What are the symptoms and treatment of neurosis?

Ejaculation spasm is a very common phenomenon in life. Generally speaking, nervous spasm is caused by excessive excitement of the brain nerves, sudden and repeated discharge of the brain, which leads to sudden and temporary disorder of brain function. The most common symptoms of nervous spasm are sensory impairment, limb convulsions, loss of consciousness, etc. Nerve spasm needs to be treated in the hospital as soon as possible to avoid worsening of the condition.

Causes of hemifacial spasm

1. Western medicine:

1. Vascular compression factors (30%):

The factors that cause hemifacial spasm include vascular factors, non-vascular factors and other factors. Vascular factors are caused by compression of blood vessels in the brainstem region of the facial nerve, which results in an aneurysm. Hemifacial spasm is caused by pathological interference of facial nerve conduction due to some kind of compression. Most patients with hemifacial spasm are caused by cross-compression of normal blood vessels, such as compression of the posterior inferior cerebellar artery, anterior inferior cerebellar artery, and vertebral nerve artery. Occasionally, it is caused by compression of the root of the facial nerve due to aneurysm, arteriovenous malformation or brain tumor.

2. Disease factors (30%):

Idiopathic facial nerve paralysis: Another group of patients suffer from idiopathic facial nerve paralysis, and after recovery, they develop secondary facial muscle spasm on the affected side. The cause of hemifacial spasm may be that facial neuritis leads to pathological changes in nerve demyelination and fails to return to normal. There is still partial demyelination, which makes the electrical conduction of the facial nerve susceptible to generalization, or facial neuritis involves the nerve nuclei in the brainstem, forming epileptic lesions and causing paroxysmal twitching of the facial muscles. The secondary type is also called symptomatic hemifacial spasm. Any compressive or irritating lesions in the entire channel from the cerebral cortex to the facial nerve branch endings can induce this disease. Common clinical diseases include inflammation and tumors of the middle ear and mastoid, space-occupying lesions of the cerebellopontine angle (cholesteatoma and acoustic neuroma), encephalitis, arachnoiditis, multiple sclerosis, Paget's disease and cranial invagination.

3. Other factors (20%):

Damage to the facial nerves caused by wind, cold or virus invasion. A very small number of patients experience muscle spasm on the affected side after trauma, tumor or surgery. It is possible that a short circuit occurs between the facial nerve and other cranial nerves during its recovery process, and when other nerves are excited, twitching of the facial muscles on one side may also occur.

2. Traditional Chinese Medicine:

Hemifacial spasm is caused by yin deficiency or weak qi deficiency, which leads to yin deficiency, blood deficiency, malnutrition of tendons and veins, or wind and cold disturbing the face. The disease is located in the facial yang meridians and is related to the liver, spleen, kidney, gallbladder, stomach, and internal organs; the disease can be either deficiency or excess.

It is important to understand the causative factors of hemifacial spasm, which indicates whether the relief can be effectively treated. People must understand it in detail and then do relevant diagnosis and treatment, which will have a multiplier effect on the treatment of the disease. In addition, many office workers who are under great pressure and often stay up late have experienced frequent and involuntary twitching of the muscles around their eyes due to excessive fatigue or stress. This is facial nerve disorder. This is also one of the causes of hemifacial spasm. People need to pay attention to it.

Can hemifacial spasm heal on its own?

Condition Analysis: Hello! Your symptoms should be hemifacial spasm. I suggest you continue with acupuncture treatment. I also recommend you to take medication. Here are some common methods for treating hemifacial spasm:

Guidance:

1. Drug treatment: Carbamazepine, about 600 mg per day, divided into 3 times orally; or phenytoin sodium, about 300 mg per day, divided into 3 times orally; or clonazepam, 0.5-1 mg, 3 times a day, may be effective for some patients, but continuous medication is required, and relapse is likely after discontinuation of medication.

2. Radiofrequency temperature-controlled thermocoagulation therapy: The disadvantage is that facial paralysis will occur after the operation, and the old disease will relapse during the gradual recovery process of facial paralysis within 1 to 2 years; or excessive electric heating, although spasm can be prevented for a long time, it will be replaced by permanent facial paralysis, which I think you are unwilling to accept.

3. Surgical treatment includes facial nerve trunk compression and branch cutting, facial nerve decompression, facial nerve vertical segment combing, facial nerve wire ligation, intracranial microvascular decompression, and intracranial facial nerve trunk combing. However, surgical treatment may cause facial paralysis and recurrence. Therefore, patients who undergo surgical treatment need to take certain risks. If you are very concerned about aesthetics, I do not recommend it.

4. Local injection of botulinum toxin type A: Generally, the effect can be maintained for about 3 months after treatment, and another injection is required after 3 months. However, botulinum toxin type A is highly toxic and improper injection may be life-threatening.

5. Acupuncture treatment. In summary, there are many surgical methods for treating hemifacial spasm, but each has its own advantages and disadvantages. Many treatment methods may cause facial paralysis and may relapse. So in comparison, I recommend drug treatment and acupuncture treatment. Although the effect may not be good, at least it will not cause facial paralysis and there is no life-threatening danger. If there is facial paralysis, people will not smile, which is even worse. I sincerely wish you a speedy recovery!

Condition analysis: Hemifacial spasm is an involuntary twitch of the hemifacial muscles. Usually, it is limited to one side of the face, so it is also called hemifacial spasm. It can occasionally be seen on both sides. Guidance: There are many treatments for your condition, such as oral medications such as phenytoin sodium or carbamazepine, and surgery can also be used for treatment, which also has a good effect. Acupuncture is relatively slower and can also be tried.