spasm usually begins with mild spasm involving the small muscles around
the eye. These may be controlled by medications such as Tegretol® or
Dilantin®, but medical therapy alone is usually not effective in providing
long-term spasm control. The two treatment options most widely considered
are repeated Botulinum toxin (Botox®) injections or microvascular decompression
(MVD) surgery. There are strong proponents of either intervention, although
HFS sufferers should be allowed to make their own decision based on
a thorough understanding of the usual disease course, as well as the
potential advantages and disadvantages of each treatment.
to Botox® Injections.