Clonic hemifacial spasm
ICD-10 G51.3 is a billable code used to indicate a diagnosis of clonic hemifacial spasm.
Clonic hemifacial spasm is a neurological condition characterized by involuntary, intermittent contractions of the muscles on one side of the face. This condition is often caused by irritation or compression of the facial nerve (cranial nerve VII), which can occur due to various factors such as vascular compression, tumors, or multiple sclerosis. Patients typically experience spasms that may be triggered by stress, fatigue, or specific facial movements. The spasms can lead to significant discomfort and social embarrassment, impacting the patient's quality of life. Diagnosis is primarily clinical, supported by patient history and neurological examination. Electromyography (EMG) may be utilized to assess the electrical activity of the facial muscles and confirm the diagnosis. Treatment options include botulinum toxin injections, which can provide temporary relief by blocking nerve signals to the affected muscles, and surgical interventions in more severe cases. Understanding the underlying causes and appropriate management strategies is crucial for effective treatment and patient care.
Detailed neurological examination findings, patient history, and treatment response.
Patients presenting with unilateral facial spasms, history of facial nerve injury, or neurological disorders.
Consideration of comorbid conditions such as multiple sclerosis or vascular issues affecting the facial nerve.
Assessment of facial nerve function, imaging studies if indicated, and treatment plans.
Patients with facial nerve compression due to tumors or vascular anomalies.
Documentation of surgical interventions and their outcomes.
Used for treatment of clonic hemifacial spasm.
Document the number of units injected, the site of injection, and the patient's response.
Neurologists and otolaryngologists should ensure proper documentation of treatment efficacy.
Common treatments include botulinum toxin injections, which help reduce muscle contractions, and in some cases, surgical interventions may be considered if conservative treatments fail.
Clonic hemifacial spasm is characterized by intermittent, involuntary contractions on one side of the face, often triggered by stress or fatigue, whereas other disorders like Bell's palsy present with weakness rather than spasms.
