Hemi facial spasm is a neurological disorder in which blood vessels constrict the 7th cranial nerve and cause various degrees of facial spasm.  This typically originated around the eye and cheek of the affected side of the face, and produces involuntary spasms.  Botulinum Toxin (Botox) is FDA approved for this condition and is the treatment of choice.  Botox will control these spasms in greater than 90% of cases.  This provides relief of the spasms for 3-4 months. Use of Botox for Hemi-Facial spasm is covered by most insurance.

Blepharospasm is a localized movement disorder that affects the muscles that control eyelid movement.  The disorder is characterized by increased blinking caused by involuntary spasms of the muscles controlling the eyelids.  Both eyes are usually affected and can result in functional blindness.  Patients may show sensitivity to sunlight and need to wear sunglasses frequently.  About 75% of patients are female with the average age of onset at 56 years.  Experts believe that it may be caused by a defect in the basal ganglia group of nerve cells in the central nervous system.  Botulinum Toxin (Botox) is FDA approved for this condition. Botox is injected at the affected eye muscles to relieve the spasm.  The duration of effect lasts for 3-4 months. Blepharospasm procedures are usually covered by insurance.