This is an automatically translated article.
In daily life, sometimes the eyes blink a little when too focused on something or the eyes are tired, which is the blinking habit. Hemifacial twitching means that the patient will have spasms of the eye muscles, then gradually spread to the mouth muscles, cheek muscles and neck muscles, the spasm occurs continuously, continuously.
It is caused by the 7th nerve which is the nerve that supplies the muscles of the face. When the 7th nerve is stimulated, it will cause facial muscle twitching and cause hemifacial seizures. Patients can have seizures on the left side of the face or seizures on the right side of the face depending on the case.
When suffering from hemifacial convulsion, what causes patients to come to the hospital for examination is about cosmetic problems because of the loss of confidence in communication. When communicating, the face is twitching and the other person keeps focusing on the twitching face and then the twitching of the half of the face gradually narrows the patient's eyelid slits, limiting the patient's vision, making it dangerous for the patient to participate. Traffic, difficulty watching TV or books, hemifacial convulsions may occur while the patient sleeps, causing the patient to lose sleep. Three factors of aesthetics, quality of life, and sleep make patients come to the doctor.
Regarding the pathology of hemifacial seizures, many doctors have agreed that the cause is due to a blood vessel pressing on the 7th nerve. To treat myoclonic spasm, the doctor first needs to investigate by taking an x-ray. Magnetic resonance imaging (MRI) with a specialized pulse sequence to clearly visualize the blood vessel that is inserted into the nerve. After seeing the blood vessels and nerves clearly, the doctor will choose the treatment method for hemifacial seizures. There are 2 main treatment methods:
Inject drugs to paralyze muscles, to help facial muscles not twitch anymore. However, this is only a temporary treatment method about 3-6 months later, it is not thorough and can recur many times. time. To treat hemifacial seizures completely, it is necessary to separate the blood vessel from the nerve, to do this, it is necessary to perform surgery between microsurgery and endoscope to separate the blood vessel from the nerve. In a nutshell, it means that a blood vessel is inserted into a nerve, causing the patient to have hemifacial paralysis, now separating the blood vessel from the nerve will be the treatment for left hemifacial convulsions or right hemifacial convulsions. most thoroughly. After surgery to treat hemifacial convulsions, the patient will have the incision removed after about 7-10 days, then the facial nerve function will be monitored, if the patient has no surgical complications, facial muscle weakness, will have a follow-up visit in 2 weeks, 1 month, 2 months, 3 months and then no further follow-up is required.
In April & May 2021, when there is a need for examination and treatment of Hemifacial Convulsions at Vinmec Central Park International General Hospital, customers will enjoy double incentives:
- Free specialist examination
- 50% reduction in costs for customers with post-examination treatment indications. The program is limited to the corresponding technique of each hospital and to customers who perform this treatment technique for the first time at Vinmec.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
