What's REALLY Causing Hemifacial Spasm and How to Stop It Now

Hemifacial spasm is a rare neuromuscular disorder that causes involuntary contractions on one side of the face. These repetitive twitching episodes can be frustrating, exhausting, and socially isolating — but effective treatments do exist. In this episode of Dr. Miller’s Guide to Neurology, Dr. Caudill Miller draws on 40 years of clinical experience to explain what causes hemifacial spasm, how it’s diagnosed, and the most effective treatment options available today. You’ll learn: ✅ Common causes including trauma, demyelinating diseases, and tumors ✅ Why an MRI with CP angle cuts is essential for diagnosis ✅ How Botox works for hemifacial spasm and injection precautions to avoid side effects ✅ When surgical treatment like microvascular decompression is considered Botox remains the gold standard medical treatment, with results lasting 10 weeks to 6+ months for most patients. Dr. Miller explains exactly how it’s administered and why experience matters. If you or a loved one suffers from hemifacial spasm, this video offers clear, practical guidance from a seasoned neurologist. Subscribe for more real-world neurology tips and patient education videos from Dr. Miller’s Guide to Neurology.