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Facial Spasm

Facial Muscle Spasm


Presentation

  • Although partial facial weakness was present in 60% of the cases, it invariably disappeared within 1 to 4 months. Only three patients experienced recurrence of spasm. In two of them, recurrence followed low-temperature coagulation.[ncbi.nlm.nih.gov]
  • CONCLUSION: Present trials evaluating the efficacy of acupuncture in treatment of facial spasm are mostly poor in methodological quality.[ncbi.nlm.nih.gov]
  • The atypical form presents with involuntary tonic and clonic movements of the orbicularis oris and then spreads up the face to the eye. Pulsatile tinnitus may also be present if the tensor tympani is involved.[eyewiki.aao.org]
  • The disorder presents in the fifth or sixth decade of life, almost always unilaterally, although bilateral involvement may occur rarely in severe cases.[emedicine.medscape.com]
Hematochezia
  • Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself[nejm.org]
Drooling
  • Stomach points 2, 4 and 6 are also recommended for mouth deviation, drooling, numbness in the face and contraction of facial muscles.[livestrong.com]
Decreased Sweating
  • Imaging procedures should be done in all unusual cases of hemifacial spasm and when surgery is contemplated. [15] Patients with hemifacial spasm were shown to have decreased sweating after botulinum toxin injections.[en.wikipedia.org]
Facial Pain
  • Hemifacial spasms can be accompanied by trigeminal neuralgia (TN) and cause facial pain, but it is not common.[nspc.com]
  • (See Doctors Who Treat Hemifacial Spasm or find out more about our Facial Pain Program .) Request an Appointment Refer a Patient Reviewed by: Jared Knopman, M.D. Last reviewed/last updated: October 2017 Illustration by Thom Graves, CMI[weillcornellbrainandspine.org]
  • This condition is related to trigeminal neuralgia —an irritation of the fifth cranial nerve that causes severe facial pain.[mayfieldclinic.com]
  • These points help with deviation of the mouth and eye, drooping and twitching eyelids and facial pain. Stomach points 2, 4 and 6 are also recommended for mouth deviation, drooling, numbness in the face and contraction of facial muscles.[livestrong.com]
Facial Grimacing
  • While this prevents the facial grimacing seen in HFS, it also prevents normal facial movement at the sites of injection.[blepharospasm.org]
Trigeminal Neuralgia
  • Trigeminal Neuralgia Trigeminal Neuralgia Treatments Hemifacial Spasm surgery is performed by: Dr.[neurosurgery.ufl.edu]
  • In trigeminal neuralgia the abnormal discharge is in a pain-bearing trigeminal nerve.[ufhealth.org]
  • (MVD) procedure described for Trigeminal Neuralgia and Glossopharyngeal Neuralgia .[neurosurgerydallas.com]
  • Trigeminal neuralgia and hemifacial spasm are debilitating disorders that cause pain or uncontrollable movements in the facial region. Trigeminal neuralgia or tic douloureux is sometimes described as the most excruciating pain known to humanity.[neurosurgery-texas.com]
  • In short, the above therapy may turn the pathological state into a normal physiological state, and bring a quicker recovery for patients with facial spasm, trigeminal neuralgia and stubborn facial paralysis.[ncbi.nlm.nih.gov]
Nystagmus
  • A case of paroxysmal tinnitus and nystagmus, accompanied by facial spasm, in which neurovascular decompression was performed, is reported. The paroxysmal tinnitus and nystagmus were synchronous with each other.[ncbi.nlm.nih.gov]
Clonic Facial Spasm
  • CLONIC facial spasm is the term used to describe repeated and involuntary twitches of the muscles supplied by one facial nerve. There is no weakness of the affected muscles, and the sufferer is more often than not a woman of middle age.[jamanetwork.com]

Treatment

  • CONCLUSIONS: Ultrasound and water capsule-guided local injection of botulinum toxin type A treatment is a safe, effective, and simple treatment for patients with facial spasm.[ncbi.nlm.nih.gov]
  • CONCLUSION: Present trials evaluating the efficacy of acupuncture in treatment of facial spasm are mostly poor in methodological quality.[ncbi.nlm.nih.gov]
  • This preliminary report suggests that treatment with Botulinum toxin (Oculinum) is an acceptable alternative to surgical management in select patients.[ncbi.nlm.nih.gov]
  • Abstract We describe our experience with the use of botulinum A toxin for the treatment of patients with facial spasms.[ncbi.nlm.nih.gov]
  • Surgery for Hemifacial Spasm For some patients, surgical treatment may be the best treatment options. After a consultation with Dr. Azizzadeh, he may determine that microvascular decompression surgery is the best treatment.[facialparalysisinstitute.com]

Prognosis

  • Prognosis The prognosis for each patient varies according to the severity of the condition. Some patients are successfully managed with minimal intervention. Others require more than one form of treatment before they are free of the condition.[columbianeurosurgery.org]
  • […] causes of hemifacial spasm have been reported including: vascular compression as discussed above: most common cholesteatoma schwannoma meningioma intracranial lipoma arteriovenous malformation multiple sclerosis : very rarely implicated Treatment and prognosis[radiopaedia.org]
  • Prognosis is dependent on how you respond to treatments; you may have lasting effects for the rest of your life.[livestrong.com]

Etiology

  • Microvascular decompression surgery for hemifacial spasm: Classic intraoperative findings Hemifacial spasm (HFS) is a cranial nerve hyperactivity disorder most likely caused by neurovascular conflict (compression) as one of its underlying etiological[neurosurgicalatlas.com]
  • Risk Factors Facial trauma Cranial nerve seven injury Bell’s Palsy Atherosclerosis Family History Pathophysiology The pathophysiology is not well understood and likely varies by etiology.[eyewiki.aao.org]
  • This condition is similar in etiology to trigeminal neuralgia, an irritation of the fifth cranial nerve that causes severe facial pain. Both hemifacial spasm and trigeminal neuralgia are caused by nerve compression from a blood vessel.[saratoga-ophthalmology.com]
  • "Etiology and definitive microsurgical treatment of hemifacial spasm. Operative techniques and results in 47 patients". Journal of Neurosurgery. 47 (3): 321–8. doi : 10.3171/jns.1977.47.3.0321. PMID 894338.[en.wikipedia.org]
  • Etiology Hemifacial spasm is generally recognized as resulting from compression of the seventh cranial nerve as it exits the brainstem. The compression can be from a blood vessel (common) or a tumor (rare).[blepharospasm.org]

Epidemiology

  • Epidemiology Rare disease (8-15 out of 100,000 people in the US) [1] More common in women than men ( 2x more common in women) Most common in middle-aged and older people (typical age of onset 50-60 years old) Etiology There are a number of known causes[eyewiki.aao.org]
  • Epidemiology Hemifacial spasm affects all races equally. There is a slight female preponderance . Idiopathic hemifacial spasm typically begins in the fifth or sixth decade of life.[emedicine.medscape.com]
  • Epidemiology Hemifacial spasm affects all races equally. There is a slight female preponderance. Idiopathic hemifacial spasm typically begins in the fifth or sixth decade of life.[emedicine.medscape.com]
  • Nutt JG: Epidemiology of dystonia in Olmstead County. Paper presented at: The Second International Dystonia Symposium ; May 9–12 , 1986; New York. Google Scholar 4.[link.springer.com]
  • Epidemiology Few epidemiological data are available for the pathological entity that is hemifacial spasm. One study evaluated data from patients in Olmsted County, Minnesota, from 1960 through 1984 ( 1 ).[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • Therefore, the pathophysiologic mechanism of tinnitus accompanied by HFS may be different from the pathophysiological mechanism of tinnitus alone.[bmcneurol.biomedcentral.com]
  • A review of pathophysiology. Acta Neurochir (Wien) . 1991. 113(1-2):24-30. [Medline] . Cruccu G, Inghilleri M, Berardelli A, et al. Pathophysiology of hemimasticatory spasm. J Neurol Neurosurg Psychiatry . 1994 Jan. 57(1):43-50. [Medline] .[emedicine.medscape.com]
  • A review of pathophysiology. Acta Neurochir (Wien). 1991. 113(1-2):24-30. [Medline]. Cruccu G, Inghilleri M, Berardelli A, et al. Pathophysiology of hemimasticatory spasm. J Neurol Neurosurg Psychiatry. 1994 Jan. 57(1):43-50. [Medline]. Elston JS.[emedicine.medscape.com]
  • Risk Factors Facial trauma Cranial nerve seven injury Bell’s Palsy Atherosclerosis Family History Pathophysiology The pathophysiology is not well understood and likely varies by etiology.[eyewiki.aao.org]

Prevention

  • While this prevents the facial grimacing seen in HFS, it also prevents normal facial movement at the sites of injection.[blepharospasm.org]
  • Although these medicines can help to prevent spasms, they may also make you feel drowsy and lethargic. It can also often take a little time to find the best dosage.[medic8.com]
  • Pagina 149 - There is not yet a sufficient scientific basis for the application in man of a preventive treatment after the bite of a rabid animal.[books.google.ro]
  • Hemifacial Spasm - After Surgery Back to Top Prevention There are no current guidelines to prevent hemifacial spasm.[swedish.org]

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