面肌痉挛又称面肌抽搐，是因一侧面神经异常兴奋弓起同侧面部肌肉出现阵发非自主无痛性，反复发作的强直或抽搐，该病发病机制尚无定论，其病程进展缓慢，呈渐进性发展。随着微血管减压术的推广及广泛应用，人们对面肌痉挛的发病机制有了更深的认识。本文针对面肌痉挛的临床诊断及内外科治疗的进展进行综述，有助于临床对面肌痉挛的规范诊疗。“,”Hemifacial Spasm,also called facial tic is one side facial muscular paroxysm non-spontaneous and non-pain recurrent rigidity or tic caused by abnormal excitement of the same side facial nerves.The pathogenesisof the disease is still unclear with slow symptoms progression and progressive development.With the widespread application of microvas-cular decompression,the pathogenesis of hemifacial spasm is more profoundly understood.In this article,a review is made about clinical diagnose and progress of medical and surgical treatment to improve the standardized clinical treatment of facial spasm.