Facial hemispasm

From WikiLectures

With facial hemispasm there are involuntary unilateral, painless, spastic contractions of mimic muscles.

Differential diagnosis[edit | edit source]

Treatment of facial hemispasm[edit | edit source]

  • microvascular decompression n. VII (success rate 70-90%) - the main risk of surgery hearing damage (manipulation of n . VIII, necessary intraoperative monitoring BAEP), other risks are injury to the decompressed n. VII or damage to the cerebellum;
  • "elderly and high-risk patients": local application of botulinum toxin to the muscle affected by the spasm, the effect lasts for about 5 months, after which the application must be repeated.

Links[edit | edit source]

Related Articles[edit | edit source]

References[edit | edit source]

  • SAMESH, M, et al. Neurosurgery. 1. edition. Prague : Jessenius Maxdorf, 2005. ISBN 80-7345-072-0.