Treatment of hemilic

spasm

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Hemilic facial spasm is a disorder characterized by paroxysmal involuntary twitching of the muscles of the half of the face innervated by the facial nerve of the affected side.

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Types and causes
Depending on the cause, hemilic spasm can be primary or secondary. In 97% of cases of primary hemilic spasm, the cause is a nearby artery, which pulsates, periodically irritating the nerve, which causes spasm of facial muscles. Secondary hemilic spasm develops due to other diseases or conditions, such as:

  • trauma
  • Bell's palsy or idiopathic (of unknown origin) facial paralysis
  • brainstem lesions, such as multiple sclerosis, stroke
  • arteriovenous anomalies, intracranial arterial aneurysms, arterio-venous fistula, angiomas
  • infections of the mammary gland and ear (otitis media, cholesteatoma)
  • parotid tumors
  • Arnold-Chiari anomaly and other structural anomalies of the posterior cranial fossa.
Symptoms
In the initial stages of primary hemilic spasm, twitching of the circular muscle of the eye is characteristic, possibly even to its involuntary closure. As the disease progresses, the spasm spreads to the lower muscles (circular muscle of the mouth, chin, subcutaneous muscle of the neck). Also, after a long course of the disease, it is possible to form muscle contracture of the affected side of the face, keratitis with the transition to pain in the eye with loss of vision, the formation of saliva from the corner of the mouth with permanent loss of saliva.

The slightest irritation, emotional fluctuations, eating, talking can provoke spasms.

In secondary hemilic spasm, as a rule, twitching occurs immediately in both the upper and lower part of the face.
Diagnosis
In the presence of the above symptoms, you should first seek the advice of a qualified specialist to confirm and clarify the diagnosis, clarify the cause with MRI in special modes. Secondary hemilic spasm requires treatment of the actual primary disease that led to its occurrence.
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More information about the diagnosis can be found at the link HEMILIC SPASM
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To pre-register for a consultation, you can contact the COORDINATOR of the clinic at any convenient time!
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When applying to our clinic, it is desirable to have:

MRI scans, doctor's opinion, tests

TEAM
VOLODYMYR FEDIRKO
Doctor of Medical Sciences, head of department
Work experience: 32 years
PETRO ONISHCHENKO
Candidate of medical sciences, Doctor-neurosurgeon
Work experience: 34 years
OLEXANDR LISYANYI
Doctor of Medical Sciences, Doctor-neurosurgeon
Work experience: 26 years
ANDRIY NABOYCHENKO
Doctor-neurosurgeon

Work experience: 12 years

TESTIMONIALS

Sholina Ksenia
4 years have passed, and our whole family remembers with the same trepidation the miracle that the dear Vladimir Olegovich did for us. When everyone refused, he took and saved my life ...
Bilda Valentyn
I would like to thank my savior, Fedirko Vladimir Olegovich and the entire team for the removal of subtentorial neurooncology. Separately, I thank my guardian angel, Oksana, who did not leave me, day and night.
Kutovaya Elena
Low bow to all the medical staff, especially Vladimir Olegovich Fedirko. In 2012, my mother was operated on with a diagnosis of trigeminal neuralgia. We arrived in Kiev without even a referral and Vladimir Olegovich heard us and appointed the day of the operation.
Maltseva Victoria
Our family is truly grateful to Vladimirovich Olegovich and the entire team of the clinic for their professional work. Behind this familiar "thank you" is actually an ocean of our and my mother's hopes, worries, fears, sleepless nights ... We have never regretted our decision. Thank you.
Andriychuk Viktoria
Thanks for the golden hands and invaluable knowledge to Vladimir Olegovich Fedirko, as well as to the entire team of the clinic! After a successfully and professionally performed surgery in 2014, this year I became a mother!
ABOUT US
Institute of Neurosurgery
The Clinic of Subtentorial Neurooncology of the Institute of Neurosurgery was founded in 1988 as a subdivision of the Department of Neurooncology of the Institute of Neurosurgery named after A.P. Romodanova
Best Neurosurgeons
Every year the clinic staff performs more than 500 complex operations at a modern, highly professional level
Complex Operations
Treatment of neurosurgical diseases of the posterior fossa, brainstem, craniobasal localization, cranial nerves and other complex localizations
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WHAT DO WE OFFER?
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We are always ready to study in detail your case in the initial examination mode in inoperable hours.
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Do you already know that your case is operable? Then we are waiting for you in our office at the initial inspection.
Accompaniment
After treatment, our patients remain under supervision for life.
When applying to our clinic, it is desirable to have:

MRI scans, doctor's opinion, tests

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