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involuntary twitching and trembling in the mouth area when talking, hemifacial spasm

involuntary twitching and trembling in the mouth area when talking and smiling, also a sign of a hemifacial spasm when I lift my left lip and eye nerves. It s been like this for past 3 years and has lowered my quality of life . My doctor has not helped me at all. My friend reccomended me to this site, so I hope someone could help me out on what I need to do to get this sorted. Thanks.
Asked On : Sat, 5 May 2012
Answers:  2 Views:  566
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Ophthalmologist 's  Response
Assuming that the diagnosis is correct, Botox (botullinum toxin) injections to the affected facial muscles may provide temporary relief for about 6 months after each injection, but are expensive.

Patients with new onset symptoms or worsening symptoms should have an MRI or CT scan -- because other possibilities for involuntary facial spasm include compressive tumors which result in aberrent nerve regeneration.

This is a difficult condition to treat and is not curable.
Answered: Sat, 5 May 2012
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  User's Response
Dear Dhanasekar.ik, Thanks for your question. You seem to be sufferring from a case of facial nerve spasm of the left side. The best doctor to diagnose and treat these kinds of disorders are the neurologist and the neurosurgeon. Various modalities of treatment for this condition are available, from medicines to physiotherapy to surigical options which will be best decided by a neurologist.
Answered: Mon, 7 May 2012
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