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Facial hemispasm
Usually appears in middle to elderly life. May be associated with banal
infection and mild draft.
Manifestations
Unilateral, recurring, rapid, locally migrating twitches of bundles of
facial muscles most often occurring around the eye or mouth.
Initially intermittent in bursts of minutes to an hour or so but often
becomes continuous. Sensory changes are lacking and most examples reflect
the compression of the facial nerve at the base of the brain by an adjacent
artery.
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Treatment
Surgical separation of the facial nerve and artery usually halts the
problem.
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