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Microvascular decompression done in cases of Neurovascular conflict with good outcome. Hemifacial spasm (HFS) is a neurological disorder characterized by involuntary, repetitive contractions (twitches or spasms) of the muscles on one side of the face. It usually involves muscles controlled by the Facial nerve (cranial nerve VII). ⚠️ Symptoms Sudden, involuntary twitching starting around the eye (eyelid) on one side Spasms may spread to other facial muscles on the same side (cheek, mouth, chin, neck) Spasms are painless but can be embarrassing and distressing May worsen with fatigue, stress, or talking Does not affect consciousness or sensation 📌 Causes Most common: Compression of the facial nerve by a blood vessel (usually an Arterial loop at the root exit zone of the nerve) Less commonly: Tumor compressing the facial nerve Multiple sclerosis After Bell's palsy (nerve injury)