Reversible hemifacial spasm due to neurocysticercosis.

Ann Indian Acad Neurol

Department of Medicine, Acharya Shri Chander College of Medical Sciences, Sidhra, Jammu, J&K, India.

Published: July 2009

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2824939PMC
http://dx.doi.org/10.4103/0972-2327.56322DOI Listing

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Article Synopsis
  • - Aplasia of the inferior rectus and inferior oblique muscles is a rare condition caused by improper embryological development, often associated with craniofacial syndromes and eye abnormalities.
  • - The common treatment, a reverse Knapp procedure, aims to improve vertical eye alignment but may result in complications like ischemia or undercorrection.
  • - This report describes a unique case of unilateral aplasia in a patient with congenital facial nerve palsy and optic nerve hypoplasia, successfully treated with a modified minimally invasive procedure.
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Background: Hemifacial spasm (HFS) is a distressing, involuntary, irregular tonic-clonic contraction of the facial muscles innervated by the seventh cranial nerve. It affects the quality of life. Botulinum toxin is a preferred symptomatic treatment option for the condition.

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Vestibular paroxysmia caused by contralateral tortuous vertebral artery: A case report.

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Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Republic of Korea.

Rationale: Vestibular paroxysmia (VP) is characterized by spontaneous, recurrent, short, paroxysmal attacks of vertigo with or without tinnitus.

Patient Concerns: We report a case of paroxysmal recurrent vertigo accompanying clicking tinnitus on the left side in a 61-year-old patient. He had undergone microvascular decompression to treat the left-side hemifacial spasm 6 years prior.

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Hemifacial spasm (HFS) is a movement disorder affecting the facial muscles and is primarily due to a lesion related to the seventh cranial nerve or the brainstem. In this case report, a 71-year-old man had a rare presentation of acute onset HFS due to non-ketotic hyperglycemia. Type 2 diabetes was diagnosed during hospital admission.

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Facial spasms are of various types. Hemifacial spasm (HFS) is characterized by unilateral tonic-clonic contractions of facial muscles, following a specific pattern of disease progression. It has well-delineated clinical, radiological and electrophysiological features.

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