Open AccessDevelopmental vascular anomaly associated hemi facial spasms and botox injections therapy
Author(s) -
Salman Assad,
Kaplan Samuel,
Abdul Rana,
Ashar Farooqi,
Justin Nolte,
Shuja A Malik,
Mehar Zahid,
Dharampreet Singh,
Paul W. Ferguson
Publication year - 2020
Publication title -
journal of family medicine and primary care
Language(s) - English
Resource type - Journals
eISSN - 2278-7135
pISSN - 2249-4863
DOI - 10.4103/jfmpc.jfmpc_598_20
Subject(s) - medicine , hemifacial spasm , neurovascular bundle , vascular anomaly , microvascular decompression , surgery , neurology , neuroradiology , neurosurgery , synkinesis , facial nerve , trigeminal neuralgia , psychiatry , alternative medicine , pathology , palsy
Hemifacial spasm (HFS) is characterized by involuntary synchronous contractions or spasms of one side of the face, usually beginning around the eye. They are typically brief, irregular clonic movements but are occasionally tonic. We present a case of a 41-year-old female who presented to the neurology clinic with complaints of recurrent right facial spasms. These involuntary spontaneous movements had affected her quality of life. The neuroimaging revealed the vascular malformation right cranial nerves (CN) VII/VIII complex. It was considered to be responsible for the patient's HFSs. The patient responded well symptomatically to the botox injections without any neurovascular decompression.