What Are the Signs of Hemifacial Spasm?

By: Dr. Raymond Sekula


When you experience uncontrollable facial twitching, it's not just a nuisance; it could be a sign of hemifacial spasms. From his office at The Neurological Institute of New York in New York, NY, Dr. Raymond Sekula specializes in the diagnosis and treatment of this condition.

How can you tell if a face twitch is caused by stress, hemifacial spasm, or some other condition? The only way to be sure is with a medical diagnosis, but there are a few signs that can help identify hemifacial spasms. Here's what you need to know about this uncomfortable condition.

What is hemifacial spasm, and what causes it?

Hemifacial spasm is a neurological condition where involuntary contractions occur in the muscles on one side of the face. These spasms, often starting in the eyelid muscles and progressing to the lower face, can be both uncomfortable and distressing. The primary cause, while not fully understood, is usually thought to be from an abnormal interaction between facial nerves and blood vessels — a condition known as neurovascular compression. Over time, this interaction can lead to nerve irritation and the resulting spasms.

What are the signs of hemifacial spasm?

At first, you may notice mild, intermittent facial twitching around your eyelid. This seemingly innocuous sign can gradually escalate, spreading to include more of the facial muscles. As the condition progresses, the face twitching becomes more pronounced and frequent, disrupting daily activities. In advanced stages, these spasms can evolve into continuous, involuntary muscle movements. This can significantly impact basic functions, such as speaking and eating, and can hinder the ability to maintain normal facial expressions, affecting both social interactions and personal well-being.

When should you see a doctor about facial twitching?

It's important to consult a doctor when the facial twitching persists or worsens. This is crucial because, while hemifacial spasms are often benign, they can sometimes indicate more serious underlying conditions. Persistent or worsening face twitching could be a symptom of neurological disorders or even a signal of vascular issues affecting facial nerves. Therefore, a thorough examination and diagnosis from a specialist like Dr. Sekula is essential.

What are the options for treating hemifacial spasm?

Treatment options for hemifacial spasms vary based on severity and patient preference. BOTOX® injections are a common treatment, offering temporary relief from facial twitching. However, for long-term management, microvascular decompression surgery offers a more lasting solution. This procedure involves relieving the pressure on the facial nerve caused by blood vessels. Dr. Sekula's extensive experience in this surgery makes him a sought-after specialist for those seeking significant and lasting relief from hemifacial spasms.

Care and relief for hemifacial spasms

For those struggling with frequent facial twitching, advanced treatment options can provide much-needed relief. Dr. Raymond Sekula at The Neurological Institute of New York is a leader in treating hemifacial spasms through microvascular decompression surgery and other effective treatments. If you're experiencing signs of hemifacial spasm, don't hesitate to reach out to Dr. Sekula at his office in New York, NY. With his expertise, you can explore the most effective treatment options possible and take the first step toward regaining control over your facial movements.

Contact Dr. Sekula today to schedule a consultation and learn more about how you can overcome the challenges of hemifacial spasms with advanced, personalized care.

*All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.