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Neurology

Hemifacial Spasm Treatment

Botox and medical management for hemifacial spasm by Dr. Bharath Kumar Surisetti. Effective relief from unilateral facial muscle twitching in Hyderabad.

150+Cases Treated
9+Years Exp.
BotoxGold Standard
Hemifacial Spasm Treatment

Overview

Hemifacial spasm (HFS) is a condition characterised by involuntary twitching or contractions of muscles on one side of the face, caused by irritation or compression of the facial nerve (CN VII) at its root exit zone.

Dr. Bharath Kumar Surisetti treats hemifacial spasm with botulinum toxin injections as the gold standard non-surgical therapy, providing excellent symptom control every 12-16 weeks, and coordinates neurosurgical evaluation for microvascular decompression in suitable candidates.

Symptoms & Conditions We Treat

Unilateral Twitching

Involuntary twitching confined to one side of the face

Eyelid Spasm

Starts typically around the eye and spreads downward

Mouth Pulling

Twitching spreading to cheek and corner of mouth

Stress Worsening

Spasms worsened by fatigue, stress or bright light

Social Embarrassment

Visible facial twitching causing significant social impact

Persists During Sleep

Unlike other movement disorders, can persist during sleep

Our Treatment Approach

1

Clinical Diagnosis

Examination to confirm hemifacial pattern and distinguish from blepharospasm or facial tics.

2

MRI Brain and Vessels

MRI to identify vascular compression of facial nerve - guides surgical candidacy.

3

Botulinum Toxin Treatment

Injection mapping of affected facial muscles for targeted relief every 12-16 weeks.

4

Surgical Referral if Appropriate

Microvascular decompression (MVD) neurosurgery referral for young patients with vascular cause.

Treatment Options

Botulinum Toxin

  • Injection every 12-16 weeks
  • Multiple facial muscle sites
  • High response rate
  • Day procedure

Oral Medications

  • Carbamazepine
  • Gabapentin
  • Baclofen
  • Clonazepam

Microvascular Decompression

  • Neurosurgery referral
  • Teflon pad decompression
  • Curative intent
  • For vascular cause

Supportive Care

  • Stress reduction
  • Trigger identification
  • Sleep hygiene
  • Psychological support

Why Choose Srilekha's Clinic?

Expert Neurologist

DM-qualified neurologist with 9+ years and 2000+ patients treated

Advanced Diagnostics

MRI, EEG, NCS/EMG and comprehensive neurological workup

Personalised Care

Treatment plans tailored to your condition and lifestyle

Evidence-Based

Latest international neurology guidelines followed strictly

Prompt Treatment

No unnecessary delays - urgent cases seen on priority

Long-Term Support

Ongoing management and monitoring for chronic conditions

Neurology FAQ

Frequently Asked Questions

Quick answers about this condition. Can't find what you need? Chat with us directly.

Hemifacial spasm is involuntary twitching of one side of the face, usually starting around the eye. It is caused by a blood vessel compressing the facial nerve at the brainstem.

Botulinum toxin injections every 3–4 months are first-line treatment. Microvascular decompression (MVD) surgery offers a permanent cure and is suitable for selected patients.

Not life-threatening, but it is progressive and socially disabling. Early treatment prevents worsening and preserves visual function.

Improvement begins within 3–5 days with full effect at 2 weeks. Benefit lasts ~3–4 months per session.

Book via WhatsApp +91 9963 138 139. Dr. Bharath Kumar at Habsiguda, Hyderabad.