Treatment of hemilic


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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.
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.
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.
More information about the diagnosis can be found at the link HEMILIC SPASM
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Doctor of Medical Sciences, head of department
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Candidate of medical sciences, Doctor-neurosurgeon
Work experience: 34 years
Doctor of Medical Sciences, Doctor-neurosurgeon
Work experience: 26 years

Work experience: 12 years


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When applying to our clinic, it is desirable to have:

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