Ms. Yang, who lives in Linfen City, Shanxi Province, is 56 years old, suddenly appeared 5 years ago, the left corner of the eye twitching, there is a saying that “left eyelid jumping, good things come again”, so Ms. Yang even some “happy”. But the good thing did not wait, but the left eyelid is still jumping all the time. And gradually developed to the corners of the mouth and half of the face are beginning to twitch. I’ve been to a local Chinese medicine clinic for acupuncture treatment and Chinese herbal medicine, and I’ve tried a lot of ways without any relief. The patient’s question is: Is there any way to relieve the facial twitching and is there any way to cure the twitching? [Question Medical Answer]: There is no diagnosis yet. Five years after the disease, the left side of the eyes, the face and the corners of the mouth are mostly twitching. You have also done some acupuncture and taken herbal medicine and other treatments. From the symptoms you describe, it is mostly considered to be a facial muscle spasm. You can also go to the hospital to do a facial electromyography to further confirm the diagnosis. The first of the main treatments for facial muscle spasm is Botox. You can try it, but a Botox injection can last for 3 months to 6 months before it comes back and you need to continue the Botox. This method can relieve the facial twitching, but it cannot cure the facial muscle spasm. If you want to cure the facial twitching, you have to do the microvascular decompression surgery for facial twitching. And I just saw you add that on top of your MRI report, there is the involvement of blood vessels and facial nerve. The results of the MRI report may also indicate that you will have a significant result after the microvascular decompression surgery. The procedure is performed under general anesthesia, with a transverse incision of about 3 cm behind the affected ear, within the hairline, and a coin-sized hole in the skull. The area where the facial nerve travels is explored under the microscope, and all vessels and arachnoid strips that may produce compression are released and isolated from the nerve root with Tefflon spacers. The responsible vessels are isolated, the source of irritation disappears, and the hyperexcitability of the facial nerve is then eliminated. The entire procedure takes about two hours, and the majority of patients experience immediate disappearance of the facial spasm after surgery. And the normal facial sensation and function are preserved without affecting the quality of life, and the surgical cure rate reaches more than 95%.