Recently, Director Yang Zhiquan of the Department of Functional Neurosurgery at Xiangya Hospital successfully performed minimally invasive microsurgery on an 81-year-old patient with facial muscle spasm, completely curing the patient’s persistent problem for more than 10 years. After careful care by the medical staff in the ward, the patient has now been discharged from the hospital with a smooth recovery. Although the facial spasms are not life-threatening, the unrelenting facial twitching is painful for Grandma Dai, who is 81 years old. “I’ve been suffering from facial spasms for 10 years and can’t stand it anymore. No matter what the situation is, please help me with surgery to cure it”, Grandma Dai, who lives in Changsha, asked the functional neurosurgery specialists at Xiangya Hospital for help. Yang Zhiquan, director of the Department of Neurosurgery at Xiangya Hospital of Central South University After receiving the patient, Yang Zhiquan, director of the Department of Functional Neurosurgery, carefully analyzed the patient’s condition and found that the root of the facial nerve was compressed by blood vessels in the MRI examination of the head. In general, patients of such an advanced age, the disease itself does not pose a threat to life, and the family and doctors have many concerns about the sequelae of surgery. There is no precedent in Hunan province and very few reports of such an advanced age patient in China. Considering the patient’s strong desire for radical surgery, Director Yang led his team to make adequate preoperative preparations for the patient, formulate a thorough surgical plan, anesthesia and perioperative treatment plan for Grandma Dai, and decided to perform minimally invasive microsurgery on her. Director Yang and attending surgeon Yang performed a minimally invasive surgery to decompress the facial nerve and the responsible vessels, and to minimize trauma and shorten the operation time. The operation went very smoothly, and there was no bleeding in the brain tissue during the operation, with less than 20 ml of bleeding throughout the procedure, which took only one hour. Immediately after the operation, the patient’s facial muscle spasm disappeared completely, and his reaction was very mild, with only a slight headache. Although the patient and her family were very nervous, the medical team in the ward took good care of her and Grandma Dai recovered very quickly and was discharged home only 4 days after the operation. “Your exquisite medical skills cured my persistent disease and I can live to be 120 years old”, Grandma Dai’s family gave a thumbs up to the medical staff and went home happily. Microsurgery is the most effective way to treat facial muscle spasm and the only way to cure it. Director Yang introduced that the implementation of microvascular decompression for facial muscle spasm in patients over 80 years old is the first of its kind in Hunan Province, and although our team has more than 1500 cases of successful experience, the patient’s advanced age and decline in organ function require extremely high requirements for surgery, anesthesia and perioperative treatment, and any small fluctuations can be This is a challenge for the whole team. It is reported that Yang Zhiquan, director of functional neurosurgery at Xiangya Hospital, has successfully performed microvascular decompression for trigeminal neuralgia, facial spasm, and glossopharyngeal neuralgia in more than 1,500 patients, with no surgical deaths and a cure rate of more than 92%, with results reaching a national leading level. This year, the team has performed nearly 500 such procedures, and the scale of treatment and results are far ahead in the central and southern regions.