Facial muscle spasm is a chronic progressive disorder in which most attacks begin in the eyelids and then spread to other muscles of the face. Facial myospasm is mostly caused by the compression of the facial nerve roots by blood vessels. When an attack occurs, it manifests as frequent and rapid twitching of the facial muscles, as little as a few seconds or as much as a few minutes, and in severe cases it can be tonic. Facial muscle spasm mostly occurs during middle age, when people get older, due to hypertension, hyperlipidemia, diabetes and other factors causing atherosclerosis, which may cause changes in the shape of the relevant blood vessels, thus compressing the facial nerve, causing demyelination of the nerve, abnormal discharge, causing the corresponding facial muscle twitching. This disease should not be taken lightly, long-term facial twitching will not only bring serious impact on people’s health, life and work, but also may lead to changes in the contour of the patient’s face. So can facial muscle spasm be cured by medication? In the eyes of most patients, there is almost a consensus on the disease, that is, if you can take medicine to treat it, you can not move the knife. But taking medicine is not curable. Medication for facial muscle spasm is mainly used to relieve symptoms with phenytoin sodium or carbamazepine for some light patients, but it cannot achieve complete eradication. Moreover, long-term use of drugs can cause greater harm to the human body, damaging various organs of the body and making the body heavily dependent on drugs. Microvascular decompression surgery is performed under general anesthesia. A small incision is made in the hairline behind the ear, and the vascular collaterals that are compressing the facial nerve are located under a microscope and released. The procedure is minimally invasive and safe, so patients can choose to undergo treatment without worry.