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Classic hemifacial spasm (HFS) is generated by a compression on the facial nerve near the brainstem, usually by a blood vessel, inside the skull above the spinal cord. So the general answer is No.

Some people have compressions but don't have HFS. Can head trauma start the spasms going, if there is a compression already there? I've read a lot of the medical literature, and nobody talks about this kind of "kindling" event. Can a head trauma "push" the contents of the skull in and make a compression? I've not seen that in the literature, but there was an article about a bony prominence inside the skull causing the compression.

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Q: Does Head trauma cause hemifacial spasm?
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