Hemifacial Spasm Induced by Trigeminal Stimuli and Coupled With Ipsilateral Migraine: A Spasmodic Migraine

Cuadrado, María‐Luz; Fernández‐de‐las‐Peñas, César; Santiago, Susana; Vela, Lydia; Pérez-Conde, C.; Pareja, JA

doi:10.1111/j.1468-2982.2006.01159.x

Cited by 6 publications

(5 citation statements)

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“…Two patients with concurrent migraine and HFS have been reported before (1,2), and here we present three new cases. The main features of these five cases are summarized in Table 1.…”

Section: Discussionmentioning

confidence: 61%

“…In addition, his HFS was exacerbated by the blink reflex test. As formerly proposed, nociceptive impulses converging on the trigeminal nucleus caudalis could result in temporal and spatial summation, thus leading to increased activation of the trigeminofacial connections within the brainstem (2,3).…”

Section: Discussionmentioning

confidence: 92%

“…They suggested that a potentiation of certain trigeminofacial reflexes might trigger the appearance of facial spasms during migraine attacks. Indeed, their patient also had facial spasms when either nociceptive or electrical stimuli were applied within the V-1 region (2). Similar observations were made in our third patient.…”

Section: Discussionmentioning

confidence: 99%

“…Most cases are caused by vascular compression of the nerve at the root exit zone. The appearance of HFS during an episode of migraine has already been acknowledged, but it has been reported only very rarely (1,2). Here we describe the clinical features of three new patients presenting with HFS in close temporal relationship with migraine headaches.…”

Section: Introductionmentioning

confidence: 99%

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Migraine-triggered hemifacial spasm: three new cases

et al. 2012

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Migraine attacks may be associated with HFS. The appearance of HFS could be related to migraine activity. A mechanism of central hyperexcitability in connection with nociceptive inputs on the trigeminal nucleus caudalis and/or a dilation of vessels compressing the facial nerve at the root exit zone could lead to the development of HFS in predisposed patients. 'Migraine-triggered hemifacial spasm' could possibly be regarded as a complication of migraine.

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“…Two patients with concurrent migraine and HFS have been reported before (1,2), and here we present three new cases. The main features of these five cases are summarized in Table 1.…”

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Migraine-triggered hemifacial spasm: three new cases

et al. 2012

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“…), whereas a majority (62%) had unidentifiable etiology. Though uncommon, there are case reports of associated hemifacial spasm during episodes of migraine headaches (8).…”

Section: Introductionmentioning

confidence: 99%

A Case of Migraine Headaches with Hemifacial Spasm: Complete Resolution of Hemifacial Spasm Following Upper Cervical Intraarticular Facet Joint Injection

Jha¹

2021

PMCR

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Background: Headache is one of the leading neurological disorders both globally and nationally, responsible for significant morbidity and disability. Migraine headache disorder is a common headache disorder affecting at least 11% of world’s population. Case Report: We present a case of a patient who presented with migraine headaches associated with hemifacial spasm (only during acute migraine attacks) along with upper cervical pain. She was offered right-sided C2-C3 and C3-C4 intraarticular facet joint injections with steroid and local anesthetic under fluoroscopy. Significant relief in headaches along with a complete resolution of hemifacial spasms was noted. Conclusion: This outcome raises the possibility of underlying pathophysiological processes that could have been interrupted by cervical facet joint steroid injection to stop the facial spasms. To the best of our knowledge, this is the first case report of migraine headaches associated with hemifacial spasm that responded to cervical intraarticular facet joint injection. Key words: Facet joint injection, headache, hemifacial spasm, medial branch block, migraine, pathophysiology, spinal cord stimulation, trigeminocervical complex

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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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Hemifacial Spasm Induced by Trigeminal Stimuli and Coupled With Ipsilateral Migraine: A Spasmodic Migraine

Cited by 6 publications

References 5 publications

Migraine-triggered hemifacial spasm: three new cases

Migraine-triggered hemifacial spasm: three new cases

A Case of Migraine Headaches with Hemifacial Spasm: Complete Resolution of Hemifacial Spasm Following Upper Cervical Intraarticular Facet Joint Injection

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

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