood, reduce external stimuli such as avoiding prolonged television or computer use, keep warm, and avoid washing the face with cold water. Appropriate physical exercise should be performed to enhance physical health.

In addition, maintaining a regular lifestyle and avoiding excessive fatigue can also help improve symptoms.