Surgical Treatment of Facial Dystonia and Facial Spasms

Burak TAHMAZOĞLUa, Cihan İŞLERa
aİstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Neurosurgery, İstanbul, Türkiye

Tahmazoğlu B, İşler C. Surgical treatment of facial dystonia and facial spasms. In: Sanus GZ, Batıoğlu Karaaltın A, eds. Surgical Management of Facial Nerve Paralysis. 1st ed. Ankara: Türkiye Klinikleri; 2022. p.103-7.

Article Language: EN

ABSTRACT
Hemifacial spasm (HFS) is a movement disorder related with the seventh cranial nerve. Conditions such as blepharospasm, oromandibular dystonia and Meige’s syndrome are among the more frequent facial dystonias and may be quite difficult to distinguish from HFS. Thorough history, physical examination, radiology and electromyography may help differentiate between the two entities. While there are medical treatments available, Botulinum injection is the first line treatment for both, although microvascular decompression is the gold standard in treatment of hemifacial spasm.

Keywords: Microvascular decompression surgery; Meige syndrome; hemifacial spasm

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