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Conditions We Treat: Blepharospasm

Blepharospasm is characterized by uncontrollable spasms of both eyelids, which can be strong enough to keep your eyelids closed. It is due to dystonia (an irregular, involuntary muscle contraction) affecting the small muscles in and around the eyelids. Hemifacial spasm causes involuntary spasms of the eyelid on one side, as well as spasms in the lower face on that side. 

Eyelid Spasms: Why Choose Johns Hopkins

Older man rubbing his eyes
  • Johns Hopkins neurologists regularly treat people with neurological eye disorders, and our physicians can assess troublesome twitching or abnormal movement of the eyelid or face and arrive at a diagnosis.
  • If your symptoms are due to other eye problems or other nervous system disorders, Johns Hopkins experts ensure you get a multidisciplinary approach to diagnosis and state-of-the-art treatment.
  • Our experts are skilled in addressing blepharospasm and hemifacial spasm with botulinum toxin.

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Treatment for Blepharospasm and Hemifacial Spasm

The cause of these conditions can be an irritation of the facial nerve (the nerve that moves the facial muscles on one side) by a loop of blood vessel on the same side. Botulin toxin is a very effective medicine for both blepharospasm and hemifacial spasm. If the medication does not control hemifacial spasm, your doctor may recommend neurosurgery to separate the nerve from the blood vessel, which can be effective. 

Your Neuro-Visual and Vestibular Team  

Dr. Newman-TokerDr. Newman-Toker, Director, Division of Neuro-Visual & Vestibular Disorders

Our multidisciplinary team is dedicated to advancing neuro-visual and vestibular conditions’ treatment and research, and improving patients' lives.



Daniel Gold, D.O. 
Amir Kheradmand, M.D.
David Newman-Toker, M.D., Ph.D.
David Zee, M.D.

Patient Resources

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Maryland Patients

To request an appointment or refer a patient, please contact the Vestibular Disorder Staff at 410-955-9313.
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Adult Neurology: 410-955-9441
Pediatric Neurology: 410-955-4259
Adult Neurosurgery: 410-955-6406
Pediatric Neurosurgery: 410-955-7337


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