Abstract
Hemifacial spasm in a 10-year-old child is herein reported. Computed tomography and angiography were normal. Magnetic resonance imaging showed an anomalous vascular structure, probably a redundant loop arising from AICA or PICA, which was identified at surgery. The spasm, presumably due to vascular compression at the root entry zone of the right facial nerve, promptly and completely remitted after surgical decompression, without functional deficits. Atypical clinical features, as well as pre- and postoperative neurophysiological findings supporting the microvascular compression theory, are discussed.
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Adams CBT, Chir M (1989) Microvascular compression: an alternative view and hypothesis. J Neurosurg 57: 1–12
Esteban A, Molina-Negro P (1986) Primary hemifacial spasm: a neurophysiological study. J Neurol Neurosurg Psychiatry 49: 58–63
Jannetta PJ (1981) Hemifacial spasm. In: Samii M, Jannetta PJ (eds) The cranial nerves: anatomy, pathology, pathophysiology, diagnosis, treatment. Springer, Berlin Heidelberg New York, pp 484–493
Jannetta PJ (1985) Posterior fossa neurovascular compression syndromes other than neuralgias. In: Wilkins RH, Rengachari SS (eds) Neurosurgery. McGraw-Hill, New York, pp 1901–1906
Jannetta PJ, Abbasy M, Maroon JC, Ramos FM, Albin MS (1977) Etiology and definitive microsurgical treatment of hemifacial spasm. J Neurosurg 47: 321–328
Kaye AH, Adams CBT (1981) Hemifacial spasm; a long-term follow-up of patients treated by posterior fossa surgery and facial nerve wrapping. J Neurol Neurosurg Psychiatry 44: 1100–1103
Nielsen VK, Jannetta PJ (1984) Pathophysiology of hemifacial spasm. III. Effects of facial nerve decompression. Neurology 34: 891–897
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Milani, N., Scaioli, V., Giombini, S. et al. Hemifacial spasm in a child. Child's Nerv Syst 7, 466–468 (1991). https://doi.org/10.1007/BF00263191
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DOI: https://doi.org/10.1007/BF00263191