| Identifier |
walsh_1990_s5_c1 |
| Title |
Familial Hemifacial Spasm (HFS): An Autopsy |
| Creator |
Jonathan D. Wirtschafter |
| Subject |
Hemifacial Spasm; Facial Nerve Diseases; Nerve Compression Syndromes; Radiculopathy; Hearing Loss, Sensorineural; Entropion |
| History |
An 83-year old female who at age 63 developed symptoms of left hemifacial spasm. Previous history significant for controlled diabetes, controlled hypertension, atherosclerotic heart disease and cervical cancer (Tx cobalt). Family history remarkable for daughter and niece who developed HFS. |
| Pathology |
Ectopic excitation of facial nerve fibers; Vascular compression |
| Disease/Diagnosis |
Familial hemifacial spasm |
| Clinical |
Spasms radiating upwards and laterally onto the left side of head. |
| Presenting Symptom |
Twitching left eye progressing to involvement of the mouth and neck. |
| Neuroimaging |
N/A |
| Treatment |
Botulinum toxin |
| References |
1. Friedman A, Jamrozik Z, Bojakowski J: Familial hemifacial spasm. Mov Disord; 1989; (3): 213-8. 2. Baba T, Matsushima T, Fukui M, et al: Relationship between angiographical manifestations and operative findings in 100 cases of hemifacial spasm. No Shinkei Geka (NEUROLOGICAL SURGERY [TOKYO]); 1988; 16; 1355-62. 3. Carlos R, Fukui M, Hasuo K, et al: Radiological analysis of hemifacial spasm with special reference to angiographic manifestations. Neuroradiology; 1986; 28: 288-95. 4. Digre KB,Corbett JJ, Smoker WR, McKusker S: CT and hemifacial spasm. Neurology; 1988 ; 38: 1111-3. 5. Stopford JSB: The arteries of the pons and medulla oblongata. J Anat Physiol: 1915-1916:1, 131-164. 6. Jannetta PJ: Hemifacial spasm caused by a venule: case report. Neurosurgery; 1984 14: 89-92. 7. Moller AR: Hemifacial spasm: ephaptic transmission or hyperexcitability of the facial motor nucleus? Exp Neurol; 1987; 98: 110-9. 8. Moller AR, Jannetta PJ: Monitoring facial EMG responses during microvascular decompression operations for hemifacial spasm. J Neurosurg; 1987; 66: 681-5. 9. Horowitz SH: Hemifacial spasm and facial myokymia: electrophysio-logical findings. Muscle Nerve; 1987; 10: 422-7. 10. Nagahiro S; Matsukado Y; Wada S; et al: Blink reflexes in hemifacial spasm with special reference to the synkinetic responses. No To Shinkei; 1987: 39: 923-9. 11. Nielsen, V. K. Electrophysiology of the facial nerve in hemifacial spasm: ectopic/ephaptic excitation. Muscle Nerve; 1985;8: 545-55. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
1990 Walsh Proceedings |
| Relation is Part of |
Case presented at the NANOS 1990 Walsh Session, February 16-17 Contributor Primary |
| Collection |
Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu |
| Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Holding Institution |
North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416 |
| Rights Management |
Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6fn191n |
| Contributor Primary |
Wirtschafter, Jonathan, D. |
| Contributor Secondary |
Coad, James E.; Perrone, Theresa; Haines, Steven J.; Heros, Roberto |
| Setname |
ehsl_novel_fbw |
| ID |
178806 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6fn191n |
