Abstract
To report a patient with hemifacial spasm (HFS) which improved with topiramate. A 52-year-old woman diagnosed with migraine, who also had a right HFS, did experience a marked improvement of HFS after introduction of topiramate as prophylactic therapy for her migraine episodes. Topiramate withdrawal led to reappearance of HFS, which improved again after its reintroduction. Topiramate should be considered as a possible therapy for HFS.
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