Painful facial spasm

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Hemifacial spasm is a condition in which the muscles contract in tics or twitches on one side of the face, usually the left. People do not have control over these spasms, and very often they continue even during sleep. Hemifacial spasm is usually not painful and not considered a health hazard. In advanced cases, however, the eyes may remain squeezed shut for long enough to become dangerous when driving, for example.
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Hemifacial spasm: What you need to know

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Hemifacial Spasm | Weill Cornell Brain and Spine Center

Try out PMC Labs and tell us what you think. Learn More. The recognition of an association between trigeminal neuralgia and ipsilateral hemifacial spasm has been delayed by confusion over the nomenclature of the two conditions. Three patients are presented who had facial pain associated with hemifacial spasm. The findings on investigation of these patients, and an analysis of the literature, suggests that the combination is almost inevitably associated with pathological processes in the posterior fossa, particularly anomalous, ectatic or aneurysmal blood vessels. Full text is available as a scanned copy of the original print version. Get a printable copy PDF file of the complete article K , or click on a page image below to browse page by page.
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The association of hemifacial spasm and facial pain.

The facial nerve cranial nerve VII or 7th nerve is responsible for controlling movement of the face. Hemifacial spasm is a syndrome of recurring facial muscle twitches and spasms that can occur when the facial nerve is irritated or compressed by a blood vessel that courses along the brainstem. Compression of the facial nerve most often occurs directly at the level of the brainstem where it emerges into the fluid space. The nerve is located underneath the hearing and balance nerve making access particularly challenging.
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These tics are usually not painful, although they can be uncomfortable, and they are usually not life-threatening. But they are distressing to the patient, and as the condition worsens the tics can become more and more frequent and intrusive. Hemifacial spasm can affect both men and women, but it is most common in middle-aged and older women; its incidence is also higher among Asian people. Hemifacial spasm is a neuromuscular disorder — meaning that the source of the disorder is a nerve, but the manifestation is the tic, which is a muscular contraction.
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