As the saying goes, “the left eye jumps for money, the right eye jumps for disaster”. 63-year-old Pujiang’s Ms. Zhang began to have right eyelid fluttering 2 years ago, and at first she was worried about what bad luck would befall her, but as a result, other bad luck was not, but the eyelid fluttering became more and more frequent, and gradually developed to the corners of the mouth half of the facial twitching, often even open eyes are very difficult, but in the During the interictal period, there was no abnormality. The worst thing was that when Ms. Zhang saw strangers she would twitch involuntarily, and it would become more obvious when she was tired or emotionally stressed, which seriously affected her normal life and became her real bad luck. Finally, she went to the local hospital and was diagnosed with facial muscle spasm. But the treatment experience was even longer and more arduous, from Pujiang to Hangzhou, from Hangzhou to Shanghai, what western medicine, Chinese medicine, acupuncture have all tried, the condition not only did not see improvement, but also the trend of aggravation, and finally turned to the Zhejiang Tongde Hospital, deputy director of neurosurgery Dr. Wu Ye. According to Dr. Wu Ye, Ms. Zhang is suffering from primary facial muscle spasm, which is caused by the compression of the facial nerve out of the brainstem by abnormal traveling blood vessels, with the pulsation of the blood vessels, stimulating the facial nerve and muscle twitching and jumping, can not be self-healing, and with the growth of age, the more tortuous blood vessels, the nerve compression slowly aggravated, the symptoms of twitching is often gradually aggravated. There are three main treatment methods: 1, drug therapy. Commonly used carbamazepine, etc., the efficacy is mostly poor; 2, botulinum toxin injection. The mechanism is to artificially paralyze the facial muscles with botulinum toxin, although the symptoms of facial muscle spasm can be eliminated within a certain period of time, but generally 3-6 months relapse, repeated injections are required, the effect gradually fades, and often despite the muscle has been paralyzed patients still feel that the facial muscle twitching, is a cure for the symptoms but not the root cause; 3, microvascular decompression surgery. It is currently the internationally recognized method of choice for the treatment of primary facial muscle spasm, with a postoperative efficiency of more than 90%, and the entire operation is performed under a microscope, requiring high microsurgical skills. Before surgery, only a small amount of hair behind the ear is shaved, an incision of about 6 cm and a small bone window of 2.5-3 cm in diameter is made, the blood vessels compressing the facial nerve are found, the relevant vessels are separated from the nerve, and appropriate material is placed between them. The surgery is safe and very few patients will have complications such as facial palsy, tinnitus and hearing loss to varying degrees after surgery, and they can basically recover gradually. In conclusion, microvascular decompression of the facial nerve is the only method that can cure primary facial spasm with good efficacy and high safety factor, and most patients can be cured. However, botulinum toxin injection therapy is still recommended for patients with contraindications to surgery. After listening to the introduction, Ms. Zhang decisively chose to perform the surgery to say goodbye to facial muscle spasm completely. Dr. Wu Ye, the deputy chief surgeon, performed a microvascular decompression surgery for her, with the aid of advanced neurophysiological monitoring, and achieved satisfactory results after the surgery, and she finally got rid of the “bad luck” that had accompanied her for two years.