Hemifacial spasm in benign intracranial hypertension

Grassi, Maria Pia; Carella, F.; Perin, C; Borella, M

doi:10.1007/s10072-001-8179-2

Cited by 9 publications

(7 citation statements)

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“…A MEDLINE search using the MESH terms migraine and HFS failed to return any report of such an association nor was migraine mentioned in a 2001 review of unusual causes of HFS 3 . HFS has been reported in association with benign intracranial hypertension, 4 though the lack of visual symptoms, papilledema or MRI findings such as an empty sella mitigate against that diagnosis in this case. Tan and Janovic described clinical characteristics suggestive of psychogenic HFS in patients referred to a tertiary center for HFS 5 .…”

Section: Discussionmentioning

confidence: 76%

Migraine Accompanied by Hemifacial Spasm: A Case Report

Husid¹

2005

Headache

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Section: Discussionmentioning

confidence: 76%

Migraine Accompanied by Hemifacial Spasm: A Case Report

Husid¹

2005

Headache

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“…An association between arterial hypertension, benign intracranial hypertension, and HFS has been reported 55. Arterial hypertension was present in all symptomatic subjects with late‐onset HFS in a family with HFS spanning 4 generations 46.…”

Section: Discussionmentioning

confidence: 90%

The many faces of hemifacial spasm: Differential diagnosis of unilateral facial spasms

2011

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Hemifacial spasm is defined as unilateral, involuntary, irregular clonic or tonic movement of muscles innervated by the seventh cranial nerve. Most frequently attributed to vascular loop compression at the root exit zone of the facial nerve, there are many other etiologies of unilateral facial movements that must be considered in the differential diagnosis of hemifacial spasm. The primary purpose of this review is to draw attention to the marked heterogeneity of unilateral facial spasms and to focus on clinical characteristics of mimickers of hemifacial spasm and on atypical presentations of nonvascular cases. In addition to a comprehensive review of the literature on hemifacial spasm, medical records and videos of consecutive patients referred to the Movement Disorders Clinic at Baylor College of Medicine for hemifacial spasm between 2000 and 2010 were reviewed, and videos of illustrative cases were edited. Among 215 patients referred for evaluation of hemifacial spasm, 133 (62%) were classified as primary or idiopathic hemifacial spasm (presumably caused by vascular compression of the ipsilateral facial nerve), and 4 (2%) had hereditary hemifacial spasm. Secondary causes were found in 40 patients (19%) and included Bell's palsy (n=23, 11%), facial nerve injury (n=13, 6%), demyelination (n=2), and brain vascular insults (n=2). There were an additional 38 patients (18%) with hemifacial spasm mimickers classified as psychogenic, tics, dystonia, myoclonus, and hemimasticatory spasm. We concluded that although most cases of hemifacial spasm are idiopathic and probably caused by vascular compression of the facial nerve, other etiologies should be considered in the differential diagnosis, particularly if there are atypical features.

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“…16 However, the association between HFS and IIH is not well described, with only three case reports in the literature (Table 1). 7-9 In the case presented, the patient’s HFS resolved completely after LP and adherence to acetazolamide. In all three previously reported cases of IIH-associated HFS, patients reported significant improvement of HFS after beginning acetazolamide (Table 1).…”

Section: Discussionmentioning

confidence: 83%

“…Hemifacial spasm (HFS), a consequence of facial nerve hyperexcitability rather than palsy, is an exceedingly rare presenting symptom of IIH. 7-9…”

Section: Discussionmentioning

confidence: 99%

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Hemifacial Spasm as a Rare Clinical Presentation of Idiopathic Intracranial Hypertension: Case Report and Literature Review

Poff

Lipschitz

Kohlberg

et al. 2020

Ann Otol Rhinol Laryngol

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Objectives: To report a rare case of idiopathic intracranial hypertension (IIH) presenting with hemifacial spasm (HFS) and review the current literature. Methods: Case report and literature review. The patient’s medical record was reviewed for demographic and clinical data. For literature review, all case reports or other publications published in English literature were identified using PUBMED. Results: A 43-year-old obese female presented with a 2-year history of left HFS. Electroencephalography and head computed tomography were unremarkable. Magnetic resonance imaging demonstrated bilateral anterior inferior cerebellar artery vascular loops involving the internal auditory canals as well as IIH-associated findings. A lumbar puncture was performed and revealed an elevated opening pressure of 26 cm H20 cerebrospinal fluid. Acetazolamide treatment was then initiated, resulting in complete resolution of the HFS. Conclusion: HFS may be a rare presenting manifestation of IIH, and treatment of IIH may result in improvement of HFS symptoms. This is the first report of IIH presenting with HFS in the absence of headache or visual change. As a result, this is the first report of HFS as a presenting manifestation of IIH in Otolaryngology literature.

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Hemifacial spasm in benign intracranial hypertension

Cited by 9 publications

References 0 publications

Migraine Accompanied by Hemifacial Spasm: A Case Report

Migraine Accompanied by Hemifacial Spasm: A Case Report

The many faces of hemifacial spasm: Differential diagnosis of unilateral facial spasms

Hemifacial Spasm as a Rare Clinical Presentation of Idiopathic Intracranial Hypertension: Case Report and Literature Review

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