In view of the large number of patients and friends who consult the treatment of facial spasm through the Internet, e-mail and telephone every day, here is a list of the most common problems, together! I. Doctor: “My eyes twitch non-stop” “My eyelids jump non-stop, sometimes my face and mouth also jump with them” “Half of my face twitches non-stop”” The lower eyelids and corners of the mouth twitch incessantly, the eyes become smaller, and I can’t open them, and I can’t sleep” “Five years ago, my eyelids started twitching, and two years ago it started to involve my face and mouth as well” What are these diseases? Many of the above symptoms refer to one disease: idiopathic facial spasm, commonly known as “face twitching”. The diagnosis of facial spasm is mainly based on clinical symptoms: 1, involuntary twitching or jumping that cannot be controlled by the will. 2. The symptoms are aggravated by stress or fatigue, emotional excitement, talking and other triggers. 3, generally starting from the eyelids, gradually downward, radiating to the corners of the mouth and the entire face. 4. There are no other uncomfortable signs and symptoms. 5, Most CT and MRI are not positive. Etiology of facial muscle spasm: Long-term clinical practice shows that facial muscle spasm are caused by intracranial vascular compression of the facial nerve causing increased excitability of the facial nerve, and the reason as to why there is vascular compression of the nerve is not clear. Current practice shows that a history of hypertension, arteriosclerosis, and posterior cranial fossa stenosis are all predisposing factors for facial myospasm, and have little to do with lifestyle habits, and daily life. There are no clear preventive measures. Second, “Now that I know that I have facial myospasm, how should I treat it” “Can I treat it conservatively, without surgery?” The current treatment methods for facial muscle spasm include: 1. Conservative treatment with drugs: including carbamazepine, phenytoin sodium, etc. For patients with mild cases, it can be partially controlled. 2, local anesthetics, botulinum toxin injection: through anesthesia or nerve block, resulting in mild facial paralysis, thus achieving the purpose of masking the symptoms of spasticity. Most of them can be relapsed by stopping the drug. Long-term use can lead to the risk of permanent facial paralysis! 3.Surgical methods: Facial nerve closure surgery, nerve combing, thermal coagulation, and other surgical procedures are used to damage the facial nerve to achieve mild facial palsy, thus achieving the purpose of suppressing spasticity. 4. Apparent microvascular decompression surgery: It is the only method to treat the cause of the disease. Through minimally invasive craniotomy, the nerve is separated from the blood vessel, and the pressure of the blood vessel on the nerve is released to achieve complete cure. Currently this surgery is stable, reliable and the preferred treatment option for facial muscle spasm! Patients can decide the treatment plan according to their own situation.