The main clinical manifestations of facial myoclonus are: paroxysmal, rhythmic twitching, spasm or tonicity of the lateral muscles, rarely bilateral involvement, no other abnormalities in the neurological examination, aggravated by emotional excitement or tension, and in severe cases, difficulty in opening the eyes, distorted corners of the mouth and tinnitus or pulsating murmur in the ears. Typical symptoms At the initial stage of facial myoclonus, it is mostly manifested as intermittent twitching of the orbicularis oculi muscle, i.e. “corner jumping”. As the disease progresses, it gradually spreads to other facial muscles (orbicularis oris and facial expression muscles) on the face, and may even involve the ipsilateral broad neck muscles, with the twitching of the orbicularis oris muscle being the most obvious. In severe cases, facial pain, difficulty in opening the eyes, distortion of the corners of the mouth and pulsating murmurs in the ears may occur. A small number of patients may have mild paralysis of the facial muscles in the late stage of the disease. The degree of twitching varies from a few seconds to more than 10 minutes, with intermittent periods. At the beginning of the disease, the convulsions are light and the interval is long; as the symptoms increase, the interval is gradually shortened. The twitching increases when the patient is tired, excited or nervous, or when the face moves on its own (e.g., forceful eye closure, cheek puffing, etc.), and stops after falling asleep. Concomitant symptoms Individual patients have headache, tinnitus, deafness, auditory allergy, facial vasodilator disorder, etc. Because facial spasm affects vision, hearing and sleep, some patients may show anxiety and depression. How to treat facial spasm? Facial myasthenia can be treated with Chinese physical therapy, medication, botulinum toxin and surgical treatment. Chinese physical therapy can be done through acupuncture, herbal medicine and so on. However, there is a lack of scientific evidence for the dialectic of TCM, and it cannot cure facial spasm. It is recommended that even if you want to use this method, you should be more discerning and find a Chinese doctor who does not advertise falsely, otherwise the consequences are difficult to envision and are risky. Medication to relieve facial muscle spasm as long as it is a drug such as carbamazepine. The same as Chinese physical therapy, can only play a role in relieving symptoms, the initial treatment effect is still possible, but with the prolongation of the course of the disease drug effect will gradually fade, no longer effective. Botox also has the disadvantage of not being able to cure, and like medication, Botox is only effective in the initial treatment, Botox is a neuromuscular junction organizer, commonly known as cutting off the nerve and muscle connection, this method prevents facial twitching by sacrificing the motor function of the facial muscles. The motor function of the patient’s face is diminished during this time, over time, but when the twitching recurs, the efficacy of another injection becomes worse. Therefore, Botox for facial twitching is also a stopgap measure and not a long-term plan. The most effective and most clinically used procedure is the microvascular decompression. This procedure can start from the patient’s lesion and take it down in one fell swoop so that the nerve is no longer compressed by the blood vessels. This is the fundamental solution to the problem of facial spasm. The surgery has been practiced for many years and the technique is very mature. The surgery has a high cure rate, low recurrence rate and few complications. It is the best way to treat facial spasm. Finally, we would like to remind you that although so many treatment methods have been introduced, the treatment of facial muscle spasm still needs to be developed according to the specific situation of the patient, and it is also recommended that you do not listen to the false propaganda of what creams and prescriptions can cure facial muscle spasm, and you should go to a regular tertiary hospital to receive regular treatment after the disease.