Hemifacial Spasm with acupuncture treatment

What is the Hemifacial Spasm?

  • Irregular, involuntary muscle contractions (spasms) on one side (hemi-) of the face (-facial).
  • The twitching usually starts in the lower eye lid. It spreads to the whole lid, then to the lips, and the cheekbone area.
  • The incidence of hemifacial spasm is approximately 0.8 per 100,000 persons.

What causes Hemifacial Spasm?

  • Common reason: Compression of the seventh cranial nerve by a dolichoectatic (a distorted, dilated, and elongated) vertebral artery.
  • Other reasons:
    • Less than 1% of cases are caused by tumor.
  • Hemifacial Spasm is more common in Asian population.

Treatments & Side Effects

  • Microvascular Decompression
    • 80% or more cases have good results.
    • 10% recurrence rate.
    • Some serious complications include cerebellar haematoma or swelling, brain stem infarction, cerebral infarction.
  • Botulinum Toxin Injection
    • It has a success rate equal to that of surgery.
    • Repeated injections may be required every 3 to 6 months.
    • Side effects include paralysis of facial muscles, and allergic reaction.

Understanding in Traditional Chinese Medicine(TCM)

  • “All the syndromes of trembling and dizziness caused by the wind evil are pertaining to the Liver.”
  • Treatment principals: sedates the Liver, extinguishes wind, and stops spasms.

Differentiation in TCM

  • Ascendant Liver yang and internal movement of Liver wind.
  • Deficiency of Qi and blood.
  • Wind-cold invading the body and blocking the channels.