Document Detail

Hemifacial spasm in infancy.
MedLine Citation:
PMID:  2350284     Owner:  NLM     Status:  MEDLINE    
Three infants presented with the onset of hemifacial spasm after birth and at the age of 10 months. One patient was found to have occlusion of the straight sinus and large collateral veins at the base of the brain, presumably due to venous sinus thrombosis, supporting the concept of vascular compression of the facial nerve at its exit from the brain stem as a mechanism for the production of hemifacial spasm. The other patients each had an intrinsic mass compressing the fourth ventricle, located in the lower pons and extending into the cerebellar vermis and right cerebellar peduncle in one; in the other patient, the mass involved the cerebellar vermis and right middle cerebellar peduncle alone. These patients widen the etiologic spectrum of the syndrome and show that serious intracranial diseases may underlie hemifacial spasm in infancy.
U Flüeler; D Taylor; S Hing; B Kendall; J P Finn; E Brett
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of ophthalmology     Volume:  108     ISSN:  0003-9950     ISO Abbreviation:  Arch. Ophthalmol.     Publication Date:  1990 Jun 
Date Detail:
Created Date:  1990-07-06     Completed Date:  1990-07-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7706534     Medline TA:  Arch Ophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  812-5     Citation Subset:  AIM; IM    
Department of Ophthalmology, Hospitals for Sick Children, London, England.
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MeSH Terms
Brain Neoplasms / complications,  diagnosis
Cerebellar Neoplasms / complications,  diagnosis
Child, Preschool
Eyelid Diseases / etiology
Facial Nerve Diseases* / etiology
Magnetic Resonance Imaging
Nerve Compression Syndromes*
Sinus Thrombosis, Intracranial / complications,  diagnosis
Spasm* / etiology

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