Many friends can’t tell what facial muscle spasm and facial palsy are, and always treat them as one disease, but in fact they are two completely different diseases. 1, the cause is different facial muscle spasm it is due to the facial nerve stimulated by microvascular compression and a series of changes, facial palsy it is due to the facial nerve appeared some factors, such as tumors, trauma, inflammation and other symptoms caused by paralysis. 2, the symptoms are different facial muscle spasm it is manifested as facial expression muscle involuntary jumping, irregular twitching, while facial palsy it is due to facial nerve damage resulting in the loss of innervation of facial muscles can not move, facial expression muscle paralysis. 3, the course of the disease is different Our common facial palsy, its symptoms appear more suddenly, while facial muscle spasm its symptoms appear from light to heavy, there is a process. The treatment of facial muscle spasm and facial palsy is different. Facial palsy should be treated according to different causes, and most of our treatment is based on medication, physical therapy, herbal medicine and acupuncture. The best way to treat facial muscle spasm is to release the compression of blood vessels on nerve roots, and manifest microvascular decompression can have a curative effect.