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Living with Hemifacial Spasm

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My treatment decision
by: Rose on Wed, Jan 23 2008
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I was diagnosed with hemifacial spasm a couple of years ago. i had had the condition for some years before that. it is not well known by many doctors and not easily identified. i first noticed an eye twitch. being aggressive in my approach to my health, i saw a neurologist who performed a complete neurological exam and found no deficits. i had an MRI at the time which was normal.

Several years later as the condition progressed, I again became concerned. my family doctor suggested it was due to severe lack of sleep. When it persisted i was referred to a second neurologist who readily identified HFS. My issue became what to do to treat it.

i have considered the classic options: medication (which can hardly be considered a treatment in view of the negatives), botox and surgery.

My eye has closed a bit and alternates between semi-closure and normalcy and i do sometimes experience the gruesome twitches which i manage to mask. But i have considered the treatments and have opted to do nothing.

I am concerned about the potential side effects some of which can be worse than the condition itself. I am able to go about my normal life now except that my eye is sometimes noticeably half-closed. i am able to drive and do everything i want to do. i have no dizziness nausea, or anything else. thank god.

I have considered micro-vascular decompression surgery, but the risks are too great for me. i enjoy all my faculties right now and want to preserve them. I am not as beautiful as I used to be or maybe even can be..but my life is better than it might be and i am grateful to God for that.

i am afraid of disrupting the equilibirumof health that i do have , in favour of a treatment which may introduce into my life some effects worse than the condition itself that i would find far more distressing than theissue i have now.

if anyone thinks i’m wrong, please enlighten me.


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Comments
  1. Fri, Apr 03 2009
    Norris, I hope by now you have had an uneventful recovery from a successful surgery! I had headaches for a couple days, surgical pain for a couple we...Read
  2. Fri, Jan 23 2009
    I read with interest your posting about HFS. I'm a 62 year old male and have had HFS for about 10 years. I've taken Botox for the last 5 years and now...Read
  3. Tue, Nov 18 2008
    was the surgery successful? How long did it take before the twitching stopped? Hope you are doing better. Cherise...Read
  4. Mon, Sep 15 2008
    Thanks so much with the follow up info. I wish and pray for your fullest recovery, Matt...Read
  5. Mon, Sep 15 2008
    Matt -- so far, the only effective treatments for HFS that have clinical evidence are Botox and the MVD surgery. Oral meds are hit and miss; and of th...Read

January 2008

  • My treatment decision - by Rose - (Wed, Jan 23 2008)
    I was diagnosed with hemifacial spasm a couple of years ago. i had had the condition for some years before that. [more..]

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