Hemifacial myokymia is an uncommon involuntary movement, its a disorder of muscles supplied by facial nerve and characterized by sudden movement under the skin.
Involuntary vermiform movement (twitches) of affected muscles are characteristic features.
Involved muscles are orbicular oris and orbicularis oculi
Management:
Mecobalamine (vitamin B12) nutritional supplement. alongside topical antihitamine for orbicularis twitches, or oral antihistamine for recalcitrant cases.
Injection Botulinum toxin (BTX)
But we often need to differentiate it from Pathological blepharospasm.
By exercise:
Exercises related to stress relaxation if stress will release it can help in controlling twiching Some sort of psychotherapy
Surgery:
MVD microvascular decompression surgery to treat the symptoms caused by compression of nerve due to vein or artery
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