Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Hemifacial Spasm Developed after Contralateral Vertebral Artery Ligation

  • Choi, Hyuk-Jai (Department of Neurosurgery, School of Medicine, Kyung Hee University) ;
  • Lee, Sung-Ho (Department of Neurosurgery, School of Medicine, Kyung Hee University) ;
  • Choi, Seok-Keun (Department of Neurosurgery, School of Medicine, Kyung Hee University) ;
  • Rhee, Bong-Arm (Department of Neurosurgery, School of Medicine, Kyung Hee University)
  • Received : 2011.03.16
  • Accepted : 2012.01.08
  • Published : 2012.01.28
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Abstract

Although the mechanism of hemifacial spasm (HFS) is not yet well established, vascular compression of the facial nerve root exit zone and hyperexcitability of the facial nucleus have been suggested. We report a case of HFS in the setting of coinciding intracranial hemorrhage (ICH) of the pons and proximal ligation of the contralateral vertebral artery (VA) for the treatment of a fusiform aneurysm of the distal VA and discuss the possible etiologies of HFS in this patient. A 51-year-old male with an ICH of the pons was admitted to our hospital. Neuroimaging studies revealed an incidental fusiform aneurysm of the right VA distal to the origin of the posterior inferior cerebellar artery. Eight months after proximal ligation of the VA the patient presented with intermittent spasm of the left side of his face. Pre- and post-ligation magnetic resonance angiography revealed an enlarged diameter of the VA. The spasm completely disappeared after microvascular decompression.

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References

  1. Barker FG 2nd, Jannetta PJ, Bissonette DJ, Shields PT, Larkins MV, Jho HD : Microvascular decompression for hemifacial spasm. J Neurosurg 82 : 201-210, 1995 https://doi.org/10.3171/jns.1995.82.2.0201
  2. Bills DC, Hanieh A : Hemifacial spasm in an infant due to fourth ventricular ganglioglioma. Case report. J Neurosurg 75 : 134-137, 1991 https://doi.org/10.3171/jns.1991.75.1.0134
  3. Caplan LR, Baquis GD, Pessin MS, D'Alton J, Adelman LS, DeWitt LD, et al. : Dissection of the intracranial vertebral artery. Neurology 38 : 868-877, 1988 https://doi.org/10.1212/WNL.38.6.868
  4. Chang JW, Chang JH, Choi JY, Kim DI, Park YG, Chung SS : Role of postoperative magnetic resonance imaging after microvascular decompression of the facial nerve for the treatment of hemifacial spasm. Neurosurgery 50 : 720-725; discussion 726, 2002 https://doi.org/10.1097/00006123-200204000-00007
  5. Choi SK, Rhee BA, Lim YJ : Hemifacial spasm caused by epidermoid tumor at cerebello pontine angle. J Korean Neurosurg Soc 45 : 196-198, 2009 https://doi.org/10.3340/jkns.2009.45.3.196
  6. Elgamal EA, Coakham HB : Hemifacial spasm caused by pontine glioma : case report and review of the literature. Neurosurg Rev 28 : 330-332, 2005 https://doi.org/10.1007/s10143-005-0392-7
  7. Han IB, Chang JH, Chang JW, Huh R, Chung SS : Unusual causes and presentations of hemifacial spasm. Neurosurgery 65 : 130-137; discussion 137, 2009 https://doi.org/10.1227/01.NEU.0000348548.62440.42
  8. Huh R, Han IB, Moon JY, Chang JW, Chung SS : Microvascular decompression for hemifacial spasm : analyses of operative complications in 1582 consecutive patients. Surg Neurol 69 : 153-157; discussion 157, 2008 https://doi.org/10.1016/j.surneu.2007.07.027
  9. Jannetta PJ, Abbasy M, Maroon JC, Ramos FM, Albin MS : Etiology and definitive microsurgical treatment of hemifacial spasm. Operative techniques and results in 47 patients. J Neurosurg 47 : 321-328, 1977 https://doi.org/10.3171/jns.1977.47.3.0321
  10. Kobata H, Kondo A, Iwasaki K : Cerebellopontine angle epidermoids presenting with cranial nerve hyperactive dysfunction : pathogenesis and long-term surgical results in 30 patients. Neurosurgery 50 : 276-285; discussion 285-286, 2002
  11. Kondo A, Ishikawa J, Konishi T, Yamasaki T : [Mechanism of vascular compression of cranial nerves -- role of changes of vertebro-basilar vasculatures (author's transl)]. Neurol Med Chir (Tokyo) 21 : 287-293, 1981 https://doi.org/10.2176/nmc.21.287
  12. Kubo Y, Miura K, Suzuki M, Tsuiki K, Kuwata N, Kubo N, et al. : Development of a dissecting aneurysm on the vertebral artery immediately after occlusion of the contralateral vertebral artery : a case report. Neurosurg Rev 21 : 177-180, 1998 https://doi.org/10.1007/BF02389328
  13. Lee SH, Rhee BA, Choi SK, Koh JS, Lim YJ : Cerebellopontine angle tumors causing hemifacial spasm : types, incidence, and mechanism in nine reported cases and literature review. Acta Neurochir (Wien) 152 : 1901-1908, 2010 https://doi.org/10.1007/s00701-010-0796-1
  14. Mizutani T, Aruga T : [Rupture and outcome of vertebrobasilar dissecting aneurysms presenting subarachnoid hemorrhage]. Surg Cereb Stroke 22 : 389-393, 1994 https://doi.org/10.2335/scs1987.22.5_389
  15. Møller AR : Hemifacial spasm : ephaptic transmission or hyperexcitability of the facial motor nucleus? Exp Neurol 98 : 110-119, 1987 https://doi.org/10.1016/0014-4886(87)90076-8
  16. Nagashima H, Orz Y, Okudera H, Kobayashi S, Ichinose Y : Remission of hemifacial spasm after proximal occlusion of vertebrobasilar dissecting aneurysm with coils : case report. J Clin Neurosci 8 : 43-45, 2001 https://doi.org/10.1054/jocn.2000.0814
  17. Nagata S, Matsushima T, Fujii K, Fukui M, Kuromatsu C : Hemifacial spasm due to tumor, aneurysm, or arteriovenous malformation. Surg Neurol 38 : 204-209, 1992 https://doi.org/10.1016/0090-3019(92)90170-R
  18. Rhee BA, Kim TS, Kim GK, Leem WL : Hemifacial spasm caused by contralateral cerebellopontine angle meningioma : case report. Neurosurgery 36 : 393-395, 1995 https://doi.org/10.1227/00006123-199502000-00021
  19. Sato K, Ezura M, Takahashi A, Yoshimoto T : Fusiform aneurysm of the vertebral artery presenting hemifacial spasm treated by intravascular embolization : case report. Surg Neurol 56 : 52-55, 2001 https://doi.org/10.1016/S0090-3019(01)00496-7
  20. Valls-Sole J, Tolosa ES : Blink reflex excitability cycle in hemifacial spasm. Neurology 39 : 1061-1066, 1989 https://doi.org/10.1212/WNL.39.8.1061
  21. Vermersch P, Petit H, Marion MH, Montagne B : Hemifacial spasm due to pontine infarction. J Neurol Neurosurg Psychiatry 54 : 1018, 1991
  22. Wang HC, Lu CH, Lee RJ, Yang TM, Hung KS : Post-traumatic hemifacial spasm. J Clin Neurosci 13 : 681-683, 2006 https://doi.org/10.1016/j.jocn.2005.10.006

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