Q: My friend’s eyes have been jumping for several months, it is likely to be facial spasm, ask the doctor if acupuncture can be treated? A: If your friend is diagnosed with facial spasm, it is best not to have acupuncture, because the disease itself is afraid of stimulation, sometimes acupuncture will aggravate the disease, some people see results at the time, but later relapses will be powerful. In addition to taking carbamazepine or phenytoin sodium these anti-sedative anti-epileptic drugs only control, and long-term taking side effects are also very big, dependence is also relatively strong. The botulinum toxin type A is also only controlled, usually a shot can control the longest one year, or six months to three months, long time injection will produce resistance, and because the botulinum toxin type A only paralyzes the facial nerve caused by artificial facial paralysis, so at the time after playing facial muscle spasm will be controlled. However, patients who have been injected for a long time will have more or less facial paralysis. Microvascular decompression – the only radical cure for facial muscle spasm In 1967, Professor Jennatta of the United States pioneered microvascular decompression for facial muscle spasm. It has been more than 30 years since this technique was introduced and carried out in China in the 1980s. With the increasing number of surgical cases and the accumulation of experience, the surgical technique has been improved day by day. At present, it has become a common method of neurosurgery internationally for the radical treatment of facial spasm. The advantage is that the facial nerve can be preserved while the local vascular compression is removed. The procedure is performed under a microscope with a 3-5 cm transverse incision in the hairline behind the ear and a bone hole of about 1.5 cm in diameter. Under the microscope, the hole is passed through the bone, and electrophysiological detection is used to find the responsible blood vessel that is compressing the nerve, and without damaging the nerve or blood vessel, the blood vessel is pushed away from the nerve root, and the blood vessel is padded with a special material called “teflon pad cotton”, thus releasing the nerve root from compression and curing the facial muscle spasm. After the surgery, no medication is needed and the stitches can be removed after one week of hospitalization. The effect of surgery: it can completely cure the facial muscle spasm, and there is almost no recurrence for life, which is much higher than other treatments. The cure rate of microvascular decompression surgery performed by Dr. Ren Jie of Beijing Sanbo Brain Hospital is over 95%. The surgery is performed in the narrow space between the brainstem, cerebellum and skull wall, and there is no damage to the brain tissue, nerves and blood vessels, so the safety of the surgery is quite high. Surgery time: about 1 hour, can be discharged in a week Minimally invasive surgery: the surgical incision is about 5CM, the bone window is about 2CM Surgery cost: the total cost is about 20~30,000 Surgery incision: the scar of the surgery is small, only 3~5cm long, and the scar is hidden inside the hair, which does not affect the beauty at all. Complications of surgery: There are certain risks in any surgery. The main complications of microvascular decompression are hearing loss and facial sensory loss, but with the improvement of microsurgery technology, the incidence of these complications is very low in large neurosurgical medical institutions, and except for hearing loss (incidence of about 1%) which is difficult to recover, most of the symptoms of cranial nerve injury are mild and can mostly be recovered gradually. The chances of serious complications such as death from microvascular decompression are similar to those of appendicitis surgery. Choosing an experienced specialist to perform the procedure is an effective guarantee to reduce complications.