Hemifacial Spasm

Posted , 45 users are following.

I have just been diagnosed with Hemifacial Spasms at the age of 46 - since suffering from daily fluttering in my left eye. Thankfully at this stage it is still only affecting the left eye (I have had this since May last year) and hasn't spread anywhere else. I am beside myself with panic that I am going to end up abnormally deformed and disfigured very soon as it does start to include the rest of the face. Can anyone give a complete novice regarding HFS some advice. I only got the letter yesterday and don't see my Consultant until April and I am out of my mind at the outlook prognosis and what to expect. Is it really going to leave me looking disfigured permanently?

1 like, 129 replies

129 Replies

Prev Next
  • Posted

    Sharon:

    I live in the Atlanta area and am just starting to seek information re having my HFS diagnosed and treated. Can you tell me what clinic you have found in the ATL area that is well experienced in this condition. Many thanks, Richard.

    • Posted

      Hi Richard, sorry to but into your conversation.  Here's a list (taken from another site) of the surgeons that HFS forum members have used.  This is not in any way a recommendation of these surgeons, just evidence that they do surgery for HFS.  The acknowledged expert in the US according to forum members is definitely Dr Sekula in Pennsylvania - he has a terrific success rate with MVD surgery:

      Arizona

      Dr. Robert Spetzler

      Barrow Neurological Institute

      Phoenix

       

      California

      Dr. Brian Andrews

      Sutter Health

      San Francisco

       

      Dr. John Alksne

      UC San Diego

      San Diego

       

      Dr. James E Boggan

      UC Davis

      Davis

       

      Dr. Allen Efron

      Kaiser

      Redwood City

       

      Dr. Steven L Giannotta

      USC

      Los Angeles

       

      Dr. Paul Jackson

      Stanford University

      Stanford

       

      Dr. Mark Linskey

      UC Irvine

      Orange

       

      Dr. Bill Mastrodimos

      Kaiser Hospital

      San Diego

       

      Dr. Neil Martin  

      UCLA

      Los Angeles

       

      Dr, Stephen Nutik

      Kaiser Hospital

      Redwood City

       

      Dr. Hrar Shahinian

      Skull Base Institute

      Los Angeles

       

      Colorado

      Dr. J. Paul Elliott

      Denver, CO

       

      Florida

      Dr. Siviero Agazzi

      Tampa General Hospital

      Tampa

       

      Dr. John Drygas

      Clearwater

       

      Dr. Melvin Field

      Orlando,

       

      Dr. William Friedman

      University of Florida

      Gainesville

       

      Dr. Albert Rhoton Jr

      University of Florida

      Gainesville

       

      Indiana

      Dr. Aaron Cohen-Gadol

      Indiana University

      Indianapolis

       

      Iowa

      Dr. Bruce Gantz -  Otolaryngologist

      University of Iowa Head & Neck Surgery

      Iowa City

       

      Dr Marlan Hansen - Otolaryngologist

      University of Iowa Head & Neck Surgery

      Iowa City 

       

      Louisiana

      Dr. Anil Nanda

      Shreveport

       

      Maryland

      Dr. Allesandro Olivi

      Johns Hopkins Hospital

      Rockville 

       

      Massachusetts

      Dr. Fred G. Barker II

      Massachusetts General

      Boston

       

      Dr. Rose Du

      Brigham & Women's Hospital

      Boston

       

      Dr. Kamal Kalia

      New England Neurosurgical

      Springfield

       

      Michigan

      Dr. Kenneth F. Casey

      Henry Ford Hospital

      Detroit

       

      Minnesota

      Dr. Stephen J. Haines

      University of Minnesota

      Minneapolis

       

      Dr. Michael J. Link

      Mayo Clinic

      Rochester

       

      Dr, Frederic Meyer

      Mayo Clinic

      Rochester

       

      New York

      Dr. Saeed Bajwa

      Southern New York Neuro Surgery Center

      New York

       

      Dr. Joshua B Bederson

      Mount Sinai

      New York

       

      Dr. Elad Levy

      University of Buffalo

      Amherst

       

      Dr. Chandranath Sen

      Mount Sinai and NYU Langone Medical Center

      New York

       

      Dr. Raj Shrivastava

      New York City, NY

      St. Lukes Hospital

       

      North Carolina

      Dr. Takanori Fukushima

      Carolina Neuroscience Institute

      Raleigh

       

      Dr. Anthony Asher

      Carolinas Medical Center

      Charlotte

       

      Ohio

      Dr. John Tew

      Mayfield Clinic

      Cincinnati

       

      Oregon

      Dr. Kim Burchiel

      OHSU

      Portland

       

      Pennsylvania

      Dr. Michael Horowitz

      Butler Health Systems

      Mars

       

      Dr. Raymond Sekula, Jr.

      University of Pittsburgh

      Pittsburgh 

       

      Dr. Eric Zager

      Penn Medicine

      Philadelphia

       

      Tennessee

      Dr. James Killeffer

      Knoxville

       

      Dr. Peter Konrad

      Vanderbilt University

      Nashville

       

      Texas

      Dr. Christopher Bogaev

      Neurological Associates

      San Antonio

       

      Dr. Richard L Harper

      Neurosurgical Group of Texas

      Houston

       

      Dr. Rob Parrish

      Methodist Hospital

      Houston

       

      Dr. Jonathan White

      UT Southwestern Medical Ctr

      Dallas

       

      Utah

      Dr. William Couldwell

      Salt Lake City

       

      Dr Howard Reichman

      Provo

       

      Virginia

      Dr. K. Singh Sahni

      Richmond

       

      Washington

      Dr. Kyle Kim

      Virginia Mason 

      Seattle

       

      Dr. John Loeser

      UW Medicine

      Seattle

       

      Dr. David Newell

      Swedish Hospital

      Seattle

       

      Dr. Robert Rostomily

      UW Medicine

      Seattle

       

      Wisconsin

      Dr. Amin Kassam

      Aurora Health

      Milwaukee

       

      Wyoming

      Dr.Thomas A Kopitnik

      Casper

       

       

    • Posted

      Roseann:

      thanks SO much for sending this list. This gives me a place to start my search.

      Richard.

    • Posted

      Hi Richard, I am based in the UK but I know Angela has given you a comprehensive list of surgeons - the guy everyone goes on about on the HFS site is Dr Sekula, if I could, I would go to him in a heartbeat!  I hope you are doing okay x
    • Posted

      Hi Roseann,

      I had MVD surgery about 6 weeks ago.  I thought you may want to add my surgeon to this list if you can.  I live in Philadelphia, PA and my neurosurgeon is Dr. Farrell at Jefferson University Hospital in Philadelphia.  Dr. Farrell is excellent!  I suffered from HFS for alsomst 20 years and finally made the decision to have surgery.  It's the best decision I ever made!  I awoke from surgery spasm-free.  Wish I'd had the surgery 10 years ago.  Dr. Christopher Farrell is amazing.  I highly recommend him to anyone considering MVD.

  • Posted

    The surgery was not as bad as I had envisioned.  Yes, the incision was longer that I thought that it would be and before i went to surgery I shaved my head at Super Cuts, but I only stayed home from work for approximately three months.

    After over eight years of xonstant twitching, training myself to sleep on my rigt side, to exhausted at the end of the day to do anything, embarrassed to smile or talk in front of a group of people, smile in a picture with my two daughters, etc.  The surgery was wort it.

    Do you think that a neurologist would let a celebrity or politician go eight years without referring them to a surgeon?

    • Posted

      I have said this over and over, if a celebrity got it, or a member of the Royal family or presidential elect, then I am absolutely sure something would be done about it pronto, and a lot more money thrown into finding better and less invasive treatments if possible.  Horrible horrible condition but thanks to everyone here who keeps posting about successful surgeries, I am fighting to get surgery done as in the UK we don't have insurance as in the US, and have to put up with long waiting lists and trying to find a sympathetic health professional.  Wish me luck and God bless everyone xx
  • Posted

    Sharon:Thanks for sharing your experience. Are you in the U.S., and if so, would you mind telling us what clinic/surgeon you used?  I'm just beginning a "surgeon search". 

    Many thanks,

    Richard. 

    • Posted

      Richard,

      I had MVD 6 weeks ago.  I live in Philadelphia, PA.  My neurosurgeon is Dr. Farrell at Jefferson Hospital in Philly.  Dr. Farrell was excellent.  I highly recommend him.  I awoke from surgery spasm-free.  If you want more info let me know.  Best of luck!

      Sue

    • Posted

      Sharon, I'm a 10 year hfs vet. I just did the MVD 12 days ago. It was successful. Absolutely no twitches! I used Dr. Harper located at the Texas medical center in Houston. He has over 200 of these procedures under his belt. He is very very good and confident. He went out of his way and fit me in for surgery on dec 22 and at home by Christmas Eve . I had called him about two before that and explained how my condition took a bad turn to the worse. Long story short. He scheduled me in during the holidays and gave me the best Christmas anyone that has HFS could ask for. He really cares.

      My second choice doctor would have been Dr. Sekula in Pensylvania. Just google him and watch some of his videos. I hope this helps!

  • Posted

    Sharon, I am sorry about the misspelled words.  My boss/friend and I flew over to Seattle to see a football game (American).  The Seahawks beat the Cardinals, Yeah!  So, I returned home late and took my contacts out before I posted my response. 

    The surgery was not as bad as I had envisioned.  Yes, the incision was longer that I thought that it would be and before I went to surgery I shaved my head.  I only stayed home from work for approximately three months to recuperate.

    After over eight years of constant twitching, training myself to sleep on my right side, to exhausted at the end of the day to do anything, embarrassed to smile or talk in front of a group of people or smile in a picture with my two daughters, etc. ...  the surgery was definitely worth it.

    Do you think that a neurologist would let a celebrity or politician go eight years without referring them to a surgeon?  No.  They would have them in the surgery room as soon as they could schedule it.  I really doubt if the physician would prescribe Tegretol (Carbamazepine), etc.  Not one of the medications that all of the neurologists prescribed for me helped.

  • Posted

    I have been Dx and suffering for 4 plus years. The entire side of my left is affected.... I've had the Botox injections which only leaves me looking disfigured..... This has taken a toll on me emotionally.... I'm in the public eye a lot and do speaking engagements and now my words are alurred and I also have trouble swallowing as well at times..... Does anyone know a surgeon or Dr that had performed the decompression close to the KY USA AREA? I'm willing to travel anywhere at this point.... What is the recovery time? As I'm a single mom of three?
    • Posted

      Hi Angela.  I am on a number of forums and have noted that the 'go to' surgeon in the US is Dr Raymond Sekula in Pittsburgh.  He gets fantastic results and rave reviews from his patients.  Dr Fukashima (Raleigh?) and Dr Barker (Boston?) also come with good reviews from forum members.  But I am not sure where these are in relation to where you live or where your health insurance might cover.  Here's a list that I've 'borrowed' from another forum of all the doctors that members have used in the US - it is not a recommendation of how good they each are, just that they have done MVD for HFS surgery:

      United States:

       

      Arizona

      Dr. Robert Spetzler

      Barrow Neurological Institute

      Phoenix

       

      California

      Dr. Brian Andrews

      Sutter Health

      San Francisco

       

      Dr. John Alksne

      UC San Diego

      San Diego

       

      Dr. James E Boggan

      UC Davis

      Davis

       

      Dr. Edward Chang

      UCSF

      San Francisco

       

      Dr. Allen Efron

      Kaiser

      Redwood City

       

      Dr. Steven L Giannotta

      USC

      Los Angeles

       

      Dr. Paul Jackson

      Stanford University

      Stanford

       

      Dr. Mark Linskey

      UC Irvine

      Orange

       

      Dr. Bill Mastrodimos

      Kaiser Hospital

      San Diego

       

      Dr. Neil Martin  

      UCLA

      Los Angeles

       

      Dr, Stephen Nutik

      Kaiser Hospital

      Redwood City

       

      Dr. Hrar Shahinian

      Skull Base Institute

      Los Angeles

       

      Colorado

      Dr. J. Paul Elliott

      Denver, CO

       

      Florida

      Dr. Siviero Agazzi

      Tampa General Hospital

      Tampa

       

      Dr. John Drygas

      Clearwater

       

      Dr. Melvin Field

      Orlando,

       

      Dr. William Friedman

      University of Florida

      Gainesville

       

      Dr. Albert Rhoton Jr

      University of Florida

      Gainesville

       

      Indiana

      Dr. Aaron Cohen-Gadol

      Indiana University

      Indianapolis

       

      Iowa

      Dr. Bruce Gantz -  Otolaryngologist

      University of Iowa Head & Neck Surgery

      Iowa City

       

      Dr Marlan Hansen - Otolaryngologist

      University of Iowa Head & Neck Surgery

      Iowa City 

       

      Louisiana

      Dr. Anil Nanda

      Shreveport

       

      Maryland

      Dr. Allesandro Olivi

      Johns Hopkins Hospital

      Rockville 

       

      Massachusetts

      Dr. Fred G. Barker II

      Massachusetts General

      Boston

       

      Dr. Rose Du

      Brigham & Women's Hospital

      Boston

       

      Dr. Kamal Kalia

      New England Neurosurgical

      Springfield

       

      Michigan

      Dr. Kenneth F. Casey

      Henry Ford Hospital

      Detroit

       

      Minnesota

      Dr. Stephen J. Haines

      University of Minnesota

      Minneapolis

       

      Dr. Michael J. Link

      Mayo Clinic

      Rochester

       

      Dr. Bruce Pollock Resident: Dr Marcus Gates

      Mayo Clinic

      Rochester

       

      Dr, Frederic Meyer

      Mayo Clinic

      Rochester

       

      New York

       

      Dr. Saeed Bajwa

      Southern New York Neuro Surgery Center

      New York

       

      Dr. Joshua B Bederson

      Mount Sinai

      New York

       

      Dr. Elad Levy

      University of Buffalo

      Amherst

       

      Dr. Chandranath Sen

      Mount Sinai and NYU Langone Medical Center

      New York

       

      Dr. Raj Shrivastava

      New York City, NY

      St. Lukes Hospital

       

      North Carolina

      Dr. Takanori Fukushima

      Carolina Neuroscience Institute

      Raleigh

       

      Dr. Anthony Asher

      Carolinas Medical Center

      Charlotte

       

      Ohio

      Dr. John Tew

      Mayfield Clinic

      Cincinnati

       

      Oregon

      Dr. Kim Burchiel

      OHSU

      Portland

       

      Pennsylvania

      Dr. Michael Horowitz

      Butler Health Systems

      Mars

       

      Dr. Raymond Sekula, Jr.

      University of Pittsburgh

      Pittsburgh 

       

      Dr. Eric Zager

      Penn Medicine

      Philadelphia

       

      Tennessee

      Dr. James Killeffer

      Knoxville

       

      Dr. Peter Konrad

      Vanderbilt University

      Nashville

       

      Texas

      Dr. Christopher Bogaev

      Neurological Associates

      San Antonio

       

      Dr. Richard L Harper

      Neurosurgical Group of Texas

      Houston

       

      Dr. Rob Parrish

      Methodist Hospital

      Houston

       

      Dr. Jonathan White

      UT Southwestern Medical Ctr

      Dallas

       

      Utah

      Dr. William Couldwell

      Salt Lake City

       

      Dr Howard Reichman

      Provo

       

      Virginia

      Dr. K. Singh Sahni

      Richmond

       

      Washington

      Dr. Kyle Kim

      Virginia Mason 

      Seattle

       

      Dr. John Loeser

      UW Medicine

      Seattle

       

      Dr. David Newell

      Swedish Hospital

      Seattle

       

      Dr. Robert Rostomily

      UW Medicine

      Seattle

       

      Wisconsin

      Dr. Amin Kassam

      Aurora Health

      Milwaukee

       

      Wyoming

      Dr.Thomas A Kopitnik

      Casper

       

       

    • Posted

      Dear Angela,

      I suffered from HFS for almost twenty years.  I had Botox injections for nine years and wish I had never taken that route.  Like you, it left me disfigured.  The left side of my mouth drooped.  It was awful.  I live in the USA, in Philadelphia, PA.  I had MVD surgery three months ago. I  awoke from surgery spasm-free.   I was in the hospital for three days. I just saw my doctor today for the three month follow up.   I saw a wonderful neurosurgeon at Thomas Jefferson U. Hospital in Philadelphia.  His name is Dr. Christopher Farrell.  He is incredible!  I  highly recommend him!  The recovery time is about three months.  I feel great and am so grateful to be spasm-free.  Contact me if you would like more information.  Wish you all the best!

      Sue

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.