stdClass Object ( [id] => 18111 [paper_index] => 202511-01-024895 [title] => INVESTIGATION OF THE RELATIONSHIP BETWEEN VITAMIN B₁₂ LEVEL, NEUROTRANSMITTER IMBALANCE, AND THE CLINICAL SEVERITY OF HEMIFACIAL SPASM [description] => [author] => Uzakov Jurabek Bakhtiyorovich, Boltaeva Shakhnoza Uktam kizi [googlescholar] => [doi] => https://doi.org/10.36713/epra24895 [year] => 2025 [month] => November [volume] => 11 [issue] => 11 [file] => fm/jpanel/upload/2025/November/202511-01-024895.pdf [abstract] => The article is devoted to the study of metabolic and neurochemical factors influencing the pathogenesis of hemifacial spasm (HFS).The levels of vitamin B₁₂, cortisol, and dopamine were determined in patients with HFS and compared with those in a control group. Significant correlations were established between decreased vitamin B₁₂ levels, hyperactivity of the hypothalamic–pituitary–adrenal axis, and disturbances in neurotransmitter processes. The findings confirm the involvement of vitamin B₁₂ deficiency in the disruption of neurovascular interactions, which contributes to the development of chronic pathological spasm of the facial muscles and defines directions for comprehensive patient rehabilitation. [keywords] => Hemifacial Spasm, Vitamin B₁₂, Dopamine, Cortisol, Neurotransmitter Imbalance, Metabolic Markers, Neurovascular Dysfunction, Rehabilitation [doj] => 2025-11-13 [hit] => [status] => [award_status] => P [orderr] => 39 [journal_id] => 1 [googlesearch_link] => [edit_on] => [is_status] => 1 [journalname] => EPRA International Journal of Multidisciplinary Research (IJMR) [short_code] => IJMR [eissn] => 2455-3662 (Online) [pissn] => - -- [home_page_wrapper] => images/products_image/11.IJMR.png ) Error fetching PDF file.