What is the difference between primary and secondary facial spasms? How to treat? There are two types of facial muscle spasm, one is primary facial muscle spasm and the other is secondary facial muscle spasm, which often has certain precipitating factors, such as tumors, vascular malformations, granulomas and cysts in the facial nerve roots in the brain and facial muscle spasm produced by the sequelae of facial paralysis. The two types of facial muscle spasms can be distinguished symptomatically. Primary facial muscle spasms, which can occur at rest, resolve after a few minutes of uncontrolled spasm. All facial myospasms in the sequelae of facial palsy occur only in the presence of movements such as blinking and raising the eyebrows. Primary facial spasm starts with paroxysmal involuntary twitching of the orbicularis oculi on one side, similar to eyelid jumping, and gradually extends to other facial muscles on the same side with the development of the disease, often without signs and symptoms before the attack, which is characterized by rapid and frequent twitching of the facial muscles, each attack can last from a few seconds to several minutes, with no abnormal appearance during the interval. causing the patient to be unable to speak,. The twitching can be induced by chewing, facial autonomic activity, or at rest, and is generally unilateral. Secondary facial myoclonus can be bilateral in onset, with paroxysmal, rapid twitching of the affected facial muscles, with eyelid and corner-of-mouth twitching evident, flaccid eyelids on the affected side, smaller eye fissures, and severely impaired vision, and can lead to severe visual impairment. Most patients, although the symptoms of facial spasm only appear after the act of lifting and blinking, but there are some patients with more serious disease, will appear all day and all night seizures, so that long-term long-term may lead to facial muscle atrophy. Therefore, the area spasm will not only affect the appearance, if the symptoms are not controlled, it will have an impact on health. Therefore, the treatment of area spasm can not be delayed, early treatment, early recovery. How to treat facial muscle spasm? So how should facial muscle spasm be treated? There are still many facial muscle spasm treatment methods, but most of them can only relieve the condition, not cure it. The problem of how to treat facial muscle spasm once and for all has always been around everyone. But now, with the continuous progress of medical level, science and technology development, and the continuous improvement of physician technology, there is finally the best solution for facial muscle spasm. That is to perform microvascular decompression. The surgery is very effective for the treatment of primary facial myospasm, solving the primary cause of vascular compression of the nerve, and for secondary facial myospasm, we can also start with the cause and solve the problem of tumor, etc. If the neurovascular adhesions are still present, we can also perform microvascular decompression for treatment. Although the surgery is a surgical procedure, the incision is small, the recovery is fast, and the cure rate is high, so patients do not have to worry too much about the danger of surgery.