Hemifacial Spasm

This condition presents with spontaneous twitching of the face. This is caused when a blood vessel pulsates against the seventh cranial nerve in the brainstem. Other conditions that has similar symptoms is blepharospasm and focal dystonia. It is important to define that exact syndrome as the treatment is vastly different.

Hemifacial spasm as caused by a vessel compressing the facial nerve is treated like Trigeminal neuralgia. Unfortunately Tegretol treatment is not very effective. Surgery is very effective and has a high cure rate. This is also done by performing a craniotomy and positioning a Teflon patch between the vessel and the nerve.


Dr MJD Jacobsohn qualified in 2007 at the University of Cape Town. He then completed an AO spinal fellowship at the Spinal Unit of Groote Schuur Hospital. He started full time private practice at Mediclinic Vergelegen in 2009 when he joined the established practice of Dr LS Wessels as his associate. A comprehensive range of cranial and spinal neurosurgical pathology are managed by Dr Jacobsohn.


physical address Block 2, Room 9, Mediclinic Vergelegen, Main Road, Somerset West, 7130

telephone number Tel: +27 (0)21 840 7002

email info@drjacobsohn.co.za