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What are the treatment options for hemifacial spasms?

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Quick Answer

Treatment options for hemifacial spasms include serial botulinum toxin injections, anticonvulsants, and microvascular decompression, as stated by the Department of Neurological Surgery at the University of Pittsburgh. Serial botulinum toxin injections and anticonvulsants are nonoperative treatments, while microvascular decompression is an operative treatment option.

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Full Answer

Botulinum toxin injection takes advantage of the weakness of the treated facial musculature to stop the spasms. Microvascular decompression addresses the assumed cause of hemifacial spasms, and it is an effective and durable treatment. Doctors recommend microvascular decompression for patients who do not respond to botulinum toxin injection. However, it has several side effects, such as stroke and cranial nerve injury. Anticonvulsants tend to be ineffective in treating the condition, according to the Department of Neurological Surgery at the University of Pittsburgh.

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