If facial spasm is diagnosed, is surgery the only treatment? For every patient diagnosed with facial myospasm may have such a question, the director of neurosurgery department of Shanxi Provincial People’s Hospital, Ma Jiuhong, gives the following answers for your reference, if diagnosed with facial myospasm, there are generally several options, no treatment, conservative treatment and surgery. Facial muscle spasm is not treated According to the patient’s wishes, it can be left untreated if it does not affect normal life. Facial muscle spasm will not affect the patient’s life cycle in the absence of treatment, except for the development of the disease itself, the twitching is more serious. This is not to say that facial muscle spasm has no impact, the main danger of facial muscle spasm is that frequent seizures can make the patient’s mind restless, irritable, irritable, insomnia, and even facial muscle atrophy. One face is big and one face is small, making one’s face problem more serious, thus affecting life, work and study, without treatment, a vicious cycle will be formed. If the patient is engaged in some work that requires attention to focus, such as drivers, etc., they should be treated in time to avoid affecting their own safety. Conservative treatment of facial muscle spasm There are generally two ways of conservative treatment of facial muscle spasm. One is medication and the other is botulinum toxin injection treatment. Patients with facial muscle spasm can get good relief by taking drugs such as carbamazepine at the beginning of the disease, but the effect of the drugs will decrease as time goes on. Long-term medication carbamazepine has certain side effects, patients should be regularly checked liver and kidney function. Botulinum toxin injections can treat facial muscle spasms, but cannot achieve a cure. a-type botulinum toxin is injected into the face to produce muscle relaxation paralysis of motor nerve endings and achieve the purpose of relieving spasms. a-type botulinum toxin also only controls facial muscle spasms, one injection can be maintained for three months to six months, multiple injections of botulinum toxin will produce facial paralysis sequelae, even after Even if the facial muscle spasm is cured by surgical treatment, it is difficult to eliminate facial palsy. All blood vessels that may be compressing the facial nerve are separated and spaced with a special material. When the compression is removed, the source of irritation disappears, and the hyperexcitability of the facial nerve disappears. Unlike traditional craniotomy, microvascular decompression surgery is minimally invasive and has the advantages of high safety, less bleeding, and fewer complications. In more than 90% of patients, the twitching disappears immediately after surgery, and in some patients, the twitching gradually disappears within 6 months after surgery.