I wanted to put this out there for anyone who might be having difficulties with the hemi-facial spasms or trigeminal neuralgia. I saw a local neurosurgeon, Raymond Sekula (UPMC Hamot - Erie, PA), for an opinion on my treatment options for my AN. I didn't have my surgery done by him because there isn't a local neurotologist that he works with. He does, however, have a very good reputation for the conditions I listed. There was an attorney in my office who was having hemi-facial spasms. Dr. Sekula performed his surgery and he had a great outcome. The website http://www.upmchamot.org/f_viewDoc.php?doc=017498
states that people come to him from around the world. If you look around on the website, you can get information on scheduling a free consultation via Skype.
I hope this might help someone.