hemifacial spasm : Causes-Symptoms-Diagnosis-Treatment

 What is hemifacial spasm?

Hemifacial spasm could be a chronic condition that causes involuntary face spasm. There is no cure for hemifacial spasm however the general public will realize symptom relief through medication, injections or surgery. you'll additionally minimize symptoms by obtaining lots of rest and reducing stress.

Hemifacial spasm could be a nervous disorder. It causes musculus twitches (spasms) on one facet (hemi-) of the face (facial).

Both men and girls will get hemifacial spasm. ladies over forty seem to own the condition.

What is hemifacial spasm?
hemifacial spasm

Disguised as facial nerve palsy. hemifacial spasm is an uncommon condition that occurs more frequently in women than men and affects cranial nerve IX (facial nerve) that runs from the brain stem down across your face to control the muscles on one side of your body people with hemifacial twitching and uncontrollable muscle spasms on one side of their face. If these movements affect the eyes, they may cause double vision or difficulty focusing. Rest period can vary

Hemifacial spasm (HFS) or hemifacial neuralgia is a facial pain disorder that affects approximately 0.1-0.5% of the population. It has no known cause and no cure, although many treatments are used to relieve symptoms. The pain is usually described as severe, intermittent pain that resembles an electric shock in the half of the face. People with hemifacial spasm describe this sensation as worse than any other facial pain such as trigeminal neuralgia (TECH-doloreux) unlike trigeminal neuralgia, but this pain occurs.

  1. Musculoskeletal system

Medical terms

  • Hemifacial spasm may be a system disorder within which the muscles on one facet of your face twitch involuntarily. Hemifacial spasm is most frequently caused by a vessel touching or pulsing against a nervus facialis. it could even be caused by a nervus facialis injury or a neoplasm. typically there's no familiar cause.

  • Hemifacial spasms happen once the muscles on just one facet of your face twitch all of sudden. These sorts of spasms are caused by injury or irritation to the nervus facialis, that is additionally referred to as the seventh nervus. Facial spasms occur once the muscles contract involuntarily owing to this nerve irritation.

Hemifacial spasms also are referred to as vellication convulsif. At first, they'll seem solely as little, barely noticeable ticks around your palpebra, cheek, or mouth. Over time, the tics might expand to different components of your face.

Hemifacial spasms will happen to men or girls, however they’re commonest in girls over forty. They additionally tend to occur typically on the left facet of your face.

Hemifacial spasms aren’t dangerous on their own. However, a continuing twitch in your face may be frustrating or uncomfortable. In severe cases, these spasms will limit performance thanks to involuntary eye closing or the impact they need on speaking.

In some cases, these spasms might indicate that you just have an Associate in Nursing underlying condition or Associate in Nursing abnormality in your facial structure. Either of those causes will compress or injure your nerves and build your face muscles twitch.

Symptoms Hemifacial spasm

Usually, the primary symptom of hemifacial spasm is intermittent eye spasm. Eye spasm doesn't typically indicate a pathological state. If you have hemifacial spasm, eye spasm progresses to spasm in alternative components of the face.

With hemifacial spasm, twitches will pull the mouth to 1 aspect. Over time, twitches occur unceasingly. The spasms could worsen once you’re stressed or tired.

Common symptoms of hemifacial spasm embrace spasm or getting of muscles within the face that square measure usually:

  • On one side of the face

  • Uncontrollable

  • Painless

These contractions usually begin within the lid, then might progress and have an effect on the cheek and mouth on an equivalent aspect of the face. At first, hemifacial spasms return and go. however eventually, sometimes over the course of many months to some years, they occur virtually perpetually.

Occasionally, hemifacial spasms might occur on either side of the face. However, the vellication does not occur on either side of the face at an equivalent time.

Causes Hemifacial spasm

Hemifacial spasm happens owing to compressed facial nerves. Nerves square measure the organs that send electrical impulses from one part of the body to another. This network of electrical signals makes up your system.

Most often, twitches occur as a result of a vas (tube that carries blood around the body) presses a seventh cranial nerve. Benign (not cancer) head and neck tumors might also persist nerves.

Sometimes, the facial twitches don't have any obvious cause. Once there's no illustrious cause, attention suppliers decide the condition upset hemifacial spasm.

Hemifacial spasm is most frequently caused by a vas touching a seventh cranial nerve. It also can be caused by a seventh cranial nerve injury or a growth. typically there isn't any recognizable cause.

Hemifacial spasm could typically be triggered by:

  • Moving the muscles in the face

  • Anxiety

  • Stress

  • Fatigue

Is hemifacial spasm permanent?

Hemiparesis is a disorder of the facial nerve that causes one side of the face to contract involuntarily. The results can be temporary or permanent depending on the person and the severity of the migraine. People with milder cases have been able to use techniques such as Botox injections to manage their symptoms. In extreme cases, people need surgery or medication to stop muscle spasms around the eyes and mouth.

How do I make my face stop tingling?

When you have a facial nerve twitching, it can hurt and make you feel ashamed, and it's usually more annoying than a serious problem, but the spasms tend to go away on their own if your doctor thinks your twitching is caused by something else (such as a tumor) that may be Treatment is necessary Step 1 Determine the causes of the facial twitching Step 2 Reduce stress Step 3 Consider speech therapy if the twitches are severe or bothersome in social interactions.

Can a massage help with a half-face spasm?

Hemifacial spasm is a neurological condition that causes involuntary contractions of the facial muscles on one side of the face. The cause of hemifacial spasm is unknown, but experts agree that it results from a disruption in the signals between nerves and the brain and affects both men and women. It usually begins in middle age; It can strike anyone at any time but women who abuse alcohol or drugs may have a higher risk of developing hemifacial spasms; Those diagnosed with Bell's palsy are also at increased risk of developing this condition as well as other conditions including stroke and seizure disorder.

Can anxiety cause facial cramps?

Anxiety disorders are the most common mental illness in the United States, with an estimated 18 percent of adults suffering from an anxiety disorder according to the American Anxiety and Depression Association (ADAA), yet only half of those with anxiety seek treatment while there is no treatment. For anxiety there are treatments that can help manage symptoms.

Is hemifacial spasm dangerous?

Hemiparesis is a condition that occurs when one of the nerve branches (called the trigeminal) that supply the face with movement and sensation is injured, usually affecting only one side of the face and can range from mild to painful.

Diagnosis Hemifacial spasm

Your aid supplier can conduct a neurologic communicating to diagnose hemifacial spasm. Neurologic exams facilitate assessment of how your brain operates. You’ll seemingly have a resonance imaging (MRI). AN tomography uses radio waves and magnets to form pictures of the within of your body.

To diagnose your condition, your doctor can conduct a physical examination and check for signs of hemifacial spasm. To see the reason behind your condition and develop the foremost applicable treatment for your condition, imaging tests could also be necessary.

Magnetic resonance imaging (MRI) uses a field of force and radio waves to form careful pictures of your head and verify the reason behind your hemifacial spasm. Your doctor might inject a distinction dye into a vessel (magnetic resonance angiogram) to see for any abnormal vessel that will be irritating the facial.

  1. Electromyography

You won't continually like AN tomography scan or alternative imaging take a look at to diagnose hemifacial spasm. Your doctor could also be ready to diagnose the condition supporting your symptoms ANd an communicating. you'll like AN imaging take a look at if your symptoms are not typical or if you are getting ready to have surgery.

Treatment Hemifacial spasm

You may be ready to scale back your symptoms just by obtaining lots of rest and limiting what proportion of caffeine you drink, which might calm your nerves. Having bound nutrients may facilitate scale back your spasms, including:

  • vitamin D, which you can get from eggs, milk, and sunlight

  • magnesium, which you can get from almonds and bananas

  • chamomile, which is available as a tea or as tablets

  • blueberries, which contain muscle-relaxing antioxidants

The most common treatment for these spasms is AN oral muscle agent that keeps your muscles from muscle spasm. Your doctor might advocate one or a lot of of the subsequent medications to relax your face muscles:

  • baclofen (Lioresal)

  • clonazepam (Klonopin)

  • carbamazepine (Tegretol)

Botulinum toxin type A (Botox) injections are ordinarily accustomed to treating hemifacial spasms. During this treatment, your doctor can use a needle to inject tiny amounts of botulinum toxin chemicals into your face close to the muscles that square measure spasm. Botulinum toxin makes the muscles weak and might scale back your spasms for 3 to 6 months before you wish another injection.

Talk to your doctor before taking any of those medications concerning any doable facet effects or interactions with different medications you'll already be taking.

If medications and botulinum toxin aren’t prospering, your doctor may additionally advocate surgery to alleviate any pressure on the cranial nerve which will be caused by a growth or a vessel.

A common surgery accustomed to treating hemifacial spasms is named a microvascular decompression (MVD). During this procedure, your doctor makes a little gap in your nose behind your ear and puts a bit of Teflon cushioning between the nerve and therefore the blood vessels pushing thereon. This surgery solely takes a couple of hours at the most, and you’ll doubtless be able to come back once a couple of days of recovery.

Treatment for hemifacial spasm may include:

  • Botulinum injections. Your doctor could inject neurolysin (Botox) into the affected muscles, which briefly paralyzes those muscles. This treatment is incredibly effective in relieving symptoms in the general public. you'll have extra treatments each few months. 

  • Other medications. Medications, including anticonvulsant drugs, can relieve hemifacial spasm in some people.

  • Surgery. There are many forms of surgery that may relieve hemifacial spasm. Decompression surgery involves creating gap|a gap} in your os and opening the covering of your brain (dura) to show the cranial nerve because it leaves the neural structure.
    Your MD locates the vessel pressing on or irritating the cranial nerve and puts a sponge like material between the nerve and vessel, removing the pressure on the nerve. This surgery usually will relieve hemifacial spasm.
    Associated conditions and complications

  • Facial spasms may also be caused by an analogous condition known as tic douloureux. This condition is caused by injury or irritation to the fifth nervus instead of the seventh. tic douloureux may also be treated with several of identical medications and procedures.An untreated growth will cause additional nerve injury because the growth grows or becomes cancerous. Cancer will quickly unfold to different components of your head and brain and cause semipermanent complications.As with any surgery, the MVD procedure will probably cause complications, like infections or respiratory respiratory. However MVD surgery seldom causes any serious complicationsTrusted supply.

  • Prognosis and outlook
    Hemifacial spasms may be controlled through home treatment, medications, or surgery. Follow your doctor’s directions and you’ll doubtless be ready to keep your muscle twitch to a minimum. The MVD procedure is often winning in decreasing or eliminating these spasms.Untreated hemifacial spasms is also frustrating as they become a lot more noticeable and unquiet over time, particularly if they unfold across a complete aspect of your face. Being honest along with your friends and family regarding your spasms will assist you feel a lot of support as you manage the symptoms of the condition. Connecting a support cluster will assist you learn the way to treat and manage your spasms.

General summary

  1. Hemifacial spasm (HFS) is a neurovascular condition that affects the muscles on one side of the face and is more common in women than men and usually results from damage to an artery or vein near the ear that cuts off blood flow to the facial nerve — one of 12 nerves. The cranial nerves that carry impulses between the brain and the body. As a result, these nerves signal that your facial muscles contract involuntarily. Depending on their cause, migraines can last for months or indefinitely with no known treatment to manage and reduce symptoms as much as possible. Experts recommend avoiding them.

  2. Migraine is a condition that begins with a muscle in your face contracting involuntarily and uncontrollably causing your cheek to vibrate or twitch. You may feel pain from muscle spasms. The problem occurs when the facial nerve (which controls the muscles on one side of your face) becomes irritated. It sends constant signals to one side of your face. This irritation can result from a tumor or even pressure on an individual nerve.

  3. Hemifacial spasm is an involuntary movement of the facial muscles to one side of the face and is most common in adults over the age of 40 but can be seen in people of any age. The exact cause of hemifacial spasm is unknown; However, there are several factors that may make a person more likely to develop this condition, and they include: An injury or head injury. nervous system such as multiple sclerosis.

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