Hemifacial spasm caused by a spontaneous dissecting aneurysm of the vertebral artery. Case report.

Abstract:

:The authors describe the first reported case of dissecting aneurysm presenting with hemifacial spasm. The patient was a 58-year-old woman with left hemifacial spasm of 2 years' duration. Cranial nerve examination was otherwise normal and no other clinical symptoms were observed. Vertebral angiography revealed a fusiform enlargement of the left vertebral artery and contrast medium remaining in the intramural false lumen in the venous phase. Microvascular decompression of the facial nerve with wrapping of the aneurysm resulted in complete relief of the hemifacial spasm.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Matsumoto K,Saijo T,Kuyama H,Asari S,Nishimoto A

doi

10.3171/jns.1991.74.4.0650

subject

Has Abstract

pub_date

1991-04-01 00:00:00

pages

650-2

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

74

pub_type

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