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Suggest Allopathic Treatment For Hemifacial Spasm

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Posted on Wed, 11 Mar 2015
Question: Sir I have got facial problem dignosed as Left hemifacial spasm

what are tretments available for it in allopathy ? Is MRI bRAIN IS NECESSARY ?
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Answered by Dr. Ajay Panwar (47 minutes later)
Brief Answer:
Carbamazepine/botox/MRI Brain is necessary.

Detailed Answer:
Hi XXXXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

Hemifacial spasm have following treatment options-
1) Drugs-Carbamazepine is the drug of choice and about 70% patients respond to it.Clonazepam may be of help in some persons.
2)'Botulinum toxin' is very effective in patients not responding to drugs.

MRI Brain is necessary to rule out any structural cause for hemifacial spasm.Some of the secondary causes of hemifacial spasm are aberrant vessels or some tumor at the brainstem.So,MRI is must to confirm that hemifacial spasm is primary and there is no secondary cause.

Hope I have answered your query.If you have some follow up queries,I shall be glad to answer else,please close the thread-rate it and write a review.

Dr.Ajay Panwar,
MD,DM(Neurology)


Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1827 Questions

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Suggest Allopathic Treatment For Hemifacial Spasm

Brief Answer: Carbamazepine/botox/MRI Brain is necessary. Detailed Answer: Hi XXXXXX, Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. Hemifacial spasm have following treatment options- 1) Drugs-Carbamazepine is the drug of choice and about 70% patients respond to it.Clonazepam may be of help in some persons. 2)'Botulinum toxin' is very effective in patients not responding to drugs. MRI Brain is necessary to rule out any structural cause for hemifacial spasm.Some of the secondary causes of hemifacial spasm are aberrant vessels or some tumor at the brainstem.So,MRI is must to confirm that hemifacial spasm is primary and there is no secondary cause. Hope I have answered your query.If you have some follow up queries,I shall be glad to answer else,please close the thread-rate it and write a review. Dr.Ajay Panwar, MD,DM(Neurology)