In 92% of cases, the spasm starts near the eye and progresses down the face over time. In the other 8% it starts near the chin and progresses upward. The twitching is usually not painful, but it can be embarrassing and interfere with normal expression and vision. Hemifacial spasm may develop gradually. Initially, the muscles surrounding the eye may be affected by muscle spasms. The spasms may then spread to other muscles on the same side of the face, particularly the muscles of the jaw and mouth. Some patients experience a clicking sound in the ear on the affected side each time there is a muscle spasm. Hemifacial spasm tends to affect the left side of the face more often than the right. Hemifacial spasm is usually less variable than many focal dystonias, although some sufferers do find that their condition worsens when they are under stress and improves when they lie down.
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All information is intended for reference only. Please consult your physician for accurate medical advices and treatment. Copyright 2005, health-cares.net, all rights reserved. Last update: July 18, 2005