Patient consultation: At first, it started with eye jumping, but later it developed into frequent twitching at the left corner of the mouth, dry eyes, and crooked eyes when talking, eating, and laughing, which is very embarrassing and uncomfortable. Please give me some advice on treatment. Do I need to see a doctor? What should I do to prepare for the consultation? I’ve had acupuncture and herbal medicine, but to no avail. Is it one side of the face that is throbbing? Do you have frequent episodes? If it is facial muscle spasm, and affects the life and work can be treated surgically. Have you had an MRI of the relationship between blood vessels and facial nerves? If not, we suggest you to visit our clinic directly. Knowledge link: Why MRI for facial spasm? MRI for facial spasm includes MRTA (magnetic resonance imaging cerebrovascular angiography). Primary facial spasm is mostly caused by vascular compression in the brainstem region of the facial nerve. For patients with facial spasm, MRTA can better show the relationship between the facial nerve and the responsible blood vessels, which is necessary for the selection of treatment and prediction of the efficacy. The common intracranial vessels that compress the facial nerve are: anterior inferior cerebellar artery posterior inferior cerebellar artery superior cerebellar artery, vertebral artery, and basilar artery Facial spasm is not only caused by pulsatile compression of the artery, but also by compression of the facial nerve by a single vein.