Park Chang-Kyu, Lim Seung-Hoon, Park Kwan
Department of Neurosurgery, Kyung Hee University College of Medicine, Seoul 02447, Republic of Korea.
Department of Neurosurgery, Konkuk University Medical Center, Seoul 05030, Republic of Korea.
Life (Basel). 2023 Aug 17;13(8):1760. doi: 10.3390/life13081760.
Hemifacial spasm is typically caused by contact between the facial nerve and blood vessels. Microvascular decompression, a treatment that directly addresses this pathogenesis, is often considered the most effective treatment method. However, surgery is not immediately performed for patients at risk from the surgical treatment, or for those with an unclear diagnosis. In these instances, Botulinum toxin injection can help manage the patient's symptoms. Numerous studies corroborate the effectiveness and safety of Botulinum toxin treatment, with large-scale studies indicating symptom control lasts, on average, around 15 weeks.
面肌痉挛通常由面神经与血管之间的接触引起。微血管减压术是一种直接针对这种发病机制的治疗方法，常被认为是最有效的治疗方式。然而，对于有手术治疗风险的患者或诊断不明确的患者，不会立即进行手术。在这些情况下，肉毒杆菌毒素注射有助于控制患者的症状。大量研究证实了肉毒杆菌毒素治疗的有效性和安全性，大规模研究表明症状控制平均持续约15周。
