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Related Experiment Video

Updated: Apr 8, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

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Published on: March 1, 2015

Hemifacial spasm: The past, present and future.

Neera Chaudhry¹, Abhilekh Srivastava¹, Laxmikant Joshi¹

¹Department of Neurology, GB Pant Institute of Postgraduate Medical Education and Research, India.

Journal of the Neurological Sciences

|June 27, 2015

Summary

Hemifacial spasm causes involuntary facial twitches, impacting quality of life. Botulinum toxin injections and surgical decompression are effective treatments for this condition.

Keywords:

Botulinum toxin therapy Differential diagnosis Hemifacial spasm Movement disorder Pathogenesis Review Surgical treatment

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Area of Science:

Neurology
Ophthalmology

Background:

Hemifacial spasm involves unilateral facial muscle contractions.
It can significantly impair vision and quality of life due to social distress.

Purpose of the Study:

To review current therapeutic options for hemifacial spasm.
To highlight the efficacy of botulinum toxin and surgical decompression.

Main Methods:

Literature review of hemifacial spasm treatments.
Analysis of noninvasive and surgical therapeutic approaches.

Main Results:

Botulinum toxin therapy is a well-established noninvasive treatment.
Surgical decompression of aberrant blood vessels is an emerging therapeutic option.

Conclusions:

Both botulinum toxin and surgical decompression offer viable treatment pathways.
Addressing hemifacial spasm can improve patient's functional vision and social well-being.