Document Detail


Hemifacial spasm due to compression of the facial nerve by vertebral artery-posterior inferior cerebellar artery aneurysm and elongated vertebral artery--case report.
MedLine Citation:
PMID:  9002718     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 62-year-old female presented with rapid aggravation of long-standing facial spasm occurring within a few months. Neuroimaging and angiography demonstrated compression of the root exit zone (REZ) of the facial nerve by an ipsilateral saccular aneurysm at the left vertebral artery (VA)-posterior inferior cerebellar artery bifurcation, in addition to the elongated VA. Neck clipping of the aneurysm and decompression of the REZ from the elongated VA and clipped aneurysm resulted in complete disappearance of the facial spasm. The aneurysm had very thin walls and was apparently about to rupture. Aggravation of long-standing hemifacial spasm may be a warning sign for rapid growth and rupture of a causative aneurysm.
Authors:
S Moriuchi; H Nakagawa; M Yamada; T Kadota
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  36     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-02-28     Completed Date:  1997-02-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  884-7     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Osaka Medical Center for Cancer and Cardiovascular Diseases.
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MeSH Terms
Descriptor/Qualifier:
Facial Nerve Diseases / pathology*
Facial Pain / complications*
Female
Humans
Intracranial Aneurysm / pathology*
Middle Aged
Vertebral Artery / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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