Patient: The right side of the face twitches irregularly, and the mouth and eyes follow the skewed Acupuncture, injections have been closed, and herbal medicine have no significant effect. What is the best treatment method and what is the success rate of surgical treatment? Jin Lingjing, Department of Neurology, Shanghai Tongji Hospital: In your case, after excluding secondary facial spasms, there are roughly three types of treatment options that can be tried: 1. local injection of botulinum toxin, which is easy to operate and can effectively control the symptoms of facial spasms in the majority of patients, with the disadvantage of receiving treatment every 3-6 months; 2. microvascular decompression therapy, which is performed 2, microvascular decompression therapy, magnetic resonance imaging of the facial nerve and microvascular imaging of the brainstem root, if found local microvascular compression of the facial nerve root, you can take this approach, the disadvantage is the need for craniotomy, the success rate is generally higher; 3, you can also try some western drugs under the guidance of doctors, such as “carbamazepine”, starting from a small dose gradually Increase the dose, for some patients effective, but be alert to adverse drug reactions.