The facial twitching symptoms that had been torturing him for more than a year finally disappeared. Although he suffered a little bit from the surgery, Mr. Xie, 56, was relieved and glad that his face was finally back to normal. When this reporter interviewed Mr. Xie’s neurosurgery director, Mr. Peng Zhiqiang, at the district Chinese hospital, it so happened that another patient with the same symptoms and cause as Mr. Xie had just finished the hospitalization procedure. The director said that both of them had facial muscle spasms caused by the compression of the facial nerve by the cerebral blood vessels, and microvascular decompression is the best way to treat such diseases. Mr. Xie has always felt baffled by his illness. One day last year, the left side of his face started twitching without any warning, and then the frequency of these involuntary twitches increased and the range of twitching increased, which seriously affected his normal life. Other than that, Mr. Xie, who was always in good health, did not have any abnormalities. When he went to the hospital, the neurosurgeon diagnosed this symptom as left-sided facial muscle spasm. According to Director Peng, facial muscle spasm is characterized by episodic and recurrent involuntary twitching of the facial muscles. The majority of facial muscle twitches are limited to one side, often occurring first in the eyelid, similar to eyelid jumping, and then gradually expanding in scope, mostly spreading to other facial muscles, the corners of the mouth, and up to the broad neck muscles after a few months. Before the attack, there is no aura, and the attack is characterized by rapid and frequent muscle twitching for a few seconds to a few minutes each time, and everything is as normal during the interval. In order to cure his disease, Mr. Xie went to the hospital a lot. In order to exclude the possible factors that may lead to this symptom such as tumor compression, the doctors of the district Chinese hospital did a series of examinations for Mr. Xie such as cranial CT, but no abnormalities were found. At the same time, Mr. Xie also went to a number of hospitals inside and outside the district, but the diagnosis was the same. The diagnosis was the same. He ate a lot of Chinese medicine and western medicine, and had several courses of acupuncture, but the symptoms of facial twitching did not improve, but became more serious. The first time I heard that surgery is more effective in treating this kind of disease, Mr. Xie finally made up his mind to seek surgical treatment at the District Hospital of Traditional Chinese Medicine. After eliminating other possible causes of facial twitching, Director Peng Zhiqiang basically determined that Mr. Xie’s facial muscle spasm was caused by cerebral blood vessels pressing on the nerves. According to the report, most patients with facial muscle spasm, also known as primary facial muscle spasm, are affected by abnormal vascular compression of the facial nerve roots in the pontine section (the section of the facial nerve just emanating from the brainstem), causing demyelination of the facial nerve, resulting in a current “short circuit” between nerve fibers and triggering facial muscle twitching. A large number of clinical practices have shown that once the compression of the nerve root by the blood vessel is removed, the facial muscle spasm can be stopped immediately or gradually. In addition to facial spasms caused by compression of the facial nerve, abnormal blood vessels may also cause trigeminal neuralgia caused by compression of the trigeminal nerve, and pain in the glossopharyngeal nerve caused by compression of the glossopharyngeal nerve. The principle and method of treatment for these diseases are basically the same, mainly by “isolating” the direct compression of the nerve by the blood vessel, reducing or even relieving the irritation of the nerve caused by the pulsation of the blood vessel, thus relieving the symptoms. Although there are certain risks associated with this type of surgery, the clinical technique is now very mature and the cure rate can reach 90% to 95%. The surgeon made a 2-3 cm hole in the cranial shell behind Mr. Xie’s ear with a milling knife, separated the adherent vessels and nerves under direct microscopic vision, fixed a small gauze-like spacer between the tightly attached vessels and the facial nerve, and then closed the cranial bone and the incision. As the pulsation of the blood vessel no longer stimulated the nerve frequently, Mr. Xie’s facial twitching symptoms improved significantly after the surgery. Director Peng said that since the cause of facial twitching is intracranial, the disease can only be cured by treating the root of the disease. Microvascular decompression is currently an effective method to cure facial spasm. Patients with blepharospasm and facial myospasm should choose the right treatment to avoid unnecessary financial costs and new pain.