Long-term efficacy of neural circuit blockade for treating blepharospasm: a retrospective case series study - Summary - MDSpire

Long-term efficacy of neural circuit blockade for treating blepharospasm: a retrospective case series study

  • By

  • Gang Liu

  • Qiangying Guo

  • Jie Xiang

  • Zhen Xu

  • Suying Chen

  • Yanling Xue

  • Zhitao Liu

  • Huixia Jin

  • Shangyi Yu

  • Ting Jiao

  • Xia Chen

  • Zhenzhen Liu

  • Xiangying Xi

  • Yanhong Li

  • Lili Shang

  • Jiao Du

  • Xianzhong Liu

  • Shihui Wei

  • June 24, 2026

  • 0 min

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Objective:

To analyze the long-term efficacy of neural circuit blockade (NCB) for blepharospasm.

Approach:
  • Study Design: A retrospective analysis of 570 patients who underwent NCB treatment, with a median postoperative follow-up of 51 months.
  • Evaluation Methods: Therapeutic efficacy was evaluated using the Shorr blepharospasm grading scale, Burke–Fahn–Marsden Dystonia Rating Scale (BFMDRS-M), and Blepharospasm Disability Index (BSDI).
Key Findings:
  • Preoperatively, 97.9% of patients were grade 4 on the Shorr grading scale; postoperatively, 87.5% achieved complete remission (grade 0).
  • Significant differences in BFMDRS-M scores pre- and postoperatively were observed across various categories.
  • BSDI scores also showed significant improvement postoperatively.
  • NCB was effective in alleviating blepharospasm without causing severe complications.
Interpretation:

NCB effectively alleviates blepharospasm and addresses the lack of a definitive treatment.

Limitations:
  • Loss to follow-up rate was 13.37%, which may affect the representativeness of the results.
  • The study was conducted at a single center, which may limit generalizability.
Conclusion:

NCB can safely and effectively alleviate blepharospasm, improve quality of life, and demonstrate stable long-term efficacy.

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