Hemifacial Spasm in New York, NY
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Contact UsWhat is a hemifacial spasm?
Dr. Raymond Sekula at The Neurological Institute of New York in New York, NY offers holistic diagnostic, surgical, and follow-up care for those grappling with hemifacial spasms. This uncommon disorder, marked by spontaneous, involuntary twitching of one side of the face due to the facial nerve's (seventh cranial nerve) involvement, impacts individuals across all age groups and profoundly affects their quality of life. Trust in Dr. Sekula's dedication to providing the finest, evidence-based treatment for those facing this challenging condition.
What are the Risk Factors for Hemifacial Spasms?
While the exact cause of hemifacial spasms is not always clear, certain factors may increase your risk of developing this condition, including:
- Age: Hemifacial spasms are more common in older adults over the age of 40. This can be due to the natural wear and tear of blood vessels as we age.
- Gender: Women are more likely to develop hemifacial spasms than men.
- Blood vessel abnormalities: Certain medical conditions can increase the risk of blood vessel compression on the facial nerve.
- Neurological disorders: Hemifacial spasms may be associated with other neurological conditions such as multiple sclerosis.
Patients with a higher risk of developing hemifacial spasms should consult with a specialist like Dr. Sekula for early diagnosis and treatment to improve their quality of life.
How Is A Hemifacial Spasms Diagnosed?
Diagnosing hemifacial spasms involves a thorough assessment of the patient's symptoms and medical history. The primary diagnostic method includes:
- Neurological examination: A detailed examination to observe the involuntary twitching, which often begins with eye twitching and can progress to other facial areas.
- Imaging tests: Advanced imaging techniques like MRI (Magnetic Resonance Imaging) may be used to identify any blood vessels compressing the facial nerve.
- Electromyography (EMG): This test may be conducted to record the electrical activity of muscles and confirm the presence of nerve damage.
Dr. Sekula's approach to diagnosing hemifacial spasms is comprehensive, aiming to identify the underlying cause, whether it's a compressed nerve or an idiopathic condition. His expertise ensures patients receive the most accurate diagnosis, which is crucial for effective treatment planning.
What Are the Causes of A Hemifacial Spasm?
The primary cause of hemifacial spasm is believed to be the compression or irritation of the facial nerve, which controls the muscles of the face. This compression is often attributed to the abnormal contact between a blood vessel, typically an artery, and the facial nerve near the brainstem. As the blood vessel compresses the nerve, it can lead to erratic signals and involuntary muscle movements. While the exact cause is not always clear, factors such as aging, blood vessel abnormalities, or certain neurologic conditions may contribute to the development of hemifacial spasms.
What Are Symptoms of A Hemifacial Spasm?
Hemifacial spasms can vary in intensity and frequency, ranging from occasional twitches to constant, repetitive contractions. Individuals with hemifacial spasms may experience facial twitching, blinking, or grimacing that can interfere with daily activities such as talking, eating, or even driving. The spasms are usually unilateral, affecting only one side of the face, and tend to worsen over time. While the condition is not typically painful, the persistent and uncontrollable twitching can cause discomfort and embarrassment. Seeking medical evaluation from professionals like Dr. Raymond Sekula is crucial to accurately diagnose hemifacial spasms and explore treatment options to manage symptoms and improve quality of life.
How is a hemifacial spasm treated?
Due to the limited success of oral medications in mitigating the frequency and severity of facial spasms, many turn to botulinum toxin (BOTOX®) injections or microvascular decompression surgery. An increasing number of HFS patients seek experienced surgeons, like Dr. Sekula, for this intricate procedure. During the surgery, Dr. Sekula moves a blood vessel away from the facial nerve, inserting a felt cushion between them via a small incision behind the ear. Dr. Sekula, acclaimed globally for his expertise, has performed thousands of microvascular decompression surgeries for hemifacial spasms. He has consistently improved the technique, enabling most patients to spend just 1 – 2 nights in the hospital, typically bypassing intensive care before discharge.
Hemifacial Spasm Reviews
My left hemifacial spasm symptoms started around October 2023. I saw numerous specialist including ophthalmologist, ENT and neurologists. The neurologist recommended botox but after one session I declined to get anymore injections due to the results. After much thought and research, I decided to move forward with MVD surgery. I found Dr Raymond Sekula through the Hemifacial Spasm International Support Group through Facebook. After researching his background and location, I found out that he practiced in NYC which is thankfully so close to me. I had a left MVD ( Transposition technique) on 9/11/24 at New York Presbyterian Columbia Hospital in NYC. Dr Sekula was so kind and professional from the minute I had my virtual visit with him to the day of my surgery. He answered all my questions and was forthcoming with all risks associated with this surgery as well as symptom expectations after surgery. Caroline, the NP in his practice is so wonderful and so kind. She provided me with all the information I would need pre op and post op. She was always available for questions which was so appreciated and comforting. Brianna, the office manager was excellent. She took care of all the insurance approvals and made this process run so smoothly. I literally had to just show up for surgery! I can’t say enough about Dr Sekula and his team as well as the hospital staff. The nurses, physicians and ancillary staff at New York Presbyterian were so professional and kind. During my stay, I always felt like I was in good hands. I was discharged the next day after surgery and can happily say I am spasm free. Post op, I did experience headaches and ear fullness but both of those symptoms resolved between 2-3 weeks. My incision is well healed and it is not noticeable at all. Dr Sekula gave me my life back!! I am so happy to put this behind me thanks to Dr Sekula and his wonderful team at NYP.
I had the privilege of undergoing Microvascular Decompression (MVD) surgery with Dr. Raymond Sekula on February 14, 2024, and I can confidently say that he is an outstanding neurosurgeon who truly cares about his patients. From my initial consultation to post-operative care, Dr. Sekula and his team provided exceptional professionalism, expertise, and compassion. Leading up to the surgery, Dr. Sekula took the time to thoroughly explain the procedure, risks, and expected outcomes. He addressed all my concerns with patience and reassurance, which helped ease my anxiety. His extensive experience and reputation in the field of Hemifacial Spasms gave me the confidence that I was in the best hands. The surgery itself was a success, and my recovery has been smooth, thanks to his precise surgical skills and careful follow-up care. The relief I have experienced from my condition has been truly life-changing, and I am beyond grateful for the improvement in my quality of life. I highly recommend Dr. Raymond Sekula to anyone seeking expert care for hemifacial spasm requiring MVD surgery. His dedication to his craft and his patients is unmatched, and I am incredibly thankful for the care I received under his guidance. If you are looking for a neurosurgeon who is both skilled and compassionate, Dr. Sekula is the best Neurosurgeon on the planet!!
I had the privilege of undergoing Microvascular Decompression (MVD) surgery with Dr. Raymond Sekula on February 14, 2024, and I can confidently say that he is an outstanding neurosurgeon who truly cares about his patients. From my initial consultation to post-operative care, Dr. Sekula and his team provided exceptional professionalism, expertise, and compassion.Leading up to the surgery, Dr. Sekula took the time to thoroughly explain the procedure, risks, and expected outcomes. He addressed all my concerns with patience and reassurance, which helped ease my anxiety. His extensive experience and reputation in the field of Hemifacial Spasms gave me the confidence that I was in the best hands.The surgery itself was a success, and my recovery has been smooth, thanks to his precise surgical skills and careful follow-up care. The relief I have experienced from my condition has been truly life-changing, and I am beyond grateful for the improvement in my quality of life.I highly recommend Dr. Raymond Sekula to anyone seeking expert care for hemifacial spasm requiring MVD surgery. His dedication to his craft and his patients is unmatched, and I am incredibly thankful for the care I received under his guidance.If you are looking for a neurosurgeon who is both skilled and compassionate, Dr. Sekula is the best Neurosurgeon on the planet!!
My left hemifacial spasm symptoms started around October 2023. I saw numerous specialist including ophthalmologist, ENT and neurologists. The neurologist recommended botox but after one session I declined to get anymore injections due to the results. After much thought and research, I decided to move forward with MVD surgery. I found Dr Raymond Sekula through the Hemifacial Spasm International Support Group through Facebook. After researching his background and location, I found out that he practiced in NYC which is thankfully so close to me. I had a left MVD ( Transposition technique) on 9/11/24 at New York Presbyterian Columbia Hospital in NYC. Dr Sekula was so kind and professional from the minute I had my virtual visit with him to the day of my surgery. He answered all my questions and was forthcoming with all risks associated with this surgery as well as symptom expectations after surgery. Caroline, the NP in his practice is so wonderful and so kind. She provided me with all the information I would need pre op and post op. She was always available for questions which was so appreciated and comforting. Brianna, the office manager was excellent. She took care of all the insurance approvals and made this process run so smoothly. I literally had to just show up for surgery!I can’t say enough about Dr Sekula and his team as well as the hospital staff. The nurses, physicians and ancillary staff at New York Presbyterian were so professional and kind. During my stay, I always felt like I was in good hands. I was discharged the next day after surgery and can happily say I am spasm free. Post op, I did experience headaches and ear fullness but both of those symptoms resolved between 2-3 weeks. My incision is well healed and it is not noticeable at all. Dr Sekula gave me my life back!! I am so happy to put this behind me thanks to Dr Sekula and his wonderful team at NYP.
Dr. Sekula performed a decompression surgery on me in April 2025 which so far has been a complete success. From my initial video call in February to my in person consultation, Dr. Sekula's relaxed personality made me feel very comfortable. I felt he was truly looking out for my best interests when we discussed what outcome I was hoping for. His follow-up post surgery was appreciated. My goal when looking for a surgical solution to my problem what to find an expert in the field of Hemifacial Spasm decompression surgery, and to that end I feel I made the right choice!
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Seek Expert Care for Hemifacial Spasms Today
Don't let hemifacial spasms dictate the rhythm of your life. With advancements in medical treatments and surgical interventions, relief is within reach. Whether you're considering botulinum toxin injections or exploring the nuances of microvascular decompression surgery, take control of your health and seek comprehensive care today. Reach out to Dr. Raymond Sekula at The Neurological Institute of New York in New York, NY, and let us guide you on your journey to a life free from the challenges of hemifacial spasms.
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About UsHemifacial Spasm FAQs
Who might get hemifacial spasm?
Both men and women are susceptible to hemifacial spasm, though it is more common in women over 40 years of age.
What causes hemifacial spasm?
The condition often arises from compressed facial nerves, usually due to a blood vessel pressing against a facial nerve. In some cases, the cause remains unknown, termed idiopathic hemifacial spasm.
What are the symptoms of hemifacial spasm?
The primary symptom is intermittent eye twitching, which can progress to other facial areas. Spasms may worsen under stress or fatigue, sometimes pulling the mouth to one side.
