68 yrs female, diabetic with control and h/o involuntary movements in face for past 1week, no other weakness over the body or involuntary movements, no trauma

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Its hemifacial spasm twitching of the eye and face get the following done: 1. MRI brain to rule out aneurysm, tumor compressing the facial cranial nerves 2. EMG and NCV of the face to check for conductivity of the nerves Once confirmed start patient on the following 1. Carbamazepine 2. Baclofen Alternatively botox has been proven very effective in treating hemifacial spasms however start in medications first check the response and then decide for botoxilium

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this is a case very similar to the one presented by Dr Dalal which turned out to be a case of facial hemispasm due to compression of facial n by an artery . Adv post fossa MRI & surgical intervention sos.

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Its hemifacial spasm..send to neurosurgeon for assessment and treatment...most patients can only be cured after a surgery called MVD

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Ipsilateral bell's palsy lt side with facial twichings

Thanx dr Pushkar Bhomia
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Rt hemifacial spasm

Bells palsy

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Right hemifacial dyskinesia

Muscular twiching

Tnx sir
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Lt side bells palsy ask for CT scan of BRAIN CBC ESR Blood SUGAR HIV VDRL

Facial musleular twiching

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