The facial nerve motor nucleus in the brainstem sends out commands and signals along the nerve conduction to govern facial expressions, if the signal conduction is disturbed, facial twitching will occur. If the facial twitching is more, the phenomenon of “squeezing eyebrows and flicking eyes” will occur and is difficult to control, and will be ridiculed as a “drama queen”. But if you can’t control the “squeezing”, it’s not a “drama queen”, it’s a compression of the facial nerve! Facial muscle spasms do not get better naturally, the symptoms will gradually worsen, the attacks will be more frequent and last longer, seriously affecting the patient’s work and life, and in the long run, may lead to facial paralysis. Therefore, once you find severe and frequent lower eyelid twitching with headache and other symptoms, you should go to a tertiary care hospital neurosurgery department for treatment as soon as possible. ”Eyelid jumping is actually a sign of increased nerve excitability.” The doctor said that eyelid jumping mostly occurs in the upper eyelid, sometimes also in the lower eyelid, and is generally not controlled by the person’s thinking and consciousness. Twitching at the corners of the mouth, on the other hand, is more common on the right side, and may also occur on the left side. In severe facial muscle twitching, the whole facial muscle and the ipsilateral cervical latissimus muscle can spasm, and the eyes cannot open when the orbicularis oculi muscle is in severe spasm, thus affecting walking and work, and may be accompanied by mild weakness and muscle atrophy. The spasm may be aggravated by stress, fatigue and voluntary movement, and disappears during sleep. Microvascular decompression is currently the best treatment for facial spasm, in which the blood vessels compressing the nerve are removed and fixed under a microscope through an incision behind the patient’s left ear. In order to improve the accuracy of the surgery, electrophysiological monitoring is added to observe the abnormal electromyographic activity throughout the surgery to help the surgeon find the real responsible vessel and protect the patient’s nerve function to the greatest extent, which greatly improves the success rate of the surgery. Patients suffering from facial spasm should pay attention to the following aspects in daily life: 1, is to eat more fresh vegetables, fruits, coarse grains, beans and fish in the diet; 2, is usually to keep the mood relaxed, happy, moderate work and sleep; 3, is to reduce external stimuli, such as television, computer radiation and ultraviolet radiation. 4, is not to wash your face with cold water, in case of wind, rain, cold, pay attention to head and face warmth; 5, is appropriate to increase the intake of vitamin B.