How is facial nerve spasm treated?
Disease description:
Recently, I have been constantly experiencing facial twitching. According to online sources, this is called facial nerve spasm. I would like to ask, how is facial nerve spasm treated?
Doctor's answer (1)
Dr. Fan Cungang
Facial nerve spasm, also known as facial myokymia or hemifacial spasm, is mainly characterized by involuntary contraction and twitching of facial muscles, usually caused by vascular compression at the root of the facial nerve. Treatments for facial nerve spasm include:
1. Medication: In the early stages, antiepileptic drugs such as carbamazepine and baclofen may be tried to reduce nerve excitability and alleviate symptoms.
2. Physical therapy: Includes physical modalities such as ultrashort wave therapy, low-to-medium frequency electrical stimulation, laser therapy, and drug iontophoresis, which can improve blood circulation, control the progression of inflammation, and aid in the recovery of nerve function.
3. Surgical treatment: When medication proves ineffective, microvascular decompression of the facial nerve or facial nerve blockade procedures may be considered.
4. Radiation therapy: For high-risk patients unsuitable for surgery, stereotactic radiosurgery can be used to destroy the blood vessels compressing the facial nerve using high-energy radiation.
In addition, it is recommended to eat more fresh vegetables, fruits, whole grains, legumes, fish, and other healthy foods. Maintaining a positive mood, balancing work and rest, and ensuring adequate sleep are also important. Reduce external stimuli by avoiding prolonged television or computer screen time, and limit exposure to ultraviolet light appropriately.
