Thank you for posting your query.
I would be interested in knowing the MRI
brain report. We need to exclude any compression of the facial nerve
, which can cause hemifacial spasm
. If there is a compression of facial nerve on the side of hemifacial spasm, then, surgery may be beneficial.
On the other hand, if the MRI is absolutely normal, then, botulinum toxin injections are the best. You may get it done by a trained neurologist
I hope my answer helps. Please get back if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in