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Head angiography an x-ray exam of the blood vessels when they are filled with a contrast material treatment hemifacial spasm is usually a chronic condition. Remission of symptoms, although possible, has only been noted to occur in less than 10% of patients. Talk with your doctor about the best treatment plan for you. Treatment options include: medication treatment with carbamazepine is often used initially, with improvement in symptoms in up to half of patients who are treated. According to the food and drug administration (fda), patients of asian ancestry who have a certain gene, called hla-b*1502, and take carbamazepine are at risk for dangerous or even fatal skin reactions. If you are of asian descent, the fda recommends that you get tested for this gene before taking carbamazepine. If you have been taking this medication for a few months with no skin reactions, then you are at low risk of developing these reactions. Talk to your doctor before stopping this medication. * gabapentin and baclofen may also be beneficial for treating hemifacial spasm in some patients. Botulinum toxin injections injecting botulinum toxin (ie, botox) into the affected muscles can stop eyelid spasm for several months. cheap generic viagra viagra without a doctor prescription cheap viagra online cheap generic viagra buy generic viagra buy viagra online cheap viagra buy cheap viagra generic viagra online However, these injections must be repeated, usually several times a year. Surgery microvascular decompression surgery, which repositions the blood vessel away from the nerve, is successful in cases of hemifacial spasm in which the cause is suspected to be a blood vessel compressing the facial nerve. Prevention there is no known way to prevent hemifacial spasm. Resources: national institute of neurological disorders and stroke national organization for rare disorders canadian resources: canadian movement disorder group hemifacial spasm association references: alexander ge, moses h. Carbamazepine for hemifacial spasm. Neurology. 1982;32:286-287. Defazio g, martino d, aniello ms, et al. Influence of age on the association between primary hemifacial spasm and arterial hypertension. J neurol neurosurg psychiatry. 2003;74:979-981. Digre k, corbett jj. Hemifacial spasm: differential diagnosis, mechanism, and treatment. Adv neurol. 1988;49:151-176. Ehni g, woltman hw. Hemifacial spasm. Arch neurol psychiatry. 1945;53:205-211. Hemifacial spasm. Chicago institute of neurosurgery and neuroresearc.