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More than hemifacial spasm? A case of unilateral facial spasms with systematic review of red flags.

Abstract：

:Unilateral facial spasms (UFS) are frequently caused by hemifacial spasm (HFS), a disorder that usually results from vascular loop compression at the root exit zone of the facial nerve. However, UFS can also be a manifestation of other conditions, including brainstem tumours or demyelination, post-Bell's synkinesis, lesions of the facial nerve in the Faloppio canal and the parotid gland, dystonia, epilepsy, psychogenic conditions, tics and hemimasticatory spasm. In this report, we present a case of UFS, not due to HFS, highlighting clinical red flags for an alternative diagnosis. In addition, a systematic review was conducted to provide a comprehensive summary of UFS differential diagnoses with a list of red flags to assist neurologists in the evaluation of patients with UFS.

journal_name

J Neurol Sci

journal_title

Journal of the neurological sciences

authors

Sringean J,Dressler D,Bhidayasiri R

doi

10.1016/j.jns.2019.116532

subject

Has Abstract

pub_date

2019-12-15 00:00:00

pages

116532

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(19)30464-2

journal_volume

407

pub_type

信件

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