| Hemifacial spasm due to contralateral aneurysmal compression of the facial nerve successfully treated with endovascular coil embolization: case report. | |
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MedLine Citation:
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PMID: 21832966 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND AND IMPORTANCE:: Hemifacial spasm is usually caused by compression of the facial nerve at the root exit zone (REZ), whereas fusiform aneurysmal compression is extremely rare. The authors describe symptomatic hemifacial spasm caused by a contralateral fusiform aneurysm of the vertebral artery (VA) that was treated by endovascular coil embolization. CLINICAL PRESENTATION:: A 55-year-old woman developed left hemifacial spasm that had gradually worsened over a period of 2 years before admission to our hospital. Cerebral angiography showed an elongated right VA fusiform aneurysm near the VA union that inclined toward the left side. The cause of the facial spasm was considered to be compression of the left facial nerve REZ by the aneurysm. Endovascular parent artery embolization including the aneurysm was performed. The hemifacial spasm disappeared within 3 months. CONCLUSION:: Hemifacial spasm caused by contralateral VA fusiform aneurysm can be treated by intravascular parent artery occlusion with coil embolization. |
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Authors:
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Ichiro Nakagawa; Katsutoshi Takayama; Shinichiro Kurokawa; Takeshi Wada; Hiroyuki Nakagawa; Kimihiko Kichikawa; Hiroyuki Nakase |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Neurosurgery Volume: 69 ISSN: 1524-4040 ISO Abbreviation: Neurosurgery Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-08-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: United States |
Other Details:
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Languages: eng Pagination: E768-72 Citation Subset: IM |
Affiliation:
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Departments of *Neurosurgery and ‖Radiology, Nara Medical University, Nara, Japan; Departments of ‡Interventional Neuroradiology and §Neurosurgery, Ishinkai Yao General Hospital, Osaka, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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