Q. My eyelid keeps twitching on one side. Is it just stress?
Not always. Persistent twitching involving one side of the face may be Hemifacial Spasm, a neurological condition caused most commonly by a blood vessel pressing on the facial nerve. It should be evaluated by a Consultant Neurosurgeon.
Q. What are the symptoms of Hemifacial Spasm?
Common symptoms include:
* Repeated twitching of one eyelid
* Involuntary movements of the cheek or mouth
* Facial pulling on one side
* Difficulty keeping the eye open
* Spasms that worsen with stress or fatigue
* Symptoms affecting only one side of the face
Q. What causes Hemifacial Spasm?
The most common cause is compression of the facial nerve by a nearby blood vessel. Less commonly, it may be due to tumors, previous facial nerve injury, or other neurological disorders. An MRI Brain helps identify the cause.
Q. Is Hemifacial Spasm dangerous?
It is usually not life-threatening, but it can interfere with vision, speech, work, and quality of life. Early diagnosis prevents unnecessary delay in treatment.
Q. How is it diagnosed?
Diagnosis includes:
* Neurological examination
* MRI Brain
* MRI to look for blood vessel compression of the facial nerve
* Evaluation to rule out brain tumors or other causes
Q. What are the treatment options?
Treatment depends on the cause and severity:
* Medicines for mild symptoms
* Botulinum (Botox) injections for temporary relief
* Microvascular Decompression (MVD) surgery, which treats the root cause by relieving pressure on the facial nerve and offers long-term relief in suitable patients.
Q. When should I consult a Neurosurgeon?
Consult immediately if:
* Facial twitching persists for weeks
* Spasms spread from the eye to the mouth
* Your vision is affected
* Medicines are not helping
* The twitching is becoming more frequent
Q. Who is the best Neurosurgeon for Hemifacial Spasm in South Mumbai?
If you are looking for evaluation and treatment of Hemifacial Spasm in Lalbaug, Byculla, Chinchpokli, Curry Road, Peddar Road, Worli, Mumbai Central, Dadar, Parel, Lower Parel, Mahalaxmi, Madanpura, or Agripada, Dr. Bhushan Meshram, the best Neurosurgeon in South Bombay, provides advanced diagnosis and treatment, including Microvascular Decompression (MVD) for appropriately selected patients. Patients from across South Mumbai consult Dr. Bhushan Meshram for complex brain and nerve disorders.