Idiopathic Hemifacial Spasm constitutes a severe disability as well
from a cosmetic and psychological point of view as functionally for
the daily life. Until recently this peculiar disease had remained
enigmatous and was resistant to any kinds of treatments. Over the two
last decades, important advances have been made in the comprehension
of its mechanisms and the efficacy of its treatment. Botulinic toxin
revealed to be helpful although its effects are most often transient.
Microvascular decompression - suppressing the neuro-vascular conflict
almost constantly found at the root exit zone of the facial nerve
from the brain stem - has been recognized as the curative treatment
of the disease. A wide range of specialists, namely neurologists,
ophthalmologists, ENT surgeons, clinical neurophysiologists,
neuroradiologists and of course neurosurgeons are involved in the
diagnosis and the management of Hemifacial Spasm and will be
interested in this multidisciplinary review of the topic.
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