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AAEM case report #21: Hemifacial spasm: Preoperative diagnosis and intraoperative management
Author(s) -
Harper C. Michel
Publication year - 1991
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.880140303
Subject(s) - hemifacial spasm , medicine , facial nerve , microvascular decompression , decompression , surgery , facial muscles , electromyography , anesthesia , physical medicine and rehabilitation , anatomy , trigeminal neuralgia
A 75‐year‐old man developed progressive involuntary hemifacial spasm. Electrophysiologic evidence of abnormal cross‐transmission between neurons of the facial nerve was demonstrated. Electrodiagnostic studies were used to confirm the diagnosis preoperatively and determine the adequacy of vascular decompression of the facial nerve intraoperatively.